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Short term human primary pulpal response after direct pulp capping with fourth-generation dentin adhesives.

The purpose of this study was to evaluate the effects of the total-etch and direct pulp capping techniques on the short-term response of mechanically exposed human primary tooth pulps using three commercially available adhesive resin systems. Class V cavities were prepared on the buccal surface of intact mandibular primary molars and exposed with a carbide bur on the cavity floor. The entire cavity except the exposure site received 36% phosphoric acid gel conditioning. Exposed pulps were capped with one of the three adhesive resins, followed by restoration of the cavities with the respective restorative materials. The teeth were extracted after 60 days and prepared according to normal histological techniques. Serial sections were stained with H/B for histological evaluations. The histopathological evaluation showed that a few of the samples in the Scotchbond Multi Purpose (SMP) and Prime & Bond 2.1 (PB) groups exhibited "attempted bridge formation", while no bridge formation was evident in the other samples. Syntac Single Component (Syntac) exhibited the most severe histological response, while the mildest reactions were observed in the SMIP group. Based on the conditions of the present study, direct pulp capping with dentin bonding agents following the total-etch technique in primary teeth can not be recommended.

Acid Etching, Dental↗

SEM evaluation of a non-rinse conditioner and a self-etching adhesive regarding enamel penetration.

This study evaluated the effect of a non-rinse conditioner (NRC) associated with two adhesive systems, Prime & Bond NT and Prime & Bond 2.1. The study also evaluated a self-etching adhesive, comparing it with the 37% phosphoric acid effects related to the regularity and infiltration depth of adhesives in human tooth enamel via observation using Scanning Electronic Microscopy (SEM). Fifteen third molars were longitudinally sectioned into four parts by means of a mesio-distal cut and facio-lingual cut. All pieces were flattened with silicon carbide paper, randomly separated and divided into five groups where the enamel surfaces were treated with different materials according to the manufacturers' instructions as follows: Group 1-Prime & Bond NT (Dentsply); Group 2-37% phosphoric acid + Prime & Bond NT; Group 3-Non-Rinse Conditioner (Dentsply) + Prime & Bond NT; Group 4-NRC + Prime & Bond 2.1 (Dentsply); Group 5-Prompt L-Pop (3M ESPE). All teeth were covered with Dyract AP (Dentsply). Specimens were decalcified, metalized and the inner portions of Dyract were observed in SEM and evaluated by calibrated examiners to evaluate resin penetration on enamel. Resin penetration was ranked from 0 = no penetration, to 3 = maximum penetration. The Kruskal-Wallis and Mann-Whitney U tests (p<0.05) showed only three statistically homogeneous groups: {1}, {2,3} and {4,5}. The authors concluded that Prime & Bond NT showed the lowest penetration, NRC showed similar effects compared to phosphoric acid when associated with Prime & Bond NT, and concluded that Prompt L-Pop showed similar effects to NRC, which was associated with Prime & Bond 2.1.

Acetone↗

Effect of encapsulation of mefenamic acid with cationic Eudragit E on its bioavailability and gastric ulcerogenic activity in rabbits.

Encapsulation of mefenamic acid (MFA), a potent non-steroidal anti-inflammatory drug with cationic acrylic resin, Eudragit E, was carried out using a fluidized-bed granulator (Glatt AG). Three drug:polymer ratios were prepared using 50 ml of 1, 2.5 and 5 per cent w/v aqueous suspension of Eudragit to coat 100 mg powdered drug. The bioavailability of the coated and uncoated drug was studied using four groups of animals, each consisting of six male rabbits (2-2.5 kg). Investigations were performed using the rabbits to examine the effects of prolonged administration of the coated and the uncoated MFA with Eudragit E(1 and 5 per cent) in a dose of 100 mg filled in hard gelatin capsules. One capsule was given daily for 30 days. Plasma levels of MFA with Eudragit E were significantly higher than those of drug only. Meanwhile, 5 per cent w/v polymer coating afforded higher drug availability than 2.5 per cent w/v which induced a higher level than 1 per cent w/v. Chronic gastric ulcers with different severities were found in the internal mucosa of all animals. In addition, there were multiple erosions in the glandular mucosa of stomachs of rabbits receiving MFA within the treatment period. IN the control group the gastric photograph was normal in every instance. Despite the extensive morphological damage at the end of treatment, the observed changes in the stomach of rabbits given coated drug is less deleterious than that treated with uncoated drug. The results of this study indicate that the coating of MFA with cationic Eudragit E increases its bioavailability and decreases the probability of ulceration.(ABSTRACT TRUNCATED AT 250 WORDS)

Acrylic Resins↗

A scanning electron microscopic study of the effect of Gluma CPS bonding system on dentinal smear layers produced by different bur types and rotational speeds and on the resin-dentin interface.

