The relationship of hydrogen peroxide exposure protocol to bleaching efficacy.

The purpose of this study was to compare two in-office bleaching methods with respect to tooth color change and level of hydrogen peroxide penetration into the pulp cavity and to evaluate relationships between penetration level and color change. Eighty extracted canines were exposed to two different bleaching regimens (conventional vs sealed bleaching technique). After exposure to 38% hydrogen peroxide gel for one hour, hydrogen peroxide amount was estimated spectrophotometrically. Color change was measured per Commission Internationale de l'Eclairage methodology. Linear regression was used to evaluate factors affecting color change, including bleaching technique. The conventional and sealed bleaching groups showed no difference for any color change parameters (ΔL, Δa, Δb, ΔE); however, there was significantly greater hydrogen peroxide penetration in the conventional bleaching group (p<0.05). Linear modeling of the change in lightness (ΔL) showed that the increase in lightness tended to be greater for teeth with lower initial L* values (r=-0.32, p<0.05). After adjustment for initial L*, there was no evidence that ΔL differed with hydrogen peroxide penetration levels (p>0.05) or bleaching technique (mean group difference in ΔL=0.36; p>0.05).

Cavity preparation devices: effect on microleakage of Class V resin-based composite restorations.

PURPOSE: To evaluate the effect of cavity preparation device (i.e. carbide bur, diamond bur, air abrasive, Sonicsys, and Er:YAG laser) on microleakage of Class V resin-based composite (RBC) restorations, the tooth restoration interface and dentin ultrastructure. MATERIALS AND METHODS: Eight groups (n=18) of 9 human molars each were prepared on the buccal and lingual surfaces for Class V RBC restorations using five preparation devices: Group 1: carbide bur #8 round; Group 2: diamond bur #801; Group 3: KCP 1000 air abrasion unit; Group 4: Sonicsys Approx.; Group 5: Er:YAG laser; Group 6: carbide bur plus air abrasive; Group 7: carbide bur plus laser, and Group 8: laser without etching. Circular cavity preparations, 3 mm diameter and 1.5 mm deep, were cut at the CEJ on the buccal and lingual surfaces of each tooth. A bevel was placed on the enamel margin. All cavities were restored using Single Bond adhesive system and Silux Plus according to manufacturer's directions, with the exception that no etchant was used with Group 8. After thermocycling, specimens were tested for microleakage using silver nitrate methodology. Dye penetration data was collected and subjected to non-parametric statistical analysis. SEM analysis of the dentin-RBC interface, as well as the effect of each cavity preparation device on the surface of dentin was performed. RESULTS: Microleakage did not occur in enamel for any method of cavity preparation when the enamel was etched prior to adhesive application. Kruskal-Wallis One-way ANOVA revealed differences in dentin microleakage among the tested groups at alpha=0.05. Mann-Whitney Test for Paired Comparisons at alpha=0.01 demonstrated significantly greater dentin microleakage in Groups 5 and 7 compared to all groups except Group 3 (air abrasive). Although Group 8 had the least microleakage in dentin, this was not significantly different from Groups 1, 2, 4 and 6. SEM observation revealed hybridization at the dentin-resin interface for all groups except for Group 8 (laser prepared, non-etched). Surface analysis showed differences related to the operating mode of each preparation device. CLINICAL SIGNIFICANCE: The method of cavity preparation did not affect microleakage in etched enamel. When using a laser for cavity preparation, enamel should be etched although not etching dentin may help to improve marginal seal.

Association between microtensile bond strength and leakage in the indirect resin composite/dentin adhesively bonded joint.

