Microshear Bond Strength Test Research Articles

Evaluation of bond durability of different self-adhesive bioactive restorative systems to dentin

This study aimed to compare the bonding efficacy three bioactive self-adhesive restorative systems to dentin. A total of 80 permanent human molars were utilized in this study. The occlusal enamel was removed to exposed mid-coronal dentin; 40 molars were used for microshear bond strength testing, while the remaining molars were used for micromorphological analysis of restoration/dentin interface. Accordingly, 4 groups were assigned according to the used restorative materials; (G1) self-adhesive hybrid composite (surefil one), (G2) Alkasite-based material (Cention forte) without pretreatment primer, (G3) Alkasite-based material (Cention forte) with pretreatment primer (Cention primer), and (G4) resin-modified glass ionomer (fuji II LC). Then each group was divided into 2 sub-group according to testing time (n = 5); immediate (after 24 h) and delayed (after 6 months of storage in artificial saliva). Microshear bond strength testing employed a universal testing machine to quantify the force required for material fracture at the interface, followed by failure mode analysis. Interfacial micromorphology was assessed using scanning electron microscopy (SEM). In µSBS, the outcome of Two-way ANOVA showed that, there is a statistically significant difference in “type of the restorative material” and “storage time” (p˂0.05. The output of Tukey post-hoc test revealed highest µSBS values were recorded in both immediate and delayed was recorded for Cention Forte with it’s pretreatment primer (p < 0.05). Whereas Surefil one & Cention Forte (without primer) showed the lowest µSBS results among its immediate and delayed groups (p < 0.05). Regarding the micromorphological patterns of restoration/dentin interface using SEM, there was a difference among the tested groups. This study revealed that using of primers prior to application of alkasite-based restorative material is highly recommended as this techniques seems to be the most effective in obtaining superior bond strength with dentin. Accordingly, this outcome of this study highlighting the importance of using primer in enhancing bonding to dentin, which might slightly countered the initial manufacturer’s recommendations and categorization of this type of restorations as a self-adhesive.

The role of aging and various surface preparation methods in the repair of nanohybrid composites

BackgroundRepairing composite resins is a less invasive alternative to complete restoration replacement. To achieve a successful bond between the existing and newly applied composite materials, various surface preparation methods, such as sandblasting and acid etching, have been explored. The aim of the study was to evaluate the effect of different surface treatments on the repair bond strength of a universal nanohybrid composite resin restorative material before and after thermal aging, by utilizing a micro-shear bond strength (µSBS) test.MethodsFor the micro-shear bond strength test, a total of 120 cylindrical (3mmX2mm) nanohybrid resin based composite specimens were prepared. The prepared specimens were divided into three groups (n = 40/per group) based on surface treatment methods: a non-aged group, 10,000 thermal cycle aging and 50,000 thermal cycle aging. The aged and non-aged specimens were further divided into four groups according to adhesive application modes and surface pretreatment methods: 1.universal adhesive/self-etch mode, 2.aluminum oxide sandblasting + universal adhesive/self-etch mode, 3.universal adhesive/etch-and-rinse mode, 4.aluminum oxide sandblasting + universal adhesive/etch-and-rinse mode. Subsequently, 0.8mmX2mm disc shape light cure resin based composite specimens were applied with a direct placement technique on the treated surfaces of all samples for repair. µSBS test was performed using a universal testing machine at a crosshead speed of 1 mm/min. Kruskal-Wallis and Mann-Whitney tests were performed for statistical analysis.ResultsThe µSBS values of the non-aged group were higher than those of the 10,000 and 50,000 thermal cycle groups, with no significant differences within the non-aged subgroup (p > 0.05). In the aged groups, significant differences were observed between adhesive application modes and surface treatments. Specifically, the etch-and-rinse mode showed higher bond strengths than the self-etch mode after 50,000 thermal cycles (p < 0.05). Sandblasting combined with universal adhesive (self-etch mode) improved bond strength, especially in the 10,000 thermal cycle group (p < 0.05).ConclusionAging reduced the bond strength of composite resin repairs, with the etch-and-rinse mode outperforming the self-etch mode in aged specimens. Sandblasting alone did not enhance bond strength. These findings highlight the importance of considering aging and adhesive strategies to optimize repair outcomes, with further research needed on long-term durability.

Acid resistance and bond strength of calcium-containing adhesive on ename.

