Repair Bond Strength of High-viscosity Glass-ionomer Cements Using Resin Composite Bonded with Light- and Self-cured Adhesive Systems

2021 ◽  
Vol 46 (1) ◽  
pp. 45-53
Author(s):  
HA El-Deeb ◽  
EH Mobarak

Clinical Relevance High-viscosity glass-ionomer cements (HVGICs) used with atraumatic restorative treatment can be repaired with light- or self-cured adhesive systems; however, the repair bond strength of two-step, self-etching and one-step adhesives in the light-cure mode surpass one-step self-cure adhesives. Working on a feasible self-cure approach in the absence of such in rural areas as well as in war zones is of prime importance. SUMMARY Objectives: Despite the success rate of high-viscosity glass-ionomer cements (HVGICs) used in atraumatic restorative treatment (ART) restorations, partial or bulk fracture of the proximal portion has been recorded to be one of the main causes of proximal restoration failures. Repair of these restorative materials requires a practical solution, especially in cases where there is a lack of electricity. Thus, the purpose of this study was to evaluate the repair microshear bond strength (μSBS) of three HVGICs using a resin composite in association with adhesive systems having different curing modes (ie, light- vs self-curing mode). Methods and Materials: A total of 105 discs (12 mm in diameter and 2 mm thick) of three HVGICs: GC Fuji IX GP Fast (GC Corporation, Tokyo, Japan); Fuji IX GP glass-ionomer cement containing chlorhexidine (GC Corporation, Tokyo, Japan); and ChemFil Rock zinc-reinforced HVGIC (Dentsply De-Trey GmbH, Konstanz, Germany) were prepared. Each specimen was divided into three horizontal sections, according to the tested adhesive system or curing mode: Clearfil SE Bond 2 (two-step, self-etch adhesive); (Kuraray Noritake Dental Inc., Tokyo, Japan) in light-cure mode; Clearfil Universal Bond (one-step, self-etch adhesive); (Kuraray Noritake Dental Inc., Tokyo, Japan) in light-cure mode; or Clearfil Universal Bond (one-step, self-etch adhesive); (Kuraray Noritake Dental Inc., Tokyo, Japan) in self-cure mode, mixing it with Clearfil DC Activator (Kuraray Noritake Dental Inc., Tokyo, Japan). A resin composite microcylinder was bonded to each horizontal section of each specimen using starch tubes. The bonded discs were stored in artificial saliva at 37°C for 24 hours. A μSBS test was conducted using a universal testing machine, while failure modes were determined using scanning electron microscopy. Data were statistically analyzed using two-way analysis of variance (ANOVA), one-way ANOVA, and Bonferroni post hoc tests (α=0.05). Results: Two-way ANOVA revealed a statistically significant effect for the adhesive systems (p<0.01) and not for the HVGICs (p=0.05) nor their interactions (p=0.99). When using Clearfil SE Bond 2 and Clearfil Universal in a light-cure mode, significantly higher μSBS values were found when compared with Clearfil Universal in a self-cure mode. Conclusions: The three tested HVGICs can be successfully repaired using two-step or one-step self-etch adhesive systems. The one-step self-etch adhesive system in light-cure mode is preferred when compared with the self-cure mode.

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Katrin Zumstein ◽  
Anne Peutzfeldt ◽  
Adrian Lussi ◽  
Simon Flury

This study investigated the effect of SnCl2/AmF pretreatment on short- and long-term bond strength of resin composite to eroded dentin mediated by two self-etch, MDP-containing adhesive systems. 184 dentin specimens were produced from extracted human molars. Half the specimens (n=92) were artificially eroded, and half were left untreated. For both substrates, half the specimens were pretreated with SnCl2/AmF, and half were left untreated. The specimens were treated with Clearfil SE Bond or Scotchbond Universal prior to application of resin composite. Microtensile bond strength (μTBS) was measured after 24 h or 1 year. Failure mode was detected and EDX was performed. μTBS results were statistically analyzed (α=0.05). μTBS was significantly influenced by the dentin substrate (eroded < noneroded dentin) and storage time (24 h > 1 year; p<0.0001) but not by pretreatment with SnCl2/AmF or adhesive system. The predominant failure mode was adhesive failure at the dentin-adhesive interface. The content of Sn was generally below detection limit. Pretreatment with SnCl2/AmF did not influence short- and long-term bond strength to eroded dentin. Bond strength was reduced after storage for one year, was lower to eroded dentin than to noneroded dentin, and was similar for the two adhesive systems.


