Resin-dentin Bond Research Articles

Long-term hybrid stability and matrix metalloproteinase inhibition by fucosterol in resin-dentin bonding biomechanics

Fucosterols have been widely studied for their antioxidant, anticancer, and anti-inflammatory properties. However, they have not yet been studied in the field of dentistry. This study aimed to determine whether pretreatment of dentin with fucosterol before resin restoration enhances bond stability in resin-dentin hybrid layers. After applying 0.1, 0.5, and 1.0 wt% fucosterol to demineralized dentin, microtensile bond strength (MTBS) and nanoleakage tests were performed before and after collagenase aging, and the surface was observed using scanning electron microscope (SEM). The fucosterol-treated group showed better bond strength and less nanoleakage both before and after collagenase aging, and the corresponding structures were confirmed using SEM. MMP zymography confirmed that the activity of MMPs was relatively low along the concentration gradient of fucosterol, and the FTIR analysis confirmed the production of collagen crosslinks. In addition, fucosterol exhibits cytotoxicity against Streptococcus mutans, the main cause of dental decay. The results of this study suggest that fucosterol pretreatment improves bond strength and reduces nanoleakage at the resin-dentin interface, possibly through a mechanism involving collagen cross-link formation via the inhibition of endogenous and exogenous MMP activity. This study demonstrates the potential of fucosterol as an MMP inhibitor in dentin, which contributes to long-term resin-dentin bond stability and can be used as a restorative material.

Effects of lactic acid etching on immediate and aged bond strength of resin-dentin bonding interface.

To investigate the effects of lactic acid etching on the immediate and aged bond strength of the resin-dentin bonding interface, the resin-dentin bonding interface was evaluated 24 hours and 6 months later. A total of 42 isolated third molars were randomly divided into 6 experimental groups according to different lactate concentration (35%, 40%, 45%) and acid etching time (30 s, 45 s), with 37% phosphoric acid etching 15 s as a control. In each group, dentin samples were etched under different acidic conditions and bonded with Adper Single Bond 2 (3M ESPE) as directed. The immediate group was immediately stored in deionized water at 37 °C for 24 h, and the aging group was stored in artificial saliva at 37 °C for 6 months. Immediate and aged bond strengths were measured by a micro-tensile tester, and the specimen fracture surface was observed under a microscope. 14 isolated third molars were randomly divided into 7 groups, and each group was etched with acid. Collagen fibers morphology in dentin was examined after gradient dehydration with ethanol by scanning electron microscopy (SEM). Statistically, there was no difference between the resin-dentin immediate bonding strength of 35% lactic acid for 30 s and 37% phosphoric acid for 15 s, but the aged bond strength was greater than that of the phosphoric acid group. According to scanning electron microscope observations, the collagen fiber morphology in 35% and 40% lactate etching dentin 30 s groups was relatively intact compared with other groups. In conclusion, 35% lactic acid etching of dentin 30 s ensures both immediate and aged resin-dentin bond strength.

Comparison of a self-adhesive resin cement, a conventional and a bulk-fill resin composite for luting of indirect restorative materials; the effect of thickness and material factors on translucence, monomer conversion and resin-dentin bond strength

Introduction: With developing technology, the search for the most ideal material to be used in the cementation of indirect restorations continues. To determine the effect of thickness and material factors on monomer conversion, translucency, and resin-dentin bond strength in luting indirect restorative materials (IRM) of different thicknesses using a resin cement, a conventional and a bulk-fill resin composite. Materials and methods: Samples of lithium disilicate glass-ceramic material (IPS e.max) and ceramic-resin hybrid material (Lava Ultimate) in 2 and 4 mm thicknesses, were luted using RelyX U200 (a self-adhesive resin cement), X-tra fil (a bulk-fill resin composite) and Z250 (a conventional microhybride resin composite) to the dentin surface and subjected to bond strength test after thermal cycle. In addition, the translucency parameter (TP) of the prepared blocks and the degree of conversion (DC) of the luting materials were investigated. The data was statistically analyzed. Results: The bond strength of X-tra fil and Z250 was statistically higher than RelyX U200 (p0.05). The increase in thickness decreased the TP of IRMs and the DC of resins underlying Lava (p0.05). Conclusion: Conventional and bulk-fill resin composites can be alternative luting materials to resin cements. Thickness increase did not change bond strength, while decreased TP, and DC only for Lava Ultimate.

