Effects of Different Toothpastes on the Nanomechanical Properties and Chemical Composition of Resin-Modified Glass Ionomer Cement and Composite Resin Restorations.

PURPOSE: This study evaluates the effects of different toothpastes on the nanohardness and chemical compositions of restorative materials and dental surfaces. METHODS: Bovine enamel (n = 72) and dentin (n = 72) blocks were obtained and restored using RMGIC (n = 36) or CR (n = 36) to create the following surfaces: dentin adjacent to RMGIC (DRMGIC), enamel adjacent to RMGIC (ERMGIC), dentin adjacent to CR (DCR), and enamel adjacent to CR (ECR). After restoration, one hemiface of each specimen was coated with an acid-resistant varnish to facilitate the creation of control (C) and eroded (E) sides; the latter were achieved by erosion-abrasion cycles as follows: erosion with 1% citric acid: 5 days, four times for 2 min each day; 1% citric acid/abrasion, two times for 15 s, followed by immersion in a toothpaste slurry for 2 min. Toothpastes without fluoride (WF; n = 12), with sodium fluoride (NaF; n = 12), and with stannous fluoride (SnF2; n = 12) were used for RMGIC or CR. The specimens were analyzed for nanohardness (H), and chemical composition using energy-dispersive X-ray spectroscopy and Raman microscopy. The data were statistically analyzed using two-way repeated measures ANOVA and Tukey's test (α = 0.05). RESULTS: Lower H values were obtained with NaF for DRMGIC-C, with a statistically significant difference from the H value obtained with WF (p < 0.05). The calcium and phosphorus concentrations in DCR-E were significantly lower with WF than with the other types of toothpaste (p < 0.05). Fluoride-containing toothpastes are capable of preserving the main chemical components of the dentin adjacent to the restorative materials under erosive-abrasive conditions.

Effects of different toothpastes on the prevention of erosion in composite resin and glass ionomer cement enamel and dentin restorations.

OBJECTIVE: This study aimed to evaluate the effects of different toothpastes on the surface wear of enamel, dentin, composite resin (CR), and resin-modified glass ionomer cement (RMGIC), and to perform a topographic analysis of the surfaces, based on representative images generated by atomic force microscopy (AFM) after erosion-abrasion cycles. METHODOLOGY: One hundred and forty bovine incisors were collected and divided into two groups: 72 enamel and 72 dentin blocks (4×4 mm). Half of the specimens were restored with CR (Filtek Z350 XT) and the other half with RMGIC (Fuji II LC). Then, samples were submitted to a demineralization cycle (5 days, 4×2 min/day, 1% citric acid, pH 3.2) and exposed to three different toothpastes (2×15 s/day): without fluoride (WF, n=12), sodium fluoride-based (NaF, n=12), and stannous fluoride-based (SnF2, n=12). Surface wear, as well as restoration interfaces wear, were investigated by profilometry of the dental substrates and restorative materials. All representative surfaces underwent AFM analysis. Data were analyzed by two-way analysis of variance and Tukey's tests (α=0.05). RESULTS: NaF-based toothpaste caused the greater dentin surface wear (p<0.05). Toothpastes affected only enamel-restoration interfaces. AFM analysis showed precipitate formation in dentinal tubules caused by the use of fluoride toothpastes. CONCLUSIONS: NaF-based toothpastes had no protective effect on enamel adjacent to CR and RMGIC against erosion-abrasion challenges, nor on dentin adjacent to RMGIC material. SnF2-based toothpastes caused more damage to interfaces between enamel and RMGIC.

