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This study investigated the bonding performance of two different types of resin cements to computer-aided design/computer-aided manufacturing (CAD/CAM) composite blocks based on the shear bond strength (SBS) test. A silane-containing self-adhesive resin cement (Panavia SA Cement Universal) and resin luting cement (Block HC Cem) with a primer, were used. Specimens were fabricated from three different types of CAD/CAM composite blocks, and their surfaces were blasted with alumina. Resin cements were bonded to the specimens, and their SBSs were measured after 15 min, 24 h, and after being subjected to thermal cycling for 10,000 and 30,000 cycles. Three-way ANOVA for bond strength revealed that CAD/CAM composite block, resin cement and storage time significantly influenced the SBS values, and the three-way interactions between the evaluated factors, and all the interactions were significant. It was concluded that the bonding performance of resin cements to CAD/CAM composite blocks were material and storage period dependent.

The aim of this study was to determine the influence of different surface treatments of CAD/CAM composite blocks on bonding effectiveness of resin cements, based on the shear bond strength test and the surface science examination. Specimens were fabricated from two types of CAD/CAM composite blocks (Cerasmart and VITA Enamic), and the specimen surfaces were alumina sandblasted. Specimen surfaces were treated with i) silane, ii) primer, and iii) silane+primer, then two types of cements (Block HC Cem and Super Bond) were bonded. After 24 h storage, bond strengths were measured. Surface free energy measurements were performed of the treated CAD/CAM composite blocks surfaces. The groups ii) and iii) showed significantly higher bond strengths than the group i), apart from VITA Enamic with Block HC Cem. Although the total surface free energy showed different trends in different surface treatments, a similar trend was found in both CAD/CAM composite blocks.

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., (© 2013 Eur J Oral Sci.)

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.

Single-step self-etch adhesive systems have been developed to simplify and shorten bonding procedures. With the gain in popularity of these simplified systems, their reliability has become a focus of interest. The purpose of this study was to determine the effect of adhesive application method on enamel bond strength. Two commercial single-step self-etch adhesive systems, Clearfil tri-S Bond, and G-Bond, were used. Bovine mandibular incisors were mounted in self-curing resin and the facial enamel surfaces were ground wet on 600-grit SiC paper. Adhesives were only applied without agitation (inactive) or were agitated by a brush (active), and resin composites were condensed into the mold on the enamel surface and light-activated. Ten specimens per test group were stored in water at 37 degrees C for 24 h, then shear-tested at a cross-head speed of 1.0 mm/min. Two-way ANOVA followed by the Tukey HSD test were used. The bond strengths for active application were higher than those for inactive application. Significant differences were found for both adhesive systems. From the results of this study, active application of single-step self-etch adhesive may help to ensure the creation of a roughened enamel surface and enhance the penetration of resin monomer into the subsurface demineralized enamel.

This study evaluated the clinical performance of five single-step self-etch adhesive systems over a one-year follow-up period in 98 restorations. Independent evaluations were performed at baseline (one week), after three months, six months, and one year, by two trained examiners using the modified US Public Health Service rating criteria. Color match, marginal integrity, anatomical form, surface roughness, marginal or interfacial staining, postoperative sensitivity, and secondary caries were evaluated. Results were analyzed using the Kruskal-Wallis test at a significance level of p<0.05. After one year, the restorations were re-evaluated and 100% retention rate was recorded. No caries were detected in association with any of the restorations. Marginal adaptation was the only measure that showed a slight deterioration over time, and there were no significant differences in this factor among the adhesive systems tested (p=0.464).

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.

