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It has been shown that irradiation can cause structural changes in dentin that may reduce the bond strength of adhesives to dentin. Applying cross-linking or antioxidant agents may help reverse this detrimental effect and improve adhesion to dentin. This in vitro study aimed to evaluate the effects of epigallocatechin-3-gallate (EGCG) pretreatment and the time of adhesive bonding (24 hours vs 1 month) on the shear bond strength (SBS) of All-Bond Universal (ABU) to irradiated dentin using etch-and-rinse (ER) and self-etching (SE) modes. Flat dentin surfaces prepared from 96 extracted intact human molars were divided into 8 groups (n = 12) and bonded with ABU. In the control (CO) groups (CO/ER and CO/SE), bonding was performed on nonirradiated dentin; in the irradiated (IR) groups (IR/ER and IR/SE), bonding was performed on irradiated dentin; in the irradiated pretreated groups (IR/EGCG/ER and IR/EGCG/SE), irradiated dentin received a 0.1% EGCG pretreatment before bonding; and in the irradiated delayed bonding (DL) groups (IR/DL/ER and IR/DL/SE), bonding on irradiated dentin was performed 1 month after completion of radiotherapy. The irradiation protocol consisted of a total dose of 60 Gy with 2-Gy exposure applied 5 days per week for a period of 6 weeks. After bonding procedures were completed, the specimens were stored in 100% humidity at 37°C for 24 hours and then the SBS was tested in a universal testing machine. Data were analyzed using 1-way analysis of variance and Tukey tests. There was a statistically significant difference among the 8 groups (P < 0.001). Irradiation diminished the SBS in the IR/ER and IR/SE groups compared with their controls (P < 0.001). Pretreatment with EGCG significantly increased the SBS in the IR/EGCG/ER group only (P < 0.001). The difference between the IR/ER and IR/DL/ER groups was not statistically significant, and the difference between the IR/SE and IR/DL/SE groups was marginally significant (P = 0.056). Pretreatment with EGCG after acid etching restored the SBS of ABU to irradiated dentin, resulting in an adhesive performance equivalent to that observed with nonirradiated dentin. A 1-month delay between irradiation and bonding did not improve the SBS., Competing Interests: No conflicts of interest reported.

Objective: This study evaluated the effect of two natural antioxidants on the compromised bond strength of a resin-modified glass ionomer (RMGI) to the sodium hypochlorite (NaOCl)-affected pulp chamber dentin., Methods: Forty-two sound third molars were split into halves. The exposed pulp chamber dentin was ground to provide the flat dentin surfaces and divided into seven groups (n = 12), according to the solutions used for immersion: (1) Control, distilled water; (2) NaOCl, 5.25% NaOCl for 20 min; (3) NaOCl/Ethylenediaminetetraacetic acid (EDTA); 5.25% NaOCl for 20 min + 17% EDTA for 1 min; (4) NaOCl/TA, 5.25% NaOCl + 10% tanic acid (TA) for 5 min; (5) NaOCl/EDTA/TA, 5.25% NaOCl + 17% EDTA + 10% TA for 5 min; (6) NaOCl/PA, 5.25% NaOCl+ 10% proanthocyanidin for 5 min; and (7) NaOCl/EDTA/PA, 5.25% NaOCl+ 17% EDTA + 10% PA for 5 min. The RMGI was bonded on the treated dentin using a Tygon tube. After 24 h of storage, microshear bond strength (µSBS) was tested. Data in MPa were submitted to one-way analysis of variance and Tamhane test., Results: NaOCl significantly decreased the µSBS; NaOCl/EDTA and NaOCl/TA significantly increased the µSBS, higher than the control group (p < .05); and in the NaOCl/EDTA/TA group, the increased bond strength was at the level of the control group (p > .05). NaOCl/PA and NaOCl/EDTA/PA and NaOCl groups had comparable µSBS., Conclusion: TA could be suggested to provide effective bonding of RMGI and immediate sealing of the pulp chamber dentin after NaOCl irrigation., (© 2022 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.)

