PubMed · 15127862
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Richard W Featherstone. 2004. Total-etch versus self-etch.. https://doi.org/10.14219/jada.archive.2004.0197
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OBJECTIVES: To verify the influence of cutting speed during microtensile specimen preparation, on bond strength values and on the sample microscopic integrity of a single-bottle adhesive system to enamel and dentin. METHODS: Thirty sound human third molars were restored with light-cured Excite and Tetric Ceram according to manufacturers' instructions, being half in ground enamel [E], and half in flat dentin [D]. After 24 h storage in distilled water at 37 degrees C, the restored teeth were sectioned in x and y-axes under different cutting speed: 100, 200 or 400 RPM, obtaining stick shaped specimens with cross-sectional area of 1.0 mm(2). Five specimens from each experimental group were randomly selected before being loaded for SEM analysis, while the remaining samples were subjected to the microtensile bond strength test. Because the variance of dentin specimens was significantly higher than the variance of enamel samples, analysis of the influence of the cutting speed was performed separately, by substrate. RESULTS: The mean values in MPa were calculated including/excluding premature failures: E1: 24.67/27.31(a); E2: 24.03/25.81(a); E4: 19.06/21.52(b); D1: 35.80/36.33(A); D2: 35.84/36.65(A); D4: 37.78/38.50(A). In the SEM analysis, better integrity of the dentin specimens was observed when compared to the enamel samples, for which the integrity was greater in the lower cutting speed groups. SIGNIFICANCE: It can be concluded that the cutting speed is an important factor that should be considered, mainly when enamel is involved, since it may affect the bond strength results and the integrity of the specimens.
UNLABELLED: The self-etch approach provides dentists with a generation of user-friendly and less technique-sensitive adhesives. Nevertheless, some concern has been raised regarding their bonding effectiveness to enamel, in particular when so-called 'mild' self-etch adhesives are employed. OBJECTIVES: The purpose of this study was to test the hypothesis that the two-step self-etch adhesive Clearfil SE Bond (C-SE; Kuraray, Osaka, Japan) bonds equally effective to enamel/dentin either with or without prior etching with phosphoric acid. METHODS: Bur-cut enamel/dentin surfaces prepared from human molars were partially split in two halves by cutting a shallow groove. One half was first etched with 40% phosphoric acid (K-etchant), while protecting the other half by holding a razor blade in the groove. Next, C-SE was applied strictly following the manufacturer's instructions, after which the surface was built up using Z100 (3M Espe). After 24-h water storage, micro-specimens were prepared with the interface circularly constricted using a Micro-Specimen Former, prior to micro-tensile bond strength (MPa) measurement. In addition, interfaces of C-SE with enamel/dentin prepared with and without beforehand acid etching were examined by Feg-SEM and TEM. RESULTS: Beforehand etching significantly increased the bonding effectiveness of C-SE to enamel. A clearly more micro-retentive surface was revealed by TEM and Feg-SEM when enamel was etched. Phosphoric-acid etching prior to C-SE application on dentin significantly decreased the muTBS to dentin. TEM provided indications of a low-quality hybrid layer after beforehand phosphoric-acid etching. CONCLUSION: Using C-SE, additional etching with phosphoric acid to improve bonding effectiveness should be limited to enamel.
It is well understood that the application of a self-etching primer enhances the bonding of the resin to the tooth. In this study, the demineralisation aspects by the Mega Bond Primer (MB) or the UniFil Bond Primer (UB) on the tooth were investigated by using liquid-state and solid-state 13C NMR techniques. The addition of hydroxyapatite or dentine to MB and the addition of dentine to UB resulted in the decrease in the peak intensity of the 13C NMR peaks attributed to the methacryloxy decyl phosphoric acid, MDP in the MB or 4-methacryloyloxy ethoxy carbonylphthalic acid, 4-MET in the UB. This decrease was because the MDP or 4-MET demineralised the tooth and the calcium salts produced from the MDP or 4-MET were precipitated from the MB or UB solution. The NMR technique is very powerful in evaluating the demineralisation aspects of the tooth by a self-etching primer. However, the calcium salts produced by the MDP or 4-MET on the tooth surface would not facilitate retention in bonding, since these calcium salts were merely deposited on to the surface of the tooth.