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Retention of a resin-modified glass ionomer adhesive in non-carious cervical lesions. A 6-year follow-up.

OBJECTIVES: The purpose of this study was to evaluate the clinical retention of a new resin-modified glass ionomer cement based adhesive combined with a hybrid resin composite or a poly-acid modified resin composite in non-carious cervical lesions during a 6-year period. METHODS: The resin-modified glass ionomer adhesive (Fuji Bond LC), was placed in 73 cervical lesions, 36 with a universal hybrid resin composite (Tetric Ceram) and 37 with a poly-acid modified resin composite (Hytac). Fifty-one in lesions with sclerotic dentin and 22 in non-sclerotic ones. Of the sclerotic lesions 38 were slightly roughened with a diamond bur before conditioning. The restorations were evaluated with slightly modified USPHS criteria every six months during a 6-year period. RESULTS: All except six restorations were evaluated during the 6 years. Twelve (17.9%) were lost, four Tetric Ceram (11.8%) and eight Hytac (24.2%) (p<0.05). Four were found in non-sclerotic lesions (20.0%) and eight in sclerotic lesions (17.0%). The differences between the sclerotic and non-sclerotic and the roughened and non-roughened lesions were not significant. CONCLUSIONS: The resin-modified glass adhesive showed a superior clinical retention combined with the resin composite material, with an annual failure rate of 2%.

Adult↗

Antibacterial effect of selected root-end filling materials.

The purpose of this study was to evaluate the antibacterial activity of leachable components of selected root-end filling materials: amalgam, ProRoot MTA (mineral trioxide aggregate), Intermediate Restorative Material (IRM), Super Bond C&B, Geristore, Dyract, Clearfil APX composite with SE Bond, or Protect Bond. The direct contact test (DCT) with Staphylococcus aureus, Enterococcus faecalis, and Pseudomonas aeruginosa, was used. The materials were tested immediately after application to the microtiter wells (fresh samples) and after setting for 3 days (set samples). Ten microliters of bacterial suspension was added to each well for direct contact with each material for 1 h at 37 degrees C. Growth of surviving bacteria was then measured in a microplate spectrophotometer hourly at 620 nm for 15 h. Twelve uncoated wells using identical inoculum size served as positive controls. The data obtained at the end of 15 h was subjected to one-way ANOVA and post hoc comparisons were done using Tamhane's T2 test. Fresh samples of all materials showed a 3-h delay in exponential growth of both E. faecalis and S. aureus, and a 5-h delay in growth of P. aeruginosa. Set samples of IRM and ProRoot MTA cements showed generally greater antibacterial activity than the other materials: both completely inhibited P. aeruginosa, and both delayed or limited growth of E. faecalis. The DCT, by being quantitative and virtually independent of solubility and diffusion, was found suitable to assay solid root-end filling materials. IRM and ProRoot MTA were generally more potent inhibitors of bacterial-growth than the other tested materials.

Aluminum Compounds↗

Effect of bleaching agents on the microhardness of tooth-colored restorative materials.

STATEMENT OF PROBLEM: There is no consensus concerning the effect of bleaching gels on microhardness of restorative materials. Information about the effect of whitening strips on microhardness of restorative materials is also limited. PURPOSE: The purpose of this study was to evaluate the effect of a bleaching gel and a whitening strip on the microhardness of 3 tooth-colored restorative materials. MATERIAL AND METHODS: Forty cylindrical specimens (6 x 2 mm) of each restorative material, including a nanohybrid composite resin (Grandio), a polyacid-modified composite resin (Dyract eXtra), and a glass-ionomer cement (Ionofil Molar AC), were prepared and stored in distilled water at 37 degrees C for 24 hours. The specimens were then polished using medium, fine, and superfine polishing disks and stored in 37 degrees C distilled water for 7 days. Specimens were divided into 4 groups (n=10). One group was selected for baseline Vickers hardness measurements (load 100 g, dwell time 20 seconds) of the top surfaces. The other 3 groups were treated for 21 days with 1 of the following: distilled water (control), bleaching gel (10% carbamide peroxide), or whitening strip (14% hydrogen peroxide). The top surfaces of the treated specimens were also subjected to the same hardness testing performed for the baseline specimens. Data were analyzed with 2-way analysis of variance and Tukey Honestly Significant Difference tests (alpha=.05). RESULTS: There were no significant differences in microhardness between the test groups of each restorative material. However, significant differences in microhardness were observed among restorative materials. For all test groups, composite resin showed the highest hardness values, whereas glass-ionomer cement presented the lowest (P<.05). CONCLUSION: The bleaching products used in this study did not adversely affect the microhardness of the restorative materials.