Objective: Given the importance of preserving caries-affected dentin (CAD) in conservative dentistry, the shear bond strength (SBS) of different resin cements to CAD has been investigated. Here, we aimed to compare the SBS and remineralizing effect of a calcium silicate (TheraCem) and conventional self-adhesive cement (Panavia SA) on the SBS of CAD., Materials and Methods: Forty-eight extracted third molars (24 sound and 24 CAD) were used. In each group, 12 teeth were prepared for bonding to TheraCem or Panavia SA. After removal of the enamel and caries, resin composite cylinders were luted on the prepared dentin. After 28 days of storage in the artificial saliva, SBS was measured and the failure mode analysis was investigated. The images of fractured sections were analyzed using scanning electron microscopy and energy-dispersive X-ray to evaluate the Ca/P weight ratio., Results: SBS of CAD and sound dentin was not different when cemented with TheraCem (9.56 ± 4.51 vs. 9.17 ± 2.76, p = .806), but the CAD showed significantly lower SBS to Panavia SA (9.4 ± 2.36 vs. 7.39 ± 2.18, p = .015). The Ca/P ratio in CAD was significantly higher when bonded to both TheraCem and Panavia-SA than that of the controls (p = .001); however, this ratio was not different for those bonded to TheraCem compared to Panavia SA., Conclusions: Based on our results, TheraCem as a calcium silicate cement shows better SBS to attach the restoration to CAD as compared to Panavia SA. Obliteration and mineralization of the dentinal tubules in TheraCem were also higher than in Panavia SA. However, their ability to improve the amount of the Ca/P ratio in CAD was similar., (© 2022 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.)

Purpose: To evaluate the influence of tannic acid and quercetin on the immediate microshear bond strength (μSBS) of two resin cements to dentin after internal bleaching., Materials and Methods: The access cavity in eighty extracted maxillary incisors was internally bleached except the control groups. The labial surfaces were ground to expose a flat dentin surface. The specimens were randomly divided into eight groups (n=10) as follows: 1) Control/Dou; Doulink without bleaching, 2) Bl/Dou; Bleaching+Doulink, 3) Bl+Ta/ Dou; Bleaching+Tannic acid+Doulink, 4) Bl+Qu/Dou;Bleaching+Quercetin+Doulink, 5) Control/ PSA; Panavia SA without bleaching, 6) Bl/PSA;Bleaching+Panavia SA, 7) Bl+Ta/ PSA; Bleaching+Tannic acid+Panavia SA, 8) Bl+Qu+PSA; Bleaching+Quercetin+Panavia SA. After 24 hours, the μSBS of the specimens was tested and the obtained data were analyzed with two-way ANOVA and Tamhane test (p⟨0.05)., Results: The µSBS of Doulink groups were higher than the PSA groups (p⟨0.001). The μSBS of Bl+Ta/Dou and Bl+Qu/ Dou groups did not differ from Bl/Dou (p⟩0.05). The μSBS of Bl+Ta/PSA group was statistically significantly higher than the Bl/PSA group (p⟨0.001). There was no significant difference between µSBS of Bl+Qu/PSA and Bl/PSA groups (p=0.39)., Conclusions: TA partially reversed the negative influence of internal bleaching on the µSBS of Panavia SA while quercetin did not increase the bond strength of both resin cements., (Copyright© 2022 Dennis Barber Ltd.)

Purpose: To evaluate the proportion of microleakage (PM), shear bond strength (SBS), and the fissure sealant (FS) interface by scanning electron microscopy (SEM) in three kinds of FS when the enamel surfaces were contaminated with saliva., Methods: 198 sound third molar teeth were randomly divided into three pretreatment condition groups (n = 66): dry, saliva contamination removed by cotton pellet, or saliva removed by air-drying. A resin-based FS (Clinpro™), amorphous calcium phosphate-containing FS (Aegis®), or glass ionomer-based FS (Fuji Triage®) was applied on the treated enamel, and PM and SBS were assessed. Two specimens from each group were observed with SEM. p values < 0.05 was considered statistically significant., Results: Glass ionomer-based FS showed the highest PM in all three surface conditions (p values < 0.05 were considered statistically significant). No significant difference in PM was observed between resin-based FS and amorphous calcium phosphate-containing FS (p > 0.05). Resin-based FS showed significantly greater SBS in all three surface conditions compared to glass ionomer-based FS. SEM observations showed that saliva contamination led to gaps at the enamel-sealant interface., Conclusion: Neither cotton pellet-drying nor air-drying effectively removed saliva from the contaminated enamel surface. Glass ionomer-based FS showed the highest PM and the lowest SBS in contaminated and noncontaminated conditions. The highest SBS was obtained with resin-based FS., (© 2021. European Academy of Paediatric Dentistry.)