Water/ethanol and water/acetone proanthocyanidin solutions enhance the mechanical stability and sealing ability of resin-dentin bonds produced by the cross-linked dry bonding technique

ObjectivesTo evaluate the influence of solvents on the mechanical stability and dentin sealing ability of adhesive interfaces produced on dry dentin after collagen biomodification with a proanthocyanidin-rich grape seed extract (GSE). MethodsFlat dentin surfaces (N = 120) were initially divided into 10 groups. After phosphoric acid etching for 15s, the etched dentin was treated with: water (control), 5 % ethanol, 90 % ethanol, 5 % acetone, 90 % acetone, and the same groups added with 5 % GSE. The treatments were kept on the etched dentin for 60s. Then, the teeth of each treatment were further divided into two groups. Thus, after rinsing, the dentin was kept moist (wet bonding) or air-dried for 60 s (dry bonding). A water-free two-step etch-and-rinse adhesive system (Optibond S, Kerr) was applied, and composite blocks were built up. The teeth were tested for bond strength (μTBS) immediately or after 12 months of aging. Considering the μTBS results, additional teeth were prepared for qualitative analysis of nanoleakage (NL; SEM) and hybrid layer permeability (CLSM). The μTBS data were analyzed with three-way RM ANOVA and Tukey (α = 0.05). ResultsThe immediate μTBS did not differ among treatments for wet dentin. For dry dentin, GSE in 5 % ethanol or acetone presented the highest μTBS values, the latter similar to wet control. After 12 months, μTBS of GSE in 5 % ethanol or acetone were comparable to the immediate results for wet and dry techniques. These reduced NL and improved dentin sealing for both dentin wetness conditions like the immediate wet control. ConclusionsThe application of 5 % GSE to etched dentin, either in 5 % ethanol or 5 % acetone, resulted in enhanced mechanical stability and dentin sealing of interfaces produced on dry dentin. SignificanceDentin biomodification with proanthocyanidin in the presence of ethanol or acetone makes bonding procedures less sensitive by eliminating the need to keep dentin wet and increasing the quality and stability of hybrid layers produced on dry etched dentin.

Bond Strength of Resin Cement Following Biomimetic Remineralization: An in vitro Study

Objectives This research assessed the efficacy of self-assembling peptide P11-4 (Curodont protect) in promoting biomimetic remineralization of dentin, thereby stabilizing the hybrid layer and enhancing the long-lasting of the resin-dentin bond. Methods Five premolar teeth were longitudinally sectioned to assess dentin microhardness before and after demineralization, as well as after the application of P11-4 (Curodont protect). For the microtensile test, ten premolar teeth were sectioned perpendicular to their long axes. The teeth were assigned to different groups. Following acid etching and rinsing, samples in control group I received no pretreatment, while the prepared dentin surface of group II was treated with 0.1 mL of P11-4 before the placement of the adhesive restoration. All specimens were stored in distilled water at 37 ± 2 °C for 24 hours and then underwent thermocycling. The microtensile test was measured, and the type of bond failure was evaluated. The obtained information, expressed in megapascals, was analyzed using a one-way analysis of variance (ANOVA), followed by Tukey’s multiple post hoc test. Results There was a statistically significant difference in hardness values after demineralization, followed by a significant increase in hardness after the application of P11-4 (Curodont protect) (p < 0.001, effect size = 0.985). No statistically significant difference was found in the microtensile bond strength between the two groups (p = 0.384, effect size = 0.582). Adhesive-type failure was more commonly observed. Conclusion The use of self-assembling peptide P11-4 (Curodont protect) on dentin resulted in higher microhardness than the control group without adversely affecting resin cement bond strength.

