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Biomedical subjects

J Perdigão

Publications and source records attributed to J Perdigão.

At least 19 recordsLinked to original sources

Microtensile adhesion of sealants to intact enamel.

UNLABELLED: Contamination of etched enamel with saliva has been shown to result in sealant failure. Hydrophilic adhesives improve retention of sealants when enamel is contaminated. OBJECTIVE: The objective of the present study was to characterize the adhesion of two sealants to unprepared enamel etched with phosphoric acid or conditioned with the all-in-one, self-etch adhesive Adper Prompt L-Pop. METHODS: The two proximal enamel surfaces of 16 sound molars were assigned to four conditioning regimens: (1) 35% phosphoric acid for 15 s; (2) Adper Prompt L-Pop, one layer light-cured prior to sealant placement; (3) Adper Prompt L-Pop, two layers light-cured prior to sealant placement; and (4) Adper Prompt L-Pop, one layer co-cured with sealant. One of two sealants, i.e. Clinpro or Delton DDS, was applied, light-cured, followed by a composite build-up to provide support for microtensile bond testing. RESULTS: The highest mean bond strengths were obtained when Adper Prompt L-Pop was applied in two layers and light-cured prior to the insertion of Clinpro Sealant. Co-cure of Adper Prompt L-Pop with either sealant resulted in bond strengths which were not significantly different from those of the phosphoric acid control. The use of Adper Prompt L-Pop in one layer cured prior to sealant placement resulted in statistically lower bond strengths than any other application technique regardless of the sealant used. Clinpro Sealant resulted in statistically higher bond strengths than Delton DDS Sealant. CONCLUSIONS: Application of one layer of Adper Prompt L-Pop co-cured with the sealant resulted in bond strengths similar to those obtained with phosphoric acid etching.

Acid Etching, Dental↗

Dentin proteoglycans: an immunocytochemical FEISEM study.

Dentin proteoglycans are fundamental constituents of the dentin matrix and are distributed ubiquitously both in dentin and cement. They have several important functional properties; in particular, they have a fundamental role in the maintenance and the correct stabilization of collagen fibers. The use of phosphoric acid on dentin, as proposed in most common dental adhesive systems to establish a reliable bond, may affect the molecular structure of proteoglycans. The aim of this study was to evaluate, after the application of EDTA or phosphoric acid on dentin, the dentin proteoglycans with an immunocytochemical approach with high resolution SEM. For this purpose, dentin disks obtained from recently extracted human molars were etched with a 35% water solution of phosphoric acid for 15 s, 30 s, and 60 s. Control specimens were conditioned with EDTA. Specimens were immunolabeled with a monoclonal antibody antichondroitin sulfate and visualized with a gold-conjugated secondary antibody. Conditioning dentin with EDTA resulted in a distinct labeling of the proteoglycans, as visualized on branching fibrillar structures in the order of 10-20 nm. The use of 35% phosphoric acid on dentin revealed a coagulation of proteoglycans after etching for 15 s while a very low labeling signal was detectable after 30 s. No labeling was obtained after etching dentin with phosphoric acid for 60 s. These results suggest that the use of 35% phosphoric acid on dentin is able to produce significant structural modifications of the dentin proteoglycans even after short application times. Additionally, when applied on the dentin surface for more than 30 s, phosphoric acid produces a dramatic decrease in proteoglycans' antigenicity, probably due to structural modifications of the three-dimensional conformation of these molecules.

Dentin↗

tef: a mutation that causes telomere fusion and severe genome rearrangements in Drosophila melanogaster.

Telomeres are the stable ends of linear chromosomes in eukaryotes. These complex protein-nucleic acid structures are essential to maintain genomic stability and the integrity of linear chromosomes. We identified a new mutation in Drosophila that causes a high frequency of end-to-end fusions of chromosomes during mitosis and meiosis. Linear chromosomal ends appear to be essential for fusions to take place. These fusions do not resolve, leading to cycles of chromosomal breakage and rejoining and severe genome rearrangements. The gene is essential for normal cell proliferation and mutant tissue shows significant apoptosis. Our analysis suggests that the function encoded by the mutant gene is required to protect the linear ends of chromosomes.

Animals↗

"No-bottle" vs "multi-bottle" dentin adhesives--a microtensile bond strength and morphological study.

