Resin–dentin bonds to EDTA-treated vs. acid-etched dentin using ethanol wet-bonding. Part II: Effects of mechanical cycling load on microtensile bond strengths

Objective

To compare microtensile bond strengths (MTBS) subsequent to load cycling of resin bonded acid-etched or EDTA-treated dentin using a modified ethanol wet-bonding technique.

Methods

Flat dentin surfaces were obtained from extracted human molars and conditioned using 37% H₃PO₄ (PA) (15 s) or 0.1 M EDTA (60 s). Five experimental adhesives and one commercial bonding agent were applied to the dentin and light-cured. Solvated experimental resins (50% ethanol/50% comonomers) were used as primers and their respective neat resins were used as the adhesives. The resin-bonded teeth were stored in distilled water (24 h) or submitted to 5000 loading cycles of 90 N. The bonded teeth were then sectioned in beams for MTBS. Modes of failure were examined by scanning electron microscopy.

Results

The most hydrophobic resin 1 gave the lowest bond strength values to both acid and EDTA-treated dentin. The hydrophobic resin 2 applied to EDTA-treated dentin showed lower bond strengths after cycling load but this did not occur when it was bonded to PA-etched dentin. Resins 3 and 4, which contained hydrophilic monomers, gave higher bond strengths to both EDTA-treated or acid-etched dentin and showed no significant difference after load cycling. The most hydrophilic resin 5 showed no significant difference in bond strengths after cycling loading when bonded to EDTA or phosphoric acid treated dentin but exhibited low bond strengths.

Significance

The presence of different functional monomers influences the MTBS of the adhesive systems when submitted to cyclic loads. Adhesives containing hydrophilic comonomers are not affected by cycling load challenge especially when applied on EDTA-treated dentin followed by ethanol wet bonding.     

Effect of the tenure dentin bonding system on leakage of light-activated liners

This study investigated the effect of the Tenure dentin bonding system on the sealing properties of four light-activated liners. Dentinal slot preparations were made in extracted human molars and "restored" with Cavalite, TimeLine, VLC Dycal, and Zionomer liners. Samples were immersed in 0.05 percent crystal violet solution for 2 hours, then embedded in clear casting resin, sectioned, and examined with an optical microscope. Our results indicated that the Tenure dentin bonding system reduced dye penetration around each of the light-activated liners tested. The Tenure/VLC Dycal system provided a more effective seal than the other liners.     

Numerical density and distributional pattern of dentin tubules.

By a new method the numerical density and distributional pattern of transversely cut dentin tubules and the diameters of their peritubular dentin walls were measured in sections near the dentin-enamel junction (DEJ), midway to the pulp, and near the pulp wall in human premolars. For each section the mean and standard deviation of these variables were expressed. At all three levels the measurements comprised the same bundle of tubules from the DEJ to pulp in the coronal dentin. The number of tubules per square millimeter increased more than three times, and the diameters of peritubular dentin decreased one-tenth, whereas central distances between tubules were halved from DEJ to pulp. Thus the pulpward reduction of intertubular dentin is quantified. The distribution of the tubules is not regularly hexagonal, but the distances between them at each given depth are still very uniform in all directions. The pattern of cross-cut tubules often showed distinct short curved rows. The quantitative method might be used to determine taxonomic affinities.     

Effect of cavity varnish, amalgam liner or dentin bonding agents on the marginal leakage of amalgam restorations

The purpose of this in vitro study was to compare marginal leakage of Class II amalgam restorations lined with different agents (two new generation dentin bonding systems, a cavity varnish and an amalgam liner). Forty freshly extracted human molar teeth were divided into five groups. Class II preparations were prepared in the mesial and distal surfaces of each molar. While the cavities in two groups were lined with two new generation bonding systems, the other two groups were treated with an amalgam lining material and a cavity varnish. Fifth group was used as control, without any lining. Amalgam* was hand-condensed into each preparation. Specimens were thermocycled, stained and sectioned. Microleakage was graded using a stereomicroscope. Mean microleakage scores for occlusal and cervical margins were calculated and analysed. For the leakage values on occlusal margins, Kruskal-Wallis test indicated no significant difference in all groups. For the leakage values on cervical margins, Kruskal-Wallis test indicated significant difference in four groups when compared with controls (P < 0.001). On the other hand, there was no significant difference between the occlusal and cervical leakage values in each group.     