Effects of different toothpastes on the prevention of erosion in composite resin and glass ionomer cement enamel and dentin restorations

Abstract Objective This study aimed to evaluate the effects of different toothpastes on the surface wear of enamel, dentin, composite resin (CR), and resin-modified glass ionomer cement (RMGIC), and to perform a topographic analysis of the surfaces, based on representative images generated by atomic force microscopy (AFM) after erosion-abrasion cycles. Methodology One hundred and forty bovine incisors were collected and divided into two groups: 72 enamel and 72 dentin blocks (4×4 mm). Half of the specimens were restored with CR (Filtek Z350 XT) and the other half with RMGIC (Fuji II LC). Then, samples were submitted to a demineralization cycle (5 days, 4×2 min/day, 1% citric acid, pH 3.2) and exposed to three different toothpastes (2×15 s/day): without fluoride (WF, n=12), sodium fluoride-based (NaF, n=12), and stannous fluoride-based (SnF2, n=12). Surface wear, as well as restoration interfaces wear, were investigated by profilometry of the dental substrates and restorative materials. All representative surfaces underwent AFM analysis. Data were analyzed by two-way analysis of variance and Tukey's tests (α=0.05). Results NaF-based toothpaste caused the greater dentin surface wear (p<0.05). Toothpastes affected only enamel-restoration interfaces. AFM analysis showed precipitate formation in dentinal tubules caused by the use of fluoride toothpastes. Conclusions NaF-based toothpastes had no protective effect on enamel adjacent to CR and RMGIC against erosion-abrasion challenges, nor on dentin adjacent to RMGIC material. SnF2-based toothpastes caused more damage to interfaces between enamel and RMGIC.

Effects of dentifrices on mechanical resistance of dentin and restorative materials after erosion and abrasion.

The aim of this study was to evaluate the mechanical resistance of dentin and restorative materials submitted to erosive/abrasive challenges with different dentifrices. The dentin was restored using a resin-modified glass-ionomer (RMGIC) or a composite resin (RC). One hemiface of the sample was protected, and the other was subdivided according to the applied dentifrice (n = 10): without fluoride (SF), sodium fluoride (NaF) and stannous fluoride (SnF). The specimens were submitted to erosive/abrasive cycles, the varnish was removed, and the Martens hardness (HMV) and elastic modulus (Eit) were evaluated. The data were analyzed by repeated two-way ANOVA measurements and Tukey tests (alpha = 0.05). When analyzing the HMV on the test side, there was no influence of the dentifrices in the dentin; however, the orders of NaF < SnF = SF in RC and SnF > NaF = SF in RMGIC were observed. Comparing the treated surfaces, there were no differences in the dentin, and only the SF since CR presented an HMV superior to that of RMGIC. Comparing control and test sides, both dentins obtained a decreased HMV after the erosive/abrasive challenge; for the restorative materials, superior values were found only for SnF in the RMGIC. The Eit values were influenced more by the dentifrices on the test side for the dentin adjacent to the RMGIC, with the lowest values shown for the SF, and for both materials, the highest values were shown for the SnF group. No differences were found when comparing each dentin treated with the same dentifrice; however, the RMGIC presented a superior Eit than the CR when brushed with both dentifrices with a fluoride. Comparing the control and test sides, the same results were obtained for the HMV. The dentifrices showed little influence on the dentin substrate, whereas the dentifrice with SnF enhanced the mechanical properties of the restorative materials, which was more evident in the RMGIC.

Comparison of in vitro erosion protocols in bovine teeth to simulate natural erosion lesion: analysis of mechanical properties and surface gloss.