2014 ◽  
Vol 13 (1) ◽  
pp. 7
Author(s):  
Dewi Puspitasari ◽  
Andi Soufyan ◽  
Ellyza Herda

Composite resin is a widely used aesthetic restoration. The restoration can fail due to secondary caries. Chlorhexidinegluconate 2% is used as a cavity disinfectant to eliminate microorganisms on the prepared cavity and to prevent thesecondary caries. The purpose of this study was to analyze the effect of chlorhexidine gluconate 2% to the bondstrength of composite resin with self etch system adhesive on dentine. Sixteen specimens of buccal dentine of premolarscrown are divided into 2 different groups. Group I: Clearfil SE Bond self-etch primer was applied for 20 seconds,Clearfil SE Bond bonding was applied for 5 seconds and polymerized for 10 seconds. Composite resin was constructedincrementally and polymerized for 20 seconds. Group II: prior to self etch primer application as in group I,chlorhexidine gluconate 2% was applied for 15 seconds. Shear bond strength was tested using Testing machine andanalyzed with unpaired T test. The highest shear bond strength was obtained by applying chlorhexidine gluconate 2%.The study concludes that chlorhexidine gluconate 2% application to dentine did not affect significantly to the bondstrength composite resin using self etch adhesive systems.


2020 ◽  
Vol 14 (1) ◽  
pp. 408-415
Author(s):  
Isabella A. Gomes ◽  
Mário G. N. Gomes ◽  
Flávia L. B. Amaral ◽  
Fabiana M. G. França ◽  
Roberta T. Basting ◽  
...  

Objective: This study investigated whether different aging protocols have effects on the bond strength of total-etch and self-etch adhesive systems to dentin substrate. Methods: Molars were sectioned exposing the dentin, which was submitted to restorative procedures using two-step total-etch (ASB, Adper SingleBond2), two-step self-etch (CLF, Clearfil SEBond), or one-step self-etch (OPT, Optibond All-in-One) system and resin composite. The obtained blocks were sectioned to result in sticks to be submitted to bond strength and failure mode tests after 24h storage in distilled water (DW), or 180-day aging protocols in DW, artificial saliva (AS), citric acid (CA), or thermal cycling (TC). The types of failures were classified as adhesive, cohesive in dentin, cohesive in composite resin, and mixed. Data were analyzed using ANOVA followed by Tukey’s test (α=5%). The failure modes were descriptive under the relative frequencies form. Results: It was observed that ASB presented the higher bond strength(p<0.05), while CLF and OPT did not demonstrate differences between them(p>0.05) after 24h. The bond strength obtained with ASB significantly overcame that of OPT when stored in DW or AS for 180 days (p<0.001). In these storing mediums, ASB did not differ from CLF(p>0.05), while in CA or TC the values of CLF were significantly lower (p<0.001). In TC aging, the values presented by OPT did not differ from ASB(p>0.05), both of which had higher values than CLF(p<0.05). The predominant failure mode was adhesive. Conclusion: For the two-step total-etch and two-step self-etch adhesives, the influence of aging in AS and TC was equivalent to that of storage in DW. The most deleterious effects occurred in CA, a situation in which self-etch adhesives displayed worse performance than the conventional type.


Materials ◽  
2019 ◽  
Vol 12 (20) ◽  
pp. 3395
Author(s):  
Rene Steiner ◽  
Daniel Edelhoff ◽  
Bogna Stawarczyk ◽  
Herbert Dumfahrt ◽  
Isabel Lente