This study was conducted to evaluate whether antibacterial pretreatment irrigation with silver nanoparticles (SNPs) and silver diamine fluoride (SDF) has any effect on bond strength of fiber posts cemented with three types of resin cements in root canal space. Fifty-four endodontically treated maxillary central incisor roots were prepared for fiber post (FRC Postec Plus NO.3, Ivoclar Vivadent) cementation and divided into nine groups in terms of three cement types and two pretreatments with silver antibacterial agents. The cements were as follows: an etch-and-rinse cement (ER, Excite DSC/Variolink N), a self-etch cement (SE, ED Primer/Panavia F2.0), and a self-adhesive cement (SA, Panavia SA Luting Plus). For each cement, the control group was with no treatment and two experimental groups were with SNPs and SDF treatments that were used after acid-etching for ER cement and after EDTA treatment for SE and SA cements. After fiber post cementation, each bonded root was horizontally sectioned into 1-mm thickness microslices to create two slices for each root region (apical, middle and coronal) and underwent push-out bond strength (PBS) test. Data in MPa were analyzed with two-way ANOVA and Tukey test (p=0.05). The interaction of the pretreatment type and cement type was significant (p<0.001). SNPs and SDF significantly increased PBS with ER cement (p≤0.04). This positive effect was also marginally significant for SDF with SE cement (p=0.049). For SA cement, SNPs showed a significant positive effect, but SDF had a significant adverse effect on PBS (p<0.001). The effect of pretreatment with silver antibacterial agents prior to adhesive cementation of fiber posts depends on the resin cement used. Contrary to SNPs with beneficial or no significant effect on bonding for all cements, SDF exhibited a deleterious effect with self-adhesive cement.

Aim: This study was conducted to evaluate the effects of three nanoparticle solutions used as dentin pretreatments on the microshear bond strength (µSBS) of a conventional glass ionomer cement (GIC) to dentin., Materials and Methods: Ninety intact human molars were used after sectioning their occlusal surfaces to expose flat dentin surfaces. The specimens were randomly assigned to nine groups (n = 10). Group A was the control group (without using the cavity disinfectant). In groups B, C, D, and E, the prepared dentin surfaces were treated with 1 cc 2% chlorhexidine (CHX), 0.1% silver nanoparticle (SNP), 0.1% titanium dioxide nanoparticle (TNP), and 0.1% zinc oxide nanoparticle (ZNP) solutions for 1 minute, respectively, before applying the conditioner. CHX, SNPs, TNPs, and ZNPs were applied for 1 minute after applying the conditioner in groups F, G, H, and I, respectively. The specimens were restored with a conventional GIC and underwent µSBS testing after 24 hours. The data were analyzed using the one-way analysis of variance and Tukey's test (p=0.05)., Results: The applications of the nanoparticles (SNP, TNP, and ZNP) after the conditioner were associated with significantly greater µSBS values compared to that of the control group (p values < 0.05). Significantly higher µSBS values were observed when TNP or ZNP was applied after the conditioner compared to their applications before the conditioner (p values < 0.05). The highest µSBS values were observed when TNP was applied after the conditioner., Conclusion: Dentin pretreatment with the nanoparticles after applying the conditioner enhanced the bond strength of the GIC to dentin compared with the control group. The best results were obtained for the TNPs applied after the conditioner., Competing Interests: The authors report no conflicts of interest in this work., (© 2020 Jowkar et al.)

Objective: To evaluate the effect of Er:YAG etching on topography, microstructure, compressive strength, and shear bond strength (SBS) of All-Bond Universal adhesive to mineral trioxide aggregate-Angelus (AMTA) and Biodentine (BD)., Methods and Materials: Sixty cylindrical specimens of each cement (AMTA and BD) in five groups were prepared and stored for 72 h. The control groups were non-etched, and four other groups were acid-etched and laser-etched with a pulse energy of 60, 80, or 100 mJ, followed by compressive strength testing. Surface micromorphology and topography were evaluated. Similar groups were bonded using All-Bond Universal with self-etch and etch-and-rinse (acid-etch) approaches, and laser-etch 60, 80, and 100 mJ, and SBS was tested. Data were analyzed using two-way and one-way ANOVA and the Bonferroni post hoc tests (α = 0.05)., Results: BD had a significantly higher compressive strength and SBS (except for laser-etch 100) compared to AMTA, regardless of the etching method (p < 0.001). Acid etching and laser etching 100 of both cements and laser etching 80 of BD alone produced a significantly lower compressive strength than that for the other groups. Contrary to BD, for AMTA, all the treatments significantly increased SBS compared to that of the self-etch group., Conclusions: Etching of AMTA was needed for stronger bonding; laser etching with 60 or 80 mJ without compromising compressive strength was recommended. Etching not only did not improve bonding ability of BD, but it also negatively affected the strength of BD., Clinical Relevance: To achieve successful combined calcium silicate cement-resin material restoration, an adequate bond between the materials is mandatory. This might be provided with the ultramild adhesive through laser etching without compromising compressive strength, depending on cement composition and laser energy level used.

