Fatigue limits of enamel bonds with moist and dry techniques

ObjectiveShear fatigue limit (SFL) testing, coupled with shear bond strength (SBS) measurements can provide valuable information regarding the ability of adhesive systems to bond to mineralized tooth structures. The clinical technique for enamel bonding with adhesive resins has shifted from bonding to a thoroughly dried acid conditioned surface to a moist surface to facilitate dentin bonding. The purpose of this study was to compare the performance of ethanol-containing etch-and-rinse adhesive (ERA) systems on moist and dry enamel by determining the resin composite to enamel SBS and SFL, and examining the relationship of SBS and SFL.MethodsTwelve specimens each were used to determine 24-h resin composite (Z100 – 3M ESPE) to enamel SBS to moist and dry surfaces with two ERA systems, Adper Single Bond Plus (SBP) and OptiBond Solo Plus (OBP). A staircase method of fatigue testing was used in a four-station fatigue cycler to determine the SFL of resin composite to enamel bonds (moist and dry) with the two ERA systems (20 specimens for each test condition) at 0.25 Hz for 40,000 cycles. ANOVA and Tukey's post hoc test were used for the SBS data and a modified t-test with Bonferroni correction was used for comparisons of SFL.ResultsThe two ERA systems each generated statistically similar SBS (p > 0.05) to moist and dry enamel and the SBS of SBP was significantly higher than OBP on dry enamel (p < 0.05). The SFL of SBP was significantly greater to dry enamel when compared to moist enamel and there was not a significant difference in the SFL of OBP on dry and moist enamel. There were no significant differences in SFL values between SBP on either moist or dry enamel and OBP on both moist and dry enamel.SignificanceFatigue testing may provide more useful information than SBS tests regarding the performance of dental adhesive systems. The chemical composition, solvents and filler components of ERA systems may influence their ability to develop long-term durable bonds to both moist and dry enamel surfaces.     

Bond strength of adhesive luting systems to human dentin and their durability

Statement of problemThe durability of adhesive bonding systems to dentin is of importance for restoration longevity; therefore, new adhesive systems should be tested in vitro with long-term artificial aging before clinical application.PurposeThe purpose of this in vitro study was to investigate the bonding durability of 3 dual-polymerizing resins and 1 autopolymerizing resin to human dentin with their specific self-etching primers or adhesives.Material and methodsAcrylic resin tubes filled with composite resin were bonded to human dentin disks using either an autopolymerizing resin system (Panavia 21) or dual-polymerizing resin systems (Panavia V5, RelyX Ultimate, and Variolink Esthetic DC) together with the system-specific primer or adhesive. Tensile bond strength was tested after 3 days of water storage or after 150 days of water storage with 37 500 thermocycles (5 °C to 55 °C). The failure mode was evaluated by using a light microscope. In addition, representative specimens were examined by using a scanning electron microscope.ResultsAfter 3 days, the median tensile bond strengths ranged from 18.8 to 29.1 MPa. After artificial aging for 150 days, the median tensile bond strengths ranged from 14.7 to 25.6 MPa. The dual-polymerizing resins showed significantly higher bond strength than the autopolymerizing resin (P≤.05). Artificial aging with thermocycling had no statistically significant influence on tensile bond strength for the adhesive resin systems tested (P>.05). The failure mode was mainly adhesive for the autopolymerizing resin, whereas it was mainly cohesive for the dual-polymerizing resins.ConclusionsThe 3 tested dual-polymerization resin systems provided durable bond strengths to dentin which were higher than those of the autopolymerizing resin.     