Marginal sealing by enamel bonding is important to enhance the durability of the restoration and prevent secondary caries after operative procedure. This study aimed to evaluate the enamel acid resistance and bond strength of an experimental calcium-containing adhesive system. All materials were provided by Kuraray Noritake Dental, Inc. (Tokyo, Japan). A calcium-containing primer (CaP) was formulated by blending 10% CaCl2 into Clearfil SE Bond2 primer. The original primer (SEP) served as a control. Clearfil SE Bond2 Bond and Clearfil Protect Bond (PBB) were used as bonding agents. Human molar enamel was used for acid-resistance evaluation. After the adhesive was applied, a resin composite was built and light-cured. The samples were then subjected to an acid-base challenge and observed under scanning electron microscopy after 1 day and 3 months of storage. Mechanical strength was evaluated using microshear bond strength (μSBS) testing on bovine incisor enamel, with tests conducted 1 day after bonding (TC0) and after 5000 thermal cycles (TC5000). Statistical analysis was performed using two-way ANOVA and t tests (α = 0.05). Acid-base resistant zones (ABRZs) formed in all groups, with thicker ABRZ formation in the CaP groups than in the SEP groups. A slope formation at the bottom of the outer lesion was noted in the PBB group. No morphological differences were found between the immediate and 3-month storage groups. The thermal cycling mode did not significantly affect the μSBS between the CaP and SEP groups. The experimental calcium-containing adhesive system formed a thicker ABRZ on enamel without affecting the μSBS. The study suggests that the experimental adhesive system enhances enamel acid resistance, forming a thicker ABRZ while maintaining bond strength, offering improved long-term protection against caries for clinical use.

Characterization of 3D printed composite for final dental restorations.

This study evaluated the mechanical, optical, microstructural, surface, and adhesive behavior of a 3D printing resin comparing it with a machinable resin composite. Specimens of different sizes and shapes were either printed (Vitality, Smart Dent) or machinable (Grandio Blocs, Voco GmbH) resin composites with similar composition were prepared. Surface and mechanical characterization were performed with Knoop hardness, flexural strength (three-point-bending), and elastic modulus tests. The wear of the tested materials was evaluated against steatite antagonists. The optical properties stability (color change, ΔE00, and translucency, TP00) were observed after staining in red wine. In addition, the bond strength of the resin composites to two resin cement protocols were investigated with microshear bond strength tests at baseline and after thermocycling. Scanning electron microscope (SEM) coupled with Energy-Dispersive X-ray Spectroscopy (EDS) was used for microstructural and chemical characterization. Statistical analyses were performed with t- and ANOVA tests. Hardness values (132.76 (16.32) KH- Machinable and 35.87 (2.78) KH - Printed), flexural strength (172.17 (26.99) MPa - Machinable and 88.69 (8.39) MPa - Printed), color and translucency change (1.86 (0.31)/0.06 - Machinable and 3.73 (0.36)/9,16- Printed), and wear depth (24.97mm (3.60)- Machinable and 7.16mm (2.84) - Printed) were statistically different. Average Regarding bond strength, mean values (MPa) for non-aged and aged groups were respectively 21.76 (6.64) / 31.9 (12.66) for Bifix cement (Voco GmbH, Cuxhaven, Germany) and 26.75 (5.14) / 24.36 (6.85) for Variolink cement (Ivoclar Vivadent, Schaan, Liechtenstein) in Printed and 17.79 (3.89) / 9.01 (3.36) ) for Bifix cement and 22.09 (6.55) / 11.01 (3.77) for Variolink cement in Machinable materials. The material and aging factors did affect bond strength but the cement factor did not (p = 0.202). No statistical differences were observed for mean roughness (Ra) between materials. The better dispersion and larger size of the inorganic particles in the Machinable resin were contrasted with the clustered smaller particles of printed resin, under SEM. The mechanical properties and color stability of the machinable resin were superior to those of the printed resin, probably due to the greater amount and dispersion of inorganic particles in the Mach resin, but bond strength after aging was stronger and more stable in the printed resin. 3D-printed resin composites with similar compositions to machinable resin composites do not necessarily exhibit the same properties, which can impact clinical performance. Understanding these differences can assist manufacturers in improving their materials and help clinicians distinguish between materials appropriate for provisional and final restorations.

Mechanical, Adhesive and Surface Properties of a Zirconia-Reinforced Lithium Silicate CAD/CAM Ceramic Exposed to Different Etching Protocols.