PURPOSE: Develop a methodology to correlate microtensile bond strength (microTBS) and leakage within the same site of a specimen and evaluate the predominate debond and leakage pathways. MATERIALS AND METHODS: A Class II (MO) slot cavity was prepared in 37 extracted human molars and restored with indirect resin composite restorations. The restored teeth were thermocycled 300X between 5 and 55 degrees C and then stained with silver. Two specimens per tooth were obtained by diamond saw sectioning for measurement of leakage (microm) and microtensile bond strength (MPa) at the gingival wall and then tested for association with regression analysis. Scanning electron microscopy techniques and energy dispersive spectroscopy (EDS) were used to evaluate the debond and leakage pathways. RESULTS: Association between leakage and bond strength was not significant (t=1.31, p=0.198). All 74 samples debonded within the joint, predominantly at the hybrid layer-adhesive resin region with only one specimen including a small portion of resin cement in the debond pathway. Secondary and backscatter imaging and EDS analysis showed leakage in all samples that involved the hybrid layer. CONCLUSION: This study demonstrates a feasible method for evaluating leakage and bond strength at the joint interface within the same specimen.

A conservative aesthetic solution for a single anterior edentulous space: case report and one-year follow-up.

Conservative solutions for the restoration of a single edentulous space in the anterior maxilla present an aesthetic challenge to the clinician. Treatment options for tooth replacement include implant placement, a classical fixed partial denture, or a resin-bonded appliance with a metal substructure or fiber-reinforced resin. The resin-bonded Encore Bridge (daVinci Studios, Woodland Hills, CA) offers a restorative solution that is conservative and aesthetic when compared to the required full-tooth preparation in a conventional three-unit fixed partial denture. This case report addresses the indications, preparation guidelines, and restorative procedures for an Encore Bridge.

The physical properties of packable and conventional posterior resin-based composites: a comparison.

BACKGROUND: The authors compared the physical properties of three packable hybrid resin-based composites with those of a conventional hybrid and a microfill composite material advocated for use as posterior restorative materials. They evaluated diametral tensile strength, or DTS; compressive strength, or CS; flexural strength, or FS; and depth of cure, or DC. METHODS: The authors studied the following resin-based restorative materials: three packable composites, Alert Condensable Composite (Jeneric Pentron), SureFil High Density Posterior Restorative (Dentsply Caulk) and Solitaire (Heraeus Kulzer); one conventional hybrid composite, TPH Spectrum (Dentsply Caulk); and one microfill, Heliomolar Radiopaque (Ivoclar-Vivadent). The authors evaluated DTS, CS, FS and DC, according to American National Standards Institute criteria. They made scanning electron micrographs of the packable resin-based composites. RESULTS: Results demonstrated that the conventional hybrid, TPH Spectrum, had significantly greater DTS and FS than other resin-based composites. Alert and SureFil had comparable DTS and FS, which were significantly greater than Heliomolar's DTS and FS. Solitaire had significantly lower DTS and FS than all other resin-based composites. SureFil had the highest CS, followed by TPH Spectrum, Solitaire and Alert, which were comparable and had significantly greater CS than Heliomolar. TPH Spectrum and Alert had significantly greater DC than all other resin-based composites, followed in decreasing order by SureFil, Solitaire and Heliomolar. CONCLUSION: While the packable composites tested in this study had physical properties superior to those of the microfill composite, they were no better suited for use as a posterior restorative material than was the conventional hybrid resin-based composite. CLINICAL IMPLICATIONS: Packable composites may be easier for clinicians to handle than conventional resin-based composites; however, their physical properties were not superior to those of the conventional small-particle hybrid resin-based composite. In addition, these materials may have the clinical drawback of increased wear and surface roughness that was seen with early, large-particle composite restorative materials.

In vitro temperature change at the dentin/pulpal interface by using conventional visible light versus argon laser.

BACKGROUND AND OBJECTIVE: The argon laser has been promoted as a competing technology to multi-wavelength visible light as a curing source for dental restorative resins. However, the comparative thermal risk to the pulp between these two sources of light energy requires determination. The objective of this study is to compare the temperature induced at the dentin-pulpal interface between the argon laser and visible light curing unit at a variety of exposure regimens and conditions. STUDY DESIGN/MATERIALS AND METHODS: In vitro temperatures were measured and recorded at the dentin-pulpal interface upon external light exposure. Independent variables included the dentin thickness, duration and waveform of exposure, and presence of composite resin. RESULTS: In most instances, the argon laser resulted in less temperature rise on the pulpal-dentin interface. CONCLUSION: The argon laser should not pose a serious thermal risk to the pulp if used at recommended energies.