Acrylic Resins↗

Treating root-surface caries.

This article summarizes the effectiveness of restorative materials used to restore root surfaces, the mechanisms by which these materials reduce caries, and placement techniques for restoring root-surface lesions. Patients may be classified into low, medium, and high caries risk groups for root caries, and specific dental restorative material recommendations are made for each category. Effective plaque control, xylitol-containing chewing gums, antimicrobial agents, fluoride-releasing restorative materials, topically applied fluoride, and fluoride-containing toothpastes provide maximum protection for the high caries risk patient.

Age Factors↗

Fracture toughness of resin-based luting cements.

STATEMENT OF PROBLEM: The introduction of resin-modified glass ionomer cements has expanded the choices of luting cements available to the clinician; however, few independent studies are available on the fracture toughness of the currently available resin-modified glass ionomer luting agents compared with the composite cements. PURPOSE: This investigation evaluated the relative fracture toughness (K(IC)) of 3 composite luting cements (Panavia 21, Enforce, and C&B Metabond), 3 resin-modified glass ionomer luting cements (Advance, Vitremer Luting, and Fuji Duet), and a conventional glass ionomer luting cement (Ketac-Cem) at 24-hour and 7-day storage times. MATERIAL AND METHODS: K(IC) was determined by preparing minicompact test specimens (n = 8) with introduced precracks. Specimens were stored in distilled water at 37 degrees C + 2 degrees C until testing. Testing was performed on an Instron testing machine at a displacement rate of 0.5 mm/min. RESULTS: ANOVA (P <.001) and REGW Multiple Range Test (P <.05) demonstrated significant differences among several of the cements tested. The mean fracture toughness values of C&B Metabond at 24 hours and Enforce at both 24 hours and 7 days were significantly greater than use any of the other cements tested. CONCLUSION: The resin-modified glass ionomer cements exhibited improved fracture toughness when compared with the conventional glass ionomer; however, they were still inferior to Enforce and C&B Metabond composite cements.

Analysis of Variance↗

Influence of enamel conditioning on bond strength of resin-modified glass ionomer restorative materials and polyacid-modified composites.

This study evaluated enamel bond strength of restorative materials containing both glass ionomer and composite components. Three resin-modified glass ionomer restorative materials (Fuji II LC, Vitremer, Photac-Fil), three polyacid-modified composites (VariGlass VLC, Dyract, Ionosit Fil), a hybrid composite (blend-a-lux) and a chemical-cured glass-ionomer cement (ChemFil Superior) were tested for enamel tensile bond strength with and without conditioning of the tooth surfaces. Tensile bond strength was determined for five specimens each of conditioned and unconditioned bovine teeth. Specimen conditioning was performed as recommended by the manufacturers. The tensile bond strength was tested with a universal testing machine. Except for the enamel bond strength of ChemFil Superior, all materials showed greater adhesion to conditioned tooth surfaces than to unconditioned specimens. Enamel bond strengths of the polyacid-modified composites applied after a phosphoric acid etching technique (Ionosit Fit, Dyract, VariGlass) were greater compared with the materials applied after surface conditioning with polyacrylic acid-containing agents. No significant difference was observed between the hybrid composite and the tested materials attached with the phosphoric acid etching technique. To improve adhesion of the tested materials to enamel, following the manufacturer's instructions about tooth surface conditioning is recommended. Superior bond strength to enamel was obtained for polyacid-modified composites, which are attached with the phosphoric acid etching technique and thereby resemble the adhesion patterns of composites.

