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PubMedDate not supplied

Effect of residual water on dentin bond strength and hybridization of a one-bottle adhesive system.

This research investigated the effects of wet and dry conditions of phosphoric acid etched dentin on resin bonding and determined the optimum moisture condition for resin bonding using an ethanol-based one-bottle adhesive system. Bovine dentin surfaces were etched with 35% phosphoric acid and rinsed with water. Under four wet and dry conditions (overwet, blot dry, one-second dry and desiccated), resin composite was bonded using Single Bond. Tensile bond strength was measured and the results analyzed by one-way ANOVA and Fisher's PLSD test at the 5% level. The resin-dentin interfaces of bonded specimens were observed with SEM. The bond strength of overwet, blot dry, one-second dry and desiccated groups were 5.2 MPa, 12.6 MPa, 11.9 MPa and 4.4 Mpa, respectively. The blot dry group and one-second dry groups revealed significantly higher bond strengths than the desiccated and overwet groups (p < 0.05). The formation of hybrid layers approximately 5 microm thick (overwet and blot dry), 2 microm (one-second dry) and 3 microm (desiccated) were observed. The coefficient of variation in the blot dry group was very high, even though a higher mean was observed. In the one-second dry group, the moisture content of the collagen network was possibly too low, such that hybrid layer formation was not as good even though the bond strength was high.

Acid Etching, Dental↗
PubMedDate not supplied

Dentin sealers' effect on the diameter of pulpal microvessels: a comparative vitalmicroscopic study.

After crown preparation, exposed and untreated dentinal tubules can result in bacterial penetration into pulp. Treating the exposed dentin involves closing the tubules. Dentin sealers are often applied on a very thin dentin layer that covers the pulp chamber. In these cases, the sealers may have some effect on local micro-circulation through dentin. This study examined the acute effects of different dentin sealers on the vascular-diameter of pulpal vessels measured by vitalmicroscopic technique in rats. Gluma Desensitizer in Group 1 (n = 10), Seal & Protect with acid etching in Group 2 (n = 10) and Seal & Protect without acid etching in Group 3 (n = 10) were applied on a very thin layer of dentin in the left lower incisor of male Sprague-Dawley rats weighing 336 +/- 93SE/g. Saline served as the untreated control. After one-hour equilibration time, changes in vessel diameter were recorded with a digital camera connected to a microscope at baseline and at 5, 15, 30 and 60 minutes after the investigated materials were administered on dentin. The results were evaluated by ANOVA. In each group, diameter changes were averaged (compared to the baseline diameters) and standard errors of the mean were calculated for each examined time. The results suggest that Gluma Desensitizer caused the most severe pulpal vessel-diameter changes, followed by Seal & Protect with acid etching, while the least change was recorded in Seal & Protect without acid etching.

Acid Etching, Dental↗
PubMed2002

Enhanced bond strengths of compomers using two dentin bonding systems.

PURPOSE: To measure bond strengths of three commercial compomers using recent dentin bonding systems, and to observe the micromorphology of the cross-sectional interface of the bonded specimens. MATERIALS AND METHODS: One hundred and ten bovine teeth stored frozen were used. The dentin surfaces were ground flat with #600-grit silicon carbide paper, and divided into three groups for bonding: original bonding system group (Xeno Bond/Xeno, Prime&Bond 2.1/Dyract AP, and F2000 Primer/Adhesive/F2000 compomer), Clearfil Liner Bond 2V group (LB 2V/Xeno, LB2V/Dyract AP, LB2V/F2000 compomer, LB2V/AP-X), and Single Bond group (SB/Xeno, SB/Dyract AP, F2000 compomer, SB/Z100). After the bonding procedures had been performed, the bonded assemblies were stored in water for 24 hours at 37 degrees C. Then, tensile bond strengths were measured using a universal testing machine at a crosshead speed of 2 mm/minute. All data were statistically analyzed using one-way ANOVA and Fisher's PLSD at 95% of confidence. Specimens for SEM observations were bonded in the same manner as for the tensile bond test, cut in half, and embedded in epoxy resin. These were then polished to high gloss, gold sputter-coated, and observed with the SEM. RESULTS: Compomers bonded to dentin with recent dentin bonding systems showed significantly higher bond strengths than those with the original bonding systems (P< 0.05). Tensile bond strength of Clearfil Liner Bond 2V was also significantly higher than that of Single Bond (P< 0.05). SEM observations showed good interaction between the compomers, adhesive systems, and dentin with any restorative material used. For Xeno Bond/Xeno, Prime & Bond 2.1/Dyract AP, and Primer/Adhesive/F2000 compomer, the thicknesses of the hybrid layer were approximately 0.8-1.1 microm, 0.3-0.5 microm, and 0.7-1.5 microm respectively. On the other hand, the hybrid layer produced by LB2V was approximately 0.5 to 1.0 microm, whereas for SB was approximately 3.1 to 4.1 microm thick. The thickness of the hybrid layers created in each bonded sample depended on the adhesive material used.

