scholarly journals Randomized Clinical Trial of Composite Restorations in Primary Teeth: Effect of Adhesive System after Three Years

2016 ◽  
Vol 2016 ◽  
pp. 1-11 ◽  
Author(s):  
Secil Bektaş Donmez ◽  
Melek D. Turgut ◽  
Serdar Uysal ◽  
Pinar Ozdemir ◽  
Meryem Tekcicek ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Clinical Performance ◽  
Adhesive System ◽  
The Self ◽  
Marginal Adaptation ◽  
Adhesive Systems ◽  
Composite Restorations ◽  
Etch And Rinse ◽  
Significant Difference ◽  
Self Etch

The purpose of this study was to assess the clinical performance of composite restorations placed with different adhesive systems in primary teeth. In 32 patients, 128 composite restorations were placed using a split-mouth design as follows (4 groups/patient): three-step etch-and-rinse (Group 1), two-step etch-and-rinse (Group 2), two-step self-etch (Group 3), and one-step self-etch (Group 4). The restorations were clinically evaluated at baseline and at 6, 18, and 36 months according to the FDI criteria. There was no significant difference between the adhesive systems in retention of the restorations (p>0.05). Over time, there was a statistically significant decrease in marginal adaptation in all groups, whereas surface and marginal staining significantly increased in Groups 3 and 4 (p<0.05). The etch-and-rinse adhesive systems resulted in better marginal adaptation than the self-etch adhesive systems (p<0.05). It was concluded that preetching of the primary enamel might help improve the clinical performance of the self-etch adhesive systems in primary teeth.

Catechin-based Dentin Pretreatment and the Clinical Performance of a Universal Adhesive: A Two-year Randomized Clinical Trial

2020 ◽  
Vol 45 (5) ◽  
pp. 473-483 ◽  
Author(s):  
CAGA Costa ◽  
NLG Albuquerque ◽  
JS Mendonça ◽  
AD Loguercio ◽  
VPA Saboia ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Clinical Performance ◽  
Resin Composite ◽  
Retention Rates ◽  
Marginal Adaptation ◽  
Single Bond ◽  
Etch And Rinse ◽  
Significant Difference ◽  
Self Etch

Clinical Relevance At 24 months, the dentin pretreatment with epigallocatechin-3-gallate did not impair the clinical performance of the adhesive Single Bond Universal regardless of the bonding strategy used. SUMMARY Purpose: To evaluate the two-year effect of dentin pretreatment with epigallocatechin-3-gallate (EGCG) on the clinical performance of restorations of noncarious cervical lesions (NCCLs) with Single Bond Universal, applied in two different modes (self-etch and etch-and-rinse). Methods and Materials: In this randomized clinical trial, 33 volunteers were selected, and 156 NCCLs were assigned to four groups: ER, etch-and-rinse; ER-EGCG, 0.1% EGCG dentin pretreatment + etch-and-rinse; SE, self-etch; and SE-EGCG, 0.1% EGCG dentin pretreatment + self-etch. The NCCLs were restored with a nanofilled resin composite and evaluated at baseline and at six, 12, 18, and 24 months using FDI criteria for retention, marginal staining, marginal adaptation, caries, and postoperative sensitivity. Two evaluators were blinded to the treatments performed, and impressions were taken for resin replicas to allow indirect observations. Statistical analyses were performed with Kruskal-Wallis and McNemar tests with a significance level of 5%. Results: Six restorations (one from ER, two from SE, one from ER-EGCG, and two from SEEGCG) were lost at 24 months with no significant differences (p&gt;0.05). The retention rates were 97.0% (ER and ER-EGCG), 94.1% (SE), and 94.2% (SE-EGCG). For marginal adaptation, a significant difference was detected between the baseline and 24 months for the SE group (p=0.0313). There were no statistical differences among all other evaluated criteria at 24 months, neither for each group at baseline nor for 24-month comparisons (p&gt;0.05). Conclusions: The pretreatment with EGCG provided no benefit in the clinical performance of the adhesive regardless of the bonding strategy used. In addition, it adds an additional required step to the restorative procedure.

