Influence of luting strategies on dentin bond performance of self-adhesive resin luting cement in combination with a universal adhesive.

OBJECTIVES: This study aimed to evaluate the dentin bond performance of various resin luting cement (RLC) systems combined with universal adhesives in different luting strategies. MATERIALS AND METHODS: Three self-adhesive resin luting cements (SRLCs) were used with universal adhesives as primers. Twelve specimens per group were prepared to measure shear bond strength (SBS) under distinct luting strategies in etch-&-rinse and self-etch modes. Regarding luting strategies, the bonded specimens were categorized into four groups based on tooth primer application and the curing mode of the SRLC paste: (i) with light irradiation of the tooth primer (wL) + dual-cure mode (DC) of the SRLC paste, (ii) wL + self-cure mode (SC) of the SRLC paste, (iii) without light irradiation of the tooth primer (woL) + DC mode of the SRLC paste, and (iv) woL + SC mode of the SRLC paste. Specimens were also subjected to different storage conditions: 24 h in water (baseline condition) and 10,000 cycles of thermal cycling. RESULTS: Luting strategy, storage condition, and SRLC system type significantly influenced dentin SBS values in both etching modes. Notably, certain SRLCs exhibited significantly higher dentin SBS when the primer was light-irradiated compared with no primer irradiation. CONCLUSION: Most SRLCs demonstrated higher dentin bond strength with light-irradiated primers, suggesting potential enhancement of dentin bond performance via primer light irradiation.

Ultrasonic measurement of dentin remineralization effects of dentifrices and silver diamine fluoride.

OBJECTIVE: This study investigated the dentin remineralization effect of the application of a functionalized tri-calcium phosphate (fTCP) dentifrice and a silver diamine fluoride (SDF) solution. MATERIAL AND METHODS: The materials used were: a fluoride-containing dentifrice with fTCP (fTCP＋), a fluoride-containing dentifrice without fTCP (fTCP-) and a 38% SDF solution. Following treatment, the dentin slabs were immersed in a 0.1-M lactic acid buffer solution and then placed in artificial saliva. This procedure was repeated three times daily for 28 days. The propagation time of longitudinal ultrasonic velocities (UV) and the Knoop hardness (KH) of the samples were measured. The samples were also observed using scanning electron microscopy. RESULTS: The SDF and fTCP＋ groups showed higher UV than the fTCP - group regardless of the application method. The F-SDF group at 28 days showed significantly higher UV (4121 ± 102 m/s) than the F-fTCP + group (3731 ± 65 m/s) (p < .05). The F-SDF group at 28 days showed significantly higher KH (47.4 ± 2.2) than the F-fTCP＋ group (43.3 ± 1.0) and the F-fTCP - group (42.9 ± 2.1) (p < .05). Closure of the dentinal tubules and crystal precipitation was detected on the surface of the fTCP＋ group to a greater extent than the fTCP - group. CONCLUSIONS: The fTCP-containing dentifrice and SDF solution effectively enhanced bovine dentin remineralization.

Reconsideration of Enamel Etching Protocols for Universal Adhesives: Effect of Etching Method and Etching Time.

PURPOSE: To evaluate whether different etching methods with reduced etching times would improve the enamel bonding efficacy of universal adhesives. MATERIALS AND METHODS: Three enamel etching methods were evaluated - 1. phosphoric acid ester monomer etching (PPM); 2. phosphoric acid etching (PPA); and 3. polyalkenoic acid etching (PLA) - as were three universal adhesives: 1. BeautiBond Universal (BU); 2. Prime&Bond elect (PE); and 3. Scotchbond Universal Adhesive (SU). The shear bond strengths of the universal adhesives to ground enamel and ground enamel etched for 1, 5, 10, and 15 s with different etching methods were determined after 24 h and 10,000 thermal cycles. Surface roughness average (Ra) and surface area ratio (surface area:planar area) were measured using a confocal laser scanning microscope. Field-emission scanning electron microscope (FE-SEM) observations of enamel with different etching protocols were also conducted. RESULTS: The bond strengths of universal adhesives to enamel subjected to PPA etching with maximum times of 1-15 s and PLA etching for 15 s were significantly higher than those to ground enamel. The bond strength to enamel subjected to PPM etching did not increase and was similar to that for ground enamel. PPA and PLA etching were effective at increasing the Ra and surface area ratio of enamel. Although both values were significantly higher than those of ground enamel, those subjected to PPA etching were significantly higher than those which underwent PLA etching. In addition, the Ra and surface area of enamel subjected to PPM etching were similar to those of ground enamel, regardless of the etching time. CONCLUSIONS: Phosphoric acid etching for <1-15 s and polyalkenoic-acid etching for 15 s both improve the bonding of universal adhesives, the Ra, and the surface area ratio of enamel. However, phosphoric acid ester monomer etching was not effective, regardless of the etching time.

Effect of light irradiation and primer application on polymerization of selfadhesive resin cements monitored by ultrasonic velocity.

In this study, we investigated the effect of light irradiation and primer/adhesive application on the polymerization reaction and elastic modulus (E) of self-adhesive resin cement (SAC) through ultrasonic velocity (V) measurements. The V values of longitudinal and shear waves were determined based on the transit time through the specimens and specimen thicknesses, and were used to calculate the E values. Analysis of variance and Tukey tests revealed that V increased rapidly, reaching a plateau at 2,700-2,900 m/s, when the SACs were light-irradiated. However, the increasing rate of V was retarded for the non-irradiated SACs. In addition, when the primer/adhesive was applied, higher E values were obtained after 24 h. Finally, the polymerization behavior of the SACs was affected by light irradiation and primer application, and the use of prime/adhesive might improve mechanical properties. In clinical situations, use of primer/adhesive is recommended for getting proper adhesion.