Effect of chlorhexidine application on long-term shear bond strength of resin cements to dentin

PurposeThe purpose of this study was to investigate the effect of chlorhexidine [CH] on dentin bond strength of three resin cements after 1 year of water storage.MethodsA flat middle dentin surface was prepared on 120 extracted premolars. The teeth were randomly divided into 6 groups of 20 specimens each according to the resin cement used: Panavia F2.0, Variolink II, and RelyX Unicem, with or without CH application. After cementation of an indirect composite rod [Z250], one subgroup [n = 10] was tested after 24 h in water at 37 °C and the other subgroup [n = 10] was tested after 1 year storage in water plus thermocycling. A shear bond strength [SBS] test was performed. The data [in MPa] were analyzed with ANOVA and Tukey tests [P < 0.05].ResultsThree-way ANOVA [resin cement, CH and time] indicated that Variolink II had the highest strength [16.65 ± 3.60] and RelyX Unicem had the lowest strength [9.30 ± 4.07]. Chlorhexidine application increased SBS [13.31 ± 4.61] compared to samples without CH [12.16 ± 5.04] [P = 0.04]. Initial SBS [15.63 ± 4.37] was significantly higher than after 1 year of storage [9.85 ± 3.36] [P < 0.001]. Separate two-way ANOVA for 24-h and 1-year data showed that cement had a significant effect but CH and its interaction had no significant effect at 24 h, whereas at 1 year the two factors and their interaction differed significantly [P ≤ 0.001].ConclusionsChlorhexidine 2% can diminish the loss of bonding effectiveness over time associated to etch-and-rinse and self-etch cements, although it appears not have any effect on self-adhesive cement.     

Effect of pulpal pressure on the microtensile bond strength of luting resin cements to human dentin

ObjectivesThe objectives of this study were to examine the effect of pulpal pressure on the microtensile bond strength (mTBS) of luting resin cements to human dentin and the permeability of dentin surfaces pre-treated with an adhesive and a self-etching primer.MethodsCylindrical composite blocks were luted with resin cements (RelyX ARC, 3M ESPE: ARC; Panavia F, Kuraray Medical Inc.: PF; RelyX Unicem, 3M ESPE: UN) in the absence or presence of simulated pulpal pressure. The application of Adper Single Bond 2 (3M ESPE) and ED primer 2.0 (Kuraray) was performed under 0 cm H₂O. After each resin cement was applied, the pulpal pressure group was subjected to 20 cm H₂O of hydrostatic pressure for 10 min during the initial setting period. Testing for mTBS was performed on 0.9 mm × 0.9 mm sectioned beams after 24 h water-storage. Scanning electron microscopy was performed to investigate the fractured surfaces after mTBS testing and additional dentin surfaces that were treated by an etchant, ED primer 2.0 and UN. Fluid permeability was measured on dentin surfaces that were applied with Adper Single Bond 2 and ED primer 2.0.ResultsApplication of pulpal pressure reduced mTBS significantly in groups ARC and PF. Porous bonding interfaces due to water permeability through the cured adhesive were observed on fractured surfaces. Dentin surfaces that were applied with the adhesive and the primer were more permeable than smear layer-covered dentin. The mTBS of UN was significantly lower than ARC and PF regardless of the absence/presence of pulpal pressure.SignificanceFluid permeation during the initial setting period deteriorated the bonding quality of resin cements.     

Morphological and bond strength evaluation of different resin cements to root dentin

This study correlated the morphological characteristics with the bond strengths of various resin cements used for bonding fiber posts to root canal dentin. Fifty glass-fiber posts (FRC Postec Plus) were luted into the root canals of extracted human anterior teeth using five resin cements ( n  = 10): Panavia F 2.0, PermaFlo DC, Variolink II, RelyX Unicem, and Clearfil Core. Before insertion of the post, the adhesive systems were labeled with fluorescein and the resin cement was labeled with rhodamine isothiocyanate. The roots were sectioned into three slices (of 2 mm thickness), and each slice was analyzed using confocal laser scanning microscopy in dual fluorescence mode to determine hybrid layer thickness, the number of resin tags, and the number of broken tags. Bond strengths were measured using a micro push-out test. Bond strengths to root canal dentin, as well as the morphological characteristics, were significantly affected by the materials. However, these factors did not correlate. The self-adhesive resin cement, which showed the formation of a hybrid layer and resin tags only sporadically, had the highest bond strengths. These results indicate that chemical interactions between the adhesive cement and hydroxyapatite may be more crucial for root dentin bonding than the ability of the same material to hybridize dentin.     