Effect of Salvadora persica on resin-dentin bond stability

BackgroundThe stability of resin–dentin interfaces is still highly questionable. The aim of this study was to evaluate the effect of Salvadora persica on resin–dentin bond durability.Materials and methodsExtracted human third molars were used to provide mid-coronal dentin, which was treated with 20% Salvadora persica extract for 1 min after acid-etching. Microtensile bond strength and interfacial nanoleakage were evaluated after 24 h and 6 months. A three-point flexure test was used to measure the stiffness of completely demineralized dentin sticks before and after treatment with Salvadora persica extract. The hydroxyproline release test was also used to measure collagen degradation by endogenous dentin proteases. Statistical analysis was performed using two-way ANOVA followed by post hoc Bonferroni test and unpaired t-test. P-values < 0.05 were considered statistically significant.ResultsThe use of Salvadora persica as an additional primer with etch-and-rinse adhesive did not affect the immediate bond strengths and nanoleakage (p > 0.05). After 6 months, the bond strength of the control group decreased (p = 0.007), and nanoleakage increased (p = 0.006), while Salvadora persica group showed no significant difference in bond strength and nanoleakage compared to their 24 h groups (p > 0.05). Salvadora persica increased dentin stiffness and decreased collagen degradation (p < 0.001) compared to their controls.ConclusionSalvadora persica extract pretreatment of acid-etched dentin preserved resin–dentin bonded interface for 6 months.Clinical significanceDurability of resin-dentin bonded interfaces is still highly questionable. Endogenous dentinal matrix metalloproteinases play an important role in degradation of dentinal collagen within such interfaces. Salvadora persica may preserve resin-dentin interfaces for longer periods of time contributing to greater clinical success and longevity of resin composite restorations.

EVALUATION OF BOND STRENGTH OF NEWER BONDING AGENTS TO HUMAN DENTIN AFTER SIX MONTHS OF STORAGE AN ANALYTIC STUDY

Introduction: Among various materials, composite resins have been developed in order to provide the best aesthetics to the anterior restorations as well as for posterior restorations. Resin-dentin bonds are more difficult to achieve than resin-enamel bonds, because dentin bonding relies on organic components. Materials &amp; Methodology: A total number of 44 extracted human mandibular premolars were collected. Occlusal enamel surface was removed using an airotor and diamond bur.The collected 44 teeth were divided in to four groups according to the bonding agents used. 1st sub group with five teeth that is submitted for microtensile testing within 24 hours and SEM analysis for failure mode, 2nd sub-group contains five teeth which is submitted to microtensile bond strength after six months of storage in normal saline and thereafter for SEM analysis for failure mode, and the 3rd sub-group with one teeth which is prepared for analyzing the bond interface using SEM Results: Summarized data was presented using Tables. Data was normally distributed as tested using the Shaperio‑Wilk W test (p-value was less than 0.05). Therefore, analysis was performed using the parametric tests i.e. Independentt test (for comparing two groups) and One way Anova test (for comparing more than two groups). Level of statistical significance was set at p-value less than 0.05. Conclusion:The lowest bond strength values both at 24 hours and after 6 months in normal saline due to its solvent system (acetone, ethanol, water), which might not create a stable adhesive layer like other agents. Optimal filler load could also reduce bond strength by limiting resin availability. SEM analysis revealed that fewer resin tags, indicating incomplete penetration into dentinal tubules, resulting in weaker bonding and susceptibility to degradation. Adhesive failures indicating poor adhesion at the dentin interface, while mixed failures suggested inadequate bonding with the composite resin. This underscores the importance of refining bonding agent formulations and application techniques to ensure enduring adhesive bonds in restorative dentistry.

Investigating the antibacterial activity of Thyme Oil/TiO2 modified resins against oral pathogenic bacteria

Dental composites lack inherent antimicrobial activity, leading to secondary caries and restoration failure. This study developed a novel thyme oil/TiO2 nanoparticle filler to impart sustainable antibacterial functions to dental resins. TiO2 nanoparticles were synthesized via a sol-gel method and characterized as 20–30 nm crystalline anatase particles. Functionalization with thyme oil was confirmed by FTIR, with 5.8% thyme oil content measured by TGA. Resin disks containing 0.5–2 wt% thyme-TiO2 exhibited significant inhibition zones against S. mutans, L. acidophilus and C. albicans (8–12 mm) compared to thyme oil-free controls (0 mm) (p < 0.05). Thyme-TiO2 at 1–2 wt% showed sustained release of thyme oil over 15 days with bacterial viability reduction of 68–99% compared to unmodified resin (p < 0.05). Resin-dentin microtensile bond strengths were 45–50 MPa for 0.5–2 wt% thyme-TiO2 and not significantly different from control (p > 0.05). Likewise, flexural strength, elastic modulus and surface microhardness values were unchanged with thyme-TiO2 incorporation ≤ 2 wt% (p > 0.05). DPSC viability was > 90% for all resins, indicating good cytocompatibility. Overall, the thyme-TiO2 nanocomposite successfully endowed the dental resin with potent, long-lasting antibacterial effects without compromising key mechanical properties.