This study investigated the influence of several dentin bonding agents, resin composites and curing modes on push-out bond strength to human dentin. 360 extracted caries-free third molars were prepared, cut into slices, embedded in epoxy resin and perforated centrally. One half of the specimens (180) were treated by using one-step adhesive systems and the other half (180) with multi-step adhesive systems. Subsequently, the cavities were filled with either universal, flowable or bulk-fill resin composite according to the manufactures’ product line and cured with either turbo or soft start program. After storage the push-out test was performed. The data was analyzed using Kolmogorov-Smirnov, three- and one-way ANOVA followed by the Scheffé post-hoc test, unpaired two-sample t-test (p < 0.05). The strongest influence on push-out bond strength was exerted by the resin composite type (partial eta squared ηP2 = 0.505, p < 0.001), followed by the adhesive system (ηP2 = 0.138, p < 0.001), while the choice of the curing intensity was not significant (p = 0.465). The effect of the binary or ternary combinations of the three parameters was significant for the combinations resin composite type coupled adhesive system (ηP2 = 0.054, p < 0.001), only. The flowable resin composites showed predominantly mixed, while the universal and bulk-fill resin composite showed adhesive failure types. Cohesive failure types were not observed in any group. Multi-step adhesive systems are preferable to one-step adhesive systems due to their higher bond strength to dentin. Flowable resin composites showed the highest bond strength and should become more important as restoration material especially in cavity lining. The use of a soft start modus for polymerization of resin composites does not enhance the bond strength to dentin.


2013 ◽  
Vol 07 (03) ◽  
pp. 315-326 ◽  
Author(s):  
Luciana Andrea Salvio ◽  
Vinicius Di Hipólito ◽  
Adriano Luis Martins ◽  
Mario Fernando de Goes

ABSTRACT Objective: To evaluate the hybridization quality and bond strength of adhesives to dentin. Materials and Methods: Ten human molars were ground to expose the dentin and then sectioned in four tooth-quarters. They were randomly divided into 5 groups according to the adhesive used: Two single-step self-etch adhesives - Adper Prompt (ADP) and Xeno III (XE), two two-step self-etching primer systems - Clearfil SE Bond (SE) and Adhe SE (ADSE), and one one-step etch-and-rinse system - Adper Single Bond (SB). Resin composite (Filtek Z250) crown buildups were made on the bonded surfaces and incrementally light-cured for 20 s. The restored tooth-quarters were stored in water at 37΀C for 24 h and then sectioned into beams (0.8 mm 2 in cross-section). Maximal microtensile bond strength (μ-TBS) was recorded (0.5 mm/min in crosshead speed). The results were submitted to one-way ANOVA and Tukey′s test (α = 0.05). Thirty additional teeth were used to investigate the hybridization quality by SEM using silver methenamine or ammoniacal silver nitrate dyes. Results: SE reached significantly higher μ-TBS (P < 0.05); no significance was found between ADSE and XE (P > 0.05), and between SB and ADP (P > 0.05); ADSE and XE were significantly higher than SB and ADP (P < 0.05). The bonding interface of SB showed the most intense silver uptake. SE and ADSE showed more favorable hybridization quality than that observed for ADP and XE. Conclusions: The bond strength and hybridization quality were affected by the interaction form of the adhesives with dentin. The hybridization quality was essential to improve the immediate μ-TBS to dentin.


2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Fateme Vasei ◽  
Farahnaz Sharafeddin

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.


2017 ◽  
Vol 46 (4) ◽  
pp. 214-219
Author(s):  
Ana Carolina de Oliveira BECCI ◽  
Mônica de Souza BENETTI ◽  
Natália Bertolo DOMINGUES ◽  
Elisa Maria Aparecida GIRO

Abstract Introduction Glass ionomer cements are often used as a base or cavity lining prior to restorative material. Objective To evaluate the bond strength of a composite resin to different glass ionomer cements, when using a two-step conventional and self-etching adhesive systems. Material and method Three glass ionomer cements (Ketac Molar Easymix, Vitremer and Vitrebond), the composite resin Filtek Z350 XT and the adhesive systems Adper Single Bond 2, Clearfil SE Bond and Adper Easy One were used. As negative control, resin was bonded to cement without using an adhesive system. Holes (4 mm diameter, 2 mm deep) prepared in acrilic bloks were filled with the glass ionomer cements (n=12/group). On the surface, an area of 1mm in diameter was delimited, the adhesive system was applied, and a specimen of composite resin with 1 mm height was made. After 24 hours storage (37 °C and 100% humidity), the microshear test was performed. Data were analyzed using two-way ANOVA and Tukey test for comparison between groups (α=0.05). Result The adhesive systems significantly improved the bond strenght of composite resin to glass ionomer cements (p≤0.001). There was no significant difference in bond strength when self-etching adhesive systems were compared with the simplified etch-and-rinse adhesive, except for Vitrebond where Clearfil SE Bond determined higher bond strength when compared to Adper Single Bond 2 (p=0.003). Conclusion Self-etching adhesive systems are a good option for establishing the bond between the composite resin and the glass ionomer cement.


