Influence of reduced application time on bonding durability of universal adhesives to demineralized enamel

Clinical Relevance The degree of conversion of contemporary universal adhesives positively correlates with the bond strength to dentin. The correlation is more marked after thermocycling, suggesting that a high degree of conversion is required for long-term dentin bonding durability. SUMMARY Purpose: The objectives of this study were to evaluate the micro-tensile bond strength (μTBS) of five contemporary universal adhesives to dentin after 24 hours and thermocycling (TC), to measure their degrees of conversion (DC) and to test the correlation between μTBS and DC. Methods and Materials: Four commercially available universal adhesives, Prime&Bond universal (PBU), Ecosite Bond (EB), G-Premio Bond (GPB), and Clearfil Universal Bond Quick (UBQ), and one experimental adhesive, UBQ without an amide monomer (UBQ-A), were used in this study. For the μTBS test, midcoronal dentin of 50 human molars was exposed, ground using 600-grit SiC paper, and the adhesives were applied according to the manufacturers’ instructions. After resin-composite buildup and 24-hour water storage, one-half of the specimens were subjected to 15,000 thermal cycles. The specimens were sectioned into beams and stressed in tension at a crosshead speed of 1 mm/min until failure. The DC of adhesives applied to dentin was evaluated using attenuated total reflectance Fourier-transform infrared spectroscopy immediately after light-curing. All data were statistically analyzed at a significance level of 0.05. Results: The highest μTBSs were obtained with UBQ, UBQ-A, and PBU, which were not significantly different from each other both after 24 hours and TC. The μTBS of GPB was lower compared with the aforementioned adhesives, but significantly only after TC, and the lowest μTBSs were obtained with EB. TC did not affect the μTBSs of UBQ, UBQ-A, and PBU significantly, but a significant decrease was observed with GPB and EB. The highest DC was obtained with PBU and UBQ, followed by 2-hydroxyethyl methacrylate–rich adhesives UBQ-A and EB, which exhibited significantly lower DCs. The DC of GPB could not be determined because the reference peak at 1608 cm−1 was not detected in its spectra. A significant positive correlation was shown between μTBS and DC after 24 hours (r=0.716) and TC (r=0.856). Conclusion: μTBS and DC were positively correlated, more markedly after TC, which suggests that DC may be an important factor for bond durability.

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Effect of Reduced Universal Adhesive Application Time on Enamel Bond Fatigue and Surface Morphology

Operative Dentistry ◽

10.2341/17-261-l ◽

2019 ◽

Vol 44 (1) ◽

pp. 42-53 ◽

Cited By ~ 5

Author(s):

Y Nagura ◽

A Tsujimoto ◽

NG Fischer ◽

AG Baruth ◽

WW Barkmeier ◽

...

Keyword(s):

Fatigue Strength ◽

Surface Area ◽

Shear Bond Strength ◽

Test Group ◽

Application Time ◽

Universal Adhesive ◽

Shear Fatigue ◽

Universal Adhesives ◽

Geometric Surface ◽

Geometric Surface Area

SUMMARY Objective: The purpose of this study was to evaluate the effect of reduced application times of universal adhesives on enamel bond fatigue and surface morphology of the treated enamel with constant force atomic force microscopy (AFM). Methods: Four universal adhesives—Adhese Universal (AU), Clearfil Universal Bond Quick (CU), G-Premio Bond (GP), and Scotchbond Universal Adhesive (SU)—were evaluated in a laboratory for their ability to adhesively bond resin composite to enamel. Shear bond strengths were initially determined using 15 specimens per test group for each adhesive. Shear fatigue strengths were then determined using 20 specimens per test group for each the adhesives. The fatigue specimens were loaded using a sine wave at a frequency of 20 Hz for 50,000 cycles or until failure occurred. AFM observations, surface Ra roughness measurements, and geometric surface area evaluations of enamel surface treated with the adhesive agents were also conducted. Results: A strong relationship was found between the initial shear bond strength and shear fatigue strength for enamel surface Ra roughness but not for geometric surface area. The initial shear bond strength and shear fatigue strength of CU and GP were not influenced by different application times, unlike those of AU and SU. While the surface area of enamel treated with the adhesive agents was not significantly influenced by different application times and type of adhesive, surface Ra roughness of the enamel in the AU and SU groups significantly increased with increasing application time, unlike CU and GP. Conclusions: The results of this study suggest that universal adhesives, used with reduced application times, have adequate Ra surface roughness to provide sufficient resistance to enamel bond fatigue at application times from <1 second to 20 seconds, while the geometric surface area of adhesive-treated enamel did not show any significant changes at these different application times.