Acid Etching, Dental↗

Toothbrushing abrasion of polyacid-modified composites in neutral and acidic buffer solutions.

STATEMENT OF PROBLEM: Polyacid-modified composites are recommended for use in lesions that are subjected to toothbrushing abrasion and acidic challenges, such as cervical lesions. There is little information whether these materials are able to withstand degradation due to erosive attacks and toothbrushing abrasion. PURPOSE: This study evaluated the resistance of polyacid-modified composites against toothbrushing abrasion under acidic and neutral conditions. METHODS: Forty specimens fabricated of each of two polyacid-modified composites (Dyract, Compoglass) were investigated. For each composite group, 20 specimens were placed in a neutral solution (pH: 6.8) and 20 specimens were placed in an acidic solution (pH: 3.0) for 24 hours. All specimens were brushed in an automatic toothbrushing machine, then subjected to storage in the respective buffer solution (8 hours), followed by brushing three times. Abrasion was determined profilometrically. RESULTS: For both materials, abrasion in the acidic environment was significantly higher compared with neutral conditions. Thus, Compoglass composite demonstrated a lower abrasion resistance than Dyract composite. CONCLUSION: The abrasion resistance of the investigated materials was reduced under acidic conditions.

Acids↗

Effect of fluorosis on shear bond strength of glass ionomer-based restorative materials to dentin.

STATEMENT OF PROBLEM: Several studies have investigated the adhesion of glass ionomer-based restorative materials to nonfluorotic teeth, but there appears to be no information on the bond strength of these restorative materials to dentin in fluorotic teeth. PURPOSE: This study investigated the effect of dental fluorosis on the bond strength of Ketac-fil conventional glass ionomer cement, Vitremer resin-modified glass ionomer cement, and Dyract polyacid modified resin to dentin. MATERIAL AND METHODS: Ninety posterior teeth were classified according to the severity of fluorosis, by using the Thylstrup and Fejerskov index, TFI. The teeth were divided into 3 equal groups (TFI = 0,TFI = 1-3, TFI = 4+) of 30 teeth, which were again divided into 3 equal subgroups for testing each of the3 restorative materials. Occlusal surfaces of mounted teeth were ground flat to expose dentin. Cylindrical specimens (4 mm diameter and 4 mm high) of the restorative materials were bonded to the middle of the cleaned exposed dentin surfaces, according to the manufacturers' instructions. After storing the specimens in 100% humidity at 37 degrees C for 24 hours, shear bond strengths of the restorative materials were measured with an Instron testing machine at crosshead speed of 0.5 mm/min. RESULTS: Two-way analysis of variance and Tukey-B test revealed that Dyract had significantly higher shear bond strength to dentin than Ketac-fil or Vitremer cements, regardless of severity of fluorosis (P <.05). Furthermore, there was an inverse relationship between shear bond strength and the severity of fluorosis for each of the restorative materials. Cohesive mode of failure was most prevalent in nonfluorotic teeth (TFI = 0), especially with Ketac-fil cement, whereas Dyract cement had the greatest propensity for adhesive failure. CONCLUSION: Fluorosis reduces the shear bond strength of glass ionomer-based restorative materials to dentin.

Adhesiveness↗

The effect of current bleaching agents on the color of light-polymerized composites in vitro.