Analysis of Variance↗
PubMed2002

Influence of microbrush on efficacy of bonding into root canals.

PURPOSE: Recently, several 'one-bottle' systems have been introduced for bonding into root canals. This study evaluated the influence of two brushes used as carriers of a primer-adhesive solution in the formation of resin tags, adhesive lateral branches and hybrid layer when used to bond fiber posts. MATERIALS AND METHODS: Twenty root canal treated teeth, extracted for periodontal reasons, were selected for this study. The samples were randomly divided into two groups of 10 samples each: Group 1: Microbrush + One Step + Dual Link resin cement; Group 2: One Step + Dual Link resin cement. The adhesive system and resin cement were used strictly following manufacturers' instructions. The priming-adhesive solution of the 'one-bottle' system was light-cured before placing the resin cement and the post. Twenty translucent fiber posts were used. Then, root samples were processed for SEM observation. RESULTS: The adhesive system showed resin dentin interdiffusion zone (RDIZ), resin tag and adhesive lateral branch formation. Microscopic examination of restored interfaces of Group 1 showed a higher % (P < 0.05) of RDIZ than those found in samples of Group 2. In Group 2 samples RDIZ morphology was well detectable and uniform in the first two thirds of root canals while in the apical third the RDIZ was not uniformly present while in Group 1 RDIZ was visible at the apical third too. No statistically significant differences were found among the two groups coronally and at the middle third, while the apical third of Group 1 showed significantly more resin tags than in Group 2. The characteristic reverse cone shape of resin tags was always noted in the coronal and middle third of the root canals of both groups and at the apical third of Group 1. In the apical third of Group 2 root canals, the resin tags showed a less uniform morphology and a shorter length than those found in the other observed thirds.

Dental Bonding↗
PubMed2002

Influence of NaOCl deproteinization on shear bond strength in function of dentin depth.

PURPOSE: To determine the influence of NaOCl application on shear bond strengths (SBS) to superficial and deep dentin, using Prime & Bond 2.1. MATERIALS AND METHODS: Superficial and deep dentin was exposed in 40 extracted third molars by sectioning the occlusal surface immediately under the enamel-dentin junction or close to the pulp chamber. After polishing the dentin disks (600-grit SiC), they were assigned to two groups: (1) 36% orthophosphoric acid for 15 seconds, or (2): 36% orthophosphoric acid for 15 seconds followed by 5% sodium hypochlorite (NaOCl) for 2 minutes. The dentin adhesive was applied as per manufacturer's instructions, followed by TPH resin-based composite. The specimens were stored in water for 24 hours at 37 degrees C and thermocycled x500 and SBS were determined. Data were statistically analyzed with ANOVA and Student's t-test. RESULTS: For acid-etched specimens, superficial dentin resulted in statistically higher mean SBS than deep dentin. After NaOCl application, deep and superficial dentin resulted in statistically similar mean SBS. Collagen removal did not affect mean SBS on superficial dentin, while SBS values on deep dentin were increased.

Acetone↗
PubMed2002

Bond strength of adhesive/composite combinations to dentin involving total- and self-etch adhesives.