Effect of Nisin-based pretreatment solution on dentin bond strength, antibacterial property, and MMP activity of the adhesive interface

ObjectiveTo evaluate the effect of a Nisin-based dentin pretreatment solution on microtensile bond strength, antibacterial activity, and matrix metalloproteinase (MMP) activity of the adhesive interface. Materials and methods100 human molars were sectioned to expose dentin. The teeth were assigned to five groups (n = 20), according to the dentin pretreatment: 0.5%, 1.0%, or 1.5% Nisin; 0.12% chlorhexidine (positive control), and no solution (negative control), and divided into 2 subgroups: no aging, and thermomechanical aging. Specimens were etched with 37% H3PO4 for 15 s and submitted to the dentin pretreatment. Then, they were bonded with an adhesive (Adper Single Bond 2) and a resin composite for microtensile bond strength (μTBS) evaluation. Antibacterial activity against Streptococcus mutans was qualitatively examined using an agar diffusion test. Anti-MMP activity within hybrid layers was examined using in-situ zymography. Data were analyzed with two-factor ANOVA and post-hoc Tukey’s test (α = 0.050). ResultsFor μTBS, significant differences were identified for the factors “solutions” (p = 0.002), “aging” (p = 0.017), and interaction of the two factors (p = 0.002). In the absence of aging, higher μTBS was observed for the group 0.5% Nisin. In the presence of aging, all groups showed similar μTBS values. All Nisin concentrations were effective in inhibiting the growth of S. mutans. Endogenous MMP activity was more significantly inhibited using 0.5% and 1.0% Nisin (p < 0.050). Conclusion0.5% and 1.0% Nisin solutions do not adversely affect resin-dentin bond strength and exhibit a potential bactericidal effect against S. mutans. Both concentrations effectively reduce endogenous gelatinolytic activity within the hybrid layer. Clinical relevanceThe use of 0.5% and 1.0% Nisin solutions for dentin pretreatment potentially contributes to preserving the adhesive interface, increasing the longevity of composite restorations.

Comparison of Adhesion Performance of a Self-curing and a Light-curing Universal Adhesive to Various Dental Substrates and CAD/CAM Materials.

To compare the adhesion of a self-curing (Tokuyama Universal Bond, TUB) and a light-curing (Scotchbond Universal, SBU) universal adhesive to CAD/CAM materials, enamel, and dentin. This study also assessed differences in enamel adhesion between self-etch vs selective etching modes, as well as immediate and long-term adhesion to dentin for both adhesives. Shear bond strength (SBS) testing was used to assess adhesion to enamel, dentin, Lava Ultimate (LU), Vita Enamic (VE), IPS e.max CAD (LD), IPS e.max ZirCAD (3Y-Zir), and Lava Esthetic (5Y-Zir) (n = 10). Moreover, bonding to enamel in self-etch and selective etching modes (n = 10) as well as immediate and aged resin-dentin bond strength (24 h after bonding, after 100,000 thermal cycles [TC] and long-term storage) was evaluated using the microtensile bond-strength test (n = 30). Failure mode was also determined for the bonding to dentin. Statistical analyses consisted of one-way and two-way ANOVA with appropriate post-hoc Tukey-Kramer or two-sample t-tests, as well as the chi-squared or Fisher's exact test (α = 0.05). TUB and SBU universal adhesives presented similar bonding to LU, VE, 3Y-Zir, and 5Y-Zir. However, SBS for TUB was superior to SBU when bonding to lithium-disilicate glass-ceramic (IPS e.max CAD). SBU showed better adhesion to dentin and enamel when used in the self-etch mode, while TUB promoted strong bond strength to enamel in the selective etching mode. TUB after TC was the only aging condition that yielded a significant reduction in resin-dentin bond strength. In-vitro adhesion performance of the self-curing and light-curing universal adhesives varies depending on the dental substrate or CAD/CAM restorative material used for bonding.