STATEMENT OF PROBLEM: Bleaching agents may affect the color of existing composite restorations. PURPOSE: The purpose of this study was to compare the effect of 10% carbamide peroxide and 10% hydrogen peroxide on the color of light-polymerized hybrid, macrofilled, and polyacid-modified composites. MATERIAL AND METHODS: Two light-polymerized hybrid composites (3M Valux and Spectrum TPH), 1 macrofilled condensable composite (Solitaire), and 2 polyacid-modified composites (Dyract AP and Compoglass) were used. The hybrid composites served as controls. The color of 8 specimens of each material was analyzed by use of a spectrophotometer before bleaching. The specimens were then divided randomly into 2 subgroups (n=4). One group was immersed in 10% carbamide peroxide solution and the other in 10% hydrogen peroxide, for 8 hours each for 14 consecutive days. After bleaching, color changes (Delta E) were determined for each material and compared by use of the Kruskal-Wallis test, followed by the Mann-Whitney U test (P<.05). RESULTS: After bleaching with carbamide peroxide, the color changes (Delta E) for Dyract AP (2.18; SD = 1.41), Compoglass (1.14; SD = 0.26) and Solitaire (1.56; SD = 0.89) were higher than the color changes recorded for 3M Valux (0.63; SD = 3.60), and Spectrum TPH (0.66; SD = 1.24). The differences between materials bleached with carbamide peroxide were not statistically significant. After bleaching with hydrogen peroxide, the color changes for Dyract AP (9.39; SD = 0.53) and Compoglass (5.15; SD = 0.52) were higher than the changes recorded for Spectrum TPH (4.53; SD = 1.53) and 3M Valux (3.41; SD = 4.40), whereas the color change of Solitaire (3.69; SD = 0.57) was significantly higher than that of 3M Valux (P=.01). The color changes for all restorative materials tested were clinically detectable after the application of 10% hydrogen peroxide. However, clinically noticeable discoloration was observed only for Dyract AP treated with 10% carbamide peroxide. CONCLUSION: In comparison to 10% carbamide peroxide, 10% hydrogen peroxide caused more color changes in the composites tested.

Carbamide Peroxide↗

Comparison of the intraosseous biocompatibility of Dyract and Super EBA.

The purpose of this study was to compare the intraosseous biocompatibility of Dyract, a new hydrophilic glass-ionomer cement, to that of Super EBA. Twenty-four New Zealand rabbits were anesthetized, one leg was shaved, the femur exposed, and two holes were drilled through the cortical plate. The materials were loaded into silicone carriers and inserted into the femur. Half of the rabbits were killed 4 weeks after implantation and the other half at 12 weeks and the femurs were prepared using standard histological procedures. The tissue reactions were graded from none to severe. At 4 weeks both materials showed slight to moderate reactions, characterized by the presence of fibrous tissue interposition and inflammatory cells. At 12 weeks, bone healing had occurred, despite the persistence of some fibrous tissue interposition, and the reactions were classified as slight. At both observation periods, statistical analysis failed to show any difference between the two materials indicating that Dyract and Super EBA had similar intraosseous biocompatibility.

Animals↗

A comparative study of four coronal obturation materials in endodontic treatment.

The aim of this study was to compare, in vitro, the ability of temporary versus permanent materials to seal the access cavity. Eighty human maxillary single-canal teeth were prepared biomechanically and obturated with gutta-percha and an endodontic cement AH Plus, using the warm vertical compaction technique. All access cavities were sealed with 1 of 4 materials (Cavit, Fermit, Tetric, or Dyract). Microleakage was assessed by methylene blue dye penetration. The teeth were submitted to 100 thermocycles, with temperature varying from 0 degree to 55 degrees C. The greatest degree of leakage was observed with the temporary materials (Cavit and Fermit). There was a significant difference (p < 0.05) in leakage between all materials except between Dyract and Tetric. This suggests that it may be more prudent to use a permanent restorative material for provisional restorations to prevent inadequate canal sealing and the resulting risk of fluid penetration.

Calcium Sulfate↗

Surface hardness change of restorative filling materials stored in saliva.

