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This study examined the influence of power density on dentin bond strength and polymerization behavior of dual-cured direct core foundation resin systems. Two commercially available dual-cured direct core foundation resin systems, Clearfil DC Core Automix with Clearfil DC Bond and UniFil Core with Self-Etching Bond, were studied. Bovine mandibular incisors were mounted in autopolymerizing resin and the facial dentin surfaces were ground wet on 600-grit SiC paper. Dentin surfaces were treated according to manufacturer's recommendations. The resin pastes were condensed into the mold and cured with the power densities of 0 (no irradiation), 100, 200, 400 and 600 mW/cm2. Ten specimens per group were stored in 37 degrees C water for 24 hours, then shear tested at a crosshead speed of 1.0 mm/minute in a universal testing machine. An ultrasonic measurement device was used to measure the ultrasonic velocities through the core foundation resins. The power densities selected were 0 (no irradiation), 200, and 600 mW/cm2, and ultrasonic velocity was calculated. ANOVA and Tukey HSD tests were performed at a level of 0.05. The highest bond strengths were obtained when the resin pastes were cured with the highest power density for both core foundation systems (16.8 +/- 1.9 MPa for Clearfil DC Core Automix, 15.6 +/- 2.9 MPa for UniFil Core). When polymerized with the power densities under 200 mW/cm2, significantly lower bond strengths were observed compared to those obtained with the power density of 600 mW/cm2. As the core foundation resins hardened, the sonic velocities increased and this tendency differed among the power density of the curing unit. When the sonic velocities at three minutes after the start of measurements were compared, there were no significant differences among different irradiation modes for UniFil Core, while a significant decrease in sonic velocity was obtained when the resin paste was chemically polymerized compared with dual-polymerization for Clearfil DC Core Automix. The data suggests that the dentin bond strengths and polymerization behavior of the dual-cured, direct core foundation systems are still affected by the power density of the curing unit. With a careful choice of the core foundation systems and power density of the curing unit, the benefit of using resin composites to endodontically-treated teeth might be acceptable.

This study investigated the effect of prior phosphoric acid etching on the enamel bond strength of five single-step self-etch adhesive systems: Absolute, Clearfil tri-S Bond, Fluoro Bond Shake One, G-Bond and One-Up Bond F Plus. Bovine mandibular incisors were mounted in self-curing resin, and the facial surfaces were wet ground with #600 silicon carbide paper. Adhesives were applied to the enamel surfaces with or without prior phosphoric-acid etching and light irradiated. The resin composites were condensed into a mold and light irradiated. In total, 40 specimens were tested per adhesive system with and without prior acid etching and were further divided into two groups: those stored in water at 37 degrees C for 24 hours without cycling and those stored in water at 37 degrees C for 24 hours followed by thermal cycling between 5 degrees C and 55 degrees C with 10,000 repeats. After storage under each set of conditions, the specimens were tested in shear mode at a crosshead speed of 1.0 mm/minute. Two-way analysis of variance, the Student's t-test and the Tukey HSD test were used to analyze the data at a significance level of 0.05. For the specimens without prior acid etching, the mean bond strengths to enamel ranged from 11.0 to 14.6 MPa after 24-hour storage in water, while the corresponding values for specimens with prior acid etching ranged from 15.2 to 19.3 MPa. When these specimens were subjected to thermal cycling, the mean bond strengths ranged from 11.3 to 17.0 MPa without prior acid etching and from 12.3 to 23.2 MPa with prior acid etching. The changes in enamel bond strengths differed among the adhesive systems tested. After 24-hour storage in water, the most common failure modes were adhesive failure and mixed failure for specimens with and without prior acid etching, respectively. Thus, through a careful choice of adhesive system, prior acid etching can increase the bond strengths of single-step self-etch adhesive systems.