Dye leakage and SEM study of roots obturated with Thermafill and dentin bonding agent

Abstract— The apical seal of roots obturated with a dentin bonding agent and Thermafill with and without the use of sodium hypo-chlorite as an irrigating solution was compared by a dye leakage test. Roots obturated with Thermafill and a zinc oxide eugenol sealer were used as controls. Thirty-eight roots were prepared chemomech-anically and divided into three experimental groups. The teeth of group 1 were filled with Thermafill and the dentin bonding agent using sodium hypochlorite as the irrigant. The teeth of group 2 were filled in the same way, but saline solution was used as the irrigant. Before the root canal was filled the smear layer was removed from the root canal walls of both groups by rinsing the root canal with a 17% EDTA solution. The teeth of group 3 were filled with Thermafill and a zinc oxide eugenol sealer. The teeth were immersed in 2% methylene blue solution. The root fillings of groups 1 and 2 leaked significantly more than those of group 3. The resin-dentin-guttaper-cha interface of group 1 was observed by scanning electron microscopy and showed a typical hybrid layer. An intimate contact between resin and dentin was present in group 2, but a resin-dentin inter-diffusion zone was only occasionally observed. The use of dental adhesives and the hybrid layer formation did not improve the seal of Thermafill root canal Wings.     

Apical leakage in canals filled with glass ionomer sealer and gutta-percha after dentin conditioning

Abstract This study assessed in vitro apical leakage in root canals filled with gutta-percha and Ketac-Endo using different dentin conditioning and filling techniques. The root canals of 63 single-rooted teeth were instrumented and randomly divided into the following four groups: group A – canals were irrigated with 25% tannic: acid and filled with Ketac-Endo and a standardized gutta-percha cone; group B – canals were irrigated with 1% NaOCl and filled as in group A; group C – canals were irrigated with 25% tannic acid and filled with Ketac-Endo and a chloroform-softened gutta-percha cone adapted to the canal walls; group D – canals were irrigated with 1 % NaOCl and filled with Grossman's sealer and laterally condensed gutta-percha. After storage for 72 hours at 37°C and 100% humidity, the gutta-percha was removed to a level 4 mm short of the working length, using a Peeso reamer. Teeth were immersed in India ink for 48 hours and cleared, and the coronal extent of dye penetration examined under a binocular dissecting microscope at × 15 magnification. The mean value of leakage for group A was 0.86 mm, for group B 2.23 mm, for group G 2.34 mm, and for group D 0.55 mm. Tukey's multiple comparison lest disclosed significant differences (P<0.05) between group A and groups B and C, and between group D and groups B and C. Differences between groups A and D, as well as between groups B and C, were not significant.     

Effect of a resin-based desensitizing agent and a self-etching dentin adhesive on marginal leakage of amalgam restorations

AIM: The purpose of this study was to compare the marginal leakage of Class II amalgam restorations whose preparations were lined with a resin-based desensitizing agent, a self-etching adhesive system, and copal varnish. METHODS AND MATERIALS: Fifty-six freshly extracted human premolar teeth were divided into four groups. A Class II preparation was prepared with only a proximal box on the mesial and distal surfaces of each tooth. The cavities in one group were lined with a desensitizing agent (VivaSens) and a second group with an adhesive (Clearfil S3 Bond). A third group was lined with copal varnish (Copalite) and a fourth group was used as the control without any cavity liner. Spherical high copper amalgam was hand-condensed into each preparation, specimens were thermocycled, stained, and sectioned. Microleakage was graded using a stereomicroscope. Microleakage scores were calculated and analyzed using the Kruskal Wallis and the Mann-Whitney tests (alpha=0.05). RESULTS: Less microleakage was indicated with the VivaSens liner when compared with the other groups (P<0.05). Clearfil S3 Bond showed less microleakage than the control group (P<0.05), but the leakage with copal varnish and Clearfil S3 Bond was similar (P>0.05). CONCLUSION: VivaSens reduced the microleakage of Class II high copper amalgam restorations significantly more than the Clearfil S3 Bond and copal varnish.     