PURPOSE: To compare the adhesive capability of the new adhesive Prompt L-Pop (ESPE) with that of two total-etch adhesive systems-EBS Multi (ESPE) and Prime&Bond NT (Dentsply). METHODS: Extracted human molars were bonded and prepared for microtensile dentin bond strength (microTBS) testing using Prompt L-Pop, EBS Multi, and Prime&Bond NT combined with Pertac II (composite) or Hytac Aplitip (compomer). Prompt L-Pop was applied using five different protocols: (1) as an "all-in-one" self-conditioning adhesive, as per manufacturer's instructions (LP); (2) as a self-etching primer combined with a separate bonding resin (LP/self-etch 2-step); (3) as a classical primer used upon etching dentin with phosphoric acid, followed by a bonding resin (LP/total-etch 3-step); (4) as a multi-application "all-in-one" self-conditioning adhesive (LP/multi-coat) to leave a visibly glossy dentin surface; and (5) as a filled adhesive, upon adding quartz fillers to its composition (LP/filled). After 24h of storage in water at 37 degrees C the microTBS were measured in an Instron machine. Corresponding interfaces of the same specimens were micromorphologically analyzed using SEM and TEM. RESULTS: When used with a composite resin, LP/filled and LP/multi-coat resulted in significantly higher microTBS than LP. The addition of an extra adhesive bonding resin (LP/self-etch 2-step) had no effect on bond strength. The use of Prompt L-Pop as a primer of a fourth-generation adhesive (LP/total-etch 3-step) replacing the EBS Multi primer, resulted in lower bond strengths than those of the original EBS Multi. LP/multi-coat showed similar microTBS to Prime&Bond NT (P&BNT). When used with a compomer, LP exhibited higher bond strengths than when used with the resin composite and was as effective as the experimental groups LP/filled and LP/multi-coat and the control group P&BNT. The SEM evaluation showed an inconsistent hybrid layer for the LP specimens, whereas in both the LP/filled and LP/multi-coat specimens a hybrid layer was clearly evident. Under the TEM all groups displayed dentin hybridization with dissolved smear plugs in the specimens that had been conditioned with Prompt L-Pop without a separate etching step. In many tubules of specimens conditioned with LP (as per manufacturer's instructions), fillers of the resin composite were present within the dentinal tubules. CONCLUSIONS: When combined with a resin composite, Prompt L-Pop resulted in statistically lower bond strengths when applied in one layer than when applied in multiple layers. Prompt L-Pop also resulted in higher bond strengths when used with a polyacid-modified composite resin than with a composite resin. When applied in multiple coats, Prompt L-Pop results in bond strengths that are not statistically different from those of Prime&Bond NT, a total-etch adhesive.

Acid Etching, Dental↗

Eighteen-month clinical evaluation of a filled and unfilled dentin adhesive.

OBJECTIVE: The purpose of this study was to evaluate the performance of a filled (OptiBond Solo) and an unfilled (Prime & Bond 2.1) "one-bottle" adhesive in Class V restorations after 18 months of clinical service. METHODS: Thirty-three patients with non-carious cervical lesions were enrolled in the study. A total of 101 lesions were restored using one of the adhesives and a hybrid composite resin. Enamel was not beveled, nor was any mechanical retention placed. The restorations were evaluated at baseline, and at 6 and 18 months after placement using modified USPHS criteria. RESULTS: Cumulative 18-month retention rates were 93.6% for OptiBond Solo and 98.0% for Prime & Bond 2.1. The difference in retention rates was not statistically significant. For OptiBond Solo, the only notable problems were interfacial staining and marginal adaptation, both of which were less than ideal in 9% of restorations. Marginal problems were slightly less frequent for Prime & Bond 2.1 restorations, but the difference was not significant. CONCLUSIONS: Both adhesives provided Class V retention rates exceeding the 18-month, full acceptance guidelines set by the American Dental Association. Any additional benefit provided by the use of a filled adhesive was not detected in this 18-month clinical trial.

Adhesives↗

Free-electron laser etching of dental enamel.