The aim of this investigation was to evaluate the effect of etching protocols on bond strength, surface roughness, and mechanical properties of a zirconia-reinforced lithium silicate (ZLS) CAD/CAM-ceramic. In total, 100 bars (ISO 6872), 75 plaques, and 25 cubes were cut from ZLS blocks(Vita Suprinity®). The surfaces were standardized, crystallized and divided into five groups: 1. control (no/treatment-C), 2. 5%-Hydrofluoric-acid (HF)/20 s (HF5%20s), 3.HF5%60s, 4.HF10%20s, and 5.HF10%60s. Flexural strength (FS) (three-point bending test, 1 mm/min), roughness (Pa), and micro-shear bond-strength (µSBS) tests were performed. The data were statistically analyzed with one-way ANOVA, Tukey's test (p ˂ 0.05) and Weibull (FS data). C showed higher Pa (1.176 ± 0.370 µm) than HF10%60s (0.627 ± 0.236 µm) and all other groups. Groups C and 20 s showed the most irregular surface patterns. The FS results were not influenced by etching protocols, while the Weibull modulus was, with the 5%HF groups being the most reliable (m: 5.63/6.70), while C and HF10%60s (m: 2.78/2.73) were the least reliable. All fractures originated from surface defects on the treated side of specimens. The 5%HF groups showed higher µSBS (20 s: 21.35 ± 4.70 MPa; 60 s: 23.50 ± 4.27 MPa) than the 10%HF groups (20 s: 14.51 ± 2.47 MPa; 60 s: 16.54 ± 3.12 MPa) and C (6.46 ± 2.71 MPa). The most prevalent failure pattern was "mixed" for etched groups, and "adhesive" for C. Etching protocols affect the evaluated properties by roughening materials' surface and, in some cases, regularizing surface defects. The best overall outcomes were achieved when applying 5%HF.

Impact of repair protocols on the bond strength to composite resin.

This study evaluated the impact of different repair protocols on a composite resin substrate using distinct bonding agents submitted or not to artificial aging. Unopened sets of a single-step universal adhesive system (UA) and silane-coupling agents, a single-step pre-hydrolyzed (PH) or a two-step immediately hydrolyzed (IH), were used. Half of the sets were subjected to artificial aging being stored at 48°C for 30days, while the other half remained unaged. The composite resin substrates were prepared and aged in distilled water, sandblasted (Al2O3), and cleaned. Then the different repair protocols were applied according to the groups. UA was used without a previous silane layer, while PH and IH were applied followed by a single-step etch-and-rinse adhesive system. Adhesive systems were light-activated, and four composite resin cylinders were formed over the substrate. After 24h, the specimens were subjected to microshear bond strength (μSBS) test and failure mode analysis. The μSBS data were subjected to two-way ANOVA followed by Tukey HSD; Kruskal-Wallis analysis was used for failure mode distribution (α = 0.05). After aging the products, UA showed higher bond strength, while PH had significantly lower results, and IH showed no significant differences (p = 0.157). No significant differences were found for bond strength among the repair protocols when using non-aged products (p > 0.05). The protocols using UA and IH showed no significant differences between aged and non-aged bottles, whereas PH exhibited lower bond strength whencomparing aged and non-aged products. More cohesive failures were observed in the resin substrate for the IH groupwithout aging.

Effect of Surface Treatment with Zirconium Dioxide Slurry on the Bond Strength of Resin Cement to Ultratranslucent Zirconia.

This laboratory study aimed to evaluate the effects of zirconium dioxide (ZrO2) slurry surface treatment on the bond strength of ultratranslucent zirconia to resin cement using different ceramic primers. The surface morphology was evaluated by scanning electron microscopy (SEM) and atomic force microscopy (AFM), and the interface was evaluated by SEM. Additionally, the phase composition was analyzed by X-ray diffraction (XRD). Specimens of zirconia (n=120) were obtained and divided into two groups according to the surface treatment: (1) airborne particle abrasion with 50-μm aluminum oxide (n=60) and (2) ZrO2 slurry (n=60). The 60 specimens were then further divided into three groups (n=20) according to the ceramic primer application: no primer (NP), Monobond N (MB), and Clearfil ceramic primer (CP). Four resin cement cylinders were built on each ceramic specimen. Half of the specimens (n=10) were subjected to a microshear bond strength (μSBS) test after 24 hours of storage in distilled water, and the other half (n=10) were subjected to a μSBS test after thermocycling. Additional specimens were prepared for SEM, AFM, and XRD analyses. According to the Kruskal-Wallis and Student-Newman-Keuls post hoc tests, the μSBS values were significantly higher for MB and CP than for NP (p<0.05), and there were no significant differences in μSBS for both surface treatments associated with MB and CP after 24 hours of storage (p>0.05). Thermocycling significantly decreased the μSBS values for all specimens, especially for the NP groups and ZrO2 slurry treatment groups, and gaps at the interface were observed by SEM. SEM and AFM analyses showed agglomerate-type irregularities on the ceramic surface for ZrO2 slurry treatment. XRD spectra showed that ZrO2 slurry did not cause phase transformation. It was concluded that ZrO2 slurry promoted irregularities on the ultratranslucent zirconia surface, not causing phase transformation; moreover, the values of μSBS were comparable to those of airborne particle abrasion with aluminum oxide. However, neither surface treatment nor ceramic primer prevented the degradation of the interface.