OBJECTIVES: This study was to investigate the effect of saliva used as storage liquid and the length of storage effect on surface hardnesses of Fuji IX (GP) (FIX), Dyract (DR), Z-100 and Estio LC (ELC). METHODS: The materials were mixed according to the manufacturers' instructions and immersed in distilled water or human parotid saliva. Vickers hardness number (HVN) was measured 1, 7, 20 and 40 days after the materials were mixed. HVN was calculated from the indentation diameter after 100 or 300g loading on their surface for 15s. The two methods of characterization used in this work were X-ray photoelectron spectroscopy (XPS) for surface chemical composition and electron probe microanalysis (EPMA) for depth profile analysis. RESULTS: Only in FIX, did HVN increase with time at both storage conditions, distilled water and saliva. The increase rate of the value was higher when stored in saliva than distilled water. After 40 days storage in saliva, the HVN value of FIX increased by 39%. The increase for storage in saliva for DR was 22%, ELC 16%, and Z100 3%, compared to 1 day storage in distilled water. Ca and P peaks caused by saliva were detected by XPS and EPMA analysis, but these peaks did not exist in either composite resin or polyacid-modified composite resin by EPMA analysis. SIGNIFICANCE: Saliva has the remarkable effect of increasing surface hardness of Fuji IX (GP).

Compomers↗

A predictive formula of the contraction stress in restorative and luting materials attending to free and adhered surfaces, volume and deformation.

OBJECTIVES: To find a predictive formula of stress, considering the surfaces (free, adhered) involved, the volume and characteristics of material and the deformation of the measuring system. MATERIALS AND METHODS: 231 samples of five chemically cured restoratives (Silar (SIL, 23), Clearfil F2 (CLE, 39), P10 (P10, 33), Concise (CON, 30), Isopast (ISO, 28)) and four luting (3M Experimental 241 (EXM, 20), Variolink II (VAR, 13), Vitremer LC (VTM, 20) and Dyract Cem (DYR, 25)) materials were allowed to polymerize until they reached a maximum tension (T(max), 25 min) between six pairs (null 5.81, 8.5, 11.26, 12.42, 17.02, 23.14 mm) of polished metallic discs (range of distances: 0.02-5.9 mm) mounted in a tension machine. The deformation of the measuring system was measured for the recorded forces. RESULTS: A descriptive non-linear formula T(max)=KVol(-3.267)FS(3.283)AS(0.642)Def(0.561) was found that individualizes the material's characteristics (K) that considers volume (Vol), free (FS) and adhered (AS) surfaces and deformation (Def) of the system for each force. This formula renders good correlation (material K (r(2) coefficient)): SIL 0.9998 (0.995), CLE 1.0062 (0.989), P10 1.0224 (0.990), CON 0.9908 (0.992), ISO 0.9648 (0.974), EXM 1.0083 (0.991), VAR 0.9777 (0.996), VTM 0.9925 (0.993), DYR 0.9971 (0.997) between actual T(max) and calculated Tension. There are statistically significant differences (p=0.002) between K values of both (restorative and luting) groups. SIGNIFICANCE: Predictive parameters have influence in a different way to what is actually considered, if the system is allowed to have deformation, as occurs naturally and volume and material's characteristics are considered.

Acrylic Resins↗

Fluoride release of polyacid-modified composite resins with and without bonding agents.