PURPOSE: To compare the bonding potential to human dentin of adhesive/composite combinations including five 2-step and two 3-step total-etch (TE) bonding systems, two systems with self-conditioning (SC) primers, and one SC all-in-one adhesive by use of the microtensile bond test. METHODS: Hybrid resin composites were bonded to the occlusal dentin of 50 extracted human molars. After water storage (37 degrees C, 24 h), 31-mm-thick slabs were cut from the middle of the teeth perpendicular to their long axis. Microtensile bond strength was determined and debonded surfaces were examined under the SEM for mode of failure. STATISTICS: GLM multivariate procedure for repeated measurements, Student-Newman-Keuls test (SPSS version 10.0; p = 0.05). RESULTS: Mean bond strengths of the simplified (2-step) TE systems (OptiBond Solo, Gluma One Bond, Solobond M, Prime&Bond NT, One Coat Bond; 19.9 MPa to 39.9 MPa) were not significantly lower than that of the traditional 3-step TE systems (EBS Multi: 26.0 MPa; OptiBond FL: 32.7 MPa), and not related to phosphoric acid concentration. Dentin treatment with SC primers (Clearfil Liner Bond 2: 22.0 MPa; Clearfil Liner Bond 2V: 22.4 MPa) was as effective as etching with phosphoric acid. The SC all-in-one adhesive (Etch&Prime 3.0: 10.1 MPa) produced significantly lower bond strength than all other systems evaluated. CONCLUSION: The use of adhesive/composite combinations including simplified bonding systems does not necessarily result in reduced bond strength to dentin. SC primers offer a promising alternative to phosphoric acid etching as far as bonding to dentin is concerned. In contrast, the SC all-in-one adhesive evaluated needs to be improved.

Acid Etching, Dental↗
PubMed2002

Morphological and chemical characterization of the dentin/resin cement interface produced with a self-etching primer.

PURPOSE: The purpose of this study was to analyze a resin cement/dentin interface by comparing the diffusion of a resin cement into dentin surfaces pretreated with a self-etching primer with or without pretreatment by conventional acid etching. MATERIALS AND METHODS: Dentin surfaces of 8 unerupted human third molars were treated with a self-etch primer (Panavia 21) with or without conventional phosphoric acid pretreatment. Panavia 21 resin cement was applied according to manufacturer's instructions. Dentin/resin cement interface sections from each tooth were examined with scanning electron microscopy and micro-Raman spectroscopy. RESULTS: When the self-etch primer was used following conventional acid pretreatment, the resin cement did not penetrate to the depth of the zone of demineralized dentin, leaving a substantial area of exposed dentin matrix at the dentin/cement interface. In contrast, there was substantial resin cement diffusion throughout the demineralized dentin when the self-etch primer was used without acid etching pretreatment. CONCLUSION: The in vitro evaluation of resin cement penetration throughout the zone of demineralized dentin is an important step in identifying sites of exposed dentin matrix that may promote postoperative sensitivity and may leave the dentin/resin cement interface vulnerable to premature degradation under clinical conditions. In this study, the self-etch primer used alone produced substantial resin cement penetration and left no exposed dentin matrix at the dentin/resin cement interface.

Acid Etching, Dental↗
PubMed2002

Shear bond strengths to coronal and pulp chamber floor dentin.

PURPOSE: To evaluate the bond strengths of two different types of resin bonding systems to coronal dentin and dentin of the pulp chamber floor. MATERIALS AND METHODS: 20 extracted human molars were sectioned into three regions; superficial coronal dentin, deep coronal dentin and floor of pulp chamber dentin. The dentin surface of each region was bonded with Single Bond or Clearfil Liner Bond 2V. A core build-up light-cured resin composite, Clearfil Photocore, was placed and light-cured for 40 seconds. After storage in 37 degrees C water for 24 hours, shear bond strengths were measured using a single plane shear test assembly at a crosshead speed of 2.0 mm/minute. Morphological changes of the conditioned dentin and hybrid layer formation were observed by SEM. RESULTS: For Single Bond, the bond strengths to superficial dentin were within anticipated bounds (23 MPa), whereas the bond strengths to deep dentin (15 MPa) and floor of pulp chamber dentin (13 MPa) were significantly lower (P < 0.05). For Clearfil Liner Bond 2V, higher bond strengths (approximately 30 MPa) were obtained for each region. The data were analyzed by one- and two-way ANOVA, and Fisher's PLSD (P < 0.05). The appearance of the conditioned dentin varied according to dentin region and conditioner. For Single Bond, thick hybrid layers (3-4 microm) were observed, while thin hybrid layers (less than 0.5 microm) were observed in Clearfil Liner Bond 2V for all regions.