Metal surface treatment: characterization and effect on composite-to-metal bond strength.

This study evaluated the effect of four methods of metal surface preparation and the use of silane on the bond strength between resin and a Noble metal alloy. SEM Examination and x-ray energy-dispersive spectroscopy (EDS) of the various metal surface treatments was also performed. One-hundred metal disks were cast in a Noble metal alloy (Porcelain #76). Ninety disks were polished flat and the surfaces received one of four abrasive treatments (n = 20). 1) Roughening with a diamond bur at high speed; 2) Air abrasion with an intraoral sandblaster using alumina particles; 3) Air abrasion with KCP-2000 and 4) Air abrasion with an intraoral sandblaster using silanated silica covered alumina particles (CoJet-Sand). Half the specimens from each treatment group (n = 10) were silanated prior to bonding procedures (All-Bond 2 adhesive system, Pertac-Hybrid composite). Specimens were stored in distilled water at 37 degrees C and thermocycled prior to shear strength testing. The 10 remaining metal disks were used for scanning electron microscopy and x-ray energy-dispersive spectroscopy (EDS). Scanning electron microscopy examined the micromorphology of the metal surfaces produced by the four abrasive treatments and x-ray energy-dispersive spectroscopy (EDS) to evaluate changes in surface composition. Two untreated disks served as controls. One-way ANOVA and Tukey's HSD post-hoc test demonstrated that air abrasion with CoJet-Sand and silane resulted in significantly higher resin-to-metal bond strength than all other metal surface treatments, while roughening with a diamond bur produced the lowest bond strength. Resin-to-metal bond strength was similar for all other particle abrasive treatments with or without silane. Using silane significantly improved bond strength only for metal surfaces treated with CoJet-Sand. An increase in Al concentration was observed on metal surfaces sandblasted with aluminum oxide, and an increase in the concentration of both Al and Si was observed on surfaces air-abraded with CoJet-Sand.

Colorimetric assessment of laser and home bleaching techniques.

PURPOSE: This study recorded in vitro color change of three tooth bleaching techniques that included laser-activated hydrogen peroxide and two concentrations of carbamide peroxide. MATERIALS AND METHODS: Forty extracted human central incisors were exposed to argon laser-activated 35% H2O2, 10% carbamide peroxide, or 20% carbamide peroxide. A fourth group (control) did not receive any bleach treatment (n = 10/group). Commission International de l'Eclariage (CIE) L*a*b* coordinates were recorded prior to bleaching (baseline), at 1 week, and at 2 weeks. The color difference (delta E*ab) between baseline and subsequent measurements was calculated. RESULTS: The control group did not demonstrate significant color difference over time (p > .05). The laser group was not statistically different from the control group (p > .01). The color difference of the 10% and 20% carbamide peroxide groups was statistically different from the control group (p < .01). CLINICAL SIGNIFICANCE: Exposure to 20% carbamide peroxide produced the greatest perceivable change in color. The recommended one-time application of laser-activated hydrogen peroxide did not demonstrate any perceivable color change. The clinician should be aware that additional or longer applications may be required.

Radiopacity of compomers, flowable and conventional resin composites for posterior restorations.

The objective of this study was to densitometrically determine the relative radiopacity (aluminum [Al]-equivalent values) of dentin, enamel, and 20 resin composite materials currently used for posterior restorations. Specimens 5 mm in diameter and 2 mm thick were fabricated from 20 materials (n = 7) for a total of 140 specimens. Human molars were longitudinally sectioned 2.0 mm thick to include both enamel and dentin. The optical densities of enamel, dentin, restorative materials, lead, and aluminum step wedge were obtained from radiographic images, using a transmission photodensitometer. The Al equivalent (mm) for each material was calculated from the linear regression equation of the log of normalized optical density and Al mm thickness obtained from the step wedge. A linear regression of the logarithm of normalized optical density and Al mm thickness was plotted (r2 = 0.9953), and the relative radiopacities, expressed as equivalent thickness of Al, were ranked ordinally. All materials tested, with the exception of an unfilled resin adhesive, complied with ISO Standard 4049, being at least as radiopaque as a 2.0 mm thickness of 99.6% pure Al. Four of six flowable composites had radiopacity values that fell between that of dentin and enamel, while two materials were more radiopaque than enamel. The three compomers tested had radiopacities greater than enamel. In addition, all traditional light- and chemical-cure resin composite materials tested were more radiopaque than enamel. All materials tested, with the exception of one adhesive resin, were at least as radiopaque as dentin and complied with ISO Standard 4049. Clinicians should be able to distinguish these restorative materials radiographically from recurrent decay, voids, gaps, or other defects that lead to clinical failure. Utilization of materials ranked more radiopaque than enamel would enable clinicians to distinguish the restorative material from tooth structure.