OBJECTIVE: The purpose of this study was to investigate the effect of conditioners on smear layers produced by different bur types and rotational speeds and to study the interaction of subsequently applied primer and sealer with these conditioned surfaces. METHOD AND MATERIALS: Smear layers were produced on human teeth immediately after extraction by burs rotating at approximately 6,000 rpm without water spray and 400,000 rpm with water spray. Gluma CPS etchant was applied for 15, 30, and 60 seconds, and a 20% phosphoric acid liquid (control) was applied for 30 seconds to smear layers. The specimens were prepared by critical point drying for scanning electron microscopic imaging within 24 hours. Additional specimens were prepared and treated with Gluma CPS primer and sealer, according to the manufacturer's instructions. RESULTS: There were only small variations in the smear layer thicknesses with different bur types or speeds of rotation. Gluma CPS conditioner, applied for the recommended times, did not completely remove the smear layer. An altered smear layer, composed of a reaction product, remained on the dentinal surface. A zone of demineralization did occur, however, beneath the partially removed smear layer in both the 15- and 30-second specimens but was only partly filled by primer and sealer. Smear layers were completely removed by the 20% phosphoric acid liquid to expose a delicate collagen network. CONCLUSION: An understanding of the appropriate treatment for smear layers is crucial to the development of improved dentin bonding systems.

Acid Etching, Dental↗

Bond strength of composite to enamel and dentin using Prime & Bond 2.1.

A laboratory study was conducted to determine the bond strength of composite to enamel and dentin using a one-component dental adhesive system (Prime & Bond 2.1) with three application regimens ranging from four to seven procedural steps. In addition, the effect of acid conditioning of dentin on bond strength was evaluated. Enamel bond strengths ranged from 29.2 to 29.8 MPa, and dentin bond strengths ranged from 18.6 to 21.3 MPa. Enamel bond strengths were significantly higher (P = 0.000) than dentin values. There was no significant difference (P > 0.05) among the bond strengths in either the enamel or dentin groups using the three application regimens. Nor did acid conditioning of dentin increase bond strengths (P = 0.683).

Acid Etching, Dental↗

Effect of wet and dry bonding techniques on marginal leakage.

PURPOSE: To evaluate the effect of wet and dry bonding on microleakage of Class V restorations bonded with three bonding agents. MATERIALS AND METHODS: 60 extracted human premolars and molars were randomly assigned to three groups for bonding with Gluma CPS, EBS (ESPE) and Prime & Bond 2.1. Cavities were cut in both the buccal and lingual surfaces. Half of each preparation was in enamel and the other was in cementum/dentin. The cavities were restored with composite after the application of dentin bonding agents using a wet and dry technique for each material. The teeth were stored in distilled water for 6 days at 37 degrees C, thermocycled, and the restorations examined microscopically for leakage using Procion Brilliant Red as a marker. RESULTS: All groups showed microleakage at both the enamel and dentin margins. At the gingival margin, there was a significant difference between the groups for both wet-bonding (P = 0.039) and dry-bonding (P = 0.024). There was no significant difference between the groups at the enamel margin (wet bonding: P = 0.179, dry-bonding: P = 0.357). The wet-bonding technique was compared with the dry-bonding technique for each material at both the gingival and enamel margins and no significant differences were observed (in all cases P > 0.47). SEM showed that in dye-labeled areas debonding occurred mostly, but not always, near the resin-hybrid interface.

Analysis of Variance↗

Dentin bond strength and marginal adaption after NaOCl pre-treatment.