Introduction: Tests of bond strength between orthodontic brackets and enamel are generally conducted after at least 24 hours storage in water. However, debonding might occur soon after bracket placement during orthodontic treatment. We investigated the rate of bond strength development for orthodontic adhesives in bracket bonding., Methods: Four orthodontic adhesive systems were examined. Bovine incisors were mounted in self-curing acrylic resin, and the facial surfaces were wet-ground to expose flat enamel. Orthodontic brackets were bonded according to the manufacturers' instructions. Shear bond strengths were measured after storage in water for 5, 10, and 60 minutes, and 24 hours. Differences between bond strengths at 24 hours and the other test periods were statistically analyzed., Results: All materials tested had the highest bond strengths at 24 hours, and bond strength increased with storage time. The earliest time point at which there was no significant difference in bond strength compared with that at 24 hours was defined as the initial stable time. Differences in this value might have clinical implications for the assessment of orthodontic adhesives, which can incur high stresses immediately after placement., Conclusions: The rate of development of enamel bond strength must be considered to ensure sufficient maturation of orthodontic adhesives before functional loading.

This study was conducted to clarify the influence of dentin surface moisture on bond strength of single-step self-etch adhesive systems. The adhesive systems used were Adper Prompt L-Pop (AP), Clearfil tri-S Bond (CT), Fluoro Bond Shake One (FB), G-Bond (GB), and One-Up Bond F Plus (OF). Bovine mandibular incisors were wet-ground with #600 SiC to expose the labial dentin. After rinsing with tap water, the dentin surface was dried with air for 10 sec (Dry condition) or blotted (Wet condition). Adhesives were applied according to each manufacturer's instructions, followed by resin composite polymerization. Ten samples per test group were stored in distilled water at 37 degrees C for 24 h, then shear tested at a crosshead speed of 1.0 mm/min. The data were analyzed by Student's t test and Tukey HSD test at a probability level of 0.05. The mean bond strengths for Dry condition ranged from 13.9 MPa to 18.2 MPa, and those for Wet condition ranged from 7.1 MPa to 18.4 MPa. Significantly lower bond strengths were obtained for the Wet condition for GB, FB, and OF. Failure after the test was commonly due to adhesive breakdown associated with partial cohesive failure in the dentin. These data suggest that air-drying of the dentin surface is appropriate for the adhesive systems tested.

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.

The purpose of this study was to clarify the effect of thermal cycling on dentin bond strengths of single-step self-etch adhesives. Five commercially available single-step self-etch systems were used. The adhesives were applied to the dentin surfaces of bovine incisors, and then light-irradiated. Resin composites were condensed into a mold and light-irradiated. Bonded specimens were divided into two groups and stored in water at 37 degrees C for 24 h without thermal cycling, or in water at 37 degrees C for 24 h followed by 10,000 thermal cycles between 5 degrees C and 60 degrees C. Ten samples per group were tested for shear strength at a crosshead speed of 1.0 mm/min. The data were analyzed by Student's t test and Tukey HSD test at a probability level of 0.05. After 24 h of storage in water, the mean dentin bond strengths ranged from 9.3 MPa to 14.0 MPa. After 10,000 thermal cycles, the mean bond strengths remained unchanged. Failure after the test was commonly due to adhesive breakdown associated with partial cohesive failure of the resin. The present results suggest that the benefit of using single-step self-etch systems, in terms of simplifying the clinical procedure, might be acceptable even after thermal stresses.

The purpose of this study was to investigate the influence of light intensity on dentin bond strengths of four self-etch adhesive systems. The light intensities used to polymerize specimens were controlled at levels of 150, 300, 600, and 900 mW/cm2. The two-step self-etch adhesive systems Imperva Fluoro Bond and Mac Bond II, and the one-step self-etch systems Fluoro Bond Shake-One and One-Up Bond F Plus were used with their corresponding light-cured resins. Labial surfaces of lower bovine incisors were ground with #600 grit SiC paper to expose the dentin. The dentin surfaces were treated according to each manufacturer's instructions and bonded with resin composites. A shear bond strength test was performed and the data were analyzed by one-way ANOVA followed by Newman-Keuls multiple comparison at a level of 0.05. Statistical analysis of the data indicated that light intensity affected the dentin bond strengths of the adhesive systems tested. Significantly lower bond strengths were obtained by exposure to 150 mW/cm2, and there were no differences between the bond strengths obtained at 600 and 900 mW/cm2 for all the adhesive systems used. Further research will be required to clarify the irradiance-dependent properties of light-cured resin adhesive systems.