Evaluation of the Bond Strength of Different Pulp Capping Materials to Dental Adhesive Systems: An In Vitro Study

2021 ◽  
pp. 232020682199798
Author(s):  
Sema Yazici Akbiyik ◽  
Elif Pınar Bakir ◽  
S¸eyhmus Bakir
Keyword(s):  
Bond Strength ◽  
In Vitro Study ◽  
Adhesive System ◽  
Adhesive Systems ◽  
Pulp Capping ◽  
Etch And Rinse ◽  
Significant Difference ◽  
Fracture Types ◽  
Self Etch

Aim: To evaluate the bond strengths of pulp capping materials (Dycal, ProRoot MTA, Biodentine, TheraCal LC, Calcimol LC, and ApaCal ART) and different adhesive systems (Gluma 2 Bond, Clearfil SE Protect, Gluma Self Etch, Clearfil S 3 Bond Plus, Gluma Bond Universal, Clearfil S 3 Bond Universal). Materials and Methods: Two hundred fifty-two acrylic blocks were prepared in which cylindrical cavities of 4 × 2 mm 3 were formed. Pulp capping materials were placed in the cavities. Different adhesive systems were applied to each pulp capping material group. After applying the composite resin, the shear bond strength (SBS) values of the specimens were determined in the Instron test device. Fracture types were evaluated using a stereomicroscope and a scanning electron microscope. Data were analyzed by Shapiro–Wilk’s and Kruskal–Wallis H test. Results: There is a statistically significant difference between pulp capping materials in terms of SBS values ( P < .05). Dycal’s SBS was found significantly lower than other materials, and the highest bond strength was observed in Calcimol LC material. Although there is no statistically significant difference ( P > .05) between the adhesive agent groups in terms of SBS, Gluma 2 Bond showed the highest bond strength value. Conclusion: In traditional pulp capping materials such as Dycal, MTA, and Biodentine, using a two-step self-etch adhesive system can result in higher bond strength values. In resin-based TheraCal LC,, ApaCal ART, and Calcimol LC materials, it may be recommended to use a two-step etch and rinse adhesive system.

scholarly journals Two-year Clinical Performance of Self-etching Adhesive Systems in Composite Restorations of Anterior Teeth

2013 ◽  
Vol 38 (3) ◽  
pp. 258-266 ◽  
Author(s):  
DC Barcellos ◽  
GR Batista ◽  
MA Silva ◽  
PR Pleffken ◽  
PM Rangel ◽  
...  
Keyword(s):  
Clinical Performance ◽  
Adhesive System ◽  
Class Iii ◽  
Adhesive Systems ◽  
Composite Restorations ◽  
Anterior Teeth ◽  
Etch And Rinse ◽  
System 2 ◽  
One Step ◽  
Postoperative Sensitivity

SUMMARY Objective The aim of this study was to evaluate the two-year clinical performance of Class III, IV, and V composite restorations using a two-step etch-and-rinse adhesive system (2-ERA) and three one-step self-etching adhesive systems (1-SEAs). Material and Methods Two hundred Class III, IV, and V composite restorations were placed into 50 patients. Each patient received four composite restorations (Amaris, Voco), and these restorations were bonded with one of three 1-SEAs (Futurabond M, Voco; Clearfil S3 Bond, Kuraray; and Optibond All-in-One, Kerr) or one 2-ERA (Adper Single Bond 2/3M ESPE). The four adhesive systems were evaluated at baseline and after 24 months using the following criteria: restoration retention, marginal integrity, marginal discoloration, caries occurrence, postoperative sensitivity and preservation of tooth vitality. After two years, 162 restorations were evaluated in 41 patients. Data were analyzed using the χ2 test (p&lt;0.05). Results There were no statistically significant differences between the 2-ERA and the 1-SEAs regarding the evaluated parameters (p&gt;0.05). Conclusion The 1-SEAs showed good clinical performance at the end of 24 months.

scholarly journals Bond Durability of Adhesives Containing Modified-monomer With/Without-fluoride After Aging in Artificial Saliva and Under Intrapulpal Pressure Simulation