The aim of this in vitro study was to compare the dentin bond strength and marginal adaptation of direct composite resins with and without additional NaOCl treatment after the etching process. A total of 150 cavities were prepared into disks of freshly extracted human third molars and filled with direct composite resins. Dentin adhesives of the fourth (with total etching: Scotchbond Multi-Purpose Plus, EBS, and Solid Bond), and fifth generation (one-bottle adhesives: Prime&Bond 2.1, Syntac Sprint) were used in combination with corresponding composite resin materials. Dentin disks without cavity preparation treatment served as controls. After 24 hours of storage and 24 hours of thermocycling (1150 cycles), replicas were made and push-out testing was performed. Replicas were examined regarding marginal adaptation using SEM (X200 magnification). In general, fourth-generation dentin adhesives produced better results in bond strength and marginal adaptation than fifth-generation one-bottle systems (P < 0.05). Within the fourth generation, Scotchbond Multi-Purpose Plus and EBS achieved significantly higher push-out values and percentages of gap-free margins than Solid Bond (P < 0.05). After hypochlorite treatment, dentin bond strength (-25%) and marginal adaptation (-30%) decreased significantly (P < 0.05) in all groups.

Acetone↗

Bond strength of compomers to human enamel.

The study evaluated the tensile bond strength between human enamel and seven compomer restorative systems under different bonding conditions. Seven compomers were bonded to human tooth structure with and without phosphoric acid etching of the bonding surface, with and without the use of their recommended combined primer and bonding agent and with both moist and wet bond interface environments. Overall, the highest bond strengths to human enamel were attained using phosphoric acid conditioning, primers and moist bonding surfaces.

Acid Etching, Dental↗

Effect of dentin deproteinization on microleakage of Class V composite restorations.

The role of the collagen fibers in dentin adhesion has not clearly been established. Therefore, this laboratory study evaluated the microleakage at resin-dentin and resin-enamel interfaces of Class V composite restorations after etching enamel and dentin with phosphoric acid (H3PO4) or after etching with H3PO4 followed by deproteinization with 5% sodium hypochlorite (NaOCl) to prevent the formation of a hybrid layer. Ten extracted human molars were used to prepare standardized Class V cavities on both buccal and lingual surfaces. The teeth were randomly divided in two groups: 1) Class V cavities that were etched with H3PO4 for 15 seconds; b) Class V cavities that were etched with H3PO4 for 15 seconds followed by collagen removal with 5% NaOCl for two minutes. The cavities were restored using the Prime & Bond 2.1 bonding system and TPH resin composite. The specimens were stored in water for 24 hours at 37 degrees C and thermocycled 500 times between water baths kept at 5 degrees C and 55 degrees C. After thermocycling, specimens were immersed in a 0.5% aqueous solution of basic fuchsin for 24 hours. Three longitudinal sections of each restoration were obtained and examined with a stereomicroscope for qualitative evaluation of microleakage. The data were statistically analyzed by Mann-Whitney U and Wilcoxon matched pairs signed ranked tests. Extra specimens were analyzed with the scanning electron microscope (SEM). Occlusal margins (enamel margins) resulted in statistical lower degree of leakage than gingival margins (dentin/cementum margins) in both treatment groups. For each type of margin, there were no statistically significant differences between the etched and the etched and deproteinized groups. Under the SEM, occlusal surfaces showed no detachment between enamel and dentin, while dentin/cementum resulted in gap formation.

Acid Etching, Dental↗

Bond strengths of nonrinsing adhesives.

OBJECTIVE: The purpose of this study was to determine enamel and dentin bond strengths of a nonrinsing "all-in-one" adhesive and of a nonrinsing conditioner combined with a 1-bottle adhesive. METHOD AND MATERIALS: Specimens were obtained from 240 bovine teeth ground to expose enamel or dentin surfaces. Ten enamel and 10 dentin specimens were randomly assigned to each of 12 different combinations of adhesive system (Prompt L-Pop; no etch + Prime & Bond NT; NRC + Prime & Bond NT; 36% phosphoric acid + Prime & Bond NT; no etch + Prime & Bond 2.1; 36% phosphoric acid + Prime & Bond 2.1) and restorative material (resin composite; polyacid-modified resin composite ["compomer"]). After the application of the adhesive system, a No. 5 gelatin capsule filled with the restorative material was seated against the enamel or dentin surface. After 24 hours in distilled water at 37 degrees C, the specimens were thermocycled and the shear bond strengths were measured. RESULTS: For resin composite, etching with phosphoric acid resulted in the highest bond strengths to enamel. For compomer, the highest enamel bond strengths were achieved with both phosphoric acid and Prompt L-Pop. Treating dentin with Prime & Bond NT without etching provided the highest mean bond strength for composite. For compomer, treating dentin with Prime & Bond NT resulted in the highest mean bond strengths, regardless of the conditioner. CONCLUSION: Compomer and resin composite exhibited statistically similar bond strengths. Bond strengths to dentin were significantly lower than those to enamel.