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Bond Strength of Universal Adhesives to Dentin: A Systematic Review and Meta-Analysis

Polymers ◽

10.3390/polym13050814 ◽

2021 ◽

Vol 13 (5) ◽

pp. 814

Author(s):

Louis Hardan ◽

Rim Bourgi ◽

Naji Kharouf ◽

Davide Mancino ◽

Maciej Zarow ◽

...

Keyword(s):

Systematic Review ◽

Bond Strength ◽

Meta Analysis ◽

In Vitro Study ◽

In Vitro Studies ◽

Atmospheric Plasma ◽

Application Time ◽

Universal Adhesives ◽

Alternative Techniques

Currently, the availability of a wide variety of universal adhesives makes it difficult for clinicians to choose the correct system for specific bonding situations to dentin substrate. This study aimed to determine whether there are any alternative techniques or additional strategies available to enhance the bond strength of universal adhesives to dentin through a systematic review and meta-analysis. Two reviewers executed a literature search up to September 2020 in four electronic databases: PubMed, ISI Web of Science, Scopus, and EMBASE. Only in vitro studies that reported the dentin bond strength of universal adhesives using additional strategies were included. An analysis was carried out using Review Manager Software version 5.3.5 (The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen, Denmark). The methodological quality of each in vitro study was assessed according to the parameters of a previous systematic. A total of 5671 potentially relevant studies were identified. After title and abstract examination, 74 studies remained in systematic review. From these, a total of 61 studies were included in the meta-analysis. The bond strength of universal adhesives to dentin was improved by the use of one of the following techniques: Previous application of matrix metalloproteinases (MMP) inhibitors (p < 0.001), prolonged application time (p = 0.007), scrubbing technique (p < 0.001), selective dentin etching (p < 0.001), non-atmospheric plasma (p = 0.01), ethanol-wet bonding (p < 0.01), prolonged blowing time (p = 0.02), multiple layer application (p = 0.005), prolonged curing time (p = 0.006), and hydrophobic layer coating (p < 0.001). On the other hand, the use of a shortened application time (p = 0.006), and dentin desensitizers (p = 0.01) impaired the bond strength of universal adhesives to dentin. Most of the analyses performed showed a high heterogenicity. The in vitro evidence suggests that the application of universal adhesives using some alternative techniques or additional strategies may be beneficial for improving their bonding performance to dentin. This research received no external funding. Considering that this systematic review was carried out only with in vitro studies, registration was not performed.

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Effect of extended application time of universal adhesives on bond strength of brackets and enamel integrity

Research Society and Development ◽

10.33448/rsd-v10i13.20832 ◽

2021 ◽

Vol 10 (13) ◽

pp. e199101320832

Author(s):

May Anny Alves Fraga ◽

Daniela Feu Rosa Kroeff de Souza Laignier ◽

Carolina Sandra Yamashita Garfias ◽

Américo Bortolazzo Correr ◽

Licia Pacheco Teixeira ◽

...