2013 ◽  
Vol 38 (1) ◽  
pp. 48-56 ◽  
Author(s):  
HA El-Deeb ◽  
HH Al Sherbiney ◽  
EH Mobarak
Keyword(s):  
Bond Strength ◽  
Artificial Saliva ◽  
Adhesive System ◽  
Single Step ◽  
The Other ◽  
Adhesive Systems ◽  
Etch And Rinse ◽  
Significant Difference ◽  
Self Etch ◽  
Bond Durability

SUMMARY Objective: To evaluate the dentin bond strength durability of adhesives containing modified-monomer with/without-fluoride after storage in artificial saliva and under intrapulpal pressure simulation (IPPS). Materials and Methods: The occlusal enamel of 48 freshly extracted teeth was trimmed to expose midcoronal dentin. Roots were sectioned to expose the pulp chamber and to connect the specimens to the pulpal-pressure assembly. Specimens were assigned into four groups (n=12) according to adhesive system utilized: a two-step etch-and-rinse adhesive system (SB, Adper Single Bond 2, 3M ESPE), a two-step self-etch adhesive system (CSE, Clearfil SE Bond, Kuraray Medical Inc), and two single-step self-etch adhesives with the same modified monomer (bis-acrylamide)—one with fluoride (AOF, AdheSE One F, Ivoclar-Vivadent) and the other without (AO, AdheSE One, Ivoclar-Vivadent). Bonding was carried out while the specimens were subjected to 15-mm Hg IPPS. Resin composite (Valux Plus, 3M ESPE) buildups were made. After curing, specimens were aged in artificial saliva and under 20-mm Hg IPPS at 37°C in a specially constructed incubator either for 24 hours or six months prior to testing. Bonded specimens (n=6/group) were sectioned into sticks (n=24/group) with a cross section of 0.9 ± 0.01 mm2 and subjected to microtensile bond strength (μTBS) testing using a universal testing machine. Data were statistically analyzed using two-way analysis of variance (ANOVA) with repeated measures, one-way ANOVA tests, and a t-test (p&lt;0.05). Failure modes were determined using a scanning electron microscope. Results: The μTBS values of SB and CSE fell significantly after six-month storage in artificial saliva and under IPPS, yet these values remained significantly higher than those for the other two adhesives with modified monomers. There was no significant difference in the bond strength values between fluoride-containing and fluoride-free self-etch adhesive systems (AOF and AO) after 24 hours or six months. Modes of failure were mainly adhesive and mixed. Conclusions: Based on the results of this study, 1) Fluoride addition did not affect dentin bond durability; and 2) despite the fact that the single-step adhesive system with modified monomer showed stability, bond strengths associated with these systems remained lower than those of multistep adhesive systems.

scholarly journals Effect Of Chitosan Treatment On Shear Bond Strength Of Composite To Deep Dentin Using Self-Etch And Total-Etch Adhesive Systems

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Fateme Vasei ◽  
Farahnaz Sharafeddin
Keyword(s):  
Bond Strength ◽  
Shear Bond Strength ◽  
Resin Composite ◽  
Testing Machine ◽  
Adhesive System ◽  
Single Bond ◽  
Adhesive Systems ◽  
Etch And Rinse ◽  
Significant Difference ◽  
Self Etch

Objective: To assess the shear bond strength (SBS) of resin composite to deep dentin, using 1 and 2.5% chitosan pretreatment as well as different adhesive systems. Material and Methods: 80 human maxillary molars were randomly divided to eight groups according to the type of adhesive system and dentin pretreatment (n = 10): I) two-step self-etch system (Clearfil SE bond); II) two-step etch-andrinse system (Adper single bond 2); III) 2.5% chitosan + Clearfil SE bond; IV) 2.5% chitosan +etch + Adper single bond 2; V) etch + 2.5% chitosan + Adper single bond 2; VI) 1% chitosan + Clearfil SE bond; VII) 1% chitosan + etch + Adper single bond 2; VIII) etch + 1% chitosan + Adper single bond 2 (chitosan solution (w/v): 2.5 g and 1 g of chitosan (Sigma Aldrich, USA) was dissolved in 100 ml of 1% acetic acid). Plastic molds were positioned on dentin and filled with composite (Z350, 3M ESPE, USA). SBS (MPa) was tested using a universal testing machine. ANOVA tests, Tukey’s test, and independent t test were used to analyze data (p < 0.05). Results: The highest SBS value among self-etch groups was observed with 1% chitosan (p = 0.001). In the etch-and-rinse group, the SBS of 1% chitosan was significantly lower than the other groups. Chitosan treatment following acid etching led to higher SBS in comparison to when chitosan was applied before etching, with the significant difference in 1% concentration (p = 0.030). A predominance of mix fractures was observed in dentin. Conclusion: Improved dentin bond strength can be achieved through immediate dentin pretreatment with 1% chitosan in self-etch adhesive systems. Chitosan Pretreatment may not be advantageous for etch-and-rinse adhesive systems. Keywords Adhesive system; Chitosan; Deep dentin; Shear strength.

