Resin Tags Research Articles

Morphological Analysis and Bond Strength to Root Canal Dentin of Endodontically Treated and Retreated Teeth: An Ex Vivo Study.

To assess the bond strength and the hybrid layer (HL) micro-morphological characteristics at the cement-dentin interface (CD-i) between root canal walls and two adhesive resin cements [self-etch (SERc) and self-adhesive (SARc)] in root-canal-treated (RCT) and naturally aged retreated teeth (RCR-T). Vital (n = 16) and RCT (n = 16) teeth were, respectively, endodontically treated or retreated. Fiber posts were luted either with SERc (Clearfil Universal Bond Quick + DC Core Plus) or SARc (iCEM). Samples were then sectioned into 1 mm thick slices perpendicular to the fiber post and submitted to push-out bond strength test. Vital (n = 4) and RCT (n = 4) first maxillary molars were also selected and prepared to evaluate CD-i morphology through confocal laser scanning microscopy (CLSM). Three-way analysis of variance (ANOVA) and Tukey post-hoc tests were assessed to statistically analyze the obtained data (p 0.05). Bond strength was significantly jeopardized in retreated teeth and in the root apical half, while the cements had no significant influence. Most failures occurred between dentin and resin cement. HL thickness was also hindered in retreated teeth. iCEM produced a thinner HL compared to SERc. Resin tag formation was significantly hampered in the root apical half. SARc performed as well as SERc on aged RCT radicular dentin. Clinicians can rely on simplified one-step luting systems when adhesion is required in unfavorable substrates such as the root canal post space of aged RCT teeth.

Comparative evaluation of bonding performance between universal and self-etch adhesives: In vitro study

ObjectiveThis work aimed to assess the bonding performance of universal adhesive and self-etch adhesives, and a comparative study was conducted using the same acid etching mode. MethodsThe selective acid-etching mode was used to simulate bonded restorations to teeth defects of isolated human molars including enamel and dentin. Microtensile bond strength and microleakage of all adhesives were tested and compared after 24 h and 5000 thermocycles, respectively. The morphology of the adhesive interfaces was observed by scanning electron microscopy (SEM) and fluorescent staining. ResultsThe bond strength and microleakage of Single Bond Universal (SBU) adhesive are comparable to those of self-etch adhesives, although Clearfil Tri-S Bond (S3) exhibited significantly lower bond strength compared to other two self-etch groups evaluated. No significant differences were found in the microleakage resistance of these four adhesives, suggesting their similar effectiveness in sealing the margins of the restorations, although SBU showed the highest resistance of microleakage. The SEM and fluorescent staining results of the resin-dentin interfaces further revealed the formation of abundant resin tags for all adhesives. ConclusionsSelf-etch adhesives evaluated in this study performed similarly to universal adhesives in selective acid-etch mode for bond strength and microleakage resistance. Both types of adhesives exhibited effective penetration capabilities into the dentinal tubules. Clinical significanceDuring the adhesion processes involving both dentin and enamel, self-etch adhesives can serve as alternatives to universal adhesives in selective acid-etch mode.

Influence of bioceramic sealer residues on the adhesion interface with a universal adhesive in the etch-and-rinse strategy, based on the application protocol and evaluation time.

The aim of this study was to evaluate the effects of the application of universal adhesive in the etch-and-rinse (ER) strategy with a manual brush (MB) or rotary brush (RB) in adhesion to dentin impregnated (WB) or not (NB) with bioceramic sealer, at 24 h and 1 year. Eighty-eight crowns of bovine incisors were divided into four groups (n=22): WB-MB, WB-RB, NB-MB, NB-RB. After the restorative protocol, dentin penetrability was evaluated by confocal microscopy. Bond strength was evaluated by microtensile test. Data were analyzed using one-way ANOVA/Tukey tests (α=0.05). NB-RB and WB-RB exhibited greater extensions of resin tags in dentin. At 24 h, WB-RB and NB-MB showed the highest and lowest values of bond strength, respectively. At 1 year, WB-MB and WB-RB demonstrated the highest bond strength values. The RB increases the formation of resin