Objective: The aim of this study was to compare the effects of three enamel etching modes - laser-etch, self-etch and acid-etch (5, 10 and 15 s) - on bracket bonding, using a universal adhesive., Methods: Eighty-four maxillary premolars were randomly divided into seven groups (n=12) based on the etching method and the adhesive used for bracket bonding. After water storage and thermocycling, shear bond strength was measured, and adhesive remnant index scores on debonded enamel were determined., Results: There were significant differences between the seven groups regarding bond strength values (p< 0.001). The highest values were observed in universal adhesive with laser etching group, while Transbond XT with acid or laser etching, and universal adhesive used in self-etch mode demonstrated the lowest bond strength. The universal adhesive with the three different etching times presented with statistically similar results, all showing an improvement in bond strength, compared with Scotchbond universal (SBU)/SE., Conclusions: The universal adhesive evaluated in the present study demonstrated statistically similar bond strengths to conventional orthodontic adhesive in self-etch mode. The bond strength can be improved by adding an initial acid etching or laser conditioning step, although enamel damage was observed in some cases.

This study evaluated the influence of operator skill on the shear bond strength of a self-adhesive resin cement to dentin after different adhesive treatments. Flat dentin surfaces were prepared on 160 extracted molars. The teeth were distributed evenly (n = 80) to 2 groups based on the operator's skill (undergraduate dental student vs operative dentistry specialist). The teeth in each operator group were distributed into 5 groups based on pretreatments used before they were cemented to indirect composite resin cylinders with Panavia SA Luting Plus resin cement. The operators prepared the dentin surfaces for bonding according to the following pretreatment groups: 1, no treatment; 2, phosphoric acid etching; 3, Clearfil Universal Bond in etch-and-rinse mode; 4, Clearfil Universal Bond in self-etching mode; and 5, Clearfil SE Bond 2-step adhesive. After cementation was performed by the 2 operator groups, shear bond strength testing was performed, and data were analyzed with 2-way analysis of variance. The effects of operator skill and surface pretreatment and their cumulative effect were statistically significant (P < 0.05). The shear bond strength of the control group in the student group was significantly greater than that of the specialist group (P = 0.02). In group 5 (2-step adhesive), the shear bond strength of the specialist group was significantly greater than that of the student group (P < 0.001). The use of acid etching and the 3 adhesive treatments improved the bonding ability of resin cement for the expert group. This positive effect was observed only in the etch-and-rinse and self-etching modes for the student group. Extensive clinical experience did not have a positive effect on the bonding effectiveness of resin cement with no pretreatment, while the expert group showed better results in applying this cement with a 2-step adhesive pretreatment.

Purpose: To evaluate the influence of alloy/zirconia primer and 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-containing resin layer treatments on the shear bond strength (SBS) of composite resin to zirconia after aging., Materials and Methods: Sixty zirconia (Y-TZP) blocks were air-abraded (35-µm Al 2 O 3 ) and divided into 6 experimental groups (n = 10) in terms of primer/resin layer as follows: (1) control, without any primer or resin; (2) AP, Alloy Primer; (3) ZPP, Z-Prime Plus; (4) PL/ZPP, Z-Prime Plus with light polymerization; (5) AP+SEB, Alloy Primer along with light-cured bonding resin of a self-etch adhesive system (SE Bond); and (6) ZPP+SEB, Z-Prime Plus with SE Bond. After composite resin placement and light polymerization, the specimens were stored in distilled water (37°C for 4 months) and thermal-cycled for 6000 cycles. The SBS was tested with a universal testing machine. Statistical analysis of the SBS data was performed with one-way ANOVA, followed by HSD Tukey test (α = 0.05)., Results: There were significant differences between the groups (p < 0.001, F = 116.5). All the groups revealed significantly higher SBS than the control (p < 0.001). ZPP+SEB group exhibited the highest SBS (16.14 ± 2.52 MPa) and AP group the lowest SBS (7.00 ± 1.97 MPa) among experimental groups; both had significant differences with the other groups (p < 0.001). There were no significant differences between ZPP, PL/ZPP, and AP+SEB groups (p > 0.05)., Conclusions: The bond strength between zirconia ceramic and composite resin was affected by different primers/resin layer. Applying an MDP-containing resin layer along with both primers resulted in significant enhancement of SBS. This improvement for Z-Prime Plus was significantly higher than that of Alloy Primer., (© 2018 by the American College of Prosthodontists.)