OBJECTIVES: The aim of this study was to investigate the influence of the proprietary bonding agents Hytac OSB (OSB) (Espe), Prime&Bond 2.1 (PB) (Dentsply DeTrey) and Syntac Single Component (SSC) (Vivadent) on the fluoride release of the corresponding polyacid-modified composite resins Hytac (HTC), Dyract AP (DAP) and Compoglass F (CGF), respectively. METHODS: Ten cylindrical specimens (6mm diameter and 3mm thick) of each polyacid-modified composite were prepared according to the manufacturers' instructions: five with bonding agent applied and five without bonding agent as a control. The specimens were immersed individually in 10ml ultra-pure water at 37 degrees C immediately after light-curing of the polyacid-modified composite resins. Over 140 days, the water was regularly renewed and the fluoride concentration eluted during each period was determined with a combined fluoride ion selective electrode. RESULTS: The fluoride release decreases according to the sequence: CGF>DAP>HTC. The bonding agent significantly reduces the fluoride released by DAP and CGF, respectively, by a factor 2-3 and +/-1.4. For HTC, the bonding agent reduces the fluoride released initially by a factor of +/-2, but the difference between the fluoride release with and without bonding agent becomes insignificant after approximately 3 weeks. SIGNIFICANCE: It can be concluded that the use of bonding agent can significantly reduce fluoride release of polyacid-modified composite resins in the long-term, and especially in the short-term. The decrease in fluoride release might reduce the material's potential to prevent recurrent caries.

Algorithms↗

Dynamic and static moduli of elasticity of resin-based materials.

OBJECTIVES: The purpose of this study was to assess and compare the elastic moduli of 34 resin-based materials using a dynamic and a static method. The effect of water storage was also studied up to 6 months. METHODS: Five samples of each material were prepared according to ISO-4049. The dynamic moduli were first determined non-destructively from the fundamental period of the vibrating specimen, then the static moduli were determined by a three-point bending test. The percentages of fillers by weight were determined by ashing in air at 900 degrees C. RESULTS: Low values were obtained with flowable composites as well as with two packable resin composites. Correlations were found between the static and the dynamic modulus of elasticity (r = 0.94; p = 0.0001) as well as between the weight percentage of fillers and the moduli of elasticity (r = 0.82; p < 0.05 for static modulus and r = 0.90; p < 0.05 for the dynamic modulus) both at 24h. Water storage significantly affected both static and dynamic moduli of elasticity (ANOVA two factors; p < 0.05). SIGNIFICANCE: The low moduli of the flowable composites do not allow their use in posterior cavities under high stress. However, this does not exclude their use for minimally-invasive Class I cavities when the opposing tooth is stabilized to a large amount on the natural enamel. The Grindosonic method is very useful and simple for determining the dynamic moduli although it gives higher values than the static one. The elastic modulus evolution of resin-based materials after water storage is unpredictable since different patterns were observed as a function of time.

Analysis of Variance↗

A comparison of microtensile bond strengths of several dentin bonding systems to primary and permanent dentin.

OBJECTIVES: Limited information exists with regard to the adhesive ability of glass ionomer cements (GIC) and recently developed resin-based dentin bond systems to primary dentin. The aim of this study was to compare the microtensile bond strength of a conventional GIC (Fuji IX), a resin-modified GIC (Fuji II LC), and two resin-based dentin adhesives (Prime and Bond NT with NRC and Single Bond). The bonded interfaces were also observed using field emission electron microscopy(FE-SEM). METHODS: Microtensile bond test specimens were prepared on superficial dentin of primary and permanent molars. The specimens were bonded according to each manufacturer's instructions except for Prime and Bond NT/NRC which used Silux Plus resin composite instead of Dyract. Hour-glass shaped specimens were created (diameter of 1.2+/-0.02 mm) and stressed in tension at a crosshead speed of 1mm/min. Results were analyzed using two-way ANOVA and LSD test, fracture modes were analyzed using the Mann-Whitney U-test and Kruskall-Wallis test. Twelve specimens were prepared for each material on primary and permanent dentin. Samples were prepared in the same manner, then critical point dried, fractured and sputter-coated for the FE-SEM observations. RESULTS: Two-way ANOVA showed the overall bond strengths were greater for the permanent dentin compared with primary dentin. However, for individual material comparisons no differences among the bond strengths to primary and permanent dentin for Fuji IX (9.7, 12.2 MPa), Fuji II LC (16, 20.1 MPa), Prime & Bond NT/NRC (18.1, 21.6 MPa) and Single Bond (18.2, 21.6 MPa), were detected. However, Fuji IX bond strengths were significantly lower than the other systems tested when bonded to either primary or permanent dentin (p<0.05). Failure mode showed cohesive failure of GIC and mostly adhesive failure for the resin-based adhesives. The FE-SEM observations showed hybrid-like layer formation for the GIC materials and hybrid layer formation for the resin-based adhesives. SIGNIFICANCE: The materials tested would be suitable for bonding to either primary or permanent dentin, but the resin-modified GIC or resin-based systems are likely to provide a stronger bond than the conventional GIC, Fuji IX.