OBJECTIVE: The aim of this study was to compare two in vitro erosion protocols, in which one simulates in vivo conditions experienced by patients with gastroesophageal disorders or bulimia (HCl-pepsin protocol), and the other simulates the diet of an individual who consumes a high volume of erosive beverages (citric acid protocol). In addition, the mechanical properties and surface gloss of eroded human dentin were compared with those of sound human dentin. MATERIALS AND METHODS: Blocks of cervical dentin were used: sound human dentin (n=10), human dentin with erosive lesions (n=10), and bovine dentin (n=30). Twenty bovine blocks were subjected to either of two erosion protocols (n=10/protocol). In the first protocol, samples were demineralized using HCl-pepsin solution, then treated with trypsin solution. In the second protocol, samples were demineralized with 2% citric acid. Toothbrushing was performed in both protocols using a toothbrushing machine (15 s with a 150 g load). Ten bovine dentin blocks were not subjected to any erosive treatment. All samples of bovine and human dentin were analyzed to obtain Martens hardness values (MH), elastic modulus (Eit*) and surface gloss. One-way ANOVA and Tukey's test were performed to analyze the data (α=0.05). RESULTS: Sound human and eroded human dentin groups showed similar MH and Eit* values (p>0.05); however, sound human dentin showed a higher surface gloss value when compared to eroded human dentin (p<0.05). Sound bovine dentin and HCl-pepsin-treated bovine dentin treatments resulted in similar values for both MH and Eit* (p>0.05), but HCl-pepsin-treated bovine dentin and citric acid-treated bovine dentin resulted in lower surface gloss than sound bovine dentin (p<0.05). CONCLUSIONS: The HCl-pepsin protocol modified bovine dentin properties that could be similar to those that occur on human dentin surfaces with erosive lesions.

Efeito de fluoretos presentes em dentifrícios na prevenção da erosão de restaurações de resina composta e cimento de ionômero de vidro de esmalte e dentina erodidos / Effect of fluorides preseot in tootbpastes on tbe preventing erosion from enameJ and dentin eroded of composite resin and glass ionomer cement restorations

O objetivo desse estudo foi avaliar o desgaste, as propriedades mecânicas, topografia e composição química dos substratos dentários e materiais restauradores após ciclo erosivo/abrasivo, utilizando diferentes dentifrícios. Foram utilizados 244 blocos, sendo 122 de esmalte e 122 blocos de dentina, medindo 4 x 4 mm, obtidos a partir de incisivos bovinos que foram cortados e polidos. Cada amostra continha um bloco de esmalte e um de dentina, entre os blocos foram confeccionadas restaurações com cimento de ionômero de vidro modificado por resina (CIVMR) e resina composta (RC). Após as restaurações, a hemiface de cada amostra foi recoberta com verniz ácido-resistente, afim de produzir o lado controle. Esses dois grupos foram subdivididos em três grupos, de acordo com o dentifrício utilizado no processo de abrasão: SF - sem flúor (controle negativo), NaF - com fluoreto de sódio 1450 ppm de F (controle positivo) e SnF2 - com fluoreto de estanho 1100 ppm de F. O ácido cítrico a 0,05 M, pH= 3.2, foi utilizado nos ciclos de erosão, sendo realizados 4x/dia, 2 minutos cada, com intervalos de 1 hora entre cada ciclo. Os espécimes foram submetidos à abrasão (2x/dia, ao final do primeiro e último ciclo erosivo/dia), aplicando o slurry (1:3) sobre as amostras por 2 minutos, seguidos de 15 segundos de escovação por espécime (200 g por 15 s), ao longo de 5 dias. Na sequência, o verniz ácido resistente foi removido da hemiface de cada amostra e estas foram analisadas quanto ao desgaste das superfícies através de perfilometria (n=12), microdureza, apenas dos materiais restauradores (n =12), topografia por microscopia de força atômica (AFM) (n=2), nanodureza (H) e módulo de elasticidade (Er) (n=5), composição química através de energia dispersiva de raios-X (EDS) (n=3), microscopia Raman (n= 5). Os dados de perfilometria, microdureza dos materiais restauradores, (H / Er) e EDS e Raman foram submetidos a ANOVA dois fatores medidas repetidas e teste de Tukey (p< 0,05). Em relação às imagens de AFM foram analisadas apenas qualitativamente. O dentifrício NaF promoveu o maior desgaste nas superfícies dentinárias adjacentes ao CIVMR e RC. Apenas as interfaces adjacentes ao esmalte sofreram influência do dentifrício. Os mais baixos valores de microdureza foram observados para CIVMR quando se utilizou o dentifrício SnF2 (p < 0,05). Em relação aos valores de H e Er, pode-se notar que não houve diferenças entre os dentifrícios (p> 0,05), apenas entre as superfícies dentro de cada dentifrício (p< 0,05). Em relação às superfícies controle e erodida, apenas RC manteve seus valores constantes após erosão (p> 0,05). Em relação à composição química, os substratos dentários erodidos mostraram menores concentrações de cálcio e fosfato, enquanto para a superfície do material ionomérico houve uma diminuição de flúor e aumento de cálcio para as superfícies erodidas; as superfícies de resina composta mostraram-se inalteradas em sua composição química após os desafios erosivos (p > 0.05). Os dentifrícios não foram capazes de promover diferença nas propriedades mecânicas das superfícies após ciclo erosivo-abrasivo. Entretanto, promoveram diferenças quanto ao desgaste, composição química e topografia das superfícies, à exceção das superfícies de resina composta(AU)