Evaluation of the optimal etching times and fissure sealant materials for bonding on primary teeth enamel: An in vitro study

The recommended 15-s acid etching time expands the enamel surface and facilitates the infiltration of restorative materials. Because of this clinical advantage, 15 and 30 s have become the most prevalent acid etching times in recent years. This study aimed to evaluate the effects of conventional and self-adhesive flowable composites (SAFCs) that were etched for different durations on primary molar teeth. Teeth were divided into eight groups (n = 16) and restored either with Vertise™ Flow and orthophosphoric acid or with Conseal F and orthophosphoric acid for 15, 30, 45, or 60 s. Then, the specimens were subjected to shear stress at a cross-head speed of 1 mm/min until the bond failed. After conducting the microshear bond strength (μSBS) test, failure modes were analyzed using scanning electron microscopy at 80 × magnification. Statistical analysis was performed using Independent sample T-tests and other T-tests (p < 0.05). According to the μSBS results, a statistically significant difference was observed among all groups (p < 0.05). Additionally, there were statistically significant differences between both restorative materials after etching for 15 s (p = 0.011; p < 0.05) and 60 s (p < 0.001; p < 0.05). While adhesive-type fractures were mostly observed in the SAFC groups, mixed-type fractures analyzed by scanning electron microscopy were determined to be relatively common in the Conseal F groups. An etching time of 15 s for primary tooth enamel was recommended instead of 60 s for all fissure sealants. In addition, the application of Vertise™ Flow after 15 s of acid etching was preferred over the application of Conseal F.

Effects of Er,Cr:YSGG Laser Surface Treatments and Composites with Different Viscosities on the Repair Bond Strength of CAD/CAM Resin Nanoceramic.

This study aims to evaluate the repair micro-shear bond strength of the CAD/CAM resin nanoceramic block treated using four different surface treatments and composite resins of different viscosities. For the current study, 96 samples with dimensions of 14 × 12 × 2 mm were obtained from a CAD/CAM resin nanoceramic block (Cerasmart) with a low-speed precision cutting saw under water cooling. The relevant samples were randomly divided into four groups according to the surface treatment processes: grinding with diamond bur, aluminum oxide airborne-particle abrasion, long-pulse laser, and short-pulse laser. Following silane application, universal adhesive was applied to all surface-treated samples and cured with an LED for 10 s. The samples prepared for the repair procedure were divided into two subgroups (microhybrid composite and injectable composite) according to the viscosity of the repair material to be used (n = 12). After the repair procedure, care was taken to keep the samples in distilled water in an incubator at 37 °C for 24 h. The repair micro-shear bond strength values (μSBSs) of CAD/CAM resin nanoceramic-composite resin complexes were tested. In addition, randomly selected samples from each group were examined with a scanning electron microscope to evaluate the surface topography after both surface treatments and the micro-shear bond strength test. Data were analyzed by two-way ANOVA and Bonferroni test. It was determined that the surface treatment preferred in the repair protocol significantly affected the μSBS value (p < 0.001). While the highest μSBS value was obtained with the short-pulse laser airradiation group, the lowest μSBS values were found in samples with long pulse laser irradiation. However, samples grinded with a bur and airborne-particle abrasion showed similar μSBS values (p > 0.05). The preferred composite viscosity in the repair procedure has a significant effect on the μSBS value (p < 0.001). However, the interaction between the surface treatment and the viscosity of the repair composite does not affect the μSBS values in a statistically significant way (p = 0.193). It may be recommended to clinicians to repair CAD/CAM resin nanoceramic restoration surfaces with injectable composites or after treatment with short-pulse lasers.

The effect of adding chitosan nanoparticles on different properties of the adhesive and high-filled composite resin

PurposeTo evaluate the effect of adding nano-chitosan on different properties of the adhesive and high-filled flowable composite resin (viewing the graphical abstract is suggested). BackgroundIncorporating chitosan might improve the quality of adhesive and high-filled composite resin used in the deep margin elevation (DME) and other restorative methods. Materials and methodsTwo groups of composite disks (without chitosan, with 1 % chitosan) were created to evaluate antimicrobial effects, degree of conversion (DC), solubility and water sorption. Antimicrobial activity was evaluated through biofilm inhibition and disk agar diffusion tests while DC was analyzed using FTIR. For the microshear bond strength test (μSBS), extracted maxillary molars were sectioned 1 mm under the CEJ, undergoing immediate dentin sealing and DME in four groups: control, pretreatment chitosan application, adhesive+1 % chitosan, and composite+1 % chitosan. The forces and the modes of failure were recorded. ResultsAdding chitosan nanoparticles increased the antimicrobial activity, significantly (p < 0.05). The μSBS and DC did not differ significantly between the groups (p > 0.05), and the failures were mostly found in the adhesive mode. The solubility and water sorption increased significantly (p < 0.05), remaining in a clinically acceptable range though. ConclusionAdding chitosan could be a potential option to increase the antibacterial effect in the high-filled composite resin without any negative affect on μSBS or DC, and clinically unacceptable effect on solubility and water sorption. (The graphical abstract has been provided). Clinical significanceAdding chitosan nanoparticles to high-filled flowable composite resin, increases the success rate of related restorative technique by adding the antimicrobial effect without any significant negative influence on other biomechanical properties.