scholarly journals Effect of an erosive challenge on the enamel-composite resin interface in primary teeth: an in vitro study

2015 ◽  
Vol 3 (3) ◽  
pp. 688
Author(s):  
Jonas Almeida Rodrigues ◽  
Cristiane Meira Assunção ◽  
Rogério Nanini Macanhão ◽  
Leila Canarin Vieira ◽  
Angela Scarparo
Keyword(s):  
Primary Teeth ◽  
Composite Resin ◽  
In Vitro Study ◽  
Adhesive Systems ◽  
Incomplete Removal ◽  
Etch And Rinse ◽  
Significant Difference ◽  
Composite Interface ◽  
Self Etch

AIM: The aim of this study was to evaluate whether different adhesive systems (etch-and-rinse or self-etch) render enamel-composite resin interface in primary teeth more susceptible to erosive challenge. MATERIAL AND METHODS: Thirty enamel specimens from caries-free primary incisors were selected and cavities were prepared for restoration. According to adhesive protocols, specimens were divided into groups: G1 (Adper Single Bond 2), G2 (Adper SE Plus), and G3 (35% phosphoric acid + Adper SE Plus). After restorative procedures, half of the surface of enamel and restorative material was protected with nail varnish, thus, only half of the sample was subjected to the erosive challenge (immersion in Coca-Cola®, 3 cycles of 5 minutes, for 5 days). Samples were analysed quantitatively through Knoop microhardness, the indentations were made on enamel-composite interface. Data were submitted to statistical analysis (Student’s t test, two-way ANOVA, p<0.05). RESULTS: It showed that different adhesive systems did not significantly affect the percentage of superficial microhardness change after an erosive challenge (p=0.387). However, although no significant difference was observed, G2 (self-etch system) showed the lowest percentage of superficial microhardness change. CONCLUSION: The use of different adhesive systems did not influence superficial microhardness of enamel-composite interface after an erosive challenge. The incomplete removal of the smear layer, though self-etch systems, suggests a greater ability to withstand the erosive challenge on the enamel-resin interface.

scholarly journals 6-month clinical performance of a universal adhesive on non-carious cervical lesions: self-etch and etch-and-rinse techniques

2020 ◽  
Vol 61 (3) ◽  
Author(s):  
Joana Cruz ◽  
◽  
Ana Silva ◽  
Raquel Eira ◽  
Catarina Coito ◽  
...  
Keyword(s):  
Clinical Performance ◽  
Resin Composite ◽  
Estimating Equation ◽  
The Self ◽  
Generalized Estimating Equation ◽  
Marginal Adaptation ◽  
Cervical Lesions ◽  
Universal Adhesive ◽  
Etch And Rinse ◽  
Self Etch