Physical, morphological, and micro-Raman chemical studies on bleaching strip effects on enamel, coronal dentin, and root dentin

OBJECTIVE: This study examined the effects of elevated-concentration hydrogen peroxide tooth whitening strips on the surface and subsurface integrity of enamel, coronal dentin, and root dentin. METHODOLOGY: Sound human teeth were ground and polished to prepare a uniform substrate for bleaching. A cycling regimen included exposures to saliva, bleaching treatments, and fluoridated toothpaste. Bleaching was carried out with plastic strips containing hydrogen peroxide gel at 11.7 and 14% concentrations. A non-bleached group served as a control. Bleaching times measured up to 45 hours. Physical properties of tooth surfaces were assessed by microhardness, while surface morphological properties of teeth were examined by profilometry, surface Confocal Laser Scanning Microscopy (CLSM), and Variable Pressure Scanning Electron Microscopy (VP-SEM). Subsurface histomorphological effects on teeth were assessed by CLSM. Lastly, the influences of bleaching on tooth micro-chemical composition was studied by micro-Raman spectroscopy using a unique spectrometer in line, coupled to the CLSM via glass fiber. RESULTS: Surface microhardness, profilometry, CLSM, and VP-SEM measures showed enamel and root dentin surfaces were unchanged with bleaching. CLSM micromorphological assessments demonstrated normal histology for bleached teeth on surface and subsurface enamel, DEJ, and dentin. Raman spectroscopy demonstrated no effects of bleaching treatments on the microchemical mineral composition of enamel and dentin. Bleaching treatments were observed to reduce background luminescence of enamel, DEJ, and dentin. CONCLUSION: These results confirm that whitening strips delivering controlled doses of hydrogen peroxide at 11.7 and 14% concentrations do not produce changes in surface/subsurface histomorphology, surface microhardness, or micro-chemical mineral composition of teeth. The effects of bleaches on tooth luminescence recorded in micro-Raman spectroscopy may serve as an internal signature to bleaching effects and warrant further study.     

Dye leakage and SEM study of roots obturated with Thermafill and dentin bonding agent.

The apical seal of roots obturated with a dentin bonding agent and Thermafill with and without the use of sodium hypochlorite as an irrigating solution was compared by a dye leakage test. Roots obturated with Thermafill and a zinc oxide eugenol sealer were used as controls. Thirty-eight roots were prepared chemomechanically and divided into three experimental groups. The teeth of group 1 were filled with Thermafill and the dentin bonding agent using sodium hypochlorite as the irrigant. The teeth of group 2 were filled in the same way, but saline solution was used as the irrigant. Before the root canal was filled the smear layer was removed from the root canal walls of both groups by rinsing the root canal with a 17% EDTA solution. The teeth of group 3 were filled with Thermafill and a zinc oxide eugenol sealer. The teeth were immersed in 2% methylene blue solution. The root fillings of groups 1 and 2 leaked significantly more than those of group 3. The resin-dentin-guttapercha interface of group 1 was observed by scanning electron microscopy and showed a typical hybrid layer. An intimate contact between resin and dentin was present in group 2, but a resin-dentin interdiffusion zone was only occasionally observed. The use of dental adhesives and the hybrid layer formation did not improve the seal of Thermafill root canal fillings.     

Demineralized dentin, hydroxylapatite and dentin chips as apical plugs

Abstract Demineralized dentin, hydroxylapatite, or dentin chips were condensed into the apical 2 mm of canals with perforated apexes in 36 anterior teeth of 8 adult cynomolgus monkeys. The coronal sections of the canals were then obturated with gutta percha and Grossman's sealer. Twelve additional canals with perforated apexes were obturated 2 mm short of their radiographic apexes and served as controls. The amount of hard tissue formation and the degree of inflammation were evaluated after 3 and after 6 months. No differences were noted between the various materials after 3 months. However, after 6 months the samples with apical plugs of hydroxylapatite had more hard tissue formation and less inflammation than the others.     