Keyword(s):

Bond Strength ◽

Shear Bond Strength ◽

Test Machine ◽

Application Time ◽

Universal Adhesive ◽

Bonding System ◽

Adhesive Remnant Index ◽

Extended Application ◽

Etch And Rinse ◽

Universal Adhesives

The objective of this study to evaluate the effect of universal adhesives application time to enamel through shear bond strength (SBS), adhesive remnant index (ARI), and morphological enamel integrity. Bovine incisors were divided into four groups according to bonding system protocol (n=20): (1) conventional etch-and-rise adhesive – Transbond XT Primer (P-XT); (2) one-step self-etching adhesive – Transbond Self Etching Primer (T-SEP); (3) one universal adhesive – Single Bond Universal, which were rubbed for 20s (SBU-20) or (4) 40s (SBU-40). Transbond XT composite was used to bond the brackets to enamel. SBS was evaluated in a universal test machine at 0.5mm/minute. ARI was determined under x12.5 magnification and enamel damage was evaluated through scanning electron microscope (SEM) after debonding (n=10). SBS data were compared using one-way ANOVA and Tukey’s test. The Kruskal–Wallis test was used to compare the ARI scores (α =0.05). The P-XT and T-SEP groups showed significantly higher bond strength than SBU-20 and SBU-40 (p<0.05). The ARI was similar for all groups (p>0.05). SEM showed enamel damage only in T-SEP and P-XT groups. Conventional ‘etch and rinse’ and ‘self-etch’ adhesives had the highest shear bond strength, but they were associated with more enamel damage compared to universal adhesives. The application of universal adhesives with the time recommended by the manufacturer — ensure satisfactory bond strength and enamel integrity.

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Effect of Alternative Self-Etch Applications on Dentin Bond Strength of “No Wait Concept” Universal Adhesives

Odovtos - International Journal of Dental Sciences ◽

10.15517/ijds.2021.45844 ◽

2021 ◽

pp. 282-290

Author(s):

Tugba Serin-Kalay ◽

Beyza Zaim

Keyword(s):

Bond Strength ◽

Failure Modes ◽

Tensile Force ◽

Application Time ◽

Running Water ◽

Low Speed ◽

Universal Adhesives ◽

Diamond Saw ◽

No Wait ◽

Self Etch

Objective: This study evaluated the effects of alternative self-etch application modes on resin-dentin microtensile bond strength (µTBS) of three commercially available “no wait” concept universal adhesives. Materials and methods: In this study extracted impacted non-carious human third molars were used. The flat surfaces were prepared in mid-coronal dentin and prepared with a 600-grit SiC paper. The three universal adhesives that were used are as follows: Clearfil Universal Bond Quick (CUQ, Kuraray Noritake, Japan), G-Premio Bond (GPB, GC Corp, Japan), and a self-curing universal adhesive “Tokuyama Universal Bond” (TUB; Tokuyama Dental, Japan). The following three different application procedures were used for the dentin surfaces: the adhesives were applied and immediately subjected to air-dry; the adhesives were applied followed by a 10-second wait; or the adhesives were rubbed for 10 seconds. Then composite resin was applied to the dentin surface and light cured. After storage in 37°C distilled water for 24 h, all the bonded teeth were cut into 1mm² sections using a low-speed diamond saw (Micracut 125 Low Speed Precision Cutter, Metkon, Bursa, Turkey) under running water (n=15). The sections were subjected to a tensile force at a crosshead speed of 1mm/min in a testing apparatus (Microtensile Tester, Bisco, IL, USA) and µTBS values were measured. Data were analyzed using the Kruskal-Wallis test and Mann-Whitney U test. Failure modes were analyzed under a stereomicroscope. Results: Prolonged application time significantly affected the µTBS (p<0.005). A significant increase of µTBS on active application was observed for CUQ and GPB. The TUB with an active application had a significantly lower µTBS value compared with the other adhesives. Conclusions: Prolonged application time caused significant improvement of bond strength in all adhesives. The active application is effective at increasing the dentin bond strength except for TUB.

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Influence of Application Time on Dentin Bond Performance in Different Etching Modes of Universal Adhesives

Operative Dentistry ◽

10.2341/19-028-l ◽

2020 ◽

Vol 45 (2) ◽

pp. 183-195 ◽

Cited By ~ 4

Author(s):

T Saito ◽

T Takamizawa ◽

R Ishii ◽

A Tsujimoto ◽

E Hirokane ◽

...