Aim: The aim of this study is to investigate whether different cavity pretreatment approaches affect the strength of premolars restored with self-adhesive (SA) resin cemented-composite resin inlays after mechanical and water aging., Materials and Methods: A total of 120 intact maxillary premolars were divided into 10 groups ( n = 12). Mesio-occluso-distal (MOD) cavities were prepared in the teeth of nine groups, except group I in which the teeth remained intact. In group II, cavities were unrestored. Following fabrication of composite resin inlays for groups III-X, in group III, the inlays were cemented using the etch-and-rinse (E and R) adhesive/conventional resin cement. In other groups, cementation was performed using a SA cement with or without cavity pretreatments as follows: group IV: SA cement alone, group V: acid etching of enamel and dentin, group VI: acid etching of enamel, group VII: universal adhesive in the selective enamel-etching mode, group VIII: universal adhesive in the E and R mode, group IX: ethylenediaminetetraacetic acid (EDTA) conditioning, and group X: 20% polyacrylic acid conditioning. After aging processes, static fracture resistance was tested. Data were analyzed using one-way ANOVA and Dunn tests ( α = 0.05)., Results: Fracture resistance of the 10 groups yielded a significant difference ( p < 0.001). The median fracture resistances in Newton were the following: Gr I = 1025 A , Gr II = 311 BC , Gr III = 785 A , Gr IV = 500 B , Gr V = 435 B , Gr VI = 775 A , Gr VII = 805 A , Gr VIII = 411 BC , Gr IX = 397 BC , and Gr X = 312 C ., Conclusion: Unlike the conventional method, SA cementation could not restore the strength of inlay-cemented premolars. Selective enamel acid etching with or without universal adhesive significantly increased the fracture resistance., Clinical Significance: Selective enamel acid etching is recommended for increasing the fracture resistance of the SA cemented composite inlay to the level of intact teeth.

Aim: To assess the effect of acid-etching duration time on the compressive strength, microstructure and shear bond strength of All-Bond Universal adhesive to MTA-Angelus (AMTA), and Biodentine (BD)., Methodology: Forty-eight cylindrical specimens (4 mm in diameter, 6 mm in height) of AMTA in four groups and 48 specimens of BD in four groups (n = 12) were prepared and stored for 72 h. The control groups were unetched whilst the three experimental groups were acid-etched for 5, 10 and 15 s, respectively, followed by compressive strength testing. The effect of the various acid-etching times on surface micromorphology was evaluated under a scanning electron microscope. Similar groups were bonded using All-Bond Universal and Aelite Flo and shear bond strength was tested. Data were analysed using two-way ANOVA and Tukey tests., Results: 10-s and 15-s acid-etching reduced the compressive strength of AMTA and BD (P < 0.001), while 5-s etching did not (P ≤ 0.86). In all the groups, BD had greater compressive strength compared to AMTA. Contrary to BD, the three etched AMTA groups had significantly higher shear bond strength compared to the control group (P < 0.001), with no significant differences between them. The etched groups of AMTA had shear bond strengths comparable to all the BD groups. Scanning electron microscope observations indicated variable surface morphologies such as remnant crystals and cracking/eroding in all our groups of AMTA; though these differences were less prominent for BD., Conclusions: Shortening the acid-etching time to 5 s resulted in a beneficial effect in terms of resin bonding for AMTA while preventing the detrimental effect of 10-s and 15-s etching on the compressive strength of AMTA and BD. However, the three etching times had no effect on resin-BD bond., (© 2018 International Endodontic Journal. Published by John Wiley & Sons Ltd.)

Purpose: To evaluate the effect of the application sequence of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) paste (MI paste) on shear bond strength (SBS) of 2 etch-and-rinse resin cements to dentin., Materials and Methods: Sixty extracted human maxillary premolars were cut to expose the mid-coronal dentin surfaces. The teeth were randomly divided into 6 groups (n = 10), based on the resin cement used and CPP-ACP application. In groups 1-3, Excite DSC/Variolink II and in groups 2-4, One-Step Plus/Duolink was bonded to dentin. There were 3 groups for each cement as follows: with no treatment as a control; 3-minute application of CPP-ACP before acid etching (CPP-ACP/Etching); 3-minute application of CPP-ACP after acid etching (Etching/CPP-ACP). After storage in distilled water at 37°C for 24 hours, SBS test was performed. Data were analyzed with 2-way ANOVA and post-hoc Tukey test (α = 0.05)., Results: CPP-ACP application on the dentin before and after acid etching significantly decreased the SBS of OS/Duolink (13.60 and 14.71 MPa, respectively vs. control; 21.21 MPa, p < 0.001); however, it did not influence the SBS of Excite DSC/Variolink II (25.14 MPa) before acid etching (27.37 MPa) or after acid etching (26.41 MPa, p > 0.388). The application sequence of CPP-ACP did not influence the SBS of etch-and-rinse resin cements evaluated., Conclusion: CPP-ACP applications may lower the SBS in some etch-and-rinse resin cements, and timing of applications makes no difference., (© 2019 by the American College of Prosthodontists.)

This study investigated the effect of dentin-desensitizing treatment with a casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) paste on shear bond strength (SBS) of two types of self-adhering (SA) restorative materials: resin-modified glass-ionomer (Fuji II LC, GC) and self-adhering flowable composite resin (Vertise Flow, Kerr). Flat and smear layer-free dentin surfaces from 48 extracted molars were prepared and divided into four groups (n = 12 per group) according to Fuji II LC or Vertise Flow and CPP-ACP pretreatment or not. After SBS testing, data were statistically analyzed. The adhesive interfaces were examined by scanning electron microscopy. SBS was significantly affected by CPP-ACP treatment (P < .001) and SA material (P < .05). The interaction of the two factors was not significant. The results suggested that the CPP-ACP pretreatment of the exposed dentin could have a beneficial effect on bonding ability and interfacial integrity of both SA materials so that intimately adapted interfaces were observed in CPP-ACP groups.