The aim of this study was to evaluate the wear, mechanical properties, topography and chemical composition of dental substrates and restorative materiais after erosive / abrasive cycle using different toothpastes. A total of 244 blocks were used: 122 enamel and 122 dentin blocks, measuring 4 x 4 mm, obtained from bovine incisors that were cut and polished. Each sample contained one enamel and one dentin blocks, between them were made restorations with resin modified glass ionomer cement (RMGIC) and composite resin (CR). After restorations, the hemiface of each sample was coated with acid-resistant vamish to produce the contrai side. These two groups were subdivided into three groups according to the toothpaste used in the abrasion process: SF - no fluoride (negative control), NaF - sodium fluoride with 1450 ppm F (positive control) and SnF2 - stannous fluoride with 1100 ppm F. The 0.05 M citric acid, pH = 3.2, was used in the erosion cycles, being performed 4x / day, 2 minutes each, with 1 hour intervals between each cycle. The specimens were subjected to abrasion (2x / day at the end of the first and last erosive cycle / day), applying the slurry (1:3) to the samples for 2 minutes, followed by 15 seconds of brushing per specimen (200 g per 15 s) over 5 days. Next, acid resistant vamish was removed from the hemiface of each sample and these were analyzed for surface wear by profilometry (n = 12), microhardness of restorative materiais only (n = 12), atomic force microscopy (AFM) topography (n = 2), nanohardness (H) and modulus of elasticity (Er) (n = 5), chemical composition by X-ray dispersive energy (EDS) (n = 3), Raman microscopy (n = 5). The profilometry, microhardness of the restorative materiais, (H / Er) and EDS and Raman data were submitted to two-way repeated measures ANOVA and Tukey test (p <0.05). Regarding the AFM images were analyzed only qualitatively. NaF toothpaste promoted higher wear on dentin surfaces adjacent to RMGIC and CR. Only the interfaces adjacent to the enamel were influenced by the toothpaste. The lowest microhardness values were observed for MVICR when using the SnF2 dentifrice (p <0.05). Regarding H and Er values, there were no differences among the toothpastes (p> 0.05), only among the surfaces into each toothpaste (p< 0.05). ln relation to control and eroded surfaces, only CR maintened constant values after erosive-abrasive cycles (p> 0.05). Regarding the chemical composition, the eroded dental substrates presented lower calcium and phosphate concentrations, while for the surface of the ionomeric material there was a decrease of fluoride and calcium increase for the eroded suraces. Composite resin surfaces were unchanged in their chemical composition after erosion challenges (p> 0.05). The toothpastes were not able to promote difference in the mechanical properties of surfac.es after erosive-abrasive cycle. However, promoted differences in surface wear, chemical composition and topography, except for composite resin surfaces(AU)

Analysis of the bond interface between self-adhesive resin cement to eroded dentin in vitro.