Chemical analysis of n-propyl gallate used as pre-treatment for resin-dentin bond strength: In vitro study.

This study aimed to evaluate the effect of n-propyl gallate as pre-treatment for resin-dentin bond strength. The dentin pre-treatments evaluated included propyl gallate of concentrations 0.1% (w/v), 1.0% (w/v), and 10.0% (w/v), as well as glutaraldehyde 5.0% (v/v), and distilled water as a control treatment. Dentin specimens were prepared for Fourier Transformed Infrared Spectroscopy (FT-IR) (n=3/pre-treatment). Pre-treatments were actively applied to dentin blocks before performing the adhesive procedure to composite resin. Microtensile bond strength to dentin (μTBS) (n=8/pre-treatment) was determined after 24h and 6 months of storage. Data were submitted to a two-way ANOVA, followed by Tukey's post hoc test. As for FT-IR, propyl gallate 1%-treated specimens presented higher water, carbonate, collagen, and amide absorbance rates compared to other tested groups, while specimens pre-treated with glutaraldehyde and distilled water presented similar absorbance curves. Regarding μTBS, all concentrations of propyl gallate resulted in statistically significant higher bond strength values than distilled water at 24h. After 6 months of storage, propyl gallate 0.1% was the only group that maintained μTBS over time. Propyl gallate 0.1% might be a suitable dentinal pre-treatment due to being able to present chemical bonds with demineralized dentin and providing resin-dentin bond stability after 6 months of storage.

Theobromine versus casein phospho-peptides/Amorphous calcium phosphate with fluoride as remineralizing agents: effect on resin-dentine bond strength, microhardness, and morphology of dentine

BackgroundThis study aimed to assess the impact of theobromine and casein phospho-peptides/amorphous calcium phosphate with fluoride (CPP-ACPF) on the resin-dentine bond strength, microhardness, and dentine morphology.MethodsA total of 18 sound human molars for micro-tensile bond strength (µTBS), 20 sound human premolars for microhardness, and 30 premolars for Scanning electron microscopy/energy-dispersive X-ray spectroscopy (SEM/EDX) were used. Based on the pre-treatment used, teeth were split into six groups; sound dentine, demineralized dentine, and demineralized dentine treated with theobromine (Sigma Aldrich) and MI paste plus (GC International, USA) for two-time intervals; 5 min and 1 month. The bonded teeth were sectioned to produce 1 mm2 resin-dentine sticks which were evaluated for µTBS using a universal testing device (Instron 3365, USA). The dentine microhardness was tested by using the Vickers microhardness tester (Nexus 4000 TM, Netherlands). The pre-treated dentine surface was examined using SEM/EDX (Neoscope JCM-6000 plus Joel benchtop SEM, Japan). µTBS results were analysed with two-way ANOVA. Microhardness and EDX results were analysed with two-way mixed model ANOVA. The significance level was set at (p ≤ 0.05).ResultsWhile both remineralizing materials at the two-time intervals demonstrated µTBS comparable to sound dentine (46.38 ± 12.18), the demineralized group demonstrated statistically the lowest µTBS (p < 0.001). Whether used for 5 min or 1 month, theobromine significantly increased the microhardness (50.18 ± 3.43) and (54.12 ± 2.66) respectively (p < 0.001), whereas MI paste only increased the hardness (51.12 ± 1.45) after 1 month (p < 0.001).ConclusionsThe pre-treatment of demineralized dentine with theobromine for 5 min or 1 month could enhance its bond strength and microhardness while for MI paste plus, only 1-month application was efficient to ensure remineralization.

