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Research Article
Microleakage and characteristics of resin-tooth tissues interface of a self-etch and an etch-and-rinse adhesive systems
Xuan Vinh Tran, Khanh Quang Tran
Restor Dent Endod 2021;46(2):e30.   Published online May 18, 2021
DOI: https://doi.org/10.5395/rde.2021.46.e30
AbstractAbstract PDFPubReaderePub
Objectives

This study was conducted to compare the microleakage and characteristics of the resin-tooth tissue interface between self-etch and etch-and-rinse adhesive systems after 48 hours and 3 months.

Materials and Methods

40 extracted premolar teeth were randomly divided into 2 groups: 1-step self-etch adhesive system – Optibond™ All-In-One, and 2-step etch-and-rinse adhesive system - Adper™ Single Bond 2. Both groups were subjected to 500 thermocycles (5°C–55°C) before scanning electron microscope (SEM) analysis or microleakage trial at 48-hour and 3-month time periods.

Results

SEM images showed the hybrid layer thickness, diameter, and length of resin tags of the self-etch adhesive (0.42 ± 0.14 µm; 1.49 ± 0.45 µm; 16.35 ± 14.26 µm) were smaller than those of the etch-and-rinse adhesive (4.39 ± 1.52 µm; 3.49 ± 1 µm; 52.81 ± 35.81 µm). In dentin, the microleakage scores of the 2 adhesives were not different in both time periods (48 hours/3 months). However, the microleakage score of etch-and-rinse adhesive increased significantly after 3 months (0.8 ± 0.63 and 1.9 ± 0.88, p < 0.05).

Conclusions

The self-etch adhesive exhibited better long-term sealing ability in dentin when compared to that of the etch-and-rinse adhesive. The greater hybrid layer thickness and dimensions of resin tags did not guarantee reliable, long-lasting sealing in the bonding area.

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Basic Researchs
Bonding efficacy of cured or uncured dentin adhesives in indirect resin
Ji-Hyun Jang, Bin-Na Lee, Hoon-Sang Chang, Yun-Chan Hwang, Won-Mann Oh, In-Nam Hwang
J Korean Acad Conserv Dent 2011;36(6):490-497.   Published online November 30, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.6.490
AbstractAbstract PDFPubReaderePub
Objectives

This study examined the effect of the uncured dentin adhesives on the bond interface between the resin inlay and dentin.

Materials and Methods

Dentin surface was exposed in 24 extracted human molars and the teeth were assigned to indirect and direct resin restoration group. For indirect resin groups, exposed dentin surfaces were temporized with provisional resin. The provisional restoration was removed after 1 wk and the teeth were divided further into 4 groups which used dentin adhesives (OptiBond FL, Kerr; One-Step, Bisco) with or without light-curing, respectively (Group OB-C, OB-NC, OS-C and OS-NC). Pre-fabricated resin blocks were cemented on the entire surfaces with resin cement. For the direct resin restoration groups, the dentin surfaces were treated with dentin adhesives (Group OB-D and OS-D), followed by restoring composite resin. After 24 hr, the teeth were assigned to microtensile bond strength (µTBS) and confocal laser scanning microscopy (CLSM), respectively.

Results

The indirect resin restoration groups showed a lower µTBS than the direct resin restoration groups. The µTBS values of the light cured dentin adhesive groups were higher than those of the uncured dentin adhesive groups (p < 0.05). CLSM analysis of the light cured dentin adhesive groups revealed definite and homogenous hybrid layers. However, the uncured dentin adhesive groups showed uncertain or even no hybrid layer.

Conclusions

Light-curing of the dentin adhesive prior to the application of the cementing material in luting a resin inlay to dentin resulted in definite, homogenous hybrid layer formation, which may improve the bond strength.

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Effect of Er:YAG lasing on the dentin bonding strength of two-step adhesives
Byeong-Choon Song, Young-Gon Cho, Myung-Seon Lee
J Korean Acad Conserv Dent 2011;36(5):409-418.   Published online September 30, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.5.409
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to compare the microshear bond strength (µSBS) and bonding interfaces of two-step total-etching and self-etching adhesive systems to three etch types of dentin either the acid etched, laser etched or laser and acid etched.