Influence of warm air-drying on enamel bond strength and surface free-energy of self-etch adhesives.

We examined the effect of warm air-drying on the enamel bond strengths and the surface free-energy of three single-step self-etch adhesives. Bovine mandibular incisors were mounted in self-curing resin and then wet ground with #600 silicon carbide (SiC) paper. The adhesives were applied according to the instructions of the respective manufacturers and then dried in a stream of normal (23°C) or warm (37°C) air for 5, 10, and 20 s. After visible-light irradiation of the adhesives, resin composites were condensed into a mold and polymerized. Ten samples per test group were stored in distilled water at 37°C for 24 h and then the bond strengths were measured. The surface free-energies were determined by measuring the contact angles of three test liquids placed on the cured adhesives. The enamel bond strengths varied according to the air-drying time and ranged from 15.8 to 19.1 MPa. The trends for the bond strengths were different among the materials. The value of the γS⁺ component increased slightly when drying was performed with a stream of warm air, whereas that of the γS⁻ component decreased significantly. These data suggest that warm air-drying is essential to obtain adequate enamel bond strengths, although increasing the drying time did not significantly influence the bond strength.

Comparison of the wear and flexural characteristics of flowable resin composites for posterior lesions.

OBJECTIVES: To determine the localized wear and flexural properties of flowable resin composites for posterior lesions compared with universal resin composites produced by the same manufacturers. METHODS: Ten specimens of each of three flowable resins, G-ænial Universal Flo, G-ænial Flo and Clearfil Majesty Flow, and the corresponding resin composite materials, Kalore and Clearfil Majesty Esthetics, were prepared in custom fixtures and subjected to 400,000 wear machine cycles to simulate localized wear. The total maximum depth and volume loss of the wear facets was calculated for each specimen using a profilometer. A three-point bending test was performed to determine the flexural strength, modulus of elasticity and resilience. Values were statistically compared using one-way analysis of variance (ANOVA) followed by Tukey's Honestly Significant Difference (HSD) test. RESULTS: The wear depth ranged from 58.3-126.9 m and the volumetric loss ranged from 0.019-0.049 mm(3), with significant differences observed between restorative materials. The wear depth of G-ænial Universal Flo was significantly smaller than those of the other resin composites tested. The flexural strengths and elastic modulus ranged from 90.5-135.1 MPa and from 4.7-7.6 GPa, respectively. A significantly greater flexural strength and higher elastic modulus was found for G-ænial Universal Flo than the other composites. CONCLUSIONS: The wear and mechanical properties of the flowable resin composites tested suggested improved performance compared with universal resin composites.

Ultrasonic measurement of the effects of adhesive application and power density on the polymerization behavior of core build-up resins.

OBJECTIVE: To use ultrasonic measurements to monitor the effects of adhesive application and power density on the polymerization behavior of dual-cured core build-up resins. METHODS: Ultrasonic measurements were carried out using a pulser-receiver, transducers and an oscilloscope. The core build-up resins were mixed, inserted into a transparent mold and then placed onto a sample stage with or without self-etch adhesive. Power densities of 0 (no light irradiation), 200 and 600 mW/cm(2) were used for curing. The transit time through the core build-up resin disk was divided by the specimen thickness to obtain the longitudinal sound velocity (V). RESULTS: Light irradiation of the core build-up resins at a power density of 600 mW/cm(2) caused V values to rise to an initial plateau of 1550-1650 m/s, then to rise rapidly to a second plateau of 2800-3200 m/s. The rate of V increase was slower when the resin cements were light-irradiated and became faster when irradiated at a higher power density. There were no significant differences between the groups with or without adhesive. CONCLUSIONS: The polymerization behavior of the core build-up resins was affected by the power density of the curing unit. The influence of adhesive application differed among the core build-up resins tested.

Effect of warm air-drying on dentin bond strength of single-step self-etch adhesives.

The effect of warm air-drying on the dentin bond strengths of the single-step self-etch adhesives was determined. The adhesives were applied to bovine dentin followed by drying in a stream of warm air for 5, 10, and 15 s at 37°C. Resin composites were condensed into a mold and polymerized. Specimens were stored in distilled water at 37°C for 24 h, then shear tested. The surface free-energies were determined by measuring the contact angles of three test liquids placed on the cured adhesives. The dentin bond strengths varied according to the air-drying time. The value of the acid component increased slightly when drying was performed with a stream of warm air, whereas that of the base component decreased significantly. These data suggested that warm air-drying was essential to obtain adequate bond strengths, although increasing the drying time did not significantly influence the bond strength.

Influence of oxygen inhibition on the surface free energy and enamel bond strength of self-etch adhesives.

We compared the surface free energies and enamel bond strengths of single-step self-etch adhesives with and without an oxygen-inhibited layer. The adhesives were applied to the enamel surfaces of bovine incisors, light irradiated, and the oxygen-inhibited layer was either retained or removed with ethanol. The surface free energies and their components (γ(S)(LW), γ(S)(+), and γ(S)(-)) were determined by measuring the contact angles of three test liquids placed on the cured adhesives. The enamel bond strengths of specimens with and without the oxygen-inhibited layer were measured. For all surfaces, the value of the estimated surface tension component γ(S)(LW) was relatively constant. The value of the γ(S)(+) component increased slightly when the oxygen-inhibited layer was removed, whereas that of the γ(S)(-) component decreased significantly. The enamel bond strengths of the self-etch adhesives were significantly lower in the specimens without an oxygen-inhibited layer. The oxygen-inhibited layer therefore appeared to promote higher enamel bond strength.