Effects of a ferric chloride primer on collagen-depleted dentin bonding between tri-n-butylborane initiated self-curing resin and dentin

This study was designed to evaluate the micro-tensile bond strength between a carboxylic resin and dentin, when the dentin surface was modified with an experimental dentin primer. The three primers tested were ED primer II (ED), 0.3% ferric chloride aqueous solution (FE), and ED containing 0.3% ferric chloride (ED/FE). Three commercial dentin conditioners [40% phosphoric acid, 10% NaOCl, and 10% citric acid with 3% ferric chloride (10-3)] were also used. The coronal surfaces of extracted human molars were ground flat to dentin. The dentin surfaces were treated with phosphoric acid, NaOCl, or with one of the primers. The 10-3 was used without phosphoric acid or NaOCl as a control. A composite material rod was bonded to the dentin surface with 4-META/MMA-TBB resin. After 24-h immersion in 37 degrees C distilled water, 0.9 mm x 0.9 mm composite-dentin beams cut from the bonded specimens were stressed to failure in tension at 0.6 mm/min. The bond strengths were also evaluated after 5000 thermocycles. The bond strength of the group ED/FE was significantly higher than those of the 10-3, ED, and FE. After 5000 thermocycling, 10-3, ED and FE showed significant decrease in bond strength, although no significant decrease was seen for ED/FE. It was concluded that dentin surface treatment with phosphoric acid, NaOCl, and the ED/FE primer improved the bonding (p < 0.05) between 4-META/MMA-TBB resin and dentin, with or without thermocycling, while the bond strengths in the control group fell 34% following 5000 thermocycles.     

Hybrid layer seals the cementum/4-META/MMA-TBB resin interface

Although 4-META/MMA-TBB resin has adhesive properties to dentin, and has been clinically used for the bonding treatment of vertically fractured roots and apicoectomy, there has not been any investigation on the adhesion of 4-META/MMA-TBB resin to cementum. The purpose of this in vitro study was to evaluate the bonding and the sealing ability of 4-META/MMA-TBB resin to cementum. Bovine root cementum and dentin surfaces were treated with a citric acid and ferric chloride solution, and the 4-META/MMA-TBB resin was applied on the treated surfaces before testing. The microtensile bond strength and the leakage levels obtained for the cementum were almost equal to those for the dentin. In SEM and TEM observations, a hybrid layer approximately 2-3 microm in thickness was observed at the interface between the resin and the cementum. It is concluded that 4-META/MMA-TBB resin adhered to cementum via a hybrid layer on cementum, as previously reported for dentin.     

Influence of dentin substrates to simplify wet-bonding: a leakage-free and reliable tensile strength interface for long-lasting restorations

The wet-bonding procedure can be simplified by eliminating the primer. An aqueous mixture of 1% citric acid and 1% ferric chloride (1-1) was hypothesized as providing an easier dehydratable thinner substrate to which 4-META/MMA-TBB resin can adhere reliably. The 1-1 was applied for 10 s and rinsed off with water for 10 s. Demineralized dentin under four conditions was prepared before bonding to PMMA rod using 4-META/MMA-TBB resin: air-dried 10 s (D-NP); air-dried 10 s, primed 60 s with 5% 4-META in acetone (D-P); blotted dry 10 s (W-NP); blotted dry 10 s, primed 60 s (W-P). The tensile strengths (MPa) using mini-dumbbell specimens were 4.0 ± 2.4 for D-NP, 10.6 ± 5.4 for D-P, 38.3 ± 4.4 for W-NP, and 42.9 ± 3.3 for W-P. There was no significant difference between W-NP and W-P with cohesive failure in the dentin and the cured resin. In the wet groups, the hybridized dentin was stable against both HCl and NaOCl challenges. TEM examination and a leakage tests confirmed a perfect seal with a leakage-free interface of W-NP. These results suggest that this primer-less wet-bonding is promising method to protect the underlying intact dentin and pulp, thus providing long-lasting dental treatment.     