The purpose of this study was to evaluate the bonding interface between a self-adhesive resin cement to in vitro eroded dentin. Seventy-two third molars were used and divided into two groups: sound dentin and in vitro eroded dentin. The in vitro erosion was performed following a demineralization protocol, in which the specimens were immersed in a demineralizing solution for 2 minutes per cycle and remineralizing solution for 10 minutes per cycle for 9 days. Both groups were submitted to four dentin surface treatments: control group (without any treatment), 2% chlorhexidine, 20% polyacrylic acid, and 0.1 M EDTA (n = 9). Blocks of resin-based composite were bonded with RelyX U200 self-adhesive resin cement applied on the pretreated dentin surfaces. The teeth were sectioned into beams (1mm2) and submitted to microtensile bond strength testing to evaluate the bond strength of self-adhesive resin cement to dentin after 24 hours and 8 months of immersion in artificial saliva. Three specimens of each group were longitudinally cut and evaluated using confocal laser scanning microscopy to analyze the dentin/cement interface. Eroded dentin showed higher bond strength values when compared to sound dentin for the 2% chlorhexidine group (p = 0.03), 24 hours after adhesion. When considering eroded dentin, the 0.1M EDTA group showed higher bond strength values with a statistically significant difference only for the control group (p = 0.002). After 8 months of storage, the present results showed that there was no statistically significant difference between the two substrates for all experimental groups (p>0.05). Analysis of the microscopy confocal showed different types of treatments performed on dentin generally increased tags formation when compared to the control group. The eroded dentin showed a significant increase in density and depth of resinous tags when compared to sound dentin. The storage of samples for 8 months seems to have not caused significant degradation of the adhesive interface.

Effect of Fluoride-Releasing Adhesive Systems on the Mechanical Properties of Eroded Dentin.

The aim of the study was to evaluate the effect of erosive pH cycling with solutions that simulate dental erosion on Martens hardness (HMV) and elastic modulus (Eit) of dentin restored with fluoride-releasing adhesive systems. Twenty-seven bovine dentin slabs were restored with three adhesive systems: Adper Single Bond 2 total-etch adhesive system, One Up Bond F and Clearfil SE Protect fluoride-containing self-etching adhesive systems. The restorations were made with Filtek Z250. The HMV and Eit values at distances of 10, 30, 50 and 70 µm from the interface were evaluated using a dynamic ultra microhardness tester before and after immersion in deionized water, citric acid and hydrochloric acid (n=9). Data were submitted to repeated-measures ANOVA and Fisher's PLSD tests (=0.05). After erosive cycling, HMV values of dentin decreased in all groups. For dentin restored with Adper Single Bond 2, the lowest values were found closer to the hybrid layer, while for One Up Bond F and Clearfil SE Protect, the values remained unaltered at all distances. For dentin restored with fluoride-releasing adhesive systems, a decrease in Eit was found, but after 30 µm this difference was not significant. The acid substances were able to alter HMV and Eit of the underlying dentin. For fluoride-releasing adhesives, the greater the distance from bonded interface, the lower the Eit values. The fluoride in One Up Bond F and Clearfil SE Protect was able to protect the underlying dentin closer to the materials. In this way, the fluoride from adhesive systems could have some positive effect in the early stages of erosive lesions.

Effect of Fluoride-Releasing Adhesive Systems on the Mechanical Properties of Eroded Dentin

Abstract The aim of the study was to evaluate the effect of erosive pH cycling with solutions that simulate dental erosion on Martens hardness (HMV) and elastic modulus (Eit) of dentin restored with fluoride-releasing adhesive systems. Twenty-seven bovine dentin slabs were restored with three adhesive systems: Adper Single Bond 2 total-etch adhesive system, One Up Bond F and Clearfil SE Protect fluoride-containing self-etching adhesive systems. The restorations were made with Filtek Z250. The HMV and Eit values at distances of 10, 30, 50 and 70 µm from the interface were evaluated using a dynamic ultra microhardness tester before and after immersion in deionized water, citric acid and hydrochloric acid (n=9). Data were submitted to repeated-measures ANOVA and Fisher's PLSD tests (=0.05). After erosive cycling, HMV values of dentin decreased in all groups. For dentin restored with Adper Single Bond 2, the lowest values were found closer to the hybrid layer, while for One Up Bond F and Clearfil SE Protect, the values remained unaltered at all distances. For dentin restored with fluoride-releasing adhesive systems, a decrease in Eit was found, but after 30 µm this difference was not significant. The acid substances were able to alter HMV and Eit of the underlying dentin. For fluoride-releasing adhesives, the greater the distance from bonded interface, the lower the Eit values. The fluoride in One Up Bond F and Clearfil SE Protect was able to protect the underlying dentin closer to the materials. In this way, the fluoride from adhesive systems could have some positive effect in the early stages of erosive lesions.