Effect of Dentin Biomodification on Resin Dentin Bond Strength

Effect of Dentin Biomodification on Resin Dentin Bond Strength

Novel hydrolytic resistant antibacterial monomers for dental resin adhesive

ObjectivesTo evaluate the properties of novel hydrolytic resistant antibacterial monomers and to determine the properties of resin adhesives containing these monomers. MethodsMethacrylamide-based QAC (Quaternary Ammonium Compound) monomers, 1-(11-Methacryla-midoundecyl)pyridine-1-ium bromide (MAUPB) and 1-(12-Methacryl-amidododecyl)pyridine-1-ium bromide (MADPB), and their methacrylate-derivatives, N-(1-Methacryloylundecanyl)pyridinium bromide (MUPB) and N-(1-Methacryloyldodecanyl)pyridinium bromide (MDPB), were synthesized and characterized. The minimum inhibitory (MIC) and bactericidal (MBC) concentrations were determined against S.mutans and E.faecalis. Cytotoxicity of unpolymerized monomers were evaluated using L-929 and MDPC-23. Each monomer was incorporated into experimental resins (BisGMA/TEGDMA/CQ/EDMAB or BisGMA/HEMA/CQ/EDMAB) at 10wt%. FTIR Spectra were collected for degree of conversion (DC%) measurement. Bacterial attachment on resin disks were determined by fluorescent microscope. Mechanical properties of experimental resins were evaluated by flexural strength & modulus and shear bond strength testing. ResultsThe antibacterial activity of MDPB≥MUPB>MADPB>MAUPB. The TC50 of MAUPB> MADPB>MUPB >MDPB. Incorporation of MAUPB in BisGMA/TEGDMA-based resin, had no significant effect on DC%, while significantly increase DC% in BisGMA/HEMA-based Resin. MUPB and MAUPB containing resins showed less viable bacterial attachment than pure resins. After 3-month storage, resins containing MAUPB illustrated higher flexural strength than their corresponding resins containing MUPB. BisGMA/HEMA-based resin containing MAUPB illustrated significantly higher resin-dentin shear bond strength than that of MUPB and pure resin. ConclusionsMethacrylamide monomer containing QAC, MAUPB, possessed antibacterial properties and superior physical and mechanical properties when incorporated in resin adhesives as compared to their corresponding methacrylate monomer, MUPB. Clinical significanceMethacrylamide-based QAC monomers are potentially used to formulate antibacterial hydrolytic resistant resin adhesives and enhance resin-dentin bond strength.

Direct bulk-fill resin composite restorations: Characterization of pulpal floor gaps in deep occlusal cavities and current restorative minimization strategies — An overview

Introduction: When a single mass of bulk-fill resin composite is inserted in a deep occlusal cavity and light cured, it undergoes restrained shrinkage due to bonding to surrounding cavity walls. This shrinkage generates stresses within the mass which are not uniformly distributed due to variations in adhesive bonding to enamel and dentin of surrounding cavity walls. This behavior creates a problem of internal debonding and gap formation at the pulpal floor that results in postoperative sensitivity and persistent tooth pain, as well as failure of the restoration, over the time, due to biodegradation of resin-dentin bond. Aims: This paper provides a thorough overview on the debonding problem and gap formation at pulpal floors in deep occlusal cavities restored directly with bulk-fill resin composites. It also reviews the techniques currently available in the literature for reducing this problem. Materials and Methods: The data was searched and collected from 2021-2022. A total of 51 articles were included in this review. Results and Discussion: Three restorative techniques were recently reported as possible solutions for this problem, all aiming at relieving the developed shrinkage stresses and reducing the pulpal floor gap formation. In the first technique, an intermediate layer of bulk-fill resin composite was placed on the pulpal floor and cured. While in the second technique, a fiber-reinforced layer of bulk-fill resin composite was placed on the pulpal floor and cured. In these two techniques, the restoration was completed by filling the cavity with a mass of bulk-fill resin composite and curing it. As for the third technique “the semi-split bulk-filling technique”, a diagonal gap was cut in the uncured mass of bulk-fill resin composite, extending halfway in pulpal direction through the composite bulk, followed by curing. Then, the created gap was filled with the same bulk-fill resin composite to complete the restoration and followed by curing. Conclusion: The three restorative techniques reported in this paper are possible solutions to the problem of debonding and gap formation at pulpal floors in deep occlusal cavities restored directly using bulk-fill resin composites. They all relieve the developed shrinkage stresses and reduce the pulpal floor gap formation.

Synergistic effect of collagen cross-linking and remineralization for improving resin-dentin bond durability.

