Contraction Gap Formation Research Articles

Diffusion of GM primer and dentin adhesive into EDTA-conditioned dentin

The aim of this study was to investigate the diffusion of red-stained experimental GM primer and blue-stained dentin bonding agent into EDTA-conditioned dentin and the effect of GM priming on contraction gap formation. After GM priming at 0, 35, 70, or 100 vol%, marginal adaptation was evaluated by measuring the wall-to-wall contraction gap width of a light-activated resin composite (Palfique Estelite, Tokuyama Dental, Japan) mediated with a commercial dentin bonding agent (Clearfil Photo Bond, Kuraray Medical, Japan). Contraction gap formation was completely prevented when treated with 35 vol% GM primer. Moreover, after treatment with 35 vol% GM, the red and blue dyes of stained GM primer and dentin bonding agent diffused up to a depth of 40 µm into the dentin surface. The diffusion of primer and bonding agent into EDTA-conditioned dentin was essential for bonding efficacy although SEM observation revealed an absence of hybrid layer formation.

Priming Effects of Triethylene Glycol and Triethylene Glycol Monomethacrylate on Dentin Bonding

The objective of this study was to evaluate the effects of triethylene glycol (TEG) and triethylene glycol monomethacrylate (TEGMA) solutions as dentin primers on dentin bonding. To this end, wall-to-wall polymerization contraction gap width of a resin composite in a cylindrical dentin cavity and shear bond strength to a flat dentin surface were measured. Dentin was pretreated with an experimental dentin bonding system - consisting of 0.5 M ethylenediaminetetraacetic acid conditioner, TEG or TEGMA primer, and Clearfil Photo Bond bonding agent - prior to resin composite filling. When the cavity was primed with an aqueous solution of 35 vol% TEG, 35 or 45 vol% TEGMA for a few seconds, contraction gap formation was prevented completely. Then, among these three gap-free groups, there were no significant differences in shear bond strength. It was thus shown that both TEG and TEGMA were highly effective dentin primers, completely preventing contraction gap formation even when they were applied for only a few seconds.

Bonding efficacy and side effects of the high purity glyceryl mono‐methacrylate

The purpose of this study was to examine the efficacy of experimentally developed high purity glyceryl mono-methacrylate (GM) as a dentine primer and to evaluate the possibility of allergic reaction. The efficacy of experimental dentine primers was evaluated by measuring the polymerization contraction gap width and the tensile bond strength. Allergic reaction was evaluated by the guinea-pig maximization test. The skin reaction was evaluated according to the criteria of the International Contact Dermatitis Research Group. Contraction gap formation was completely prevented and the tensile bond strength was not significantly affected by priming with GM on high-purity GM. The allergic response decreased when high-purity GM was employed as the challenger. It was concluded that the clinical use of the high-purity GM is beneficial as the delayed allergic reaction could be avoided with no detrimental effect on the dentine bonding.

Efficacy of a self-etching dentin primer composed of TEGMA and phenyl-P.

The purpose of the present study was to evaluate the efficacy of an experimental self-etching dentin primer composed of TEGMA and phenyl-P using primary and young permanent teeth. The efficacy of the self-etching dentin primer was evaluated by measuring the wall-to-wall polymerization contraction gap width and the shear bond strength to the flat dentin surface. The contraction gap formation was prevented completely in the specimens primed with the 35 vol% TEGMA and 20% phenyl-P for 30 sec.

Efficacy of dentin bonding to cervical defects.

The bonding efficacy of sclerotic dentin was determined by measuring the polymerization contraction gap width of a commercial light-activated resin composite in a cervical defect and by measuring the micro-Vicker's hardness at the dentin adhesive surface; morphological characteristics were observed using a scanning electron microscope in extracted human incisors and premolars. Contraction gap formation was completely prevented when the cavity wall was primed with 35 vol% glyceryl mono-methacrylate solution after 0.5 mol/L EDTA conditioning. The contraction gap width was significantly decreased when the resin composite was filled into the sclerotic dentin cavity even when priming was omitted. These results suggest that the sclerotic dentin, which is frequently observed in cervical defects, should be preserved as a substrate because it exhibits an effect of dentin priming and is suitable for bonding.

2-HEMA-free dentin bonding system to prevent contraction gap.