Resumo O objetivo deste estudo foi avaliar o efeito da ciclagem de pH erosiva com soluções que simulam a erosão dental, na dureza Martens (HMV) e módulo de elasticidade (Eit) da dentina restaurada com sistemas adesivos contendo fluoretos. Vinte e sete blocos de dentina foram restaurados com três sistemas adesivos: sistema adesivo de condicionamento total Adper Single Bond 2 e sistemas adesivos autocondicionantes contendo fluoreto One Up Bond F e Clearfil SE Protect. As restaurações foram realizadas com resina Filtek Z250. Os valores de HMV e Eit nas distâncias de 10, 30, 50 e 70µm da interface foram avaliadas em ultramicrodurômetro dinâmico antes e após a imersão em água deionizada, ácido cítrico e ácido clorídrico (n=9). Dados foram submetidos à ANOVA para medidas repetidas e Fisher PLSD (α=0,05). Após a ciclagem erosiva, os valores de HMV da dentina diminuíram em todos os grupos. Para a dentina restaurada com Adper Single Bond 2, os menores valores foram encontrados próximo a camada híbrida enquanto que, para os sistemas adesivos One Up Bond F e Clearfil SE Protect, os valores permaneceram inalterados em todas as distâncias. Para a dentina restaurada com os materiais que liberam fluoretos, uma redução nos valores de Eit foi encontrada, mas após 30µm essa diferença não foi mais significante. As substâncias ácidas foram capazes de alterar a HMV e o Eit da dentina subjacente. Para os adesivos que liberam fluoretos, quanto maior a distância da interface adesiva, menor os valores de Eit. O fluoreto presente no One Up Bond F e Clearfil SE Protect foi capaz de proteger a dentina subjacente próxima aos materiais. Dessa maneira, a presença do flúor em sistemas adesivos pode ter algum efeito positivo em estágios iniciais de lesões erosivas.

Survival of all-ceramic restorations after a minimum follow-up of five years: A systematic review.

OBJECTIVE: The purpose of this systematic review was to compare the survival and complication rates of all-ceramic restorations after a minimum follow-up time of 5 years. DATA SOURCES: A comprehensive search of studies published from 2005 to November 2015 and listed in the PubMed/MEDLINE, Scopus, and Cochrane Library databases was performed in accordance with the PRISMA statement. Two reviewers independently analyzed the abstracts. Relevant studies were selected according to predetermined inclusion criteria. RESULTS: Twenty-nine studies were selected for the final analysis from an initial yield of 514. Only four studies fulfilled the requirement of having a randomized design, and 25 studies were prospective with a mean follow-up period of 5 to 16 years. Overall, the 5-year complication rates were low. The most frequent complications were secondary caries, endodontic problems, ceramic fractures, ceramic chipping, and loss of retention. CONCLUSION: This systematic review showed that all-ceramic restorations fabricated using the correct clinical protocol have an adequate clinical survival for at least 5 years of clinical service with very low complication rates. Minor ceramic chipping and debonding did not affect the longevity of the restorations. CLINICAL RELEVANCE: Long-term clinical performance of all-ceramic restorations manufactured using various ceramic systems provides clinical evidence of complications and long-term management of these restorations. Available evidence indicates the effectiveness of many ceramic systems for numerous clinical applications. Correct planning and a rigorous technical execution protocol increase clinical success. Studies of ceramic prostheses indicate more problems with ceramic failure and debonding.