Analysis of Variance↗
PubMed2003

Resin-dentin interfaces of endodontically-treated restored teeth.

PURPOSE: To compare by confocal and scanning electron microscopy the post-resin-dentin interfaces of endodontically-treated teeth which had been restored with dentin-bonding systems and composite and needed to be extracted after 6 months to 6 years of clinical service. MATERIALS AND METHODS: Sixteen single rooted teeth showing proximal lesions penetrating the pulp chamber were included in the investigation and divided into two groups. Group 1 teeth were endodontically-treated, restored with carbon fiber posts and resin-based composite. Group 2 teeth were treated in the same way and covered with porcelain fused-to-metal crowns. RESULTS: Two thirds of the observed interfaces showed resin penetration of the root dentin in the middle and coronal third of the post space preparation, while only one third of the interface showed resin infiltration in the apical third of the post space preparation. Debonding of the adhesive from the resin infiltrated dentin area and debonding of the composite cement from the adhesive were the most frequently observed failure modes and were observed in one third of the observed interfaces. There was no difference between the post-resin-dentin interfaces of teeth covered and teeth not covered with porcelain-fused to metal crowns. Teeth extracted after longer periods of clinical service showed more abundant areas of debonding of the adhesive from the resin-dentin interdiffusion zone. The presence of bacteria in resin infiltrated dentin tubules was observed in two specimens.

Carbon↗
PubMed2003

Ultrastructural transmission electron microscopy (TEM) study of hybrid layers formed beneath a one-bottle adhesive system using the total-etch technique and a self-etching system.

OBJECTIVE: To compare, using transmission electron microscopy (TEM), the ultrastructure of the hybrid layers formed beneath a one-bottle adhesive system using the total-etch technique with that of a self-etching system. METHOD AND MATERIALS: Occlusal cavity preparations were made in vivo in 18 human premolars and randomly appointed to three groups (n = 6), according to the following bonding procedures: (1) OptiBond Solo, a single-bottle adhesive system, was applied following 15 seconds etching with 37% phosphoric acid and rinsing; (2) Clearfil Liner Bond 2V, a self-etching adhesive system was applied; and (3) no bonding material was used, with the untreated smear layer acting as a control. The cavities were then filled with resin composite restorations. RESULTS: In group 1, dense resin tags obturated the tubules. A layer of inorganic silicon microgranules formed at the top of the interdiffusion zone, and below this was a zone of loosely arranged collagen fibers. Toward the base, there was a more dense accumulation of hydroxyapatite crystals. In group 2, dense resin tags obturated the tubular orifices. Collagen fibers were densely compacted within monomer material. Toward the base, hydroxyapatite crystals were observed between collagen bundles. In group 3, a rough fragmented smear layer covered the dentinal floor and occluded the tubules. CONCLUSION: Irregularities occurred in the coronal zone of the hybrid layer in both systems. In the one-bottle system, this was attributed to the etching technique, while in the case of the self-etching system, this was attributed to the resin materials. These irregularities are potential sites for debonding in the clinical situation.

Acid Etching, Dental↗
PubMedDate not supplied

The effect of collagen removal and the use of a low-viscosity resin liner on marginal adaptation of resin composite restorations with margins in dentin.

This study evaluated the influence of collagen removal and the use of a low-viscosity liner on the marginal quality of composite restorations for the total-etch system, Prime & Bond 2.1 (PB) and the self-etching primer system, Clearfil SE Bond (CSEB), in high C-factor cavities with margins in dentin. High C-factor cavities were made on dentin exposed from ground labial surfaces of 100 bovine lower incisors, randomly assigned to 10 treatment groups and restored with composite Z 250, placed in bulk. In Group 1 (PB), control group, PB was applied according to the manufacturer's directions; in Group 2 (PB/PLF), an intermediate layer of low-viscosity composite Protect Liner F (PLF) was applied on the bonding resin surface; in Group 3 (PB/SH) following acid-etching, the surfaces were treated with 10% sodium hypochlorite (SH) for one minute and in Group 4 (PB/SH/PLF), the same procedure was conducted as for Group 3, plus an intermediate layer of PLF was applied as for Group 2. In Group 5 (CSEB), the control group, CSEB was applied according to the manufacturer's directions; in Group 6 (CSEB/PLF), an intermediate layer of PLF was applied; in Group 7 (SH/CSEB), the cavity surface was pre-treated with SH; in Group 8 (SH/CSEB/PLF), SH pre-treatment was conducted as for Group 7, then an intermediate layer of PLF was applied; in Group 9 (CSEB/SH), after CSEB-primer application, the surface was treated with SH, followed by CSEB-adhesive application and in Group 10 (CSEB/SH/PLF), the same was conducted as for Group 9, then an intermediate layer of PLF was applied. The specimens were stored at 37 degrees C for 24 hours, polished, molded and replicas were obtained in epoxy resin. The replicas were gold-sputter coated and observed by SEM (300x) for marginal quality classification. The Kruskal-Wallis non-parametrical multi-comparison Test (p<0.05) was used to obtain statistical analysis of the data. Results demonstrated that both adhesive systems in the control groups presented low marginal quality and a high variability. The use of an intermediate layer of PLF significantly improved the marginal quality with the CSEB system but had no effect with the PB system. Collagen depletion with SH enhanced marginal quality for the PB system and did not influence the CSEB system results.