Acid Etching, Dental↗

Marginal gap formation of light-activated restorative materials: effects of immediate setting shrinkage and bond strength.

OBJECTIVES: The purpose of this study was to explore multiple correlations between shrinkage, bonding and marginal gap parameters, immediately after light-activation, for three classes of restorative materials. The correlations of interest were between: (a) their marginal gap formation in tooth cavities, (b) their free setting shrinkage-strain determined by two different measurement methods ((i) the marginal gap-width in a non-bonding Teflon cavity and (ii) a linear (diametral) measure of shrinkage-strain), and (c) their shear bond strengths to enamel and to dentin. METHODS: The maximum marginal gap width and the opposing width (if any) in the tooth cavity were measured immediately (3 min) after light-activation. Two factors for the setting shrinkage-strain and the shear bond strength to enamel and to dentin were measured concomitantly. RESULTS: Out of the set of restorative materials investigated, those that produced a smaller marginal gap in the tooth cavity had a smaller marginal gap in the Teflon cavity. There was a highly significant correlation between the two parameters (r=0.914, p<0.001). However, no relationship was observed between the marginal gap in the tooth cavity and the immediate diametral shrinkage-strain (p>0.05). Thus the restorative materials that produced a smaller marginal gap in the tooth cavity did not generally have a smaller diametral setting shrinkage-strain. Furthermore, no relationship was observed between the marginal gap in the tooth cavity and the shear bond strength to enamel or to dentin (p>0.50). SIGNIFICANCE: For light-activated restorative materials during the early stage of setting (<5 min), the free shrinkage-strain, measured by marginal-gaps in Teflon cavities, had a greater correlation with immediate marginal-gaps in tooth cavities than either the immediate diametral shrinkage-strain or the bond strengths to the tooth structure.

Analysis of Variance↗

Effect of surface conditioning and restorative material on the shear bond strength and resin-dentin interface of a new one-bottle nanofilled adhesive.

OBJECTIVES: To determine the effect of different combinations of surface conditioning (DeTrey Conditioner 36, NRC, no etching) and restorative materials (Dyract AP, Spectrum TPH) on the shear bond strength of Prime and Bond NT to enamel and dentin, and to characterize the resin-dentin interface produced by these combinations. METHODS: Shear bond strength was tested on 30 enamel and 30 dentin flat labial surfaces of extracted bovine teeth. The enamel and dentin specimens were randomly assigned to six groups of five teeth each and treated using different combinations of surface conditioners and restorative materials with Prime and Bond NT. Scanning electron microscope (SEM) observation of argon-ion-etched specimens was done to evaluate the resin-dentin interface. RESULTS: The type of surface conditioning and restorative material had significant effects on dentin bond strengths. Etching the dentin prior to application of Prime and Bond NT significantly increased bond strength and caused formation of a hybrid layer for Spectrum TPH. For Dyract AP, dentin etching generally did not improve bond strength despite the formation of a hybrid layer. On enamel, Prime and Bond NT had consistently high bond strengths on etched specimens. SIGNIFICANCE: The results showed that Dyract AP and Spectrum TPH, when used with Prime and Bond NT have different bonding mechanisms and the effect of surface conditioning on their shear bond strength differs. Clinicians should be aware of these effects in order to optimize bonding.

Acid Etching, Dental↗