Bonded interface between a self-curing resin and dentin primed with a metalloprotein

The purpose of this study was to investigate adhesive bonding between a self-curing luting agent and dentin conditioned with a metalloprotein in terms of resin-dentin hybridization and interfacial polymerization. Of the six experimental primers containing bovine heart cytochrome c (BHCC), three contained 2-hydroxyethylmethacrylate (HEMA) and the remaining three did not. The self-curing luting agent used consisted of methyl methacrylate (MMA) and tri-n-butylborane (TBB) with or without 4-methacryloyloxyethyl trimellitate anhydride (4-META). Bovine dentin surfaces were etched with 10wt% phosphoric acid, primed, and then bonded with stainless steel rods. After 24 h of water storage, the optimum bond strength was obtained with the 4-META/MMA-TBB luting agent and the aqueous primer contained 0.1 micromol/g BHCC and 35wt% HEMA. Microscopic observations showed continuity among the luting agent, the hybridized dentin, and the dentin substrate. A model experiment suggested that BHCC accelerates the polymerization of the 4-META/MMA/HEMA mixture from the hybridized dentin.     

Immunohistochemical study of dental pulp applied with 4-META/MMA-TBB adhesive resin after pulpotomy

The purpose of this study was to investigate nerve regeneration and proliferative activity in amputated pulp tissue after the application of 4-META/MMA-TBB adhesive resin (4-META resin). Calcium hydroxide was used as a control material. At 3 days, fibroblast-like cells were positive for proliferating cell nuclear antigen (PCNA) in both 4-META resin- and calcium hydroxide-treated groups and were located mainly within 0.5 mm from the cut surface. Only a few fragmented neurofilament protein (NFP)-positive nerve fibers were observed in this area. At 7 and 14 days, the number of PCNA-positive cells had gradually decreased and regenerated NFP-positive nerve fibers were observed close to the cut surface of the pulp in both groups. At 21 days in the experimental group, several PCNA-positive cells were still found in the area 0.5 mm from the cut surface, and NFP-positive nerve fibers were detected about 0.15-;0.2 mm from the cut surface. In contrast, a dentin bridge was produced under the necrotic layer at 21 days in the control group. PCNA-positive cells were not found underneath the dentin bridge, but NFP-positive nerve fibers had regenerated close to it. These results suggest that although cell differentiation and nerve regeneration are delayed, wound healing occurred even after the application of 4-META resin to exposed pulp surface the same as calcium hydroxide application.     

Improved photochemical bonding of composites to dentin using 4-methacryloxyethyl trimellitate anhydride

The main objective was to evaluate the use of 4-methacryloxyethyl trimellitate anhydride (4-META) to improve bonding of composite materials to dentin. Bowen's resin, containing camphoroquinone, was polymerized by exposure to visible light. In composites, made with a silanated silicate, inclusion of 4-META (3%) had little effect in increasing mechanical strength or adhesion to bovine teeth. However, direct application of 4-META via acetone solution was found to be an effective way of increasing tensile adhesive strength; by 240% to dentin (to 7.2 MPa) and by 160% to enamel (to 10.8 MPa). Applying the experience mentioned above, 4-META was used to bond a proprietary photocuring microfilled composite material to Class V cavities in freshly extracted human teeth. After thermal cycling between water baths held at 5 degrees C and 60 degrees C, all dentin restorations without 4-META failed, as judged by marginal leakage of a dyestuff. In contrast, using 4-META there was no leakage in 9 out of 10 cases. In restorations involving enamel, 4-META failed to prevent marginal leakage at the enamel margins but did prevent penetration along the dentin/composite interface. It is concluded that 4-META shows great promise for preventing marginal leakage at dentin/composite interfaces.     