Effect of two abrasive systems on resin bonding to laboratory-processed indirect resin composite restorations.

PURPOSE: This study compared two methods of surface roughening or preparation, with or without the use of proprietary surface wetting agents, to evaluate their effect on resin cement adhesion to the following laboratory-processed, indirect restorations: Artglass (AG), belleGlass HP (BG), Concept (C), and Targis (T). Methods of surface roughening or preparation included microetching with aluminum oxide (AO): 50 microns at 34 psi and silanized silica coating, CoJet-Sand (CJ): 30 microns at 34 psi. Artglass and Concept were tested with and without the use of their respective surface wetting agents: Artglass Liquid (AGL) and Special Bond II (SB). MATERIALS AND METHODS: One hundred twenty specimens, each consisting of a pair of cylinders (7.0 x 3 mm and 4.3 x 3 mm) were fabricated. The larger cylinder or base was embedded in self-curing resin in a phenolic ring, and bonding surfaces were finished with 320-grit silicon carbide paper. Specimen pairs for each restorative material were randomly assigned to treatment groups (n = 10) and received the following surface treatments prior to cementation: group 1 (AG/AO/+AGL), group 2 (AG/AO/-AGL), group 3 (AG/CJ/+AGL), group 4 (AG/CJ/-AGL), group 5 (BG/AO), group 6 (BG/CJ), group 7 (C/AO/+SB), group 8 (C/AO/-SB), group 9 (C/CJ/+SB), group 10 (C/CJ/-SB), group 11 (T/AO), and group 12 (T/CJ). Specimen pairs were cemented with a dual-cure resin cement (Dual) and a standardized force of 1 MPa. Specimens were light-cured 40 seconds per side (80 s total), then thermocycled 300 times at between 5 degrees and 55 degrees C. Shear bond strengths (MPa) were determined using a Zwick Materials Testing Machine at a crosshead speed of 5 mm per minute. RESULTS: One-way analysis of variance (ANOVA) and Duncan's multiple range test (alpha = 0.05) by restoration type indicated no significant differences in shear bond strength between BG group 5 (29.8 +/- 5.8), BG group 6 (28.3 +/- 4.3), T group 11 (29.3 +/- 4.9), and T group 12 (29.0 +/- 4.4). Shear bond strength in AG group 3 (35.9 +/- 3.4) was significantly higher than in AG group 4 (32.4 +/- 4.0) and equal to that in AG group 2 (31.9 +/- 3.9) and AG group 1 (30.0 +/- 3.6). Shear bond strength in C group 10 (24.8 +/- 5.7) was equal to that in C group 9 (21.5 +/- 2.9), but was higher than in C groups 7 (19.4 +/- 3.1) and 8 (19.3 +/- 3.4). CLINICAL SIGNIFICANCE: Under the conditions of this study, the combination of CoJet-Sand and Artglass Liquid resulted in the highest bond strength for Artglass restorations. Microetching with CoJet-Sand or aluminum oxide followed by wetting with an unfilled adhesive was an effective surface pretreatment for dual-cure resin cementation of the four proprietary indirect resin-ceromer restorations tested.

Amalgam shear bond strength to dentin using single-bottle primer/adhesive systems.