Erosive Influence of Amazonian Tucupi on Microshear Bond Strength to Enamel and Dentin.

The scientific literature has studies that assess the influence of erosive challenges with citric acidic drinks and substances on the adhesive bond strength to enamel and dentin, but does not contain information about the influence of regional components of an acidic diet on this process. Thus, this study evaluated the erosive influence of Amazonian tucupi on enamel and dentin microshear bond strength. One hundred and sixty-eight healthy bovine incisors teeth were used, divided into 12 groups (n = 14). For erosive cycling, distilled water (negative control), cola-based soft drink (positive control), or tucupi were used, followed by adhesive strategies of (1) etch-and-rinse (conventional) (Adper™ Single Bond 2) and (2) self-etching (Clearfil SE Bond). All specimens were subjected to erosive cycling for 5 days and, after 24 h, composite resin cylinders were built up for the microshear bond strength test. The data showed normal distribution and were analyzed by two-way ANOVA, followed by the Tukey post and test (P ≤ 0.05). There were no significant differences in enamel (P > 0.05). In dentin, only the groups exposed to cola-based soft drink showed significant differences (P < 0.01). The failure mode showed that Type II (mixed) was predominant (95%). The erosive challenge with tucupi did not influence the bond strength to enamel and dentin, regardless of the adhesive strategy used.

Micro-shear Bond Strength of an Alternative Self-etch Application of "No Wait" Universal Adhesive to Caries-affected and Sound Dentin in Permanent and Primary Teeth.

This study aimed to compare the micro-shear bond strength (μSBS) of caries-affected dentin (CAD) and sound dentin (SoD) in primary and permanent teeth using an alternative self-etch application of "no wait" universal adhesive. Flat midcoronal dentin surfaces from 72 permanent third molars and 72 second primary molars were distributed randomly into 12 groups according to the substrate SoD and artificially-created CAD (pH cycling for 14 days) and the adhesive system (GLUMA Bond5, a two-step etch & rinse adhesive, GLUMA Bond, a one-step self-etch adhesive, and Tokuyama Universal Bond, a one-step self-etch adhesive) (n=12). Bonded dentin resin discs were put through micro-shear bond strength testing after 10,000 thermocycles. The results were evaluated using two-way ANOVA and the Bonferroni test with a significance level of α = 0.05. When compared to SoD, the etch & rinse system's test results on artificially created CAD showed a statistically significant poorer bonding performance in both permanent and primary teeth in all groups (p<0.05). While the bond strengths of permanent teeth using total-etch adhesive on sound dentin were statistically significantly higher than those using Tokuyama Universal Bond adhesive (p<0.05), there was no significant difference in sound dentin in primary teeth (p>0.05). The etch & rinse system performed the poorest of all adhesive systems on CAD. The Tokuyama Universal Bond's adhesive strength was similar in SoD and CAD on primary teeth. The use of Tokuyama Universal Adhesives can speed up restorative treatment in pediatric dentistry.

Influence of Varied Silane Commercial Brands and Adhesive Application on Bond Strength and Stability to Lithium Disilicate Glass Ceramic.

This study aimed to evaluate the impact of various commercial silane brands with varied chemical compositions with or without the application of an adhesive layer on the microshear bond strength and durability of a resin luting agent to lithium disilicate glass ceramic. Lithium disilicate glass ceramic discs (EMX, IPS e.max Press, Ivoclar Vivadent) measuring 10 mm in diameter and 3 mm in thickness were fabricated (n=240). Surfaces were etched using 5% hydrofluoric acid and randomly assigned to 10 groups based on the commercial brand of silane used (n=24): [RP] RelyX Ceramic Primer (3M ESPE); [PS] Prosil (FGM); [SA] Silano (Angelus); [SM] Silano (Maquira); [SU] Silane (Ultradent); [GL] GLUMA Ceramic Primer (Kulzer); [CB] Ceramic Bond (VOCO); [MB] Monobond N (Ivoclar Vivadent); [CP] Clearfil Ceramic Primer (Kuraray); and [DE] 2-step silane (Dentsply Sirona). Half of the EMXs (n=12) received a thin adhesive layer (+) after the silane and prior to resin luting agent, while the other half (n=12) did not receive an adhesive layer (-). For the microshear bond strength test (μSBS), four light-cured resin luting agent cylinders (1 mm in diameter) were created on each EMX surface. Half of these specimens were tested after 24 hours, while the other half were stored in deionized water for 6 months. The μSBS test was conducted using a universal testing machine (DL 500, EMIC) at a crosshead speed of 1 mm/min until failure. The obtained data underwent statistical analysis using analysis of variance (ANOVA) and the Tukey test (α=0.05). There was significant influence of the silane commercial brand on bond strength. Notably, "universal primers" yielded lower bond strength results compared to "pure" silane solutions. Water storage had a detrimental effect on microshear bond strength for certain silane commercial brands. Additionally, the application of an adhesive layer negatively impacted bond strength results for all silanes. This study confirms the importance of both silane commercial brand and chemical composition in relation to bond strength of resin luting agents to lithium disilicate glass ceramic. Furthermore, the application of an adhesive layer may have an adverse effect on bond stability over time.