Influence of dentinal polyelectrolytes on wet demineralized dentin,a bonding substrate

The objective of this study was to show the influence of dissolved dentinal polyelectrolytes on the characteristics of dentin (bonding substrate) demineralized by citric acid in the absence or presence of ferric chloride. The demineralizing agent was an aqueous mixture of 0, 1, 3, or 10% ferric chloride in 10% citric acid (10-0, 10-1, 10-3, 10-10, respectively). The hypothesis was that the concentration of dissolved dentinal noncollagenous substances, mainly polyelectrolytes soluble in water, must be decreased by their aggregation with ferric ions, which changes the characteristics of demineralized dentin, the rates of demineralization, and dehydration. Cervical bovine dentin was prepared in 3 x 2 x 2-mm blocks, each weighing 20.0 +/- 0.5 mg. The rate of demineralization was investigated by measuring the weight loss resulting from demineralization by immersion in 10 mL of conditioner at 2-h intervals. The dehydration rate of wet demineralized dentin was determined using two methods: (1) weight loss in a desiccator under 263 Pa pressure and (2) differential scanning calorimetry (DSC). Twenty, 12, 8, and 4 h were required to complete demineralization of the blocks with the 10-0, 10-1, 10-3, and 10-10 solutions, respectively. The 10-10 wet demineralized dentin showed the highest rate of dehydration, followed in descending order by the 10-3, 10-1, and 10-0 specimens. Ferric chloride in dentin conditioners provided both a higher rate of dentin demineralization and a higher dehydration rate of wet demineralized dentin. These results suggest that in the presence of ferric chloride, a decreasing amount of dissolved polyelectrolytes aggregated with ferric ions in the substrates may increase the permeability of dentin to water and citric acid. Improvement of monomer permeability is essential to the preparation of good hybridized dentin, providing a more stable and reliable bonding and also protecting the dentin and pulp from infection. A further study of bonding substrates is required in order to understand the role of hybridized dentin in improved dental treatment.     

Adhesive bone cement both to bone and metals: 4-META in MMA initiated with tri-n-butyl borane

In order to develop a new bone cement which is expected to prevent loosening of a prosthesis by better adhesion, the cement composed of 4-methacryloyloxyethyl trimellitate anhydride (4-META) and methyl methacrylate (MMA) as monomers and tri-n-butyl borane (TBB) as an initiator was evaluated. The tensile bond strength between bone and metals adhered with 4-META/MMA-TBB cement was above 7 MPa. The values were higher than that with conventional bone cement (1 MPa) or MMA-TBB cement (2 MPa). Therefore, 4-META was effective for improving adhesion. When cohesive failure of the bone was observed with the scanning electron micrography after the tensile test, fracture occurred on the bone side below the interface between the bone and the 4-META/MMA-TBB cement. This result showed that the cement adhered tightly to both the bone and metals. Thus, it is concluded that the 4-META/MMA-TBB cement is useful as an adhesive bone cement.     

Improved wet bonding of methyl methacrylate-tri-n-butylborane resin to dentin etched with ten percent phosphoric acid in the presence of ferric ions

The objective of this study was to determine the influence of dissolved dentinal substances in demineralized dentin on the hybridization of resin for bonding to dentin. It was hypothesized that these substances, including polyelectrolytes, significantly change the substrates, which could then be assessed by the addition of Na(+), Ca(2+), or Fe(3+) in 10% phosphoric acid. Bovine dentin specimens were etched for 10 s with a solution of 10% phosphoric acid (control) or of 22.0 mM dissolved sodium chloride (10P-Na), calcium chloride (10P-Ca), or ferric chloride (10P-Fe). The specimens were then rinsed, blot-dried, and primed three times with 5% 4-methacryloyloxyethyl trimellitate anhydride in acetone for 60 s. Methyl methacrylate-tri-n-butylborane resin was then applied. The tensile bond strength of each of the dumbbell-shaped specimens was then measured. The fractured surfaces and modified cross-sections were examined by scanning electron microscopy. The cross-sections were soaked in 6N HCl for 10 s and then in 1% sodium hypochlorite for 30 min to determine the resin content in the hybridized specimens. Shrinkage of the demineralized dentins upon drying was assessed by atomic force microscopy. The tensile bond strengths were 10.8 +/- 4.5 (control), 15.0 +/- 7.0 (10P-Na), 19.3 +/- 5.5 (10P-Ca), and 27.8 +/- 8.1 (10P-Fe) MPa. The atomic force microscopy studies showed that Fe(3+) minimized the shrinkage by drying for 10 s but Ca(2+) and Na(+) did not decrease the shrinkage the same as the control. The results support the hypothesis that the monomer permeability of wet demineralized dentin is effectively improved by dissolving ferric ions in the phosphoric acid, resulting in a greater bond strength and higher resin content in the hybridized dentin. The dissolved dentinal substances, including the polyelectrolytes, had a significant influence on the characteristics of the demineralized dentin, changing the degree of hybridization and bonding.     

