Bonding strength of universal adhesives to Er,Cr:YSGG Laser-Irradiated Dentin.

OBJECTIVES: Universal adhesives have been recently introduced for use as self-etch or etch-and-rinse adhesives depending on the dental substrate and clinical condition. However, their bonding effectiveness to laser-irradiated dentin is still not well known. Therefore, the aim of this study was to compare the shear bond strength (SBS) of two universal adhesives (Single Bond Universal, Nova Compo-B Plus) applied following laser-etching with SBS of the same adhesives applied in self-etch and acid-etch modes, respectively. MATERIALS AND METHODS: Sixty bovine incisors were used to obtain the flattened dentin surfaces. Specimens were divided into two groups according to universal adhesives. Each universal adhesive was applied with one of the following modes, self-etch, acid-etch, or laser-etch (n = 10). Er,Cr:YSGG laser was used for laser-etching with 1.5 W-20 Hz parameters. After adhesive applications and composite buildups, SBS was determined after storage in water for 24 h using a universal testing machine with a crosshead speed of 0.5 mm/min. Failure modes were evaluated using a stereomicroscope. Data were analyzed using two-way of analyses of variances (ANOVA) (P = 0.05). RESULTS: Two-way ANOVA revealed that adhesive had no effect on SBS (P > 0.05), but application mode significantly influenced SBS (P < 0.001). Laser-etch significantly increased SBS for NCP when compared to self-etch mode, whereas laser-etch provided similar SBS with self-etch mode for SBU. CONCLUSIONS: The influence of different application modes on dentin bond strength of universal adhesives was dependent on the adhesive material. CLINICAL SIGNIFICANCE: For universal adhesives, laser etching may provide some benefits on bonds strength but this would depend on product.

Radiopacity of bulk fill flowable resin composite materials.

OBJECTIVES: The purpose of this study was to evaluate the radiopacity of currently marketed bulk fill flowable dental composite materials (Beautifil Bulk Flowable, SDR Flow, Filtek Bulk Fill Flow, and x-tra Base Bulk Fill). MATERIALS AND METHODS: Six specimens of each material with a thickness of 1 mm were prepared, and digital radiographs were taken, using a CCD sensor along with an aluminum stepwedge and 1 mm-thick tooth slice. The mean gray level of each aluminum stepwedge and selected materials was measured, using the equal-density area tool of Kodak Dental Imaging software. The equivalent thickness of aluminum for each material was then calculated by using the stepwedge values in the CurveExpert version 1.4 program. RESULTS: The radiopacity of bulk fill flowable composites sorted in descending order as follows: Beautifil Bulk Flowable (2.96 mm Al) = x-tra base bulk fill (2.92 mm Al) = SureFil SDR Flow (2.89 mm Al) > Filtek Bulk Fill Flow (2.51 mm Al) (P < 0.05). CONCLUSIONS: As all materials had a radiopacity greater than dentin and enamel; their adequate radiopacity will help the clinicians during radiographic examination of restorations. CLINICAL SIGNIFICANCE: Bulk fill composite materials have greater radiopacity, enabling clinicians to distinguish the bulk fill composites from dentin and enamel.

Effects of Er,Cr:YSGG Laser Pulse Frequency on Microtensile Bond Strength to Enamel.