PURPOSE: To evaluate the in vitro shear bond strengths (SBS) of a spherical amalgam alloy (Tytin) to dentin using several single-bottle primer/adhesive systems both alone: Single Bond (SB), OptiBond Solo (Sol), Prime & Bond 2.1 (PB), One-Step (OS) and in combination with the manufacturer's supplemental amalgam bonding agent: Single Bond w/3M RelyX ARC (SBX) and Prime & Bond 2.1 w/Amalgam Bonding Accessory Kit (PBA). Two, three-component adhesive systems, Scotchbond Multi-Purpose (SBMP) and Scotchbond Multi-Purpose Plus w/light curing (S + V) and w/o light curing (S+) were used for comparison. MATERIALS AND METHODS: One hundred eight extracted human third molars were mounted lengthwise in phenolic rings with acrylic resin. The proximal surfaces were ground to expose a flat dentin surface, then polished to 600 grit silicon carbide paper. The teeth were randomly assigned to 9 groups (n = 12), and dentin surfaces in each group were treated with an adhesive system according to the manufacturer's instructions, except for S + V specimens, where the adhesive was light cured for 10 s before placing the amalgam. Specimens were then secured in a split Teflon mold, having a 3 mm diameter opening and amalgam was triturated and condensed onto the treated dentin surfaces. Twenty minutes after condensation, the split mold was separated. Specimens were placed in distilled water for 24 hrs, then thermocycled (300 cycles, between 5 degrees C and 55 degrees C, with 12 s dwell time). All specimens were stored in 37 degrees C distilled water for 7 days, prior to shear strength testing using a Zwick Universal Testing Machine at a cross-head speed of 0.5 mm/min. RESULTS: The highest to the lowest mean dentin shear bond strength values (MPa) for the adhesive systems tested were: S + V (10.3 +/- 2.3), SBX (10.2 +/- 3.5), PBA, (6.4 +/- 3.6), SOL (5.8 +/- 2.5), SBMP (5.7 +/- 1.8), S+ (4.8 +/- 2.3), PB (2.7 +/- 2.6), SB (2.7 +/- 1.1) and OS (2.5 +/- 1.8). One-way ANOVA and Duncan's Multiple Range Test indicated significant differences among groups. SBX and S + V produced significantly higher amalgam to dentin shear bond strengths than all other adhesive systems. Bond strengths of amalgam to dentin for the single-bottle adhesives, SOL and PBA were comparable to the three-component systems, SBMP and S+ and were significantly greater than OS, SB and PB (P < 0.05).

Evaluation of acidic primers in microleakage of Class 5 composite resin restorations.

The purpose of this in vitro study was to evaluate the marginal seal of two adhesive systems on class 5 composite resin restorations. Two adhesive systems that use acidic primers were used in this study: Clearfil Liner Bond 2 and Denthesive II. Scotchbond Multi-Purpose was used as a control. Class 5 cavity preparations were made at the CEJ (half of the preparation was in enamel and half in dentin/cementum) of 60 extracted human molars. Both systems were used with and without etching. The control group was used with etching only. Composite resin restorations were placed, light cured for 40 seconds, and polished. All specimens were thermocycled 500 times. The specimens were immersed in erythrosin B, tetra-iodo-fluorescent 2% solution, then sectioned to obtain 600 mm-thick sections. These were examined under X13.2 magnification, and the degree of dye penetration was measured in microns. A chi-square test demonstrated no significant differences in microleakage among groups for either dentin (P = 0.54) or enamel (P = 0.35).

Adhesive composite inlays for the restoration of cracked posterior teeth associated with a tongue bar.

While body piercing has become fashionable in contemporary society, numerous health risks are directly related to this trend. Tongue piercing in particular presents several concomitant complications for the attending clinician, including the possibility of soft tissue infection or damage to the natural dentition or existing restorations. Clinicians must be proficient in the selection of the proper materials and techniques utilized to treat affected patients. This article details a comprehensive clinical protocol for the use of adhesive composite inlay restorations for cracked posterior teeth.

Polymerization of composite resins: argon laser vs conventional light.