Materials and Methods

The occlusal dentinal surfaces of thirty human molars were used. They were divided into six groups: group 1, 37% H3PO4 + Single Bond 2 (3M ESPE); group 2, Er:YAG laser (KEY Laser 3, KaVo) + Single Bond 2; group 3, Er:YAG laser + 37% H3PO4 + Single Bond 2; group 4, Clearfil SE Primer + Bond (Kuraray); group 5, Er:YAG laser + Clearfil SE Bond; group 6, Er:YAG laser + Clearfil SE Primer + Bond. The samples were subjected to µSBS testing 24 hr after bonding. Also scanning microscopic evaluations were made on the resin-dentin interfaces of six specimens.

Results

The µSBS of group 2 was significantly lower than that of groups 1 and 3 in Single Bond 2 (p < 0.05). There were significant differences among the uSBS of groups 4, 5, and 6 in Clearfil SE Bond (p < 0.05). Very short and slender resin tags were observed in groups 2 and 5. Long and slender resin tags and lateral branches of tags were observed in groups 3 and 6.

Conclusions

Treatment of dentin surface using phosphoric acid or self-etching primer improved the adhesion of Er:YAG lased dentin.

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Original Articles
Cuspal deflection in class V cavities restored with composite resins
Jun-Gyu Park, Bum-Soon Lim, In-Bog Lee
J Korean Acad Conserv Dent 2008;33(2):83-89.   Published online March 31, 2008
DOI: https://doi.org/10.5395/JKACD.2008.33.2.083
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the effect of the polymerization shrinkage and modulus of elasticity of composites on the cusp deflection of class V restoration in premolars. The sixteen extracted upper premolars were divided into 2 groups with similar size. The amounts of cuspal deflection were measured in Class V cavities restored with a flowable composite (Filtek flow) or a universal hybrid composite (Z-250). The bonded interfaces of the sectioned specimens were observed using a scanning electron microscopy (SEM). The polymerization shrinkage and modulus of elasticity of the composites were measured to find out the effect of physical properties of composite resins on the cuspal deflection. The results were as follows.

The amounts of cuspal deflection restored with Filtek flow or Z-250 were 2.18 ± 0.92 µm and 2.95 ± 1.13 µm, respectively. Filtek flow showed less cuspal deflection but there was no statistically significant difference (p > 0.05).

The two specimens in each group showed gap at the inner portion of the cavity.

The polymerization shrinkages of Filtek flow and Z-250 were 4.41% and 2.23% respectively, and the flexural modulus of elasticity of cured Filtek flow (7.77 GPa) was much lower than that of Z-250 (17.43 GPa).

The cuspal deflection depends not only on the polymerization shrinkage but also on the modulus of elasticity of composites.

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A study on fractural behavior of dentin-resin interface
Gil-Joo Ryu, Gi-Woon Choi, Sang-Jin Park, Kyung-Kyu Choi
J Korean Acad Conserv Dent 2007;32(3):208-221.   Published online May 31, 2007
DOI: https://doi.org/10.5395/JKACD.2007.32.3.208
AbstractAbstract PDFPubReaderePub

The fracture toughness test is believed as a clinically relevant method for assessing the fracture resistance of the dentinal restoratives. The objectives of this study were to measure the fracture toughness (K1C) and microtensile bond strength of dentin-resin composite interface and compare their relationship for their use in evaluation of the integrity of the dentin-resin bond.

A minimum of six short-rod specimens for fracture toughness test and fifteen specimens for microtensile bond strength test was fabricated for each group of materials used. After all specimens storing for 24 hours in distilled water at 37℃, they were tensile-loaded with an EZ tester universal testing machin. Statistical analysis was performed using ANOVA and Tukey's test at the 95% confidence level, Pearson's coefficient was used to verify the correlation between the mean of fracture toughness and microtensile bond strength. FE-SEM was employed on fractured surface to describe the crack propagation.