Objectives: The purpose of this study was to evaluate the 6-month clinical performance of Adhese Universal applied with two different application strategies (self-etch vs. etch-andrinse technique) when restoring non-carious cervical lesions. Methods: Twenty-six patients participated in this study. Restorations of 117 non-carious cervical lesions were assigned to 2 groups: 1) Adhese Universal in the etch-and-rinse mode (n=59) and 2) Adhese Universal in the self-etch mode (n=58). The same resin composite (Tetric EvoCeram) was used for all restorations. The restorations were evaluated at baseline and at 6 months, using the World Dental Federation criteria. The results were analyzed statistically by the McNemar test (α=0.05 and power of 80%) to compare the differences between baseline and 6 months and a generalized estimating equation to compare the differences between the 2 techniques. Results: No differences were found in restoration performance between the baseline and the end of the 6-month period in the self-etch mode (marginal coloring: p=0.1366; fractures/retention: p=1.000; marginal adaptation: p=1.000; hypersensitivity: p=0.4795; recurrence of caries: p=1.000). On the other hand, in the etch-and-rinse mode, for both fractures/retention (p=0.0028) and marginal adaptation (p=0.0016), significant differences were found. Significant differences were also detected between groups at 6 months for fractures/retention and marginal adaptation (p<0.01). Nine restorations were lost at 6 months in the etch-and-rinse group. Conclusions: The tested universal adhesive obtained better results in the self-etch technique than in the etch-and-rinse technique, both on fractures/retention and marginal adaptation.

Two Adhesive Systems-effect on Adhesion to Tooth Structure

2019 ◽  
Vol 70 (7) ◽  
pp. 2608-2613
Author(s):  
Larisa Simona Deac ◽  
Kamel Earar ◽  
Adela Loredana Colceriu Burtea ◽  
Alexandra Stefania Berghe ◽  
Aurora Antoniac ◽  
...  
Keyword(s):  
Adhesive Systems ◽  
Hybrid Layer ◽  
Tooth Structure ◽  
Selective Etch ◽  
Etch And Rinse ◽  
Significant Difference ◽  
Wisdom Teeth ◽  
Group 2 ◽  
Self Etch ◽  
Group 1

This study evaluates and compares by dye penetration method and SEM photomicrographs the sealing obtained using two different classes of adhesive systems (etch-and-rinse and self-etch with selective etching) with SDR (Dentsply) bulk fill composite. 84 class V cavities were prepared on oral and vestibular face of 42 intact, freshly extracted wisdom teeth. The cavities were randomly divided in two groups and restored: Group 1 with prime &bond one select (Dentsply) and SDR (Dentsply) and Group 2 with prime&bond one Etch&Rinse (Dentsply) and SDR (Dentsply). Prime&bond one Select (Dentsply) is a single component adhesive and can be used in self etch mode, in selective enamel etch mode, or in etch-and-rinse mode. We chosen for this study the selective etch of the enamel mode. Prime&bond one Etch Rinse (Dentsply) is a universal etch-and-rinse one-bottle dental adhesive, designed to be used in two steps. The bulk fill composites are commonly used in modern dentistry due to their properties of low polymerization shrinkage and curing in layer of 4 mm depth, offering the practitioner a fast clinical procedure with good results. The results showed a good sealing at enamel and dentin margins with no statistically significant difference between adhesives, even though the mean of enamel infiltration was smaller for Group1. Furthermore the results show that there were differences between the two groups, for the infiltrations at the enamel, the values of microleakage being arithmetically higher for Group 1, but with no statistically difference between the two groups.SEM images showed for both groups a good adhesion surface with the tooth, but the hybrid layer of the total-etch adhesives is different from the hybrid layer formed by self etch adhesives, in terms of thickness, uniformity. In conclusion both adhesive systems have equivalent sealing qualities and can be successfully used with SDR.

scholarly journals Effect of Proteolytic Agents on Microleakage of Etch and Rinse Adhesive Systems

2017 ◽  
Vol 16 ◽  
pp. 1-11
Author(s):  
Shahin Kasraei ◽  
Ebrahim Yarmohammadi ◽  
Maryam Farhadian ◽  
Mona Malek
Keyword(s):  
Phosphoric Acid ◽  
Nd:Yag Laser ◽  
Control Group ◽  
Single Bond ◽  
Adhesive Systems ◽  
Class V ◽  
Dentin Surface ◽  
Composite Restorations ◽  
Etch And Rinse ◽  
Significant Difference