Acid Etching, Dental↗

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↗

Effect of composite resin placement techniques on the microleakage of two self-etching dentin-bonding agents.

PURPOSE: To evaluate microleakage of Class V resin-based composites (RBC) bonded with two self-etching dentin adhesive systems. Class V cavities were restored with either one or three increments of RBC to determine whether the restorative method affected microleakage. MATERIALS AND METHODS: 60 extracted human premolars and molars were randomly assigned to 6 groups for bonding with Clearfil Liner Bond 2V or Etch & Prime 3.0 or Prime & Bond NT. The latter, using a total-etch technique, was used as a control. Cavities were cut in both the buccal and lingual surfaces. Half of each preparation was in enamel and half was in cementum/dentin. The teeth were thermocycled and the restorations examined microscopically for leakage using Procion Brilliant Red as a marker. SEM microphotographs were prepared from dye-labeled and non dye-labeled areas to illustrate the micromorphology of the systems. RESULTS: None of the groups showed microleakage at the enamel margins. All groups showed microleakage at the gingival margins. At the gingival margin, there was no significant difference between the groups irrespective of the bonding material (Kruskal-Wallis: ANOVA P=0.2113). No significant difference was observed with each material when the bulk filling (one increment) technique was compared with the three-increment technique. SEM showed that the self-etching materials produced a shallower depth of etch, and a less abundant resin tag complex than the material using a separate phosphoric acid gel. In dye-labeled areas, debonding was predominantly cohesive in resin. CLINICAL SIGNIFICANCE: Gingival margin microleakage is not prevented by either restoring cavities with self-etching materials of the control using a total-etch technique.

Acid Etching, Dental↗

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↗

Two-year composite/dentin bond stability.

PURPOSE: To examine the composite-to-dentin shear bond strengths over 2 yrs of three chemically different single bottle dentin adhesives: water-based Syntac Single Component (SSC); acetone-based Prime & Bond 2.1 (PB), and; ethanol-based and filled OptiBond Solo (OS). MATERIALS AND METHODS: Extracted human molars stored in 0.2% sodium azide were randomly assigned to each of three dentin bond groups for testing at 5 time periods (n=15). The crowns of the teeth were sectioned to expose occlusal dentin and the roots embedded in acrylic. The dentin was etched with 37% H3PO4 for 20 s, rinsed and dentin adhesives applied per manufacturers' instructions. A column of Z-100 composite was bonded to the treated dentin surface and light cured. Teeth were stored in distilled water at 37 degrees C and thermocycled for 1,000 cycles between 5 degrees C and 55 degrees C and tested in shear at 24 hrs (baseline), 6, 12, 18 and 24 months. Mean +/- SD shear bond strengths (SBS) were determined. RESULTS: ANOVA at a significance level of P< 0.05 revealed OS had significantly higher SBS at 6 and 12 months compared to baseline. PB had significantly higher SBS at 12 months compared to baseline. SSC had significantly higher SBV at 18 months compared to baseline. However, at 24 months the SBV for OS and SSC were significantly lower than at baseline. During all time periods, OS and PB had significantly higher SBS than SSC. CLINICAL SIGNIFICANCE: The long-term stability of resin-based composite to dentin bond strengths from single bond adhesives is questionable because after 2 yrs, bond strengths for two of the three tested dentin adhesives, OptiBond Solo and Syntac Single Component, were significantly lower than initial strengths.

Acid Etching, Dental↗

Acid conditioning combined with single-component and two-component dentin bonding agents.

