To etch or not to etch,Part I: On the fatigue strength and dentin bonding performance of universal adhesives |
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Authors: | Thiago Henrique Scarabello Stape Tapio Viita-aho Ana Sezinando Patrik Wik Murat Mutluay Arzu Tezvergil-Mutluay |
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Institution: | 1. Department of Restorative Dentistry and Cariology, Adhesive Dentistry Research Group, Institute of Dentistry, University of Turku, Turku, Finland;2. Turku University Hospital, TYKS, University of Turku, Turku, Finland;3. Department of Prosthetic Dentistry, Institute of Dentistry, University of Eastern Finland, Kuopio, Finland |
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Abstract: | ObjectiveTo characterize whether the bonding performance and fatigue strength of resin-dentin interfaces created by a universal adhesive would be affected by different H3PO4-application times to more accurately assess long-term durability.MethodsMid-coronal flat dentin surfaces with standardized smear-layers were produced on sound third molars, etched with 32% H3PO4 for 0, 3 and 15 s, bonded with a mild universal adhesive (3M-ESPE) and restored with a nanofilled composite. Bonded specimens (0.9 × 0.9 mm) were stored in deionized water for 24 h and sectioned into beams for microtensile testing (n = 10). Resin-dentin beams were tested under tension until failure (0.5 mm/min) after 24 h or 6 month storage in artificial saliva at 37 ?C. Bar-shaped resin-dentin beams (0.9 × 0.9 × 12 mm) were tested under 4-point-flexure initially at quasi-static loads (n = 22) and then under cyclic loads (n > 50). The stress-life fatigue behavior was evaluated using the twin-bonded interface approach by the staircase method at 4 Hz. Fractured interfaces and the tension side of unfractured beams were evaluated under SEM, along with the micro-morphology of the etched dentin surfaces and hybrid layers. Data were analyzed by ANOVA and Tukey test and Wilcoxon Rank Sum Test (α = 0.05).ResultsQuasi-static loads were limited to discriminate the bonding performance of resin-dentin interfaces. Application modes significantly affected etching patterns, fatigue strength, endurance limits and hybrid layer morphology (p < 0.001).SignificanceReductions in fatigue strength of self-etched bonded interfaces raise concerns about the true ability of universal adhesives to properly bond to dentin. |
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Keywords: | Etching Adhesive systems Microtensile bond strength Flexural strength Hybrid layer Self-etch Longevity Smear layer |
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