OBJECTIVE: The purpose of this study was to evaluate the Mark-III free-electron laser as a means of etching enamel surfaces, with potential application to resin bonding. METHODS: The FEL was tuned to wavelengths ranging from 3.0 to 9.2 microm. Specific wavelengths that are resonantly absorbed by phosphates, proteins, and water were used. First, bovine enamel was polished and exposed to static FEL exposures. Lased enamel was examined using scanning electron microscopy (SEM). Additional bovine enamel specimens were exposed to FEL at similar wavelengths, but with rastering to create treated rectangular areas on each specimen. Surface roughness was evaluated using profilometry and atomic force microscopy (AFM). Composite was bonded to the lased enamel, and shear bond strengths were determined using an Instron universal testing machine. As a control, the surface roughness of, and shear bond strengths to, acid-etched enamel were determined. RESULTS: Static FEL exposures caused changes in the enamel ranging from an etched appearance to pits, cracks, and frank cratering. The surface roughness of lased enamel was much greater than that of acid-etched enamel, and was qualitatively different as well. Shear bond strengths of resin to acid-etched enamel were significantly higher than bond strengths to lased enamel. CONCLUSIONS: Under the conditions used in this study, the FEL did not offer a practical and effective method of etching enamel for resin bonding. However, the ability of the FEL to deliver many specific wavelengths makes it an interesting tool for further research of laser effects on tooth structure.

Acid Etching, Dental↗

Clinical evaluation of two one-bottle dentin adhesives at three years.

BACKGROUND: The method currently used to adhere resin to dentin involves etching, priming and bonding. Many commercial adhesives now combine priming and bonding functions in a single solution, and these are frequently called one-bottle adhesives. The purpose of this study was to compare the 36-month clinical performance of two commercial one-bottle adhesives. METHODS: The authors enrolled 33 patients with noncarious cervical lesions in the study. A total of 101 lesions were restored with either a filled, ethanol-based adhesive (OptiBond Solo, SDS Kerr) or an unfilled, acetone-based adhesive (Prime & Bond 2.1, Dentsply Caulk) and a hybrid resin-based composite. Enamel margins were not beveled, and no mechanical retention was placed. The restorations were evaluated at baseline and six months, 18 months and 36 months after placement using modified Cvar/Ryge criteria. RESULTS: The retention rates at 36 months were 93.3 percent for the ethanol-based adhesive and 89.4 percent for the acetone-based adhesive. The difference in retention rates was not statistically significant. In both groups, 12 percent of the retained restorations had marginal staining, but no recurrent caries was detected around any restoration. Other restoration characteristics such as marginal adaptation and color match remained excellent three years after placement. CONCLUSIONS: The performance of both adhesives was excellent during this 36-month clinical trial. At the most recent recall evaluation (that is, 36 months), the filled, ethanol-based adhesive exhibited slightly better bond durability, but the difference between the two materials was not statistically significant. CLINICAL IMPLICATIONS: The one-bottle adhesives evaluated in this study provided excellent clinical retention of Class V restorations without mechanical retention. When the materials are used properly, restorations are retained at a high rate during at least three years of clinical service.

Adult↗

Effect of solvent and rewetting time on dentin adhesion.

OBJECTIVE: The purpose of this in vitro study was to determine the influence of solvent and rewetting time on microtensile dentin bond strengths of four dentin adhesives. METHOD AND MATERIALS: Sixty human molar specimens were divided into four dentin adhesive treatment groups: (1) a water-based total-etch dentin adhesive, EBS Multi; (2) an ethanol-based total-etch adhesive, Excite; (3) an acetone-based total-etch adhesive, Prime & Bond NT; and (4) an ethanol- and water-based total-etch adhesive, Single Bond. For each dentin adhesive, three specimens were assigned to five dentin moisture conditions. Specimens were tested in the tensile mode. RESULTS: When adhesives were applied to moist dentin, bond strengths varied from 26.2 MPa for Prime & Bond NT to 29.5 MPa for Single Bond without any statistical differences. When applied to dentin that had been dried for 15 seconds, Prime & Bond NT and Excite resulted in the lowest mean bond strengths, but they were statistically similar to each other (7.9 and 8.3 MPa, respectively). Single Bond resulted in a mean bond strength of 12.7 MPa, which was significantly lower than that of EBS Multi (24.1 MPa). For the latter, all mean bond strengths were statistically similar when some amount of moisture was present on the surface. For the other three adhesives, mean bond strengths returned to the range obtained on moist dentin only when dentin was rewet for 30 seconds. CONCLUSION: Bond strengths upon rewetting depend on the type of solvent in the bonding system, and rewetting time.