Association between microtensile bond strength and leakage in the indirect resin composite/dentin adhesively bonded joint

PURPOSE: Develop a methodology to correlate microtensile bond strength (microTBS) and leakage within the same site of a specimen and evaluate the predominate debond and leakage pathways. MATERIALS AND METHODS: A Class II (MO) slot cavity was prepared in 37 extracted human molars and restored with indirect resin composite restorations. The restored teeth were thermocycled 300X between 5 and 55 degrees C and then stained with silver. Two specimens per tooth were obtained by diamond saw sectioning for measurement of leakage (microm) and microtensile bond strength (MPa) at the gingival wall and then tested for association with regression analysis. Scanning electron microscopy techniques and energy dispersive spectroscopy (EDS) were used to evaluate the debond and leakage pathways. RESULTS: Association between leakage and bond strength was not significant (t=1.31, p=0.198). All 74 samples debonded within the joint, predominantly at the hybrid layer-adhesive resin region with only one specimen including a small portion of resin cement in the debond pathway. Secondary and backscatter imaging and EDS analysis showed leakage in all samples that involved the hybrid layer. CONCLUSION: This study demonstrates a feasible method for evaluating leakage and bond strength at the joint interface within the same specimen.     

Thickness and morphology of resin-infiltrated dentin layer in young, old, and sclerotic dentin.

The purpose of the present study was to evaluate the morphology of the resin tags and the resin-infiltrated dentin layer (RIDL) of several bonding systems in superficial vs deep young, old, and sclerotic human dentin. Dentin was obtained after the removal of occlusal enamel from extracted molars. Phosphoric acid gels (35-37%) were used to etch dentin before the application of bonding systems (OptiBond FL; Prime & Bond 2.0; Scotchbond Multi-Purpose Plus and Scotchbond 1; One Step). Each bonded specimen was then sectioned into two halves. One half was polished using a standard procedure to evaluate RIDL thickness and morphology by SEM. The other half was demineralized and deproteinized to evaluate the presence and the morphology of resin tags. RIDL was thinner in superficial dentin than in deeper dentin for all the materials tested regardless of the type of dentin. Sclerotic and old dentin showed thinner RIDL, with short resin tags, and fewer lateral branches than normal dentin.     

Primary dentin etching time,bond strength and ultra-structure characterization of dentin surfaces

Objectives

To evaluate the effect of shortening the etching time on roughness, microhardness and bond strength of three adhesive systems to primary tooth dentin.

Methods

Flat dentin surfaces from primary molars were randomly assigned to six experimental groups. Three different adhesive systems were used: an etch-and-rinse adhesive (Single Bond), a two-step self-etching (Clearfil SE Bond), and a one-step self-etching (One-Up Bond F) adhesive. In half of the specimens, the recommended etching time was used, in the other half the etching time was 50% reduced. After applying the adhesive, resin composite build-ups were constructed and stored in a humid environment for 24 h at 37 °C. Specimens were sectioned into 1 mm² beams and tested for microtensile bond strength (MTBS). Debonded surfaces were analyzed by scanning electron microscopy (SEM). Additional surfaces were conditioned for microhardness measurements (KHN) and for atomic force microscopy (AFM) analysis. Intertubular and total surface roughness (Ra) were recorded. Results were analyzed with ANOVA and Student–Newman–Keuls tests (P < 0.05).

Results

Single Bond and Clearfil SE Bond showed higher MTBS than One-Up Bond F. Bond strength and intertubular roughness increased when Single Bond and One-Up Bond F were used with a reduced etching time. For Clearfil SE Bond no differences in MTBS were detected when reducing the etching time. The application of phosphoric acid, Clearfil SE Bond primer and One-Up Bond F decreases dentin microhardness.

Conclusions

Shortening One-Up Bond F application time and reducing the etching time of phosphoric acid to one-half of the manufacturer's recommended etching time when using Single Bond are recommended when bonding to primary dentin.