In vivo evaluation of the bond strength of adhesive 4-META/MMA-TBB bone cement under weight-bearing conditions

In order to minimize the problems associated with implant fixation using acrylic bone cement, we studied a new adhesive bone cement that consists of 4-methacryloyloxyethyl trimellitate anhydryde (4-META) and methylmethacrylate (MMA) as monomers, tri-n-butylborane (TBB) as an initiator, and PMMA powder (4-META/MMA-TBB cement). It shows remarkable adhesive properties to metal and bone in vitro. The purpose of this study was to evaluate the strength of the bond of the cement to both metal and bone in vivo under weight-bearing conditions. Metal prostheses were implanted in the right femora of 12 rabbits using either adhesive 4-META/MMA-TBB cement or the conventional PMMA cement, as the control, for fixation. After 4 and 12 weeks, both femora were excised and the same operations were performed in the left femora in vitro. Eighteen femora were sectioned for the mechanical assessment of the bone-cement and cement-implant interfaces. 4-META/MMA-TBB cement had a significantly higher interfacial shear strength than the conventional PMMA cement: 201 N and 90 N, on average, for the implant-cement interface (p<0.01); and 138 N and 89 N, on average, for the bone-cement interface (p<0.01), at 12 weeks. The present results suggest the efficacy of 4-META/MMA-TBB cement in providing greater fixation of implants to bone and promise a firmer intramedullary fixation than the control conventional PMMA cement.     

Adhesive layer properties as a determinant of dentin bond strength

The goal of this study is to evaluate the hypothesis that the properties of the resin adhesive might affect the microtensile bond strength (MTBS) of multibottle dental adhesive system. In order to alter the properties, the experimental resin adhesives containing 2,2-bis (4-2-hydroxy-3-methacryloyloxypropoxyphenyl)propane (Bis-GMA) and triethylene glycol dimethacrylate (TEGDMA) at various ratios were prepared. Degree of conversion immediately after curing (DC-immed), degree of conversion at 48 h after curing (DC-48h) of a thin coat of the experimental adhesives, the flexural strength (FS) of the bulk specimens made of the experimental adhesives, pH, viscosity at shear rate of 1 S(-1), and the microtensile bond strength (MTBS) values of the adhesives to dentin were investigated. The maximum MTBS and FS values of the resin adhesives were observed when the ratio of Bis-GMA/TEGDMA was 60/40. However, pH and viscosity values increased with increasing Bis-GMA content in the adhesives. When Bis-GMA content was more than 60 wt %, the viscosity increased exponentially and restricted the DC and FS, and accordingly decreased the bond strength. The stronger the resin adhesives were, the higher the bond strength to dentin could be obtained.     

