Abstract

Due to their polymerization characteristics, hyper-branched dendrimers have lately shown to be promising candidates for use in dental materials. In this study, a new dental adhesive system was prepared, using a dendrimer derived from 2-isocyanatoethyl methacrylate (G-IEMA), and its adhesive properties were investigated. The exposed dentin was treated with four universal adhesives (UAs): SBU (Scotchbond Universal™), FUT (Futurabond M+™), AE1 (experimental adhesive with Bis-GMA) and AE2 (experimental adhesive with G-IEMA), using Etch & Rinse (ER) or Self Etch (SE) protocols. Composite build-ups were prepared and stored for 24 h at 37 °C in distilled water. Composite/dentin beams were prepared with cross-sectional areas of 1 ± 0.3 mm2 and µTBS (Micro-tensile bond strength) test was performed at 0.5 mm/min. Failures modes were evaluated by stereomicroscopy, and bonding interfaces were observed by scanning electron microscopy (SEM). Statistical analysis of µTBS data was performed using General Linear (GLM) and Linear Mixed Models (LMM). The effect of adhesive type on µTBS was significant (p = 0.010), with AE1 presenting significantly higher µTBS than SBU (p = 0.019). No other differences between adhesives were observed. ER showed significantly better results than SE (p = 0.019), and no significant interactions between the adhesives and protocols were determined. Results obtained so far pinpoint the emergence of a new paradigm in the dental materials field, as G-IEMA can be used successfully as an alternative to Bis-GMA.

Highlights

  • Dentin bonding remains a challenge in clinical practice [1,2,3]

  • The hybrid layer (HL) results from the infiltration and polymerization of the adhesive monomers between the collagen fibers exposed due to partial demineralization of dentin, sometimes enhanced by chemical adhesion [5,6]

  • The stability of the HL is critical for bonding efficacy; the main reason for failure has been attributed to the presence of water and acidic components that enhance enzymatic and hydrolytic degradation of newly formed HL [6]

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Summary

Introduction

Dentin bonding remains a challenge in clinical practice [1,2,3]. The high protein and water content of dentin makes it a very heterogeneous and dynamic substrate, increasing the difficulty of the bonding procedure [4]. The HL results from the infiltration and polymerization of the adhesive monomers between the collagen fibers exposed due to partial demineralization of dentin, sometimes enhanced by chemical adhesion [5,6]. The stability of the HL is critical for bonding efficacy; the main reason for failure has been attributed to the presence of water and acidic components that enhance enzymatic and hydrolytic degradation of newly formed HL [6]. Determining the dentin wetness for bonding stability is quite difficult. Water is required for the expansion of the collagen network and diffusion of the adhesive monomers into the Polymers 2020, 12, 461; doi:10.3390/polym12020461 www.mdpi.com/journal/polymers

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