In this study, the synergistic effect of glutaraldehyde-cross-linking and remineralization on the strength and durability of resin-dentin bonds was investigated. Dentin surfaces were etched with 35% phosphoric acid. The control specimens were bonded with Adper Single Bond 2 using wet bonding without pretreatment. The experimental specimens were pretreated with 5% (v/v) glutaraldehyde solution for 3min and placed in a remineralizing solution for 0, 12, and 24 h, followed by dry bonding. After performing composite build-ups on the specimens, they were longitudinally sectioned, immediately, and after aging for 3h with sodium hypochlorite (NaOCl), to evaluate microtensile bond strength (µTBS). The cross-linked specimens exhibited µTBS values comparable with those of the control group, but the µTBS decreased significantly after NaOCl aging. The cross-linked dentin remineralized for 24 h exhibited an increase in µTBS. After aging in NaOCl, the µTBS of the specimens remineralized for 24 h did not decrease and was significantly higher than for the other experimental groups. Cross-linking with dry bonding maintained µTBS in specimens before aging in NaOCl, but the bonding durability was compromised. Remineralization of cross-linked dentin for 24 h followed by dry bonding increased the immediate µTBS and improved bond durability. Therefore, combining cross-linking with remineralization of collagen fibrils progressively increased resistance to degradation, improving bond durability.

Effect of polyhydroxy-terminated PAMAM dendrimer on dentin matrix metalloproteinases within the hybrid layers

BackgroundIntrafibrillar remineralization within the hybrid layers (HLs) has recently attracted extensive attention in achieving durable resin-dentin bonds. The polyhydroxy-terminated poly(amidoamine) dendrimer (PAMAM-OH) at fourth generation becomes a desirable candidate to induce intrafibrillar remineralization to protect exposed collagen fibrils within HLs based on the size exclusion effect of fibrillar collagen. However, the remineralization process in vivo is time-consuming, during which the exposed collagen fibrils are vulnerable to enzymatic degradation, resulting in unsatisfactory remineralization. Thereby, if PAMAM-OH itself possesses concomitant anti-proteolytic activity during the induction of remineralization, it would be very beneficial to obtain satisfactory remineralization.MethodsBinding capacity tests using adsorption isotherm and confocal laser scanning microscopy (CLSM) were performed to assess if the PAMAM-OH had adsorption capacity on dentin. Anti-proteolytic testings were detected by MMPs assay kit, in-situ zymography and ICTP assay. Adhesive infiltration of resin-dentin interface and tensile bond strength before and after thermomechanical cycling were implemented to assess if the PAMAM-OH adversely affected resin-dentin bonds.ResultsAnti-proteolytic testings performed using MMPs assay kit, in-situ zymography and ICTP assay indicated that PAMAM-OH inhibited exogenous soluble MMP-9 as well as had inhibitory effect on the endogenous proteases. Adhesive infiltration of resin-dentin interface and tensile bond strength before and after thermomechanical cycling were implemented to indicate that the PAMAM-OH pretreatment had no adverse effects on immediate dentin bonding and prolonged the durability of resin-dentin bonds.ConclusionsPAMAM-OH possesses anti-proteolytic activity and prevents exposed collagen fibrils within HLs from degradation, which lays the foundation for the satisfactory intrafibrillar remineralization induced by PAMAM-OH within HLs to achieve durable resin-dentin bonds in the next work.

Polyphenols Can Improve Resin-Dentin Bond Durability by Promoting Amorphous Calcium Phosphate Nanoparticles to Backfill the Dentin Matrix.

To investigate the effects of proanthocyanidins (PA), myricetin, resveratrol, and kaempferol on the modification of dentin collagen and the inhibition of matrix metalloproteinase (MMP) activity, and to evaluate their contributions to the biomimetic remineralization and resin-dentin bonding performance. Attenuated total reflection Fourier transform infrared spectroscopy (ATR-FTIR) and in situ zymography were applied to verify the collagen modification and MMP activity inhibition induced by these four polyphenols. Scanning electron microscopy/energy dispersive spectrometer (SEM/EDS) analysis, X-ray diffraction (XRD), ATR-FTIR, Vickers hardness numbers (VHN), and micro-computed tomography (micro-CT) were performed to characterize the remineralized dentin. Microtensile bond strength (μTBS) and nanoleakage were investigated to evaluate the effects of the four polyphenols on resin-dentin bonding durability. ATR-FTIR and in situ zymography confirmed that these four polyphenols could modify dentin collagen and inhibit MMP activity, respectively. Chemoanalytic characterization exhibited the efficacies of the four polyphenols in promoting dentin biomimetic remineralization. The surface hardness of PA-pretreated dentin was the greatest. Micro-CT results demonstrated that the PAs group possessed the highest amount of dentin surface minerals and the lowest amount of deep-layer minerals. The surface and deep-layer mineral contents of the Myr group were higher than Res and Kae groups. Treatment with these four polyphenols significantly increased the initial μTBS compared with the control group without primer conditioning. μTBS decreased significantly during aging, and the decrease was more severe in the PAs and Kae groups than in the Myr and Res groups. With or without aging, the polyphenol groups exhibited relatively less fluorescence. However, the Myr and Res groups showed less serious nanoleakage after aging. PA, myricetin, resveratrol, and kaempferol can modify dentin collagen, inhibit MMP activity, promote biomimetic remineralization, and improve resin-dentin bond durability. Compared with PA and kaempferol, myricetin and resveratrol are more effective in improving resin-dentin bonding.