Prevention of fibrous layer formation between bone and adhesive bone cement: in vivo evaluation of bone impregnation with 4-META/MMA-TBB cement

We have studied a new adhesive bone cement, that consists of 4-methacryloyloxyethyl trimellitate anhydride (4-META) and methylmethacrylate (MMA) as monomers, tri-n-butyl borane (TBB) as the initiator, and polymethylmethacrylate powder (4-META/MMA-TBB cement). This cement has shown remarkable adhesive properties to bone in vitro. In this study, we assessed the interface in vivo periodically. The femora of rabbits were fenestrated and filled with either the 4-META/MMA-TBB cement or a conventional polymethylmethacrylate cement. The animals were killed after 1, 4, 12, and 24 weeks to analyze the interface by optical microscopy and transmission electron microscopy. Optical microscopic examinations showed that the cured 4-META/MMA-TBB adhesive cement bonded to bone directly for 24 weeks, whereas a fibrous tissue layer was observed between the bone and cured conventional cement at 12 weeks after the operation. The transmission electron microscopy views of 4-META/MMA-TBB cement bonded to bone demonstrated a unique "hybridized bone" with the cement in the subsurface of the substrate in every case. The formation of the hybridized bone indicates the bonding mechanism of the adhesive cement to bone, which prevents the fibrosis intervention between bone and cement. These results suggest that the biomechanical and adhesive properties of 4-META/MMA-TBB cement make it a useful bone-bonding agent in orthopedic surgery.     

Effect of surface treatment on the shear bond strength of three resin cements to a machinable feldspatic ceramic

The aim of this study was to evaluate the shear bond strength of three resin cements to Vita Mark II ceramics under different pretreatments of the ceramic surface and to examine whether simplified pretreatment procedures would result in satisfying results compared to the state of the art. RelyX Unicem (RXU), Calibra (CAL), and Variolink II (VAR) were used as resin cements and bonded to machine milled feldspatic disks, pretreated in five different ways. (1) no pretreatment of the ceramic surface; (2) surface etched with hydrofluoric acid (HF); (3) ceramic surface silanized; (4) ceramic surface etched (HF) and silanized, (5) ceramic surface etched (HF), silanized, and covered with Heliobond. The shear bond strengths were measured initially, after 5000 and 10,000 thermocycles (TC). After 10,000 TC for CAL only procedure 5 resulted in a reliable adhesion median value of 10.7 MPa. VAR showed median values of 24.6, 17.2, and 18.1 MPa for pretreatments 5, 3, and 4, respectively. RXU performed 25.9, 22.0, and 11.0 MPa for procedures 5, 4, and 3, respectively. For procedure 2, RXU revealed the significantly highest value with 15.4 MPa (U-test, p = 0.05). Only RXU-luted specimens of procedure 1 survived the 10,000 thermocycles. The results revealed that a simplification of the ceramic pretreatment for VAR and RXU might be possible.     

Microperoxidase primer promotes adhesion of butylborane-polymerized resin to dentin

The purpose of this study was to investigate the effect of dentin primers containing microperoxidase (MP-11) with 2-hydroxyethyl methacrylate (HEMA) on the bond strength between a tri-n-butylborane-initiated self-polymerizing resin and dentin. Bovine dentin surfaces were etched with 10 wt % phosphoric acid, primed, and then bonded with stainless steel rods. Tensile bond strength after 24 h of storage in water was significantly influenced by both MP-11 and HEMA. Groups with no MP-11 showed the lowest values. Without HEMA, the bond strengths of groups using 0.01, 0.1, and 1.0 micromol/g MP-11 were statistically identical, and also greater than that of the no MP-11 control. In the presence of HEMA, the bond strength was significantly enhanced with an increasing concentration of MP-11. The highest bond strength of 29.0 MPa was obtained with aqueous HEMA primer, containing 1.0 micromol/g MP-11. Microscopic observation showed the formation of a hybrid layer at the bonded interface. Polymerization of the resin was significantly accelerated with the MP-11 primer. In conclusion, MP-11 has a potential for adhesive bonding promoter between the resin and the demineralized dentin surface.     