2014 ◽  
Vol 62 (4) ◽  
pp. 365-370 ◽  
Author(s):  
Ricardo Alves dos SANTOS ◽  
Eliane Alves de LIMA ◽  
Mônica Maria de Albuquerque PONTES ◽  
Alexandre Batista Lopes do NASCIMENTO ◽  
Marcos Antônio Japiassú Resende MONTES ◽  
...  

OBJECTIVE: To assess the bond strength to dentin of the Single Bond (3M ESPE) and XP Bond (Dentsply) total-etch and Adper SE Plus (3M ESPE) self-etch adhesive systems. METHODS: Fifteen healthy human third molars were randomly allocated across three different groups of five teeth each according to the adhesive system. The occlusal portion of each tooth was removed under refrigeration using a flexible diamond disc (EXTEC, Enfield, CT, USA) down to an area of dentin that did not reveal enamel, as confirmed under a 40X stereo microscope (Ramsor, São Paulo, Brazil). A standardized smear layer was created with #600 grit silicon-carbide paper. The adhesive systems were applied as per manufacturer recommendations, with the exception of the Adper SE Plus system, which was triple-polymerized. Composite resin blocks (5 mm) were placed on the dentin surface. The specimens were stored in distilled water for 24 hours at 37ºC. Using a flexible diamond disc (EXTEC, Enfield, CT, USA), toothpick-like specimens with an adhesive area of less than 1 mm² were obtained. A microtensile bond test was then carried out using a universal testing machine (KRATOS) with a crosshead speed of 0.5 mm/min. Analysis of variance (ANOVA) and Tukey's test were used for comparisons. RESULTS: The bond strength values obtained with each adhesive system were as follows: XP Bond, 96.24 MPa; Adper Single Bond, 72.39 MPa; Adper SE Plus, 49.91 MPa. CONCLUSION: In terms of bond strength to dentin, conventional adhesives outperform self-etching systems.


2004 ◽  
Vol 12 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Linda Wang ◽  
Marília Afonso Rabelo Buzalaf ◽  
Maria Teresa Atta

A dhesive systems associated to resin-modified glass ionomer cements are employed for the achievement of a higher bond strength to dentin. Despite this benefit, other properties should not be damaged. This study aimed at evaluating the short-time fluoride release of a resin-modified glass ionomer cement coated with two one-bottle adhesive systems in a pH cycling system. Four combinations were investigated: G1: Vitremer (V); G2: Vitremer + Primer (VP); G3: Vitremer + Single Bond (VSB) and G4: Vitremer + Prime & Bond 2.1 (VPB). SB is a fluoride-free and PB is a fluoride-containing system. After preparation of the Vitremer specimens, two coats of the selected adhesive system were carefully applied and light-cured. Specimens were immersed in demineralizing solution for 6 hours followed by immersion in remineralizing solution for 18 hours, totalizing the 15-day cycle. All groups released fluoride in a similar pattern, with a greater release in the beginning and decreasing with time. VP showed the greatest fluoride release, followed by V, with no statistical difference. VSB and VPB released less fluoride compared to V and VP, with statistical difference. Regardless the one-bottle adhesive system, application of coating decreased the fluoride release from the resin-modified glass ionomer cements. This suggests that this combination would reduce the beneficial effect of the restorative material to the walls around the restoration.


10.2341/08-58 ◽  
2009 ◽  
Vol 34 (2) ◽  
pp. 181-191 ◽  
Author(s):  
A. Reis ◽  
S. K. Moura ◽  
A. Pellizzaro ◽  
K. Dal-Bianco ◽  
A. M. Andrade ◽  
...  

Clinical Relevance The improvement of resin-enamel bond strengths after using Si-C paper and diamond burs for enamel preparation is material dependent. No degradation of enamel bond strength could be observed for any one-step self-etch adhesive system after 12 months of water storage.


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