OBJECTIVE: The purpose of the present study was to compare ethylenediaminetetraacetic acid conditioning and phosphoric acid conditioning of dentin in combination with two principally different commercial dentin bonding systems. METHOD AND MATERIALS: Twenty-one extracted human third molars were used. All teeth were caries free, and no teeth were root filled. In total, 29 pairs of dentin surfaces were obtained from 21 teeth. One dentin surface in each pair was etched with a 32% phosphoric acid gel for 15 seconds, and the opposite surface was etched with a 24% ethylenediaminetetraacetic acid gel for 3 minutes. One experimental group of 15 dentin surface pairs was subsequently bonded with All-Bond 2, a two-component system, and the other group of 14 pairs was bonded with Prime & Bond NT, a one-bottle adhesive. A flowable resin composite was inserted in the experimental cavity and light cured. Shear bond strength testing was performed according to the protocol of the International Organization for Standardization. RESULTS: The combination of conditioning with ethylenediaminetetraacetic acid and bonding with All-Bond 2 was significantly better than all other combinations, providing a shear bond strength that was 61% to 123% greater. CONCLUSION: Use of ethylenediaminetetraacetic acid in combination with All-Bond 2 resulted in a significantly greater bond strength to dentin than did conventional acid etching.

Acid Etching, Dental↗

Tensile bond strength of filled and unfilled adhesives to dentin.

PURPOSE: To determine the tensile bond strength of three filled and two unfilled adhesives applied to bovine dentin. MATERIALS AND METHODS: Fragments of the labial dentin of bovine incisors were embedded in PVC cylinders with self-cure acrylic resin, and ground flat using 200 grit and 600 grit sandpaper. The following adhesive systems were tested (n=10): Prime & Bond NT, Prime & Bond NT dual cure, Prime & Bond 2.1, OptiBond Solo and Single Bond. A 3 mm-diameter bonding surface was delimited using a perforated adhesive tape. After etching with 37% phosphoric acid and adhesive application, a resin-based composite truncated cone (TPH, shade A3) was built. Tensile test was performed after 24 hrs storage in distilled water at 37 degrees C. Failure mode was accessed using a x10 magnification stereomicroscope. RESULTS: Weibull statistical analysis revealed significant differences in the characteristic strength between Single Bond and Prime & Bond NT dual cure, and between Single Bond and Prime & Bond 2.1. The Weibull parameter (m) was statistically similar among the five groups. Single Bond and Prime & Bond NT showed areas of dentin cohesive failure in most of the specimens. For OptiBond Solo, Prime & Bond NT dual cure and Prime & Bond 2.1 failure was predominantly adhesive.

Acid Etching, Dental↗

The influence of tubule density and area of solid dentin on bond strength of two adhesive systems to dentin.

PURPOSE: To determine the correlation between the tubule density (TD) and the area occupied by solid dentin (ASD) with the bond strength of one conventional and one self-etching adhesive system to dentin. MATERIALS AND METHODS: The crown of extracted human third molars was transversally sectioned with a diamond saw to expose either superficial, middle, or deep dentin. The three groups of dentin surfaces were randomly divided and bonded with either Clearfil Liner Bond 2V (LB) or Prime & Bond 2.1 (PB) adhesive systems according to manufacturer's directions. Resin composite buildup crowns (10.0 mm high) were incrementally constructed on the bonded surfaces and the teeth stored in water at 37 degrees C. After 24 h of storage, the teeth were vertically, serially sectioned in both x and y directions to obtain several bonded sticks of approximately 0.7 mm2 cross-sectional area. Each stick was tested in tension in a EMIC DL-500 tester at 0.5 mm/min until failure. After testing, the dentin side of the fractured specimen was gently abraded with a 1000-grit SiC paper, etched with 37% phosphoric acid for 15 s and allowed to air dry. SEM micrographs at 1000x and 4000x magnification were taken to permit calculation of the TD (number of tubules/mm2) and ASD (% of total area) at the site of fracture. Correlation between TD and ASD with the bond strength data was performed by linear regression. All statistical analysis was done with alpha = 0.05. RESULTS: Overall bond strength (MPa) for LB was 26.0 +/- 10.2, and 42.6 +/- 15.2 for PB. There was a significant direct relationship between bond strength and ASD for both materials (r2 = 0.20, p < 0.05 and r2 = 0.66, p < 0.01, respectively for LB and PB). PB bond strength dropped significantly as the TD increased (r2 = 0.63, p < 0.05), while LB was not sensitive to TD (r2 = 0.05, p > 0.05). Mean bond strength of PB was significantly higher than LB for both superficial and middle dentin (p < 0.05), while there was no significant difference for deep dentin (p > 0.05). CONCLUSION: Regional variations in TD and ASD may modify bond strength of both conventional and self-etching adhesive systems. Bonding sites with larger ASD seem to yield higher bond strengths regardless of the type of adhesive system used.

Acetone↗