The impact of artificial aging using chewing simulator on micro-shear bond strength and micro-leakage of alkasite and bioactive resin based composites: an in-vitro comparative study

Objective The current study was conducted to assess and compare the impact of artificial aging using chewing simulator on the novel bulk fill restorative materials (Cention N) and Bioactive Resin Based Composites (ACTIVA) regarding, micro-shear bond strength and micro-leakage. Tetric N ceram bulk fill composite was used as control. Patients and methods For micro-shear bond strength testing, thirty recently extracted molars were collected, then their occlusal surfaces were cut horizontally using low-speed diamond saw under coolant exposing flat dentin surfaces. Tetric N-Bond adhesive was applied to the dentin surface, then Tygon tubes (three for each tooth) with height 1 mm and internal diameter 1 mm were placed on the flat surfaces, followed by light curing, then the restorative material (10 specimens for each material) was condensed inside the tubes. Half of the specimens is subjected to artificial aging (thermal and dynamic loading using Chewing Simulator). The specimens were mounted in blocks of stones, then placed horizontally in the universal testing machine. The load was applied using a knife-edge chisel till debonding of the composite cylinders from dentin surface. Fifteen extracted human molars were utilized for the purpose of evaluating micro-leakage. A total of thirty class II cavities were meticulously constructed on the mesial and distal surfaces of the teeth. The evaluation of micro-leakage was conducted using a dye penetration test, employing a scoring system ranging from 0 to 4. Results The nonaged specimens of the tested materials did not show significant differences regarding micro-shear bond strength, and micro-leakage. Aging had no significant effect on all of the tested properties in the three tested materials. Conclusion Short-term thermomechaical aging used in this study did not deteriorate micro-shear bond strength and micro-leakage of the tested materials. Alkasite (Cention N) and ACTIVA Bioactive Resin Based Composites are promising materials with physico-mechanical properties comparable to conventional bulk-fill composites. However, further in vitro and in vivo studies are needed to assess the properties of these recently introduced materials.

Evaluation of the microshear bond strength of resin cement to zirconia treated by different nanomaterials using the dip coating technique

Aim: Using a dip-coating technique, this study evaluated the microshear bond strength of resin cement to zirconia surfaces coated with nanosilica and nanoalumina. Methods: Zirconia blocks (n = 56) were categorized into seven groups based on surface treatment: untreated (control), tribochemical silica coating (positive control), dip coating with pure nanosilica, pure nanoalumina, and nanosilica-nanoalumina mixtures at 75:25, 50:50, and 25:75 volume ratios. The coated surfaces underwent characterization using a Scanning Electron Microscope (SEM), Energy Dispersive Spectroscopy (EDS), X-ray Diffraction (XRD), and Atomic Force Microscopy (AFM). Resin cylinders were cemented onto the treated zirconia surfaces, and microshear bond strength testing was performed. Differences in bond strength between groups were analyzed using One-way ANOVA and Tukey’s post-hoc test (p &lt; 0.05). Results: SEM revealed that nanosilica coatings formed island-like agglomerations, nanosilica-nanoalumina produced porous layers, and nanoalumina formed a dense cover layer. XRD detected only the tetragonal phase in coated zirconia, indicating no phase transformation compared to tribochemical silica coating. Microshear bond strength was higher for all coating groups than for controls (p &lt; 0.05). The 75:25 nanosilica-nanoalumina demonstrated greater bond strength than other ratios. Conclusion: Dip-coating proved effective in enhancing resin-zirconia bonding without causing surface damage. Among the various ratios, the 75:25 nanosilica-nanoalumina mixture exhibited optimal bond strength.

Can a Self-etching Primer be Effective in Bonding Aligner Attachments to Different Types of Ceramics?