Objective: this study aimed to assess the effect of treatment of phosphoric acid etched dentin surface with 5% bromelain enzyme and Nd:YAG laser prior to the use of etch and rinse adhesive systems on microleakage margins of class V composite restorations. Materials and Methods: sixty sound premolar teeth were selected. Standard class V cavities were prepared in the buccal and lingual surfaces of each teeth. Preparation in that way 1 mm of the cavity was above and 1 mm of it was below the cementoenamel junction. The teeth were then randomly divided into three groups including 20 teeth(40cavities  in each gorup). Two ethanol base etch and rinse system (Adper Single Bond and OptiBond Solo) was applied in each group. In the control group, cavities were etched with 37% phosphoric acid. Adper Single Bond was applied to 20 and OptiBond Solo was applied to the remaining 20 cavities and they were restored with Z250 composite (n=40). The same procedures were performed in bromelain and Nd:YAG laser groups with the difference that prior to the application of adhesive, aqueous 5% bromelain was applied in bromelain group while Nd:YAG laser was irradiated in laser group. All teeth were thermocycled and their apices were sealed with sticky wax. The tooth surfaces were coated with nail varnish except for 1 mm around the restoration margins, and the teeth were then immersed in fuchsine and sectioned by a diamond disc into mesial and distal halves. Marginal microleakage at both sides was determined and scored under a stereomicroscope at x40 magnification. Then data were analyzed using the Kruskal Wallis and Mann Whitney tests (α=0.05). Results: according the result of Mann Whitney test, Cervical margins showed significantly higher microleakage than the occlusal margins (P=0.000) but no significant difference was noted in microleakage of occlusal (P=0.362) or gingival (P=0.147) margins among the three groups by Kruskal Wallis test. Conclusion: in conclusion, application of proteolytic agents(5% bromelain solution and Nd:YAG laser)  on acid-etched dentin surface prior to the application of adhesive has no significant effect on marginal microleakage of class V composite restorations. 

scholarly journals Effect of Tannic Acid on Bond Strength of Etch and Rinse and Self-etch Adhesive Systems in Dentin of Primary Teeth

2017 ◽  
Vol 18 (1) ◽  
pp. 34-38
Author(s):  
Mojtaba Abdollahi ◽  
Masoumeh Ebrahimi ◽  
Alireza Sarraf Shirazi ◽  
Faraneh Abdolhoseinpour
Keyword(s):  
Bond Strength ◽  
Tannic Acid ◽  
Primary Teeth ◽  
Testing Machine ◽  
T Test ◽  
Adhesive Systems ◽  
Primary Molar ◽  
Etch And Rinse ◽  
Self Etch

ABSTRACT Introduction One of the possible mechanisms for the gradual destruction of bond strength in dentin-resin interface, could be due to the demineralized unstable collagen matrix. Use of protease inhibitors, such as tannic acid (TA) could prevent destruction of collagen fibers. The aim of this study was to compare the TA effect on bond strength of etch and rinse and self-etch adhesive systems in the dentin of primary teeth. Materials and methods This in vitro study was done on 40 extracted primary molar teeth. The teeth were sectioned in the mesiodistal direction, and enamel of buccal and lingual surfaces was removed. Samples were randomly divided into four groups: Single bond (SB) + TA, SB, Clearfil SE Bond (CSB) + TA, and CSB. Then, Z250 and Clearfil AP-X composites were cured on the surfaces of SB and CSB groups respectively. After that, all samples were divided into aging and non-aging groups. For 3 months, samples were placed under 1,000 thermal cycles in aging group. Subsequently, the shear bond strengths of all groups were measured by the International testing machine, and failure mode was evaluated by an optical stereomicroscope. Data were analyzed with paired t-test and independent t-test. Results Tannic acid induced a significant reduction in the immediate bond strength of adhesive SB. Meanwhile, TA had no significant effect on shear bond strength of the CSB system. Conclusion Based on our findings, use of TA is not recommended with SB and CSB adhesives on primary teeth. Clinical significance Tannic acid may not be considered in resin restorations of primary teeth. How to cite this article Ebrahimi M, Sarraf Shirazi A, Abdolhoseinpour F, Abdollahi M. Effect of Tannic Acid on Bond Strength of Etch and Rinse and Self-etch Adhesive Systems in Dentin of Primary Teeth. J Contemp Dent Pract 2017;18(1):34-38.

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