The effects of 2-hydroxyethyl methacrylate (2-HEMA) both in the primer and in the commercial dentin bonding agent on the efficacy of the dentin bonding system was evaluated by measuring the polymerization contraction gap width of a commercial resin composite restored in a cylindrical dentin cavity prepared in an extracted human molar. Contraction gap formation was prevented in the group of the EDTA-conditioning followed by glyceryl mono-methacrylate, ethylene glycol and 1,6-hexanediol priming regardless of the 2-HEMA content in the dentin bonding agent containing 10-methacryloxydecyl dihydrogen phosphate. However, gap formation could not be prevented completely by the 2-HEMA priming. Therefore, it was possible to conclude that 2-HEMA was neither essential in the primer nor in the dentin bonding agent because of its low bonding efficacy and the resulting side effects on skin tissue as a delayed allergic reaction.

Effectiveness of simplified dentin bonding systems.

The effectiveness of newly developed commercial dentin bonding systems (SB, MB II and KB) was evaluated by measuring the contraction gap width of a resin composite restored into a cylindrical dentin cavity prepared in an extracted human molar and by measuring the tensile bond strength to the flat dentin surface. In addition, calcium loss during dentin conditioning was analyzed using electron microanalyses. An experimental dentin bonding system composed of EDTA conditioning, GM solution priming and a bonding agent containing 10-MDP was employed as a control in which it was presumed that contraction gap formation was prevented completely. However, gap formation was observed using the three commercial simplified dentin bonding systems. SEM observation showed that the gap was formed between the resin composite and the top surface of the dentin cavity wall indicating that the fracture occurred at the adhesive interface, but never inside the dentin nor inside the resin composite.

Cavity Adaptation of Resin Composite in Canine Cavity in vivo.

The efficacy of four commercial and two experimental dentin bonding systems was examined by observing the cavity adaptation of commercial light-cured resin composites restored in the dogs scheduled to be sacrificed after a medical experiment. Before being sacrificed, a cylindrical class V cavity was prepared in each canine, and the cavity wall was treated with one of four commercial dentin bonding systems according to the manufacturers instructions followed by resin composite filling. The maximum contraction gap widths at the occlusal, gingival and axial cavity wall were measured on the cavity section 30 min after the polymerization of the resin composite under a light microscope. Contraction gap formation was completely prevented in only one of the experimental groups in which the cavity wall was primed with 35 vol% glyceryl mono-methacrylate (GM). In addition, observation of cavity adaptation in the canine in vivo was useful to estimate consistently the efficacy of the bonding systems.

Effects of polyvalent alcohol solutions as dentine primers

Objectives: The purpose of this study was to examine the bonding effect of polyvalent alcohols as dentine primers without a methacrylate group, which may cause contact dermatitis. Methods: The efficacy of polyvalent alcohols as dentine primers was estimated by measuring the wall-to-wall polymerization contraction gap width of a light-activated resin composite filled in a cylindrical dentine cavity in an extracted human tooth. A dentine cavity was cleaned with ethylenediaminetetraacetic acid (EDTA) and primed with an aqueous solution of either ethylene glycol, glycerol, erythritol, xylitol or sorbitol at concentrations of between 25 and 75 wt%. A light-cured resin composite was filled after the application of a commercial dual-cured bonding agent. Results: Contraction gap formation was completely prevented only in the group in which the dentine cavity had been primed with an aqueous solution of 62.5 wt% ethylene glycol. Furthermore, in the measurement of a tensile bond strength to a flat dentine surface, high tensile bond strength (17.5 ± 4.4 MPa) was observed in the group that was primed with 62.5% ethylene glycol solution. Conclusion: These results suggest that it is not necessary to dissolve methacrylates in a dentine primer when the primer is dried with a blast of compressed air before application of a polymerizable, suitable bonding agent. It is concluded that a dentine primer composed of polyvalent alcohol solutions without a methacrylate group which may cause contact dermatitis, is effective as a dentine primer, affects the dentine surface, and promotes the efficacy of the dentine bonding system.

Relative gap formation adjacent to ceramic inlays with combinations of resin cements and dentin bonding agents

This study investigated the effect of combining dentin bonding agents (DBAs) with various resin cements on contraction gap formation at the cavity floor of resin-cemented ceramic inlays. Cylindrical dentin cavities were pretreated with one of five DBAs before luting of ceramic inlays with one of four dualcuring resin cements. Measurements of cross sections showed that mean gap widths were reduced from 46% to 93% compared with control specimens prepared without a DBA. The extent of the gap reduction was dependent on the type of bonding agent and resin cement. Although none of the resin cement-dentin bonding agent combinations tested were able to completely eliminate development of interfacial contraction gaps, some combinations produced considerable reductions in gap size.

Relative gap formation of resin-cemented ceramic inlays and dentin bonding agents

The effect of dentin bonding agents (DBAs) on contraction gap formation at the cavity floor of resin-cemented ceramic inlays was investigated. Cylindrical dentin cavities were pretreated with one of 12 DBAs before luting of ceramic inlays with a dual-curing resin cement. Measurements of cross sections revealed that mean gap widths were reduced between 21% and 80% compared with control specimens prepared without a DBA. The extent of the gap reduction depended on the type of bonding agent. None of the dentin bonding agents tested were able to completely eliminate development of interfacial gaps.