This in vitro study aimed to evaluate the effectiveness of pretreatment with a self-etching primer for bonding aligner attachments to lithium disilicate (LD) and monolithic zirconia (MZ) ceramics. Forty ceramics, including LD (n=20) and MZ (n=20), were divided into four study groups according to the surface pretreatments: LD specimens pretreated with universal primer (Monobond Plus, MP) after hydrofluoric acid etching (Group 1); MZ ceramics pretreated with MP after sandblasting (Group 2); LD ceramics pretreated with self-etching ceramic primer (Monobond etch & prime, MEP) (Group 3); and MZ ceramics pretreated with MEP after sandblasting (Group 4). The aligner composite (GC Aligner Connect) and universal adhesive (GPremio Bond) were used to prepare the resin attachments. The bond strength was evaluated by micro-shear bond strength (SBS) testing (0.1 mm/min) after thermocycling, and the remnant adhesive was scored according to the resin attachment remnant index (RARI). The SBS data were analyzed using ANOVA and Tukey tests, and the RARI scores were analyzed using the chi-square test. Group 1 had the lowest SBS, and group 2 had the highest SBS. There were significant differences between the groups in terms of bond strength (p<0.05). The RARI scores showed no significant differences, regardless of the pretreatment and ceramic type. The use of a self-etching primer increased the bond strength of resin attachments on LD ceramics. For zirconia ceramics, both ceramic primers are recommended for aligner attachment bonding.

Effect of ethanolic extract of propolis on antibacterial and microshear bond strength of glass-ionomer restorations to dentin

ObjectivesThis study was conducted to evaluate the effect of ethanolic extract of propolis on antibacterial and microshear bond strength of glass ionomer restorations to dentin. Materials and methodsConventional glass ionomer cement (Equia forte, GC Tokyo, Japan), resin-modified glass ionomer (Fuji II LC, GC Tokyo, Japan) and propolis powder (dried extract from honey bees) materials were used in this study. Both conventional glass ionomer and resin-modified glass ionomer were modified by two different concentrations of ethanolic extract of propolis (10 % and 25 % EEP). For antibacterial test, Streptococcus mutans strain was spread on agar petri dishes using a sterile swab. Discs of both glass ionomer restorative materials (without adding EEP, with 10 % EEP and with 25 % EEP) were fabricated within the agar plates. Antibacterial activity was evaluated by measuring the inhibition zones around each disc. For microshear bond strength test, 60 healthy human permanent molars were prepared by cutting occlusal surface and expose the dentin at the height of contour of all teeth then conditioned using poly acrylic acid conditioner, both glass ionomer restorative materials (without adding EEP, with 10 % EEP and with 25 % EEP) were mixed and applied on conditioned dentin surface by using tygon tube. Microshear bond strength was evaluated by the universal testing machine. ResultsTwo-way ANOVA test revealed that both glass ionomer type and different concentrations of EEP had significant effect on the antibacterial test results and microshear bond strength values (p < 0,05). Glass ionomer restorative material with 25%EEP had the highest antibacterial values whereas glass ionomer restorative material without modifications (control groups) had the lowest values. Resin-modified glass ionomer without any modification (control group) had the highest bond strength while resin-modified glass ionomer with 25%EEP had the lowest bond strength. ConclusionsIncorporation of ethanolic extract of propolis to glass ionomer restorative material increases the antibacterial effects of both conventional GIC and RMGI. Inspite of this advantage, it seems that it has deleterious effect on microshear bond strength to dentin.

In vitro performance of an autocured universal adhesive system in bonding to dentin

BackgroundThe successful integration of resin-based dental adhesives significantly impacts restorative dentistry, providing efficient and aesthetically pleasing caries treatments. Among various adhesives, one-step self-etching adhesives (1-SEAs) have gained popularity due to their simplicity and short application time. However, concerns have been raised regarding their bonding performance and marginal adaptation characteristics, which differ from two-step self-etching adhesives (2-SEAs) and three-step etch-and-rinse adhesives. Additionally, light-cured bonding materials may encounter challenges in deep cavities and inaccessible areas, necessitating extended light irradiation time. Autocured bonding materials are a potential solution, but limited comparative studies have been conducted on their performance.MethodsIn this in vitro study, we evaluated a new autocured universal bonding material (Bondmer Lightless 2) and compared the results with recent light-cured bonding materials. Microshear bond strength (μSBS) tests were performed on 25 human molars using five different combinations of adhesives and composite resins: Bondmer Lightless 2 with Estelite Bulk Fill Flow (BE group), Bondmer Lightless 2 with a prototype composite resin (BO group), Prime&Bond Universal with SDR flow + (PS group), Scotchbond Universal with Filtek Bulk Fill (SF group), and G-Premio Bond with Gracefil BulkFlo (GG group). The bond strengths and failure modes were assessed using a universal testing machine and scanning electron microscope (SEM), respectively. Marginal adaptation was evaluated using swept-source optical coherence tomography (SS-OCT) and confocal laser scanning microscopy (CLSM) on 40 sound bovine maxillary incisors.ResultsThe μSBS test showed no significant differences in bond strength among the tested groups. Most failure modes were observed at the bond interface between the adhesive and the dentin. The autocured bonding material demonstrated significantly higher marginal adaptation (SI%) than PS, SF, and GG. The CLSM images corresponded with gaps observed in the SS-OCT images, indicating improved marginal sealing in the autocured group.ConclusionsThe new autocured universal bonding material exhibited comparable bond strength to a conventional light-cured material while demonstrating a superior marginal adaptation level. This finding suggested that the autocured material could be a valuable alternative, especially when extended light irradiation would pose a challenge. Further clinical studies would be warranted to evaluate the performance of the autocured bonding material in actual restorative dental practice.