Acid Etching, Dental↗

Effects of demineralization depth on microtensile bond strength to human dentin.

PURPOSE: To evaluate the effect of different phosphoric acid concentrations (10% and 37%) on the microtensile bond strengths (microTBS) of three dentin adhesive systems with different solvents (ethanol, acetone, or none). MATERIALS AND METHODS: Eighteen third molars divided into six groups were ground flat to expose superficial dentin, which was polished to 600-grit. The bonding procedure was initiated using either of two phosphoric acid gels (10% and 37%). Three adhesive systems - Single Bond (SB), Prime & Bond NT (NT), and One Coat Bond (OC) - with different solvents (ethanol, acetone, or none, respectively) were used. After adhesive application, a cylinder of composite resin was built up. After 24 h water storage, each tooth was serially sectioned into thin rectangular sections (or "sticks") parallel to the long axis and with a mean cross-sectional area of 0.4 mm2. microTBS were determined using an Instron universal testing machine. Data were analyzed using two-way ANOVA and Duncan's test. RESULTS: Mean bond strengths ranged from 66.1 MPa for 10%/ H3PO4 and SB to 43.8 MPa for 37% H3PO4 and OC. SB and OC tended to have slightly higher bond strengths when 10% H3PO4 was used. NT with 37% H3PO4 had a significantly higher microTBS (54.6 MPa) than NT with 10% H3PO4 (44.4 MPa). CONCLUSION: Etching dentin with 37% H3PO4 resulted in a significantly higher mean microTBS for the acetone-based adhesive NT. For both the ethanol- and water-based adhesive (SB) and the solvent-free adhesive (OC), acid concentration did not significantly affect bond strength.

Acetone↗

Effects of restorative and adhesive curing methods on dentin bond strengths.

PURPOSE: To evaluate the shear bond strengths of "one-bottle" adhesives to dentin when used with self-cured composite. MATERIALS AND METHODS: 100 bovine teeth were ground to expose superficial dentin, which was polished to 600-grit. The dentin was etched for 15 s with 35% phosphoric acid, rinsed, and blotted with tissue paper. The surface remained visibly moist for all specimens. The following adhesives were applied to the etched dentin according to manufacturers' directions: Scotchbond Multi-Purpose (in its visible light-cured [VLC] and self-cure modes) as a control, One-Step (VLC only), OptiBond Solo Plus (VLC only), Prime & Bond NT (VLC) and Prime & Bond NT Dual-Cure. For each adhesive, specimens were bonded with a self-cure composite, while 10 were bonded with a VLC composite as a control. After 24 hrs water storage, shear bond strengths were determined using an Instron universal testing machine. Data were analyzed using two-way ANOVA, Tukey's test, and Student's t-tests. RESULTS: Using the light-cured composite, mean bond strengths ranged from 11.0 MPa for light-cured Prime & Bond NT to 26.3 MPa for OptiBond Solo Plus. Using the self-cure composite, mean bond strengths ranged from 0.0 for light-cured Prime & Bond NT to 21.4 MPa for One-Step. Two adhesives, light-cured Prime & Bond NT and OptiBond Solo Plus, had significantly lower bond strengths when used with the self-cure composite. CLINICAL SIGNIFICANCE: Some "one-bottle" dentin adhesives may not provide acceptable bonding to tooth structure when they are used with self-cure composites.

Acid Etching, Dental↗

Microtensile bond strengths of one-bottle dentin adhesives.

PURPOSE: To investigate the in vitro performance of three one-bottle adhesives by measuring their dentin microtensile strength. MATERIALS AND METHODS: Extracted human molars had the dentin exposed on the occlusal surface. The teeth were randomly assigned to three dentin adhesives: Group 1 - Prime & Bond 2.1; Group 2 - Prime & Bond NT; and Group 3 - Experimental (unfilled NT). All materials were applied as recommended by the manufacturer. A high-density resin composite (Surefil) was packed on the bonding area in five increments. Specimens (sticks) were obtained using a diamond disc and were stored in distilled water for 24 hrs. The microtensile bond strengths were measured with a universal testing machine. RESULTS: Group 1: 54.3+/-15.6 MPa; Group 2: 62.0+/-17.6 MPa; Group 3: 54.6+/-16.8 MPa. Although no statistically significant difference was found between pairs of means, Prime&Bond NT showed a tendency for higher bond strengths.