Acetone↗
PubMedDate not supplied

Influence of the substrate and load application method on the shear bond strength of two adhesive systems.

The difficulty with comparing data obtained from different research centers calls for the standardization of laboratory procedures. This in vitro study compared the shear bond strength (SBS) of two adhesive systems--a self-etching system, Etch&Prime 3.0 and a one-bottle total-etch system, Single Bond--using two methods of load application (orthodontic edge wire loop and knife-edge blade). The hypothesis of substrate influence on the results obtained for both tests was also investigated. Twenty-four recently extracted human teeth were embedded in PVC tubes using acrylic resin and divided into two groups (n=12). A proximal surface of each tooth was wet-ground flat to expose dentin. Etch&Prime 3.0 and Single Bond adhesive systems were applied according to the manufacturers' instructions, and cone-shaped restorations were then built using Z100 resin composite. After storage in distilled water at 37 degrees C for 24 hours, the specimens were submitted to SBS testing using an orthodontic edge wire loop. The same teeth were again embedded in PVC tubes using acrylic resin and the other proximal surface was wet-ground flat to expose dentin. The specimens were prepared as explained above, and after storage in distilled water under the same previous conditions, they were submitted to SBS testing using a knife-edge blade. Two-way ANOVA and Tukey's tests were performed to determine any statistically significant differences among testing conditions. Results indicated that SBS values obtained for Etch&Prime 3.0 were significantly lower than Single Bond for both methods of load application (p<0.001). Regarding the load application method, statistically significant higher values (p<0.01) were obtained for Etch&Prime 3.0 when the knife-edge blade was used, whereas, no significant difference was observed between the two methods for Single Bond. There was a significant correlation between the bond strength values obtained on the same tooth (p<0.05). SEM examination found that Etch&Prime 3.0 demonstrated narrower tags than Single Bond. Moreover, the peritubular dentin was not adequately decalcified when Etch&Prime 3.0 was used.

Analysis of Variance↗
PubMed2003

Evaluating dentin bonding agents: an update.

Technological and material advancements in contemporary adhesive protocols have resulted in the development of several generations of bonding agents. Acid-etching procedures coupled with restorative materials that demonstrate improved aesthetics, bond strength, and durability have led to increased interest in the use of multi-component, single-component, and self-etching adhesives for everyday protocols. Micromechanical retention has significantly evolved into a more predictable science through the incorporation of various dentin bonding agents. This article reviews current literature and discusses current concepts on routine adhesion during placement of indirectly fabricated restorations.

Crowns↗
PubMed1992

Interactions of conditioners on the dentin surface.

The distinction between dentin conditioners and primers has become blurred as agents have been combined to simplify the steps required in dentin bonding. Most bonding systems use acidic conditioners designed to remove the smear layer and demineralize the dentin surface. It would seem desirable to reduce the acid concentration and/or application time to the minimum required to obtain maximum bond strengths and minimum microleakage. The pulpal effects of acidic conditioners seem to be minimal if the subsequently placed bonding agents and resin composites truly seal dentin. Several systems have been designed to be bonded to smear layers, including the new light-cured glass-ionomer cements. More research is needed to develop methods of strengthening smear layers and the bonds between them and adhesive resins.

Acid Etching, Dental↗