Keyword(s):

Application Time ◽

Universal Adhesive ◽

Bond Performance ◽

Etch And Rinse ◽

Air Blowing ◽

Universal Adhesives ◽

The Difference ◽

Adhesive Application ◽

Almost All ◽

Self Etch

SUMMARY We attempted to determine the effect of universal adhesive application time on dentin bond performance in different etching modes based on shear bond strength (SBS) tests and surface free energy (SFE) measurements. The five universal adhesives used were Adhese Universal (AU), Clearfil Universal Bond Quick (CQ), G-Premio Bond (GP), Scotchbond Universal (SU), and Tokuyama Universal Bond (TU). Bovine dentin specimens were divided into four groups of 10 for each adhesive. SBS and SFE were determined after applying the following surface treatments: 1) self-etch (SE) mode with immediate air blowing after adhesive application (IA treatment), 2) SE mode with prolonged application time (PA treatment), 3) etch-and-rinse (ER) mode with IA treatment, and 4) ER mode with PA treatment. Bonded specimens were subjected to SBS testing. The SFE of adhesive-treated dentin surfaces was measured after rinsing with acetone and water. Three-way analysis of variance revealed that dentin SBS values (p<0.001) were significantly influenced by the factors of adhesive type and application duration, but the factor of pre-etching was not significant (p=0.985). The manufacturer's instructions require longer application times for AU and SU, which showed significantly lower SBS values in IA than in PA treatment in both etching modes. However, the difference in the other adhesives was not significant between the IA and PA treatments in either etching mode. The total SFE (γS) was dependent on the adhesive and etching mode. The γS value of the initial group (SiC paper ground group) at baseline was 69.5 (mN·m−1) and that of the pre-etching group at baseline was 30.6 (mN·m−1). For all the adhesives, γS in SE mode showed significantly higher values than in ER mode, regardless of the application time. In SE mode, almost all universal adhesives tested showed lower γS values in PA treatment than in IA treatment. For ER mode, all the adhesives showed significantly higher γS values than those of the pre-etching baseline, regardless of the application time. Most adhesives did not show any significant differences in γS values between IA and PA treatments, regardless of etching mode.

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The Influence of Application Protocol of Simplified and Universal Adhesives on the Dentin Bonding Performance

Applied Sciences ◽

10.3390/app10010124 ◽

2019 ◽

Vol 10 (1) ◽

pp. 124 ◽

Cited By ~ 3

Author(s):

Anna Zecin-Deren ◽

Monika Lukomska-Szymanska ◽

Agata Szczesio-Wlodarczyk ◽

Ireneusz Piwonski ◽

Jerzy Sokolowski ◽

...

Keyword(s):

Bond Strength ◽

Shear Bond Strength ◽

Adhesive Layer ◽

Study Groups ◽

Single Bond ◽

Application Time ◽

Bonding Performance ◽

Etch And Rinse ◽

Universal Adhesives ◽

Self Etch

Contemporary adhesives use etch-and-rinse, self-etch, and multimode adhesive strategies. Simplified and universal adhesives present lower bond strength to dentin than conventional, two-bottle etch-and-rinse adhesives. The purpose of this study was to evaluate bonding performance of simplified and universal adhesives to dentin after modifying their application protocol (multiplying applications and extending application time). Adhesive layer thickness (ALT) and shear bond strength (SBS), as well as the correlation between these parameters was calculated. Two universal (Single Bond Universal and Prime & Bond One Select) and two self-etch adhesives (Adper Easy One and Xeno V) were tested. Significant differences in ALT were detected between the adhesives, as well as within the same adhesive between study groups. Tested adhesives presented the thinnest adhesive layer when applied 2 times in 20 s. Single Bond Universal obtained the highest SBS results of all adhesives. Most adhesives (except for Prime & Bond One Select) obtained the highest SBS, when applied two or three times in 40 or 60 s, respectively. No correlation between the ALT and SBS was found. The study showed that increasing the number of applications and extending the application time of self-etch and universal adhesives can be recommended to improve their performance.

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