Acetone↗

Six-month clinical evaluation of two dentin adhesives applied on dry vs moist dentin.

PURPOSE: Acid-etched dentin has been described to easily collapse when it is dried with air after being rinsed with water under laboratorial "ideal" conditions. Manufacturers of modern dentin adhesives recommend leaving dentin moist, regardless of the solvent used in their proprietary dentin adhesives. Nevertheless, many clinicians still dry the cavity preparation after rinsing off the etching gel to check for the enamel frosted aspect. The null hypothesis to be tested in this clinical study was that drying dentin with air upon rinsing off the acid would not result in lower short-term retention rates than when the cavity was left visibly moist. MATERIALS AND METHODS: Upon Internal Review Board approval, thirty-five patients were enrolled in this study. A total of 128 restorations divided into four groups were inserted and evaluated at baseline: (A) Prime & Bond NT, an acetone-based adhesive, applied on moist dentin; (B) Prime & Bond NT applied on dentin dried with air for 3 to 4 s; (C) Single Bond, an ethanol- and water-based adhesive, applied on moist dentin; (D) Single Bond applied on dentin dried with air for 3 to 4 s. A microfilled composite resin was used for all restorations. RESULTS: At 6 months after initial placement, 119 restorations (a 93% recall rate) were re-evaluated. Retention rates at 6 months were 97% (one failure) for Single Bond/moist dentin and 100% for the remaining three groups; however, they were not significantly different (retention rate vs dentin adhesive; retention rate vs moisture). CONCLUSION: Dentin substrate in noncarious lesions may be less sensitive to variations in dentin moisture than the "ideal" dentin substrate used under laboratory conditions.

Acetone↗

Effects of adhesive composition on microtensile bond strength to human dentin.

PURPOSE: To evaluate the role of adhesive composition (solvent and filler content) on microtensile bond strength (muTBS) to human dentin. MATERIALS AND METHODS: 15 third molars were ground to expose superficial dentin, which was polished to 600-grit. The dentin was etched for 15 s with 37.5% phosphoric acid, rinsed, and blotted with tissue paper. The surface remained visibly moist for all specimens. The following adhesives were applied to the etched dentin according to manufacturers' directions: Single Bond (SB), experimental Single Bond (with filler) (ExpSB), Prime & Bond NT (NT), experimental Prime & Bond NT (without nanofiller) (ExpNT), and One Coat Bond (with filler) (OC). Each adhesive was applied to three teeth, and a cylinder of resin-based composite was built up on the occlusal surface. After 24-hour water storage, each tooth was vertically sectioned with a low-speed saw to produce a series of 0.7 mm slabs. Each slab was then sectioned to obtain "sticks" with a cross-sectional area ranging from 0.35 to 0.45 mm2. muTBS were determined using an Instron universal testing machine. Data were analyzed using one-way ANOVA, and Duncan's test. RESULTS: For filled adhesives, mean bond strengths ranged from 57.9 MPa for ExpSB to 48.2 MPa for NT. The unfilled adhesives SB and ExpNT had mean bond strengths of 75.9 MPa and 38.7 MPa, respectively. Unfilled SB had a significantly higher mean bond strength than the experimental filled version. The ethanol-based adhesive SB had a significantly higher mean bond strength than either the nonvolatile solvent-based OC or the acetone-based NT.

Acetone↗

Effect of calcium removal on dentin bond strengths.