This study aimed to determine the influence of metal conditioners on the polymerization behavior of bonding agents. Bonding agents of two-step self-etching primer systems and metal conditioners for adhesion of dental metal alloys were used. Double bond conversion was determined by Fourier transform-ation infrared spectroscopy. The percentage of residual double bonds, including pendant and monomeric double bonds, was calculated by comparing the obtained ratio with that of the uncured bonding agent. The degree of conversion of the bonding agents was obtained by subtracting the remaining double bonds from 100%. ANOVA followed by a Tukey HDS test was performed. Degree of conversion of the bonding agents ranged from 86.0 to 87.8%. When the bonding agents were mixed with metal conditioners or solvents of the metal conditioners, double bond conversion of the bonding agents tended to decrease. Within the limitations of this study, which was far removed from clinical situations, the presence of metal conditioners and remaining solvents had adverse effects on the polymerization reaction of bonding agents. Clinicians should be cognizant of the various factors that can influence bond strength of restorative resins to dentin.

This study examined the influence of various adhesive systems on dentin bond strength of direct core foundation resins. Two commercially available direct core foundation resin systems and 2 adhesive polymerization modes were used. Facial bovine dentin surfaces were wet ground on 600-grit SiC paper. Dentin surfaces were treated according to the manufacturers' instructions and were light polymerized (control). Chemical- and light-polymerized adhesive systems were used separately. The resin paste was condensed into a mold and bonded to the dentin surface. Ten specimens per test group were stored in water at 37 degrees C for 24 hours, and a shear test was conducted at a crosshead speed of 1.0 mm/minute using a universal testing machine. Analysis of variance (ANOVA) and Duncan's multiple comparison test were performed (alpha = 0.05). Dual polymerization of resin pastes revealed higher bond strength with the combination of light-polymerized adhesive (22.8-24.3 MPa), but significantly lower bond strength with the combination of a chemical-polymerized adhesive (4.2-5.7 MPa). The present data suggests that dentin bond strengths in direct core foundation systems can be influenced by the combination of adhesive and resin paste.

The purpose of this study was to determine the elastic moduli of the components at resin-dentin interface with the use of an ultrasonic device. Dentin plates were obtained from freshly extracted bovine incisors with a shape in rectangular form. Resin composites and bonding agents were polymerized and trimmed in the same shape as the dentin specimens. The ultrasonic equipment employed in this study was comprised of a Pulser-Receiver, transducers, and an oscilloscope. Each elastic modulus was determined by measuring the longitudinal and shear wave sound velocities. The mean elastic modulus of mineralized dentin was 17.4 GPa, while that of demineralized dentin was 1.4 GPa. When the demineralized dentin was immersed in bonding agents, the elastic modulus changed to 3.7-4.7 GPa, and these values were significantly higher than those of demineralized dentin. A gradient in elastic modulus was detected as the analysis shifted from the dentin side to the resin composite.

The purpose of this study was to investigate the effect of previous phosphoric acid etching on the dentin bond strength of single-step self-etch adhesive systems. Facial surfaces of bovine teeth were wet ground with #600 SiC paper. Adhesives were applied with and without previous phosphoric acid etching, and light irradiated. Resin composite was bonded to the adherend surface, followed by light irradiation and storage in water at 37°C. Four groups (n = 10) were made per adhesive system: with and without previous acid etching and with and without thermal cycling between 5°C and 55°C for 10,000 cycles. Specimens were tested in a shear mode at a crosshead speed of 1.0 mm/min. Two-way ANOVA and Tukey HSD test at a level of 0.05 were performed. The changes in dentin bond strengths were different among the adhesive systems tested. In all experimental conditions of this study, the dentin bond strength decreased or remained unchanged with previous acid etching. From the results of this study, previous acid etching might not be acceptable for increasing dentin bond strength of the single-step self-etch adhesive systems. [ABSTRACT FROM AUTHOR]