Effects of Hydrofluoric Acid Concentrations, Commercial Brands, and Adhesive Application on the Bond Strength of a Resin Luting Agent to Lithium Disilicate Glass Ceramic.

To evaluate the surface topography/roughness and bond strength of a resin luting agent to a lithium disilicate glass ceramic after etching with different concentrations of hydrofluoric acid (HF) and commercial brands. For bond strength evaluation, 260 lithium disilicate glass ceramic (EMX) discs were randomly distributed into 13 groups based on concentrations of HF and commercial brands (n=20): 5% and 10%, Lysanda (LY5 and LY10); 5% and 10%, Maquira (MA5 and MA10); 5% and 10%, FGM (FG5 and FG10); 4.8%, Ivoclar Vivadent (IV5); 5% and 10%, PHS do Brasil (PH5 and PH10); 5% and 10%, BM4 (BM5 and BM10); 9%, Ultradent Inc (UL10); and Dentsply (DE10). A further random distribution (n=10) was made based on the application (+) or absence (-) of an adhesive layer. Resin luting agent cylinders (1 mm in diameter) were added on EMX surfaces, light-cured, and stored for 24 hours in deionized water at 37°C. On a universal testing machine (DL 500, EMIC), specimens were submitted to a microshear bond strength test at a crosshead speed of 1 mm/min until failure. A representative etched EMX disc from each group underwent surface topography analysis using field-emission scanning electron microscopy (n=1), and five (n=5) etched EMX discs from each group were tested for surface roughness. Data were statistically analyzed using analysis of variance and Tukey test (α=0.05). A less conditioned and smoother surface was observed for 5% HF compared to 10%. Additionally, commercial brands of HF were shown to affect bond strength. When the adhesive layer was not used (-), a 10% concentration promoted higher bond strengths to EMX. However, when adhesive was applied (+), the concentrations of HF and commercial brands had no effect on bond strength results. A 10% concentration of HF results in higher bond strength than a 5% concentration. If an adhesive layer is applied, neither this distinction nor the influence of commercial brands is observed.

A Comparative Study of the Repair Bond Strength of New Self-Adhesive Restorative Materials With a Resin Composite Material.

The aim of the present study is to compare the repair bond strengths (RBSs) of Cention-N (light-cure and self-cure modes), Equia Forte HT Filand a nanohybrid resin composite. Equia Forte HT Fil (GC, Tokyo, Japan), Cention-N (Ivoclar Vivadent, Schaan, Liechtenstein) and Filtek Z550 (3M ESPE, St Paul, MN, USA) were used in this study.EquiaForte HT Fil(EQF), Cention-N self-cure (CSC), Cention-N light-cure (CLC) and Filtek Z550 (Z550) groups were formed.A total of 40 samples were prepared; 10 samples in each group (n = 10).After the polymerization was completed according to the manufacturer's instructions, the samples were polished with OptiDisc (Kerr Corporation, Orange, USA) for 5 s each, from extra-course to extra-fine. After all samples were stored in 37°C water for 24 h, 10,000 cycles of brushing simulator and thermal cycles were applied to the samples.The samples were prepared in accordance with the selected repair protocol, and microshear bond strength (µSBS) test was performed. Fracture analysis on debonded surfaces was visualized by scanning electron microscopy. The conformity of the data to normal distribution was analyzed by the Shapiro-Wilk test. Multiple comparisons were performed using Dunn's test. Z550 showed significantly higher µSBS as compared to the other three groups. There is no differencebetween CSC, CLC and EQF. The use of Cention-N's self-cure or light-cure mode did not affect the RBSvalues. The RBS values of Cention-N and Equia Forte HT Fil materials are lower than those of the composite resin material.