This study investigated the influence of thermal cycling on the dentin bond strengths of single-step self-etch adhesive systems. The Absolute, Clearfil Tri-S Bond, G-Bond and One-Up Bond F Plus systems were used. Bovine mandibular incisors were mounted in self-curing resin, and the facial surfaces were wet ground with #600 SiC paper. Adhesives were applied to the prepared dentin surfaces, and they were light irradiated according to each manufacturer's instructions. Resin composites were condensed into a mold (4 mm in diameter and 2 mm in height) and light irradiated for 30 seconds. Bonded specimens were divided into three groups and subjected to different storage conditions as follows: 37 degrees C water for 24 hours; 37 degrees C water for 24 hours followed by 10,000 thermal cycles between 5 degrees C and 60 degrees C or 37 degrees C water for 24 hours followed by 20,000 thermal cycles between 5 degrees C and 60 degrees C. Ten samples per group were tested in a shear mode at a crosshead speed of 1.0 mm/minute. Analysis of variance and Tukey's HSD test at the 0.05 significance level were used to compare the three storage conditions for each adhesive system. After 24 hours storage in water, the mean dentin bond strengths ranged from 11.4 MPa to 17.1 MPa. The Clearfil Tri-S Bond system showed the highest bond strength. After 10,000 thermal cycles, the mean bond strengths remained unchanged except for those of the Clearfil Tri-S Bond system, which significantly increased. Significant decreases in bond strength were observed for the Absolute and One-Up Bond F Plus systems after 20,000 thermal cycles. Failure mode was commonly due to adhesive breakdown associated with partial cohesive failure of the adhesive resin. From the results of this study, in terms of simplifying the clinical procedure, the benefit of using single-step self-etch systems might be acceptable.

Currently, there is little information regarding the bonding efficacy of single-step self-etch systems to primary tooth dentin. This study examined the microtensile bond strength of single-step self-etch systems (Clearfil tri-S Bond and One-Up Bond F Plus) to sound primary and permanent tooth dentin. Adhesives were applied to flat samples of primary and permanent tooth dentin, and resin composites were bonded according to the manufacturers' instructions. After 24 hours of storage in distilled water at 37 degrees C, hour glass-shaped specimens were produced. They were subjected to microtensile testing at a crosshead speed of 1.0 mm/minute. The results were analyzed using 2-way analysis of variance (ANOVA) followed by the Tukey HSD post-hoc test (alpha=0.05). Field-emission scanning electron microscopy (FE-SEM) observations of the adhesive-treated dentin surfaces and the resin/dentin interface were also conducted. The bond strengths of primary tooth dentin were significantly lower than that of permanent tooth dentin for both self-etch systems: 44.7 +/- 10.4 versus 54.3 +/- 9.0 MPa for Clearfil tri-S Bond and 40.6 +/- 9.9 versus 50.0 +/- 8.7 MPa for One-Up Bond F Plus (p<0.001). There was no statistically significant interaction between the type of adhesive system and the dentin substrate (p=0.957). Although there was no statistically significant difference in the mean values among the different adhesive systems (p=0.094), there was a statistically significant difference in mean values among the different dentin substrates (p<0.001), which were lower for primary tooth dentin than for permanent tooth dentin. The failure modes were also independent of the type of dentin but dependent on the adhesive systems, an equal distribution among the 3 types of failure for Clearfil tri-S Bond and cohesive failures in adhesives for One-Up Bond F Plus. FE-SEM observations of dentin to which adhesive had been applied revealed that the smear layer had been removed and the collagen fibers exposed. Though the bond strengths to primary tooth dentin were lower than to permanent tooth dentin, excellent adaptation of the single-step self-etch systems to both dentin substrates was observed by FE-SEM. Further studies are required to determine the long-term clinical performance of these adhesive systems when applied to primary tooth dentin.

A core foundation system is frequently used in endodontically treated teeth that suffer excessive loss of the coronal portion of their structure. The volumetric shrinkage of core foundation resins may create marginal gaps that influence the bonding ability and longevity of a restored tooth. Little is known about how activation conditions of resin core foundation resin pastes affect their volumetric shrinkage. This study evaluated the influence of light intensity and light activation duration on volumetric shrinkage of direct core foundation resins. Two dual- and one light-activated core foundation resin pastes were employed. The material was placed in a Teflon mold 4 mm in diameter and 2 mm in height and extruded into a water filled dilatometer. The specimens were then light activated and the change in height of the meniscus of water was recorded using a charged-coupled device camera. The average volumetric shrinkage of the core foundation resins after 180 seconds ranged from 1.53% to 2.63%. For all materials tested, there was a tendency for increased volumetric shrinkage with increased light activation time and intensity. The results of this study indicate that the volumetric change of core foundation resins is influenced by the time and intensity of light activation.