The purpose of this in vitro study was to compare polymerization of composite resins, as indicated by microhardness, at increasing depths using an argon laser versus a conventional light. For this, a microfill (Silux Plus) and a hybrid (TPH) composite resin were used. Five specimens per group were prepared by injecting composite into a rectangular split Teflon mold 3 x 3 x 8 mm. Specimens were then polymerized by either a 40-second exposure to the conventional visible light (VL) or a 30-, 20-, or 10-second exposure to the argon laser (AL). Specimens were stored in a light-proof container for 24 hours at 37 degrees C, then Knoop hardness was determined. Four measurements were taken for each specimen at depths of 0, 1, 2, 3, and 4 mm from the exposed surface. No significant differences were found in surface hardness for either the microfill or hybrid composite regardless of light source or exposure time. For the microfill composite, at 1, 2, 3, and 4 mm depths, VL40 and AL30 exposures produced comparable hardness, which was significantly greater than that found for AL20 and AL10. At a depth of 4 mm, exposure to VL40 resulted in significantly greater hardness compared to AL20. With AL10 exposure, the composite was too soft to determine hardness. The hybrid composite had comparable hardness to a depth of 3 mm for VL40, AL30 and AL20.

Resin-dentin shear bond strength and interfacial ultrastructure with and without a hybrid layer.

The purpose of this study was (1) to evaluate the effect of a 2-minute exposure of 5% NaOCl following acid conditioning of the dentin on the shear bond strength for two adhesive systems and (2) to examine the ultrastructure of the resindentin interface under SEM. The mesial and distal surfaces of 28 extracted human third molars were ground to expose dentin, then polished with 600-grit SiC. Teeth were randomly assigned to four test groups (n = 14) and received the following treatments: Scotchbond Multi-Purpose (SBMP)--Samples were conditioned with 37% phosphoric acid, rinsed and left moist, SBMP primer and adhesive were applied according to the manufacturer's directions, and Restorative Z-100 composite resin was bonded to the dentin surface. SBMP/NaOCl--The same procedures were followed as for SBMP except the surfaces were treated with 5% NaOCl for 2 minutes, after acid conditioning. All-Bond 2 (AB2)--The same technique was followed as for SBMP, using AB2 according to the manufacturer's recommendations. AB2/NaOCl--The same procedure was followed as for SBMP/NaOCl, using AB2. Specimens were thermocycled in a water bath 300 times between 5 degrees-55 degrees C, then sheared in a Zwick Universal Testing Machine. A one-way ANOVA and Duncan's Multiple Range Test were used for statistical analysis of the data. A 2-minute exposure of dentin to 5% NaOCl following acid conditioning of the dentin had no significant effect on the dentin shear bond strength for Scotchbond Multi-Purpose, but significantly increased the bond strength of All-Bond 2 specimens. The interfacial structure of the dentin to resin bond for two dentin treatments and two adhesive systems was studied morphologically under the scanning electron microscope. Argon ion beam etching and acid demineralization clearly revealed the hybrid layer for the conventional treatment with phosphoric acid and indicated an absence of this resin-impregnated collagen network in those specimens treated with both phosphoric acid and NaOCl.

Effect of HEMA-containing dentin desensitizers on shear bond strength of a resin cement.

PURPOSE: To determine whether the use of two HEMA-containing dentin desensitizing agents [Health-Dent Desensitizer with fluoride (H) or Gluma Desensitizer (G)], when applied at simulated "cavity preparation" and "cementation" appointments, affects the bond strength of lab processed resin composite restorations cemented to dentin. MATERIALS AND METHODS: The occlusal surfaces of 70 teeth were ground flat to expose dentin and polished to 600 grit. Teeth were randomly assigned to seven groups (n = 10). The treatments were applied in two sessions in order to simulate cavity preparation and cementation appointments. Water (W) was applied as a control instead of a desensitizing agent. H or G were applied for 30 seconds with a rubbing motion (1) at preparation appointment (HW and GW), or (2) at cementation appointment, after etching (WH and WG), or (3) at both sessions (HH and GG). In the control group, water was applied at both sessions (WW). All-Bond 2 and Dual Cement were used according to manufacturers' instructions to cement pre-polymerized resin composite cylinders (4 mm diameter) to the dentin surfaces using a force of 1.0 MPa. Specimens were thermocycled 300x and tested in shear until failure. Data was analyzed using one-way ANOVA and Tukey's HSD test at alpha = 0.05. RESULTS: Mean bond strength and standard deviations are reported in MPa: GW = 7.4 +/- 6.0; WW = 7.7 +/- 5.8; HW = 8.2 +/- 4.3; WH = 10.8 +/- 6.2; GG = 13.5 +/- 6.0; HH = 13.8 +/- 7.1; WG = 19.9 +/- 8.8. There were no significant differences in bond strengths for GW, WW, HW, WH and GG. Shear bond strength for WG and HH was significantly higher than all groups except for GG. Results of this in vitro study indicate that the use of desensitizers at the preparation and/or cementation appointment does not interfere with bond strengths of resin cement to dentin.