口腔粘接新型材料——磷酸二氢(甲基丙烯酰氧癸)酯的合成与应用

以甲基丙烯酸、1,10-癸二醇和三氯氧磷为主要原料合成出了磷酸二氢(甲基丙烯酰氧癸)酯.用1HNMR、MS和31P-NMR对产物结构进行了表征确认.通过剪切强度的测试评价了磷酸二氢(甲基丙烯酰氧癸)酯对复合树脂与牙釉质、牙本质、钛合金、钴铬合金和高含金合金之间的粘接性能的影响.结果表明磷酸二氢(甲基丙烯酰氧癸)酯能够促进复合树脂与牙釉质、牙本质、钛合金、钴铬合金的粘接,剪切强度分别达到13.5、11.2、16.2和18.1 MPa.     

A study on cytochrome c oxidoreductase for bonding a tri-n-butylborane-initiated luting agent to dentin.

The purpose of this study was to investigate the effectiveness of cytochrome c, an oxidoreductase, in terms of initiation of polymerization in dentin bonding. The efficacy of experimental dentin primers was evaluated via the bonding of a luting agent to dentin. The eight primers evaluated were cytochrome c aqueous solutions, four with 35 wt% 2-hydroxyethyl methacrylate (HEMA) and four without. The concentrations of cytochrome c in the primers were 0, 0.01, 0.1, and 1[corrected] micromol/g. The luting agent (Super-Bond C&B) consisted of methyl methacrylate (MMA), 4-methacryloyloxyethyl trimellitate anhydride (4-META), and tri-n-butylborane (TBB) initiator. Bovine dentin surfaces were flattened, etched with an aqueous solution of 10 wt% phosphoric acid, primed, and then bonded with stainless steel rods. After 1-day immersion in water, tensile testing revealed that the bond strength was influenced by the application of cytochrome c and HEMA. The maximum bond strength of 24.6 MPa was recorded with aqueous HEMA primer containing 10 micromol/g cytochrome c. This bonding technique, combining oxidoreductase with Super-Bond C&B, may potentially be applied for seating resin-bonded restorations.     

The bond strength of light-curing composite resin to finally polymerized and aged glass fiber-reinforced composite substrate

OBJECTIVE: This study examines the shear bond strength of visible light-curing composite resin (VCR) to aged glass fiber-reinforced composite (FRC) substrate with multi-phase polymer matrix. METHODS: Linear polymethyl methacrylate and dimethacrylate monomer preimpregnated unidirectional glass fiber reinforcement was used as an adhesion substrate for low-viscosity diacrylate veneering composite resin and restorative composite resin. A total of 60 test specimens were divided into three groups according to the brand and the use of an intermediate monomer resin (IMR). The used IMRs were either BisGMA-HEMA-resin, BisGMA-TEGDMA resin or the controls were left without the IMR treatment. Dry- and water-stored FRC-substrates were used for adhering the VCR with or without the IMR. The shear bond strength of the VCR to the substrate was measured for dry and thermocycled specimens and the results were analyzed with multi-variate ANOVA. RESULTS: The highest mean shear bond strength (23.9 +/- 4.8 MPa) was achieved with FRC/BisGMA-HEMA/VCR combination when the FRC substrate was water stored and the test specimen was thermocycled. FRC/BisGMA-TEGDMA/VCR combination resulted in 15.7 +/- 6.0 MPa with the water-stored FRC substrate and after thermocycling of the test specimens. The lowest shear bond strength (1.0 +/- 0.5 MPa) was obtained with FRC/VCR combination with water-stored substrate and after thermocycling of the test specimens. Significant differences were found between the mean values of three groups according to the use of IMR (p<0.001). The storage conditions of the FRC substrate were related to brand of the IMR or the composite (p<0.001). High mean values of the shear bond strength after thermocycling fatigue were related to the type of IMR (p<0.001). SIGNIFICANCE: The results suggest that the IMRs used in this study greatly influence the mean shear bond strength values when the test specimens are thermocycled.     