Successful repair of defective composite resin restorations is considered a conservative treatment. The aim of this study was to compare the repair bond strengths of a methacrylate composite (MC) and a silorane composite (SC) repaired after 5 different intervals. Seventy-two test specimens of each material (MC and SC) were prepared. The specimens of each material were divided into 6 groups (n = 12): 1, control (additional composite bonded immediately after polymerization of the substrate composite resin); 2, repaired after 20 minutes; 3, repaired after 24 hours; 4, repaired after 1 week; 5, repaired after 1 month; and 6, repaired after 6 months. Repair consisted of placement of a layer of adhesive bonding agent and then new composite using a plastic mold. Each repair was made with the same material as the original specimen but in a different shade to facilitate fracture assessment. The repaired specimens were stored in distilled water at 37°C for 24 hours before they were submitted to a shear test. There was no statistically significant difference between group MC1 and the other MC groups, except for group MC4, which had lower shear bond strength (SBS) values than groups MC1, MC2, and MC3. Among the SC specimens, all the groups had significantly lower SBS values than group SC1. The mean SBS values of groups SC4, SC5, and SC6 were significantly lower than the SBS of group SC2. All the SC repair time groups presented significantly lower SBS values compared to their corresponding MC groups (P ≤ 0.004). The results showed that the repair bond strength of SC was adversely affected at all time periods, while this effect was not detected for MC groups except for group MC4. The SC material exhibited less repairability than the MC material.

This study was undertaken to investigate whether using a protein cross-linker, 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide (EDC), improves bonding stability of fiber posts to root dentin using three resin cements. Sixty human maxillary central incisor roots were randomly divided into six groups after endodontic treatment, according to the cements used with and without EDC pretreatment. In the etch-and-rinse group, 0.3 M EDC aqueous solution was applied on acid-etched root dentin prior to Excite DSC/Variolink II for post cementation. In the self-etch and self-adhesive groups, EDC was used on EDTA-conditioned root space prior to application of ED Primer II/Panavia F2.0 and Clearfil SA, respectively. After microslicing the root dentin, a push-out bond strength (BS) test was performed immediately or after one-year of water storage for each group. Data were analyzed using three-way analysis of variance and Tukey tests (α=0.05). A significant effect of cement type, time, EDC, and Time × Cement and Time × EDC interactions were observed (p≤0.001). EDC pretreatment did not affect immediate bonding of the three cements (p>0.05). Aging significantly reduced the BS in all the groups (p≤0.001), but EDC groups exhibited a higher BS compared with the respective control groups (p<0.001). Despite the significant effect of aging on decreasing the BS of fiber post to radicular dentin, EDC could diminish this effect for the three tested cements.

Preservation of enamel during composite veneer restorations of fluorosed teeth could be achieved by conservative preparation with Erbium lasers. This study evaluated the effect of fluorosed enamel preparation with Er,Cr:YSGG vs. conventional diamond bur on the micromorphology and bond strength of a self-etch and an etch-and-rinse adhesives. Er,Cr:YSGG laser or diamond bur preparation was performed on the flattened midbuccal surfaces of 70 extracted human premolars with moderate fluorosis (according to Thylstrup and Fejerskov index, TFI = 4-6). Adper Single Bond (SB) with acid etching for 20 or 40 s and Clearfil SE Bond (SEB) alone or with additional etching was applied in four laser groups. The same adhesive procedures were used in three bur groups except for 40 s of etching along with SB. After restoration, microshear bond strength was measured (MPa). Data were analyzed using ANOVA and Tamhane tests (α = 0.05). Six additional specimens were differently prepared and conditioned for scanning electron microscopy evaluation. The highest and lowest bond strengths were obtained for bur-prepared/SB (39.5) and laser-prepared/SEB (16.9), respectively, with a significant difference (P = 0.001). The different adhesive procedures used associated to two adhesives exhibited insignificantly lower bonding in laser-prepared groups compared to bur-prepared ones (P > 0.05), with the exception of additional etching/SEB, which bonded significantly higher to bur-prepared (36.4) than to laser-prepared enamel (18.7, P = 0.04). Morphological analyses revealed a delicate etch pattern with exposed enamel prisms on laser-prepared fluorosed enamel after acid etching and less microretentive pattern after self-etching primer. The etch-and-rinse adhesive was preferred in the laser-prepared fluorosed enamel in terms of bonding performance., (© 2014 Wiley Periodicals, Inc.)