Interfacial micromorphology and shear bond strength of single-bottle primer/adhesives.

OBJECTIVES: This study was conducted 1) to characterize through SEM analysis the resin-dentin interface produced by single-bottle primer/adhesives and a three-component system [Scotchbond Multi-Purpose (3M Dental)] and 2) to evaluate the shear bond strength to dentin of these adhesive systems. METHODS: Single-bottle primer/adhesives [Bond 1 (Jeneric/Pentron), Single Bond, (3M Dental Products); One Step (Bisco Inc.), OptiBond Solo (Kerr Corp.), Prime & Bond 2.1 (L.D. Caulk-Dentsply), Syntac Single-Component (Ivoclar-Vivadent), Tenure Quilk with Fluoride (Den-Mat)] were used according to manufacturers' instructions to bond resin composite to flat dentinal surfaces of extracted human third molars (n = 15). All samples were thermocycled 300x. Twelve specimens per group were used to measure shear bond strength and three specimens were used to evaluate the interfacial morphology under SEM. A one-way ANOVA and Turkey's test were used to assess the results. RESULTS: Mean shear bond strengths in MPa +/- SD for the groups ranged from 22.27 +/- 4.5 MPa for Single Bond to 7.6 +/- 3.9 MPa for Syntac Single-Component. The statistical analysis indicated that Single Bond produced significantly higher (p < 0.001) bond strengths than Syntac Single-Component, Prime & Bond 2.1, Bond 1 and Tenure Quik With Fluoride. Bond strengths for Syntac Single-Component were significantly lower than One-Step, OptiBond Solo, Scotchbond Multi-Purpose Plus and Single Bond. SEM examination clearly revealed the formation of a distinct hybrid layer for all adhesive systems; however, minor variations in ultrastructure existed among products. SIGNIFICANCE: Some single-bottle primer/adhesive present in vitro bond strengths and hybrid layer formation similar to those found for the conventional three-component adhesive system tested.

Evaluation of adhesive systems using acidic primers.

PURPOSE: To evaluate in vitro the dentin and enamel shear bond strength of two adhesive systems that contain acidic primers. MATERIALS AND METHODS: Clearfil Liner Bond 2 (CLB2) and Denthesive II (DTII), containing acid primers were used with (ETCH) and without (NOET) etching. Scotchbond Multi-Purpose (SBMP) was utilized as a control. Sixty flat enamel and dentin bonding sites were prepared to 600 grit on extracted human molars. Both acidic primer systems were used with (ETCH) and without etching (NOET) for both enamel and dentin surfaces. The control group used etching only. After applying primer and adhesive, a microfill composite (Silux Plus) was placed in a 2.5 mm diameter matrix on the tooth surface, and polymerized for 40 seconds. All specimens were thermocycled 500 times. Shear bond strengths were determined using a Zwick testing machine. RESULTS: One-way ANOVA revealed significant differences among groups for enamel (P = 0.0001) and dentin (P = 0.0002). Duncan's multiple range test (alpha = 0.05) revealed that enamel shear bond strength of DTII-ETCH was equal to that of CLB2-NOET and these were significantly greater than CLB2-ETCH, SBMP and DTII-NOET. For dentin, bond strengths for CLB2-ETCH and CLB2-NOET were significantly greater than DTII-NOET.