Microhardness of resin cements in the intraradicular environment: Effects of water storage and softening treament

ObjectivesTo analyze the microhardness of four dual-cure resin cements used for cementing fiber-reinforced posts under the following conditions: after 7 days of storage in water, after additional 24 h of immersion in 75% ethanol, and after 3 months of storage in water. Hardness measurements were taken at the cervical, middle and apical thirds along the cement line.MethodsRoot canals of 40 bovine incisors were prepared for post space. Fibrekor^® glass fiber-reinforced posts (Jeneric/Pentron) of 1 mm in diameter were cemented using Panavia F 2.0 (Kuraray), Variolink (Ivoclar-Vivadent), Rely X Unicem (3M ESPE) or Duolink (Bisco) (N = 10). After 7 days of water storage at 37 °C, half the sample (N = 5) was longitudinally sectioned and the initial microhardness measured along the cement line from cervical to apex. These same samples were further immersed in 75% ethanol for 24 h and reassessed. The remaining half (N = 5) was kept unsectioned in deionized water at 37 °C for 3 months, followed by sectioning and measuring. Data were analyzed by a series of two-way ANOVA and Tukey tests at α = 5%.ResultsStatistically significant differences were identified among the cements, thirds and conditions. Significant interactions were also observed between cements and thirds and between cements and conditions. Panavia F exhibited significantly higher initial microhardness than the other three cements, which showed no statistical difference among themselves. Variolink and Duolink showed significantly higher microhardness values in the cervical third, without significant difference among the thirds for the other cements. Immersion in ethanol significantly reduced the hardness values for all cements, regardless of the thirds. Storage in water for 3 months had no influence on the hardness of most of the cements, with the exception of Unicem that showed a significant increase in the hardness values after this period.SignificanceResults showed heterogeneity in the microhardness of the cements inside the canal. All cements presented some degree of softening after ethanol treatment, which suggests instability of the polymer. The quality of curing of resin cements in the root canal environment seems unpredictable and highly material dependent.     

Nanoleakage,ultramorphological characteristics,and microtensile bond strengths of a new low-shrinkage composite to dentin after artificial aging

ObjectivesTo study the microtensile bond strengths and nanoleakage of low-shrinkage composite to dentin. The null hypotheses tested were (1) aging does not affect the bonding of low-shrinkage composite; (2) there is no difference in microtensile bond strengths and nanoleakage using different bonding strategies.Methods32 extracted molars were assigned to one of four groups: LS System Adhesive (LS, 3M ESPE); dentin etched for 15 s with phosphoric acid + LS System Adhesive (LSpa); Adper Single Bond Plus (SB, 3M ESPE); SB + LS Bond (SBLS). Occlusal dentin was exposed and restored with Filtek LS (3M ESPE). The samples were tested after 24 h or after 20,000 thermocycles and 6 months of aging. Teeth were sectioned with a cross-section of 0.8 ± 0.2 mm² and fractured at a crosshead speed of 1 mm/min. The data were submitted to ANOVA/Duncan's post hoc test, at p < 0.05. Five slabs from each group were selected and immersed in 50 wt% ammoniacal silver nitrate. Then, specimens were processed for SEM, the silver penetration was measured and data analyzed with Kruskal–Wallis at p < 0.05.ResultsNo statistically significant difference was found among the experimental groups for the factor dentin treatment (p = 0.165) and aging (p = 0.091). All experimental groups exhibit some degree of nanoleakage. There was no adhesion of Filtek LS applied directly over dentin surfaces treated with SB.SignificanceThe new low-shrinkage resin composite showed compatibility only with its dedicated adhesive. Pre-etching did not improve the bond strengths to low-shrinkage resin composite. Some degree of nanoleakage was evident in all groups.     