Purpose: The purpose of this study was to evaluate the influence of prior etching on the sealing of silorane composite restorations in Class V cavity preparations prepared with an Er,Cr:YSGG laser compared to bur preparation in primary teeth., Methods: Standard Class V cavity preparations were prepared on the buccal surfaces of 56 extracted primary canines and randomly divided into four groups of 14 teeth each, according to laser or bur preparation and the use of prior acid etching in the preparation. All cavity preparations were restored with silorane adhesive and silorane composite. After water storage and thermocycling, the specimens were placed in 0.5 percent basic fuchsin dye solution. Dye penetration was evaluated with a stereomicroscope. The data were analyzed with nonparametric tests (P=.05)., Results: Laser preparation and prior etching in bur-prepared cavity preparation had no significant effect on enamel sealing (P>.05), but significantly increased microleakage at the dentin margin (P<.001 and P=.001, respectively). Prior etching in laser-prepared cavity preparations significantly improved sealing at the enamel and dentin margins (P=.009 and P=.003, respectively)., Conclusions: Prior acid etching may be necessary to ensure good marginal sealing when laser preparation is used. However, this step is not required when bur cutting is used in primary teeth.

Objective: This study compared the effects of two disinfection procedures (2% chlorhexidine [CHX] solution versus Er,Cr:YSGG laser irradiation) on the shear bond strength of ED primer II/Panavia F2.0 (ED/P) and Excite DSC/Variolink N (Ex/V)., Background Data: Different methods are used for cavity disinfection prior to adhesive cementation, which may influence the bonding ability of resin cements., Methods: Flat dentin surfaces were prepared on 100 extracted premolars and randomly divided into 10 groups. In the eight experimental groups, indirect composite samples were cemented with either ED/P or Ex/V under three disinfecting conditions on the dentin surface as follows: (1) CHX application before ED primer II/ after etching, (2) wet laser irradiation (Er,Cr:YSGG laser, 20 Hz, 0.75 W, 15% water +15% air), (3) dry laser irradiation with no water and air cooling. The control groups had no disinfectant application. After 24 h water storage, bond strength test was performed. The data (MPa) were analyzed using two way ANOVA and Tukey tests., Results: The lowest and highest bond strengths were obtained by dry laser and wet laser (10.18±2.67 and 17.36±2.94 for ED/P, 9.64±2.66 and 20.07±3.36 for Ex/V, respectively). For each cement, two-by-two comparisons of four groups revealed significant differences only for dry laser with others (p<0.001)., Conclusions: The use of CHX and Er,Cr:YSGG laser at the low fluences with water/air cooling as the antibacterial agents does not adversely influence the bonding ability of the etch-and-rinse and the self-etch cements.

Purpose: This study investigated whether the tubular occluding effect of oxalate desensitizer (OX) during adhesive cementation improved bonding of a self-etch and two etch-and-rinse resin cements to dentin after 6 months., Methods: A flat dentin surface was prepared on 120 extracted premolars, which were randomly divided into six groups of 20 teeth each according to the adhesive resin cement system used: ED primer II/Panavia F2.0, Excite DSC (Ex DSC)/Variolink II, and One-Step Plus (OS Plus)/Duolink, with or without OX (BisBlock) application. After cementation of an indirect composite rod, two subgroups (n=10) were tested after 24 h and 6 months of water storage plus thermocycling, and shear bond strengths were recorded in MPa., Results: Statistical tests showed that although oxalate had a borderline significant negative effect on initial bonding of ED primer II/Panavia F2.0, it significantly improved bonding durability (p<0.05). OX severely compromised the initial bond strength of Ex DSC/Variolink II (p<0.001) but had no effect on the reduction in bonding after aging. OX was compatible with OS Plus/Duolink and did not affect the loss of bonding strength after 6 months (p>0.05)., Conclusion: Combining an oxalate desensitizer with three types of resin cements had different effects on bond strength to dentin after aging, depending on the interaction of oxalate with the adhesive system associated to the resin cement., (Copyright © 2011 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.)

This study evaluated the effect of delayed placement of composite and double application of adhesive on microleakage of two-step, total-etch (single-bottle) adhesives. Standard Class V cavities were prepared in 140 sound premolars and randomly assigned into 10 groups (n = 14). Excite, Optibond Solo Plus, and Adper Scotchbond Multi-Purpose (as a control) were used. After the first layer of single-bottle adhesive was photocured, the adhesive was reapplied and photocured in four of the groups. A microhybrid composite was applied in five of the groups immediately after the adhesive was photocured; in the other five groups, the composite was placed after a three-minute delay. After 24 hours of storage in distilled water and thermocycling, the samples were placed in 1% methylene blue. All samples then were sectioned longitudinally and evaluated for microleakage at the occlusal and gingival margins under a stereomicroscope at 20x magnification. Data were analyzed using nonparametric tests. Delayed placement of composite significantly increased leakage at the gingival margins when single-bottle adhesives were used (p < 0.05). Double application of the single-bottle adhesives significantly reduced leakage at the gingival margin when placement of the composite was delayed. There was no significant difference between single and double application when the composite was placed immediately (p < 0.05).