Duration of cleaning and priming of dentine and contraction gap formation

Objectives: The effects of the duration of cleaning and priming on the marginal adaptation of a light-activated resin composite in a cylindrical dentine cavity were examined by measuring the width of the wall-to-wall polymerization contraction gap. Methods: The dentine cavity was cleaned with ethylene diamine tetra-acetic acid (EDTA) and primed 35 vol% hydroxyethyl methacrylate (HEMA) or glyceryl methacrylate (GM) solution for up to 60 s. The cavity was filled with a light-cured resin composite after the application of a dual-cured dentine bonding agent. Results: The formation of a contraction gap by the composite appeared to be prevented completely, regardless of the duration of priming with GM solution, when the cavity was cleaned with EDTA for 60 s. When cleaning was limited to just 30 s, GM priming had to be prolonged to 60 s to obtain complete marginal integrity. A significantly wide contraction gap was observed without EDTA cleaning, even when the cavity wall was primed with GM solution for 60 s. Conclusion: GM solution was a better dentine primer than HEMA solution, since HEMA priming did not prevent gap formation under any of the conditions tested.

Optimum Concentration and Application Time of 1, 6-hexanediol as a Dentin Primer

The optimum concentration and application time for an experimental dentin primer composed of an aqueous solution of 1,6-hexanediol were determined by measuring the wall-to-wall polymerization contraction gap width of a commercial light-activated resin composite in a cylindrical dentin cavity prepared in an extracted human molar. Contraction gap formation was completely prevented only when the dentin cavity wall was primed with 45 wt% 1,6-hexanediol for 60 s. There were no significant differences in tensile bond strength among primers composed of 20.0-57.5 wt% 1,6-hexanediol. These results suggest that the optimum concentration and application time are 45 wt% and 60 s, respectively.

Bonding Efficacy of Erythritol Methacrylate Solutions as Dentin Primers

The bonding efficacy of aqueous solutions of two kinds of erythritol methacrylates as dentin primers was examined by measurement of the polymerization contraction gap of a light-activated resin composite in a cylindrical dentin cavity and the tensile bond strength of the composite to the flat dentin surface. The dentin surface was cleaned with neutralized 0.5 mol/L EDTA and pre-treated with a meso-erythritol or penta-erythritol methacrylate solution, followed by application of a commercial dentin bonding agent (Clearfil New Bond) and a resin composite. Among the tested primers, a 40% meso-erythritol methacrylate solution was shown to be the most effective because, in contrast to the other primers, contraction gap formation by the composite was prevented in all tested specimens.

Pulpal response to chemically cured and experimental light-cured glass ionomer cavity liners

This investigation evaluated the effects of an experimental light-cured glass ionomer (LCGI) cavity liner and chemically cured Ketac-Bond glass ionomer restorative material on the pulpal tissues of monkeys. Class V cavities were prepared in 71 teeth of three adult Macaca mulatta monkeys at 7- and 35-day intervals. Ketac-Bond or LCGI cavity liners were placed in cavities with the smear layer intact (groups I and II) or with the smear layer removed (groups III and IV) and were restored with composite resin. Tissues were acquired, sectioned at 7 μm, stained for microscopic evaluation, or prepared for SEM evaluation. No statistically significant differences between materials existed at either time interval, regardless of smear layer presence. Histopathologic results demonstrated minimal pulpal reactions for groups I through IV. SEM analysis showed tenacious bonding of the LCGI material to prepared cavity walls, with absence of contraction gap formation. The results indicated excellent pulpal responses to both materials.

Efficacy of Glyceryl Methacrylate as a Dentin Primer

The efficacy of pretreatment on the dentin surface with an aqueous solution of glyceryl methacrylate (GM) was examined by measuring the wall-to-wall polymerization contraction of a light activated composite in a cylindrical dentin cavity, and by measuring the tensile bond strength to a flat dentin surface. All of the tested dentin surfaces were cleaned with neutralized 0.5 M EDTA and treated with experimental primers, followed by a marketed dentin bonding agent and composite. The contraction gap formation of the composite was completely prevented by the application of the GM solution at concentrations of 25 and 35% in water. In contrast, half of the specimens treated with 35% HEMA and 35% HEMA containing 5% glutaraldehyde showed gap formation. Furthermore, a considerably high tensile bond strength of more than 18MPa was observed in the above described dentin bonding system.