Análise da interface de união entre cimento resinoso auto-adesivo à dentina erodida in vitro / Analysis of bonding interface between self-adhesive resin cement to in vitro eroded dentin

Considerando o expressivo aumento de lesões erosivas e a necessidade de estudos que avaliem a adesão sobre um substrato erodido. O propósito deste estudo foi avaliar a interface de união entre cimento resinoso auto-adesivo à dentina submetida à erosão in vitro. Setenta e dois terceiros molares humanos foram utilizados e divididos em dois grupos: grupo 1 (dentina normal) e grupo 2 (dentina erodida). Para a obtenção da erosão in vitro foi empregado um protocolo, no qual os espécimes ficaram imersos em solução desmineralizante , 2 minutos por ciclo, e em solução remineralizante , 10 minutos por ciclo, ao longo de 9 dias. Na sequência, ambos os grupos foram submetidos a quatro tratamentos de superfície dentinária: grupo controle (sem tratamento), clorexidina 2%, ácido poliacrílico 20%, e EDTA 0,1M (n=9), previamente ao processo de união. Blocos de resina composta TPH foram cimentados com cimento resinoso auto-adesivo RelyX U200 às superfícies dentinárias. Os dentes foram submetidos à cortadeira de precisão, onde obteve-se amostras em forma de palitos, os quais foram submetidos ao teste de microtração para avaliar a resistência de união entre o cimento resinoso e dentina, 24 horas e 8 meses após o procedimento de união. Associada a microtração, a análise do padrão de fratura dessas interfaces foi realizada em microscopia eletrônica de varredura (MEV). Em amostras distintas, foram obtidas fatias longitudinais dos dentes, sendo três espécimes de cada grupo, os quais foram avaliados em microscopia confocal (MC), para análise qualitativa da interface dentina/cimento. Os resultados mostraram que a dentina previamente erodida apresentou considerável aumento na densidade e profundidade de tags resinosos em relação à dentina normal para os diferentes grupos, embora pouca diferença nos valores de resistência de união tenha sido encontrada. Os diferentes tipos de tratamentos realizados em dentina, de uma forma geral, aumentaram os valores de resistência de união em...

Considering the significant increase of erosive lesions and the need for studies to evaluate the adhesion on a eroded substrate. The purpose of this study was to evaluate the bonding interface between self-adhesive resin cement to in vitro eroded dentin. Seventy-two third molars were used and divided into two groups: group 1 (sound dentin) and group 2 (eroded dentin). The in vitro erosion was created following a demineralization protocol, in which the specimens of group 2 were immersed in demineralizing solutions 2 minutes per cycle, and in remineralizing solution, 10 minutes per cycle, during 9 days. Both groups were submitted to four dentin surface treatments: control group (without any treatment), 2% chlorhexidine, 20% polyacrylic acid, and 0,1M EDTA pH 7.4 (n=9). TPH resin-based composite blocks were bonded with RelyX U200 self-adhesive resin cement on the pretreated dentin surfaces. The teeth were submitted to precision cutter, thus obtaining samples forms of sticks. The samples were submitted to microtensile bonding test to evaluate the bonding strength between selfadhesive resin cement to dentin, 24 hours and 8 months after the bonding procedure. The fractured samples were evaluated in scanning electron microscopy (SEM), to classify the fracture pattern of these interfaces. Finally, three specimens of each group were longitudinal cut and obtained three slices per group and evaluating by confocal laser scanning microscopy (CLSM), with the purpose to analyze qualitatively the dentin/cement interface. The results showed that the etched dentin showed significant increase in density and depth of resinous tags compared to sound dentin, although little difference in bond strength values has been found. Different types of treatments performed on dentin, in general, increased the bonding strength values compared to the control group. The storage of the samples in artificial saliva for 8 months, seems to have been not enough to cause significant degradation of...