Fracture toughness value of Clearfil SE Bond (SE) was the highest, followed by Adper Single Bond 2 (SB), OptiBond Solo (OB), ONE-STEP PLUS (OS), ScotchBond Multi-purpose (SM) and there was significant difference between SE and other 4 groups (p < 0.05). There were, however, no significant difference among SB, OB, OS, SM (p > 0.05). Microtensile bond strength of SE was the highest, followed by SB, OB, SM, OS and OS only showed significant lower value (p < 0.05). There was no correlation between fracture toughness and microtensile bond strength values. FE-SEM examination revealed that dentin bonding agent showed different film thickness and different failure pattern according to the film thickness.

From the limited results of this study, it was noted that there was statistically no correlation between K1C and µTBS. We can conclude that for obtaining the reliability of bond strength test of dentin bonding agent, we must pay more attention to the test procedure and its profound scrutiny.

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Microtensile bond strength of single step adhesives to dentin
Young-Gon Cho, Young-Jae Kee
J Korean Acad Conserv Dent 2005;30(4):312-318.   Published online July 30, 2005
DOI: https://doi.org/10.5395/JKACD.2005.30.4.312
AbstractAbstract PDFPubReaderePub

This study compared the microtensile bond strength (µTBS) of three single step adhesives to dentin.

Occlusal superficial dentin was exposed in fifteen human molars. They were assigned to three groups by used adhesives: Xeno group (Xeno III), Prompt group (Adper Prompt L-Pop), AQ group (AQ Bond).

Each adhesive was applied to dentin surface, and composite of same manufacturer was constructed. The bonded specimens were sectioned into sticks with an interface area approximately 1 mm2, and subjected to µTBS testing with a crosshead speed of 1 mm/minute. The results of this study were as follows;

The µTBS to dentin was 48.78 ± 9.83 MPa for Xeno III, 30.22 ± 4.52 MPa for Adper Prompt L-Pop, and 26.31 ± 7.07 MPa for AQ Bond.

The mean µTBS of Xeno group was significantly higher than that of Prompt group and AQ group (p < 0.05).

There was no significant difference between the µTBS of Prompt group and AQ group.

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Study on the interface between light-cured glass ionomer base and indirect composite resin inlay and dentin
Song-Hee Lee, Dong-Jun Kim, Yun-Chan Hwang, Won-Mann Oh, In-Nam Hwang
J Korean Acad Conserv Dent 2005;30(3):158-169.   Published online May 31, 2005
DOI: https://doi.org/10.5395/JKACD.2005.30.3.158
AbstractAbstract PDFPubReaderePub

This study was done to evaluate the shear bond strength between light-cured glass ionomer cement (GIC) base and resin cement for luting indirect resin inlay and to observe bonding aspects which is produced at the interface between them by SEM.

Two types of light cured GIC (Fuji II LC Improved, GC Co. Tokyo, Japan and Vitrebond™, 3M, Paul, Minnesota, U.S.A) were used in this study. For shear bond test, GIC specimens were made and immersed in 37℃ distilled water for 1 hour, 24 hours, 1 week and 2 weeks. Eighty resin inlays were prepared with Artglass® (Heraeus Kultzer, Germany) and luted with Variolink® II (Ivoclar Vivadent, Liechtenstein).

Shear bond strength of each specimen was measured and fractured surface were examined. Statistical analysis was done with one-way ANOVA.

Twenty four extracted human third molars were selected and Class II cavities were prepared and GIC based at axiopulpal lineangle. The specimens were immersed in 37℃ distilled water for 1 hour, 24 hours, 1 week and 2 weeks. And then the resin inlays were luted to prepared teeth. The specimens were sectioned vertically with low speed saw. The bonding aspect of the specimens were observed by SEM (JSM-5400®, Jeol, Tokyo, Japan). There was no significant difference between the shear bond strength according to storage periods of light cured GIC base. And cohesive failure was mostly appeared in GIC. On scanning electron micrograph, about 30 - 120 µm of the gaps were observed on the interface between GIC base and dentin. No gaps were observed on the interface between GIC and resin inlay.

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