This in vitro study evaluated the effect of an oxalate desensitizer (OX) on the marginal microleakage of resin composite restorations bonded by two three-step and two two-step etch and rinse adhesives. Class V cavities were prepared on the buccal surfaces of 126 extracted premolars at the cementoenamel junction and randomly divided into nine groups of 14 each. In the control groups (1-4), four adhesives were applied, respectively, including Adper Scotchbond Multi-Purpose (SBMP), Optibond FL (OBFL), One-Step Plus (OS) and Excite (EX). In the experimental groups (5-8), the same adhesives, in combination with OX (BisBlock), were applied. And, in one group, OX was applied without any adhesive, as the negative control group (9). All the groups were restored with a resin composite. After 24 hours of storage in distilled water and thermocycling, the samples were placed in 1% methylene blue dye solution. The dye penetration was evaluated using a stereomicroscope. The data were analyzed using non-parametric tests. The OX application, in combination with OBFL and EX, resulted in significantly increasing microleakage at the gingival margins (p < 0.05), while it had no effect on OS and SBMP (p > 0.05). At the occlusal margins, no significant difference in microleakage was observed after OX application for each of four adhesives (p > 0.05).

Introduction: Retreatment procedures might affect the adhesion capability of refilling materials to dentinal walls. The purpose of this study was to compare the effect of different retreatment techniques on bond strength of Resilon (Resilon Research LLC, Madison, CT)/Epiphany (Pentron Clinical Technologies, LLC, Wallingford, CT) self-etch (SE) with radicular dentin after canal reobturation., Methods: Sixty extracted single-rooted human teeth were prepared using Mtwo rotary files (VDW, Munich, Germany) and obturated with Resilon/Epiphany SE. The roots were randomly divided into four groups; in group 1, no retreatment procedure was done; group 2 was retreated using Mtwo R/Mtwo files; group 3 was retreated using Mtwo R/Mtwo combined with chloroform; and group 4 was retreated using Mtwo R/Mtwo combined with Endosolv R (Septodont, Paris, France). The root canals were then reobturated with Resilon/Epiphany SE. One-millimeter slices of midroot dentin were prepared for the push-out test (n=30 slices per group). Failure modes after the push-out test were examined under microscopy. The data were analyzed by using a one-way analysis of variance and the Dunnett post hoc test., Results: Group 3 showed significantly the lowest mean bond strength (p<0.02). No significant difference was found between the values of groups 1, 2, and 4 (p>0.26). The mode of bond failure was predominantly adhesive for all groups., Conclusions: This study showed that the bond strength of Resilon/Epiphany SE after root canal retreatment using Mtwo files, either alone or combined with Endosolv R, was not significantly different from that of nonretreated specimens. Chloroform used for retreatment had an adverse effect on the bond strength of Resilon/Epiphany SE after root canal reobturation., (Copyright (c) 2010 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)

Aims: To compare the effects of repeated use of two one-bottle adhesives with that of two all- in- one adhesives (with acetone solvent) on bond strength to dentin., Materials and Methods: A flat dentin surface was prepared on 120 bovine incisors using 600- grit abrasive pape. The teeth were randomly assigned into 12 equal groups. The four adhesive systems [Prime and Bond NT (P&B NT), One-Step Plus (OS), iBond (iB), and G-Bond (GB)] were used at baseline, after the lid of the container had been opened 30 times, and after it had been opened 60 times. Before each use of the adhesives, the lids of the containers were left open for 1 min. The resin composites were applied on the dentin in a cylindrical split mold. After thermocycling, shear bond strength test was performed with a universal testing machine at 1 mm/min. We used Kruskal-Wallis and Dunn tests for statistical analysis., Results: There was no statistically significant difference among bond strength (MPa) of the groups of P&B NT (31.9 +/- 4.6, 31.8 +/- 6.5, 26.1 +/- 6.7) and OS (33.2 +/- 5.1, 30.9 +/- 7, 29.3 +/- 5.9), respectively (P > 0.05). The mean of the bond strength of iB and GB after 60 times (15.3 +/- 4.1 and 12.2 +/- 3.9, respectively) was significantly lower than that of iB and GB at baseline (23.5 +/- 4.8 and 22.2 +/- 4.5, respectively) (P < 0.05)., Conclusions: Repeated use (60 times) of the all-in-one adhesive led to a decline in the dentin bond strength. To avoid this problem it would be advisable to have containers with smaller amounts of adhesive or perhaps those with only a singe dose.