OBJECTIVE: The purpose of this in vitro study was to determine the microtensile bond strengths (mu TBS) of 3 dental adhesives when applied to dentin decalcified with ethylenediaminetetraacetic acid (EDTA). The null hypothesis tested was that the removal of calcium from dentin would not influence the bond strengths. METHOD AND MATERIALS: Eighteen extracted human molars were cut in 2 equal halves. One half served as the control, having no EDTA treatment, while the other half was assigned to 1 of 3 periods (1 hour, 24 hours, or 100 hours) of decalcification with buffered 0.5 mol/L EDTA. Middle dentin was bonded with 1 of 3 dentin adhesive groups: a self-etching primer, Clearfil SE Bond (SE); an acetone-based total-etch adhesive, Prime&Bond NT (NT); and an ethanol- and water-based total-etch adhesive, Single Bond (SB). The specimens were restored with Z-250 resin composite and sectioned in 0.9 +/- 0.2 mm2 sticks that were tested in tensile mode. RESULTS: For each adhesive, the control group (not decalcified) resulted in statistically higher bond strengths than the treatment groups. For specimens that were not decalcified, SE and SB had statistically similar bond strengths, but both resulted in statistically higher bond strengths than NT. For specimens decalcified for 1 hour, SE resulted in statistically higher bond strengths than either SB or NT, which were ranked in the same statistical group. SE was the only dentin adhesive to result in measurable mu TBS after decalcification with EDTA for 24 hours, while SB/24 hour and NT/24 hour specimens debonded spontaneously prior to testing. All the specimens treated with EDTA for 100 hours debonded prior to testing. CONCLUSION: Three conclusions were drawn: (1) All 3 adhesive systems included in this project bonded significantly better to calcified than to decalcified dentin, regardless of their composition; (2) The self-etching primer-based adhesive ranked consistently equal to or better than the 2 total-etch-based adhesives, regardless of the EDTA decalcification time; and (3) Removal of calcium may be more detrimental for adhesives that rely on dentin acid etching than for adhesives based on self-etching primers.

Acetone↗

Effect of a sodium hypochlorite gel on dentin bonding.

UNLABELLED: It has been suggested that the hybrid layer (HL) does not play any important role in the mechanism of adhesion to dentin. To substantiate this hypothetical insignificance of the HL, sodium hypochlorite (NaOCl) has been used to remove collagen from etched dentin prior to bonding. OBJECTIVES: The present study was conducted to determine the effect of a commercial 10% NaOCl gel on the dentin shear bond strengths and HL ultra-morphology of two simplified dentin adhesives. The null hypothesis tested was that treatment of etched dentin collagen with NaOCl would not compromise dentin bonding. METHODS: The labial surface of eighty bovine incisors was polished to expose middle dentin. The specimens were randomly assigned to two total-etch adhesive systems (N = 40): Prime&Bond NT (Dentsply Caulk); and Single Bond (3M Dental Products Division). After rinsing off the etchant, one drop of 10% NaOCl (AD Gel, Kuraray Ltd.) was applied to the etched dentin surface and left for 0 (control), 15, 30, or 60 s. The gel was rinsed off with water and the dentin surface kept visibly moist prior to the application of the adhesive as per manufacturer's instructions. The respective composite resin was subsequently applied and light-cured. After 24 h in water at 37 degrees C, the specimens were thermocycled for 500 cycles in baths kept at 5 and 55 degrees C and the shear bond strengths measured. The data were analyzed with two-way ANOVA. For TEM, sixteen dentin disks were taken from middle dentin of extracted human third molars, assigned to the eight treatment sequences, and observed. RESULTS: The increase in the NaOCl application time resulted in a progressive decrease in shear bond strengths for both dentin adhesives. For Single Bond, the application of AD Gel for 60 s resulted in a reduction of bond strengths to 38% of that obtained for the control. For Prime&Bond NT, the mean bond strength obtained when AD Gel was applied for 60 s was 31% of that obtained for the control. The application of AD Gel resulted in distinct morphology for each one of the two adhesives tested. For Single Bond, the general morphology of the collagen network was maintained, regardless of the deproteinization time. The interfibrillar space within the collagen network increased with increasing deproteinization times. For Prime&Bond NT, the general appearance of the HL was maintained for deproteinization times of 15 and 30 s. When the NaOCl gel was applied for 60 s, the morphological appearance of the HL lost its fibrillar arrangement. While remnants of the collagen fibers were observed in one of the dentin disks, the other specimen showed an amorphous structure without any discernible HL morphological features. SIGNIFICANCE: The integrity of the collagen fibrils left exposed upon acid-etching plays a major role in the mechanism of adhesion of the specific adhesive systems tested in this study. The intermingling of the adhesive monomers with the filigree of collagen fibers or HL should still be considered the paramount dentin bonding mechanism.