The role of etching in bonding to enamel: A comparison of self-etching and etch-and-rinse adhesive systems

ObjectiveEtch and resin infiltration morphologies were compared for three self-etch adhesive (SEA) systems and eleven model etch-and-rinse (ERA) systems using various phosphoric acid (PA) concentrations with Adper Single Bond Plus (SB) adhesive. Matches for the morphologies were made between each SEA system and one of the PA/SB systems and bond strength measurements were made for all the systems. The hypothesis was that similar morphology would result in similar bond strength assuming micro-mechanical bonding is the mechanism of adhesion.MethodsThree specimens were prepared on polished (4000 grit) human enamel for each adhesive system to examine etch and resin infiltration morphology by SEM. For the latter, the adhesive systems were bonded using recommended methods and the enamel was dissolved in acid to reveal the resin. The etch patterns for the SEA systems were determined by rinsing off the material with water and acetone. Polished (4000 grit) human enamel was used with each adhesive system to determine 24-h resin composite to enamel shear bond strengths (SBS). A minimum of 10 specimens were used for each group. Data were analyzed by a one factor ANOVA and Fisher's PLSD post hoc test.ResultsThe SBS to polished enamel for two of the three SEA systems were statistically significantly greater (p < 0.05) than the PA/SB matched systems, indicating that chemical bonding might be partly responsible for the measured bond strength. All three SEA systems provided statistically lower (p < 0.05) SBS values than the PA/SB systems with PA concentrations between 2.5% and 40%.SignificanceAlthough chemical bonding may be present for some SEA systems it does not provide enough increase in bond strength to compete with the bond produced by ERA systems using phosphoric acid etching of enamel.     

Effect of proanthocyanidin incorporation into dental adhesive resin on resin-dentine bond strength

ObjectivesThis study evaluated the effect of proanthocyanidin (PA) incorporation into experimental dental adhesives on resin–dentine bond strength.MethodsFour experimental hydrophilic adhesives containing different PA concentrations were prepared by combining 50 wt% resin comonomer mixtures with 50 wt% ethanol. Proanthocyanidin was added to the ethanol-solvated resin to yield three adhesives with PA concentrations of 1.0, 2.0 and 3.0 wt%, respectively. A PA-free adhesive served as the control. Flat dentine surfaces from 40 extracted third molars were etched with 32% phosphoric acid. The specimens were randomly assigned to one of the four adhesive groups. Two layers of one of the four experimental adhesives were applied to the etched dentine and light-cured for 20 s. Composite build-ups were performed using Filtek Z250 (3M ESPE). After storage in distilled water at 37 °C for 24 h, twenty-four bonded teeth were sectioned into 0.9 mm × 0.9 mm beams and stressed to failure under tension for bond strength testing. Bond strength data were evaluated by one-way ANOVA and Tukey's test (α = 0.05). Interfacial nanoleakage was examined in the remaining teeth using a field-emission scanning electron microscope and analysed using the Chi-square test (α = 0.05).ResultsNo significant difference in bond strength was found amongst PA-free, 1% and 2% PA adhesives. However, incorporation of 3% PA into the adhesive significantly lowered bond strength as demonstrated by a greater number of adhesive failures and more extensive nanoleakage along the bonded interface.ConclusionIncorporation of 2% proanthocyanidin into dental adhesives has no adverse effect on dentine bond strength.Clinical significanceThe addition of proanthocyanidin to an experimental adhesive has no adverse effect on the immediate resin–dentine bond strength when the concentration of proanthocyanidin in the adhesive is less than or equal to 2%.     

Effectiveness of pretreatment with phosphoric acid,sodium hypochlorite and sulfinic acid sodium salt on root canal dentin resin bonding

PurposeThe purpose of this study was to evaluate the effect of pretreatment using phosphoric acid, sodium hypochlorite and sulfinic acid sodium salt on the bonding of one-step self-etching adhesives to root canal dentin.MethodsThirty-six single-rooted sound human premolars were randomly assigned into three groups before applying the one-step self-etching adhesive. These comprised a control group with no pretreatment, an NC group that received phosphoric acid and subsequent sodium hypochlorite gel pretreatments, and an NC + AC group that received an additional treatment with sulfinic acid sodium salt following the same pretreatment applied to the NC group. Microtensile bond strength measurements, bonding interface observations by scanning electron microscopy (SEM), elemental analyses by X-ray photoelectron spectroscopy (XPS) and degree of polymerization (DOP) analyses by Raman spectroscopy were subsequently performed.ResultsThe bond strength was significantly higher in the NC + AC group than in the other two groups (Control: P = 000.1 and NC: P = 0.004). SEM observations showed that resin tags were present in the dentinal tubules in the NC and NC + AC groups. Compared to the control group, the adhesive resin layer had a lower DOP in the NC group, while the DOP for the NC + AC group was higher than that of the NC specimens.ConclusionsBonding to root canal dentin was improved by applying sulfinic acid sodium salt in addition to treatment with phosphoric acid followed by sodium hypochlorite. The DOP of the adhesive resin was reduced by sodium hypochlorite and subsequently restored by applying sulfinic acid sodium salt.     

Tetrahydrofuran as alternative solvent in dental adhesive systems

ObjectiveTo evaluate the influence of tetrahydrofuran (THF) on the resin-to-dentin microtensile bond strength (μTBS) after water storage, for 24 h and 6 months, and to compare its behavior with that of traditional solvents.MethodsSeven versions of monomer/solvent mixtures (primers) were prepared using the following solvent and water combinations: (1) THF, (2) acetone, (3) ethanol, (4) water, (5) THF/water, (6) acetone/water and (7) ethanol/water. An experimental adhesive resin was also synthesized to compare adhesive systems with the different primers. Forty-two bovine incisors, randomly separated into seven groups, had their superficial coronal dentin exposed. After acid-etching and rinsing, the excess water was removed from the surface with absorbent paper. Each experimental primer was applied with agitation (30 s) followed by a mild air stream (10 s). The experimental adhesive resin was applied and light-activated (20 s). Resin composite restorations were constructed incrementally. Restored teeth were stored in distilled water at 37 °C (24 h) and sectioned to obtain sticks with an area of 0.5 mm². Half the specimens were subjected to the μTBS test immediately after being cut and the other half were tested after 6 months of water storage. Data (MPa) were analyzed by two-way ANOVA (solvent type and storage time as factors) and Tukey–Kramer's test at α = 0.05.ResultsFactors and interaction showed a statistical effect. After 6 months storage, acetone groups and primers containing THF showed similar μTBS to initial means.SignificanceTHF seems to be a promising solvent for use in dental adhesive systems, maintaining bond strength on dentin substrate after storage.     

Effect of dentinal tubules and resin-based endodontic sealers on fracture properties of root dentin

ObjectiveTo investigate the role of dentinal tubules in the fracture properties of human root dentin and whether resin-filled dentinal tubules can enhance fracture resistance.Materials and methodsCrack propagation in human root dentin was investigated in 200 μm thick longitudinal samples and examined by light and scanning electron microscopy. 30 maxillary premolar teeth were prepared for work of fracture (Wf) test at different tubule orientations, one perpendicular and two parallel to dentinal tubules. Another 40 single canal premolars were randomly divided into four groups of 10 each: intact dentin, prepared but unobturated canal, canal obturated with epoxy rein (AH Plus?/gutta percha), or with UDMA resin sealer (Resilon^®/RealSeal^®). The samples were prepared for Wf test parallel to dentinal tubules. Wf was compared under ANOVA with statistical significance set at p < 0.05.ResultsDentinal tubules influenced the path of cracks through dentin, with micro-cracks initiated in peritubular dentin of individual tubules ahead of the main crack tip. A significant difference (p < 0.001) was found between Wf perpendicular to tubule direction (254.9 J/m²) vs. parallel to tubule direction from inner to outer dentin (479.4 J/m²). Neither canal preparation nor obturation using epoxy- or UDMA-based resins as sealer cements substantially influenced fracture properties of root dentin, despite extensive infiltration of dentinal tubules by both sealer cements.     

Bond Strength of Dual-Cured Resin Cements to Human Teeth

Purpose: This study evaluated the bond strength of four commercial resin luting cements to enamel and superficial dentin, using a second‐generation laboratory composite. Materials and Methods: Forty teeth were embedded in acrylic: 20 had superficial dentin exposed; 20 had enamel exposed. Each group was divided into four subgroups (n = 5) to be bonded with Variolink II, Dual Cement, 2‐bond‐2, and Permalute System, using an inverted, truncated cone of pre‐cured Artglass that was placed over the resin cement with a load of 2 N for 2 seconds. Specimens were stored at 37°C in 100% relative humidity for 24 hours before being tested for tensile bond strength (MPa). Data were analyzed using a two‐way analysis of variance. Tukey‐Kramer intervals for comparisons among resin cements and bonding substrates were calculated at a .05 significance level. Results: Significant differences were found among resin cements. Variolink II had statistically higher bond strength values for both substrates than the rest of the cements evaluated. When bonding was to enamel, all failures were cohesive in the composite, and when bonding was to dentin, some adhesive failures occurred at the resin cement‐dentin interface. Permalute System had higher bond strengths than 2‐bond‐2 and Dual Cement when bonded to enamel. Conclusions: Variolink II and Permalute had statistically different bond strengths to enamel and dentin. Variolink II showed statistically higher values for dentin bonding than the other cements. Use of Variolink II and Permalute resulted in statistically higher bond strengths than the other two cements. CLINICAL SIGNIFICANCE Esthetic restorations, such as tooth‐colored inlays and onlays, veneers, and crowns without metal substructure, rely on bonding for success and must be cemented with a resin cement. Bond strength of the resin cement to the restoration and tooth structure affects the outcome of the restoration. Variolink II had significantly higher bond strengths to enamel and dentin than the other cements evaluated in this study.     

Effects of ethanol addition on the water sorption/solubility and percent conversion of comonomers in model dental adhesives

ObjectivesThis study evaluated the kinetics of water uptake and percent conversion in neat versus ethanol-solvated resins that were formulated to be used as dental bonding agents.MethodsFive methacrylate-based resins of known and increasing hydrophilicities (R1, R2, R3, R4 and R5) were used as reference materials. Resins were evaluated as neat bonding agents (100% resin) or they were solvated with absolute ethanol (95% resin/5% ethanol or 85% resin/15% ethanol). Specimens were prepared by dispensing the uncured resin into a circular mold (5.8 mm × 0.8 mm). Photo-activation was performed for 80 s. The water sorption/diffusion/solubility was gravimetrically evaluated, while the degree of conversion (DC) was calculated by Fourier-transform infrared spectroscopy.ResultsWater sorption increased with the hydrophilicity of the resin blends. In general, the solvated resins exhibited significantly higher water sorption, solubility and water diffusion coefficients when compared to their corresponding neat versions (p < 0.05). The only exception was resin R1, the least hydrophilic resin, in which neat and solvated versions exhibited similar water sorption (p > 0.05). Addition of ethanol increased the DC of all resins tested, especially of the least hydrophilic, R1 and R2 (p < 0.05). Despite the increased DC of ethanol–solvated methacrylate-based resins, it occurs at the expense of an increase in their water sorption/diffusion and solubility values.SignificanceNegative effects of residual ethanol on water sorption/solubility appeared to be greater as the hydrophilicity of the resin blends increased. That is, the use of less hydrophilic resins in dental adhesives may create more reliable and durable bonds to dentin.     

Chlorhexidine-modified nanotubes and their effects on the polymerization and bonding performance of a dental adhesive

ObjectivesThe purpose of this study was to synthesize chlorhexidine (CHX)-encapsulated aluminosilicate clay nanotubes (Halloysite®, HNTs) and to incorporate them into the primer/adhesive components of an etch-and-rinse adhesive system (SBMP; Scotchbond Multipurpose, 3M ESPE) and to test their effects on degree of conversion, viscosity, immediate and long-term bonding to dentin.MethodsCHX-modified HNTs were synthesized using 10% or 20% CHX solutions. The primer and the adhesive components of SBMP were incorporated with 15 wt.% of the CHX-encapsulated HNTs. Degree of conversion (DC) and viscosity analyses were performed to characterize the modified primers/adhesives. For bond strength testing, acid-etched dentin was treated with one of the following: SBMP (control); 0.2%CHX solution before SBMP; CHX-modified primers + SBMP adhesive; SBMP primer + CHX-modified adhesives; and SBMP primer + CHX-free HNT-modified adhesive. The microtensile bond strength test was performed after immediate (24 h) and long-term (6 months) of water storage. Data were analyzed using ANOVA and Tukey (α = 5%) and the Weibull analysis.ResultsDC was greater for the CHX-free HNT-modified adhesive, whereas the other experimental adhesives showed similar DC as compared with the control. Primers were less viscous than the adhesives, without significant differences within the respective materials. At 24 h, all groups showed similar bonding performance and structural reliability; whereas at the 6-month period, groups treated with the 0.2%CHX solution prior bonding or with the CHX-modified primers resulted in greater bond strength than the control and superior reliability.SignificanceThe modification of a primer or adhesive with CHX-encapsulated HNTs was an advantageous approach that did not impair the polymerization, viscosity and bonding performance of the materials, showing a promising long-term effect on resin-dentin bonds.     

Mechanical properties of new self-adhesive resin-based cement

PurposeThe aim of this study was to compare the bonding strength, flexural strength, elastic modulus, water absorption and the expansion after water storage of new self-adhesive resin cements to commercially available dental cements.MethodsTwo types (hand-mix and auto-mix) of new self-adhesive resin cements (SAC-H and SAC-A, Kuraray Medical), one conventional resin cement (Panavia F2.0), three self-adhesive resin cements (Relyx Unicem, Maxcem and G-Cem), and two resin-modified glass-ionomer cements (Fuji Luting S and Vitremer) were used. Shear bond strengths, flexural strengths and elastic moduli (ISO 4049), water absorption (ISO 4049), and the expansion rate after water storage were investigated.ResultsBoth SAC-H and SAC-A provided adhesion to enamel and dentin, and had the same bond strength to gold alloy and zirconia as conventional resin cements. SAC-H and SAC-A had greater flexural strengths (86.4–93.5 MPa) than commercial self-adhesive resin cements or glass-ionomer cements. The elastic moduli of self-adhesive and glass-ionomer cements were 5.2–7.4 GPa and 2.3–3.4 GPa, respectively. The water absorption of SAC-H and SAC-A (26.3–27.7 μg/mm³) were significantly lower than commercial self-adhesive resin cements. SAC-H and SAC-A showed significantly lower expansion rates (0.17–0.26%) than commercial self-adhesive cements and glass-ionomer cements after 4 weeks water storage.ConclusionsIt is suggested that the new self-adhesive resin cements exhibited a favorable bonding capability and mechanical properties.     

Novel magnetic nanoparticle-containing adhesive with greater dentin bond strength and antibacterial and remineralizing capabilities

Objectives

A nanoparticle-doped adhesive that can be controlled with magnetic forces was recently developed to deliver drugs to the pulp and improve adhesive penetration into dentin. However, it did not have bactericidal and remineralization abilities. The objectives of this study were to: (1) develop a magnetic nanoparticle-containing adhesive with dimethylaminohexadecyl methacrylate (DMAHDM), amorphous calcium phosphate nanoparticles (NACP) and magnetic nanoparticles (MNP); and (2) investigate the effects on dentin bond strength, calcium (Ca) and phosphate (P) ion release and anti-biofilm properties.

Bond strength of self-etch adhesives to pre-etched enamel

ObjectiveBond strengths of composite resin to enamel using four self-etch adhesive (SEA) systems were compared with the bond strength of an etch-and-rinse adhesive (ERA) system, for both polished enamel and enamel pre-etched with phosphoric acid. The objective was to determine if the pre-etching would increase the bond strengths of the SEA systems to match the ERA system.MethodsTen specimens were used for each adhesive to determine 24-h resin composite to enamel shear bond strengths (SBS) to polished (4000 grit) human enamel and this was repeated for the SEA systems for enamel that was pre-etched with phosphoric acid for 15 s. SEM analysis was made to assess the degree of etching and resin penetration into enamel for each of the adhesive systems. Data were analyzed by a two factor ANOVA with a Tukey HSD post hoc test.ResultsThe SBS to polished enamel for all four SEA systems were statistically significantly lower (p < 0.05) than the ERA control, but with pre-etched enamel there were no statistically significant differences (p > 0.05) between any of the adhesive systems. All four of the SEA systems demonstrated statistically significant increases in bond strength between bonding to polished and pre-etched enamel, ranging from 27% to 86%. The results of SEM analysis showed no differences in the resin penetration patterns of any of the adhesives for enamel that was etched with phosphoric acid.SignificancePre-etching enamel may enhance the bond strength of SEA systems to values comparable with those found with ERA adhesive systems, which may improve their overall performance in clinical use.     

Dental primer and adhesive containing a new antibacterial quaternary ammonium monomer dimethylaminododecyl methacrylate

ObjectivesThe main reason for restoration failure is secondary caries caused by biofilm acids. Replacing the failed restorations accounts for 50–70% of all operative work. The objectives of this study were to incorporate a new quaternary ammonium monomer (dimethylaminododecyl methacrylate, DMADDM) and nanoparticles of silver (NAg) into a primer and an adhesive, and to investigate their effects on antibacterial and dentin bonding properties.MethodsScotchbond Multi-Purpose (SBMP) served as control. DMADDM was synthesized and incorporated with NAg into primer/adhesive. A dental plaque microcosm biofilm model with human saliva was used to investigate metabolic activity, colony-forming units (CFU), and lactic acid. Dentin shear bond strengths were measured.ResultsMinimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of the new DMADDM were orders of magnitude lower than those of a previous quaternary ammonium dimethacrylate (QADM). Uncured primer with DMADDM had much larger inhibition zones than QADM (p < 0.05). Cured primer/adhesive with DMADDM-NAg greatly reduced biofilm metabolic activity (p < 0.05). Combining DMADDM with NAg in primer/adhesive resulted in less CFU than DMADDM alone (p < 0.05). Lactic acid production by biofilms was reduced by 20-fold via DMADDM-NAg, compared to control. Incorporation of DMADDM and NAg into primer/adhesive did not adversely affect dentin bond strength.ConclusionsA new antibacterial monomer DMADDM was synthesized and incorporated into primer/adhesive for the first time. The bonding agents are promising to combat residual bacteria in tooth cavity and invading bacteria at tooth-restoration margins to inhibit caries. DMADDM and NAg are promising for use into a wide range of dental adhesive systems and restoratives.     

Epigallocatechin-3-gallate (EGCG) enhances the therapeutic activity of a dental adhesive

ObjectivesThe purpose of this study was to evaluate the antibacterial potential and physicochemical properties of a dental adhesive incorporated with epigallocatechin-3-gallate (EGCG) in different concentration over time.MethodsEGCG was incorporated at a ratio of 100, 200, and 300 μg/ml into a dental adhesive. The effects of the cured adhesives on the growth of Streptococcus mutans were determined by direct contact test immediately or one month later and by scanning electron microscopy (SEM), respectively. Microtensile bond strength (μTBS) test was used to test the mechanical property of the adhesives immediately or six months later. The degree of conversion (DC) of the adhesives was evaluated by Fourier Transform Infrared Spectroscopy (FTIR).ResultsCompared with negative control, the 200 μg/ml and 300 μg/ml EGCG-incorporated dental adhesive were found to exhibit inhibitory effect on the growth of S. mutans. The μTBS of the EGCG-incorporated dental adhesive was higher than the control. The DC of the adhesive system was not affected by the addition of EGCG.Conclusions200 μg/ml EGCG incorporated dental adhesives could accomplish therapeutic goals that play in antimicrobial function whilst keeping the durability of resin–dentine bond.