Effect of Chlorhexidine on Immediate and Delayed Bond Strength between Resin and Dentin of Primary Teeth: A Systematic Review and Meta-Analysis.

Objectives: The purpose of this study was to systematically review the literature and use meta-analysis to investigate whether chlorhexidine (CHX) application after acid etching as an adjunct treatment has any influence on the immediate and delayed bond strength to primary dentin. Materials and Methods: In this review, PubMed, ISI (all data bases), Scopus and Cochrane were searched according to the selected keywords up to April 30, 2018. The full texts of all published articles that met our primary inclusion criteria were obtained. The studies were analyzed in two parts: in vitro studies that evaluated the effect of CHX application during the bonding procedures (application after acid etching) on immediate and delay dentin bond strength of resin-dentin interface. Results: The initial search yielded 214 publications, of which 8 were selected after thorough methodological assessment. None of the clinical studies fulfilled the eligibility criteria. Our results indicated that in comparison to the control group, CHX significantly reduced immediate resin-dentin bond strength (P=0.043). These values were increased after aging (P<0.001). Conclusion: Based on this invitroMeta-analysisCHX application, improveresin-dentin bond strength durability in primary teeth.

Effect of Different Application Modalities on the Bonding Performance of Adhesive Systems to Dentin: A Systematic Review and Meta-Analysis.

Diverse types of dental adhesives exhibit different cytotoxic outcomes on cells in vitro. Currently, no standard adhesive application technique has so far been decisive for clinicians for better durability of resin-dentin bonds of adhesive systems. The purpose of this study was to systematically review the literature to evaluate the bonding performance of adhesive systems to dentin by using different application modalities. The systematic research strategy was conducted by two reviewers among multiple databases: PubMed, Scopus, Web of Science, Embase, and Scielo. In vitro studies reporting the effects of additional steps for the application of adhesive systems on the bond strength to dentin were selected. Meta-analysis was performed using Review Manager Software version 5.3.5 using the random effects model. The methodological quality of each in vitro study was assessed according to the parameters of a previous systematic review. The electronic research through different databases generated a total of 8318 references. After the examination of titles and abstracts, a total of 106 potentially relevant studies accessed the full-text evaluation phase. After full-text examination, 78 publications were included for the qualitative analysis, and 68 studies were included in the meta-analysis. Regarding the etch-and-rinse adhesive systems, the application modalities that improved the overall bond strength were the application of a hydrophobic resin layer (p = 0.005), an extended application time (p &lt; 0.001), an application assisted by an electric current (p &lt; 0.001), a double-layer application (p = 0.05), the agitation technique (p = 0.02), and the active application of the adhesive (p &lt; 0.001). For self-etch adhesive systems, the techniques that improved the overall bond strength were the application of a hydrophobic resin layer (p &lt; 0.001), an extended application time (p = 0.001), an application assisted by an electric current (p &lt; 0.001), a double-layer application (p &lt; 0.001), the agitation technique (p = 0.01), and the active application of the adhesive (p &lt; 0.001). The in vitro evidence suggests that the application of adhesive systems using alternative techniques or additional strategies may be beneficial for improving their bond strength to dentin. The application modalities that favored the overall bond strength to dentin were an extended application time, a double-layer application, an application assisted by an electric current, the active application of the adhesive, and the application of a hydrophobic resin layer. Worth mentioning is that some techniques are intended to increase the degree of the conversion of the materials, and therefore, improvements in the biocompatibility of the materials can be expected.