Acid Etching, Dental↗

Shear bond strengths of one-bottle adhesives to oil-contaminated enamel.

PURPOSE: To evaluate resin bond strength to enamel contaminated with handpiece oil. MATERIALS AND METHODS: Bovine teeth were randomly assigned to six groups of 20 teeth each for treatment with one of six different bonding systems (five one-bottle and one multibottle). For each system, 10 enamel specimens were contaminated with handpiece oil before acid-etching and 10 were contaminated after acid-etching. The enamel was etched for 15 seconds using 35% phosphoric acid. Following adhesive application, composite resin was bonded using a gelatin capsule technique. Shear bond strengths from the two contaminated groups were compared to bond strengths to uncontaminated enamel obtained from a previous study that was performed by the same group of investigators, using the same facility, materials, and methods. RESULTS: Two-way analysis of variance (ANOVA) showed that the factor "surface contamination" did not have a significant effect on bond strength (p > .542). The type of adhesive and the interaction of adhesive and surface contamination were significant (p < .0001 and p < .003, respectively). When oil was applied before etching, mean bond strengths ranged from 18.0 +/- 4.8 MPa for OptiBond SOLO (Kerr Corp., Orange, California) to 25.3 +/- 5.6 MPa for Tenure Quik with Fluoride (Den-Mat Corp., Santa Maria, California). With oil applied after etching, bond strengths ranged from 18.4 +/- 8.0 MPa for Tenure Quik with Fluoride to 27.4 +/- 5.4 MPa for Single Bond (3M Dental Products, St. Paul, Minnesota). For the same adhesive, comparing uncontaminated and "oil-before-etch" contaminated groups, the only statistically significant difference in bond strengths was for OptiBond SOLO: 21.8 +/- 4.0 MPa (uncontaminated) versus 18.0 +/- 4.8 MPa (oil before etch). Comparing uncontaminated and "oil-after-etch" groups, the only statistically significant difference was for Tenure: 24.5 +/- 5.7 MPa (uncontaminated) and 18.4 +/- 8.0 MPa (oil after etch).

Analysis of Variance↗

Effect of whitening agents on dentin bonding.

BACKGROUND: Several studies have shown a reduction in enamel bond strengths when the bonding procedure is carried out immediately after vital bleaching with peroxides. This reduction in bond strengths has become a concern in cosmetic dentistry with the introduction of new "in-office" and "waiting-room" bleaching techniques. The aim of this in vitro study was to evaluate the effect of three bleaching regimens: 35% hydrogen peroxide (HP), 35% carbamide peroxide (CP), and 10% CP, on dentin bond strengths. MATERIALS AND METHODS: One hundred and twenty fresh bovine incisors were used in this study. The labial surface of each tooth was ground flat to expose dentin and was subsequently polished with 600-grit wet silicon carbide paper. The remaining dentin thickness was monitored and kept at an average of 2 mm. The teeth were randomly assigned to four bleaching regimens (n = 30): (A) control, no bleaching treatment; (B) 35% HP for 30 minutes; (C) 35% CP for 30 minutes; and (D) 10% CP for 6 hours. For each group, half of the specimens (n = 15) were bonded with Single Bond/Z100 immediately after the bleaching treatment, whereas the other half was bonded after the specimens were stored for 1 week in artificial saliva at 37 degrees C. The specimens were fractured in shear using an Instron machine. RESULTS: For the groups bonded immediately after bleaching, one-way analysis of variance (ANOVA) followed by the Duncan's post hoc test revealed a statistically significant reduction in bond strengths in a range from 71% to 76%. For the groups bonded at 1 week, one-way ANOVA showed that group B (35% HP for 30 min) resulted in the highest bond strengths, whereas 10% CP resulted in the lowest bond strengths. Student's t-test showed that delayed bonding resulted in a significant increase in bond strengths for groups B (35% HP) and C (35% CP); whereas the group bleached with 10% CP (group D) remained in the same range obtained for immediate bonding. Storage in artificial saliva also affected the control group, reducing its bond strengths to 53% of the original.

Analysis of Variance↗