Effect of an acidulated fluoride etchant on bonding between titanium and two luting materials

Adhesive bonding between resin and titanium is useful for resin-bonded prostheses. The purpose of this study was to investigate the efficacy of an etchant, consisting of ammonium hydrogen fluoride (AHF) and phosphoric acid (PA), in titanium bonding. Cast specimens of commercially pure titanium were air-abraded with alumina and etched for 30 s, after which a primer (ALP) was applied. An acrylic rod was bonded to the specimen with one of the two luting agents being examined (Super-Bond QUICK and Panavia F2.0). Shear bond strengths were determined following 10,000 thermocycles. When Panavia F2.0 was applied, neither the etchant nor the ALP primer showed significant effect on bond strength. The postthermocycling bond strength of Super-Bond QUICK was significantly improved with the use of an etchant and ALP primer. Although microscopic observation revealed that considerable numbers of submicron pits were created on the specimens etched using AHF with PA, no significant difference in bond strength was detected in the application of AHF, with or without PA. The present findings suggested that the improved bonding durability was due to the micromechanical retention between the resin and the microscopically roughened titanium surface.     

Evaluation of the fatigue behavior of the resin-dentin bond with the use of different methods

The clinical performance of directly bonded resin composites is fundamentally dependent on durable adhesion to prevent gap formation over time. The goal of this investigation was to evaluate the effectiveness of various dentin adhesives by means of quasistatic and dynamic dentin bond strengths, and also to determine marginal and internal gap formation after loading in an artificial oral environment. Three hundred thirty human third molars were used within four weeks of extraction. Adhesives used were A.R.T. Bond, OptiBond FL, Scotchbond Multi-Purpose Plus, Single Bond, Prime & Bond NT, and One Up Bond F for bonding of one resin composite (Z 250). Buccal and lingual aspects of 90 teeth were ground flat to expose dentin, then resin composite cylinders were bonded. Initial bond strengths (n = 10) and adhesive fatigue limits (n = 20) were determined with the use of a shear test apparatus. One hundred eighty conical cavities were prepared into dentin discs and filled with the same materials. After 21 days of storage, initial push-out bond strengths (n = 10) and adhesive fatigue limits (n = 20) were measured. Sixty molars with MO cavities (n = 10) with margins below the cement-enamel junction were filled. Before and after thermomechanical loading (100000 x 50 N and 2500 x thermocycling between + 5 and + 55 degrees C), marginal gap formation and internal adaptation (only after loading) were analyzed under a SEM (x 200). The one-bottle systems showed higher shear bond strengths when evaluated statically and dynamically. However, cyclic fatigue push-out bond strengths resulted in higher values for older multistep systems. Marginal and internal gap analysis confirmed the results, in favor of older adhesive systems (p <.05; Mann-Whitney U test).     

The effect of six years of water storage on resin composite bonding to human dentin

The aim of this in vitro study was to evaluate dentin bond strength and marginal adaptation of direct resin composite fillings after different storage times. Three hundred sixty cavities were prepared in discs of freshly extracted human third molars and filled with resin composites. Multistep self-etching adhesives (Syntac Classic, A.R.T. Bond, both with and without total etching), three-step etch-and-rinse adhesives (Scotchbond Multi-Purpose Plus, EBS), and two-step etch-and-rinse adhesives (Prime and Bond 2.0, Syntac Single-Component) were used for bonding. After 1, 90, and 2190 days of water storage and 24 h thermocycling (1150 cycles), push-out testing was performed. From the 6-year group, replicas were made after 1 day, 90 days, and 1, 2, 3, 4, 5, and 6 years, and examined regarding marginal adaptation under an SEM (x 200 magnification). In all groups under investigation, push-out bond strengths remained stable after 90 days; however, the strengths significantly decreased after 6 years of water storage. The two-step systems exhibited lower bond strengths than three-step systems after 6 years. Marginal analysis revealed a significant loss regarding the percentage of perfect margins having been stable after 2 years for the three-step etch-and-rinse systems. Overall, the older three-step systems proved to be more effective than the simplified adhesives Syntac Single-Component and Prime and Bond 2.0 with regard to bond strength and marginal adaptation.