Literature regarding the influence of Er,Cr:YSGG laser pulse frequency with different output power levels on adhesion properties of adhesive resin to lased enamel is limited. Therefore, the aim of the present study was to evaluate the effects of laser pulse frequency (20, 35, and 50 Hz) at two different output power settings (3 and 6 W) of Er,Cr:YSGG on the microtensile bond strength (µTBS) of adhesive resin to enamel. Crowns of 35 intact bovine incisors were embedded into self-cure acrylic resin individually, and then flat enamel surfaces were prepared with 600-grit silicon carbide papers under water cooling. Teeth were divided randomly into seven groups. Enamel surfaces were irradiated with Er,Cr:YSGG laser operated at one of six output power-pulse frequency combinations (6 W20 Hz, 6 W-35 Hz, 6 W-50 Hz, 3 W-20 Hz, 3 W-35 Hz, and 3 W-50 Hz) in groups 1-6, respectively. Bur-treated surfaces served as a control in group 7. After surface treatments and bonding procedures, composite build-ups were done in three layers up to a height of 4 mm. Next, all bonded teeth were sectioned into the resin-enamel sticks to be tested in a µTBS testing machine. The µTBS data were analyzed with univariate analysis of variance under a general linear model with the factor 'tooth' added as a random effect to the design. Resin-enamel interfaces were evaluated with scanning electron microscopy (SEM). The µTBS to laser-irradiated enamel in group 1 (6 W-20 Hz) was significantly lower than those of bur-treated enamel (p<0.05). However, group 6 (3 W-50 Hz) showed significantly higher µTBS values than did bur-treated teeth (p<0.05). SEM evaluation revealed enormous morphological alterations of laser-irradiated specimens, such as extensive vertical and horizontal microcracks and gaps, with the exception of group 6. The bonding effectiveness of adhesive resin to laser-irradiated enamel was affected by the pulse frequency of the Er,Cr:YSGG laser. Although the parameters recommended by the manufacturer lowered µTBS, increasing the pulse rate may maintain optimum µTBS.

Evaluation of microtensile and tensile bond strength tests determining effects of erbium, chromium: yttrium-scandium-gallium-garnet laser pulse frequency on resin-enamel bonding.

OBJECTIVES: The aim of the present study was to compare two different bond strength test methods (tensile and microtensile) in investing the influence of erbium, chromium: yttrium-scandium-gallium-garnet (Er, Cr: YSGG) laser pulse frequency on resin-enamel bonding. MATERIALS AND METHODS: One-hundred and twenty-five bovine incisors were used in the present study. Two test methods were used: Tensile bond strength (TBS; n = 20) and micro-TBS (µTBS; n = 5). Those two groups were further split into three subgroups according to Er, Cr: YSGG laser frequency (20, 35, and 50 Hz). Following adhesive procedures, microhybrid composite was placed in a custom-made bonding jig for TBS testing and incrementally for µTBS testing. TBS and µTBS tests were carried out using a universal testing machine and a microtensile tester, respectively. RESULTS: Analysis of TBS results showed that means were not significantly different. For µTBS, the Laser-50 Hz group showed the highest bond strength (P < 0.05), and increasing frequency significantly increased bond strength (P < 0.05). Comparing the two tests, the µTBS results showed higher means and lower standard deviations. CONCLUSION: It was demonstrated that increasing µTBS pulse frequency significantly improved immediate bond strength while TBS showed no significant effect. It can, therefore, be concluded that test method may play a significant role in determining optimum laser parameters for resin bonding.

The effect of a new calcium-based agent, Pro-Argin, on the microhardness of bleached enamel surface.

BACKGROUND: This study investigated the effects of Pro-Argin application on the microhardness of bleached enamel and compared them with those of acidulated phosphate fluoride (APF) and casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) applications. METHODS: Forty blocks (4 × 4 × 4 mm) were prepared from the facial surfaces of 10 sound bovine incisors. The enamel surfaces were bleached with 35% hydrogen peroxide three times at 5-day intervals. The specimens were divided into five treatment regimen groups (n = 8 each): Group 1, bleaching/no surface treatment (control); Group 2, bleaching/Pro-Argin toothpaste treatment; Group 3, bleaching/Pro-Argin treatment; Group 4, bleaching/APF treatment; and Group 5, bleaching/CPP-ACP treatment. During bleaching treatments, specimens were stored in artificial saliva. Vickers microhardness measurements were performed at baseline and after treatment in all groups. Statistical analyses were performed using the paired t-test, one-way analysis of variance, and post hoc least significant difference tests. RESULTS: After bleaching, hardness values of enamel surfaces increased significantly in the treatment groups versus the control group (p < 0.05). However, no significant difference was found among treatment groups (p > 0.05). CONCLUSIONS: Through bleaching treatment, Pro-Argin application may have a positive effect on enamel surface hardness, equivalent to that of CPP-ACP or APF.