Dentin treatment effects on the bonding performance of self-adhesive resin cements

Mazzitelli C, Monticelli F, Toledano M, Ferrari M, Osorio R. Dentin treatment effects on the bonding performance of self-adhesive resin cements. Eur J Oral Sci 2010; 118: 80–86. © 2010 The Authors. Journal compilation © 2010 Eur J Oral Sci
The effects of dentin surface treatments on the microtensile bond strengths and on the interfacial characteristics of self-adhesive resin cements were investigated. Flat dentin surfaces were obtained from human molars and were treated as follows: (i) no treatment of dentin; (ii) 0.1 M EDTA scrubbed for 60 s; or (iii) 10% polyacrylic acid applied for 30 s. Three self-adhesive cements were used to lute composite overlays on deep-coronal dentin surfaces in the presence of simulated pulpal pressure (15 cm of H₂O). Bonded specimens were cut into beams 1 mm thick and stressed in tension until failure. Fractured sticks were examined under a scanning electron microscope. Additional specimens were stained with Masson's trichrome and observed under light microscopy for interfacial evaluations. The bond strength to dentin of the hydrophobic and solvent-free cement (RelyX Unicem) was unaffected by the tested dentin treatments. The bond strength of the 2-hydroxyethyl methacrylate (HEMA)-based cement (Bis-Cem) decreased after treatment of dentin with EDTA and/or polyacrylic acid. The hydrophilic and water-containing cement (G-Cem) attained a higher bond strength when luted on polyacrylic acid-conditioned dentin. In conclusion, smear layer removal, opening of dentinal tubules, and the water content of dentin differently influence the bond strengths and the interfacial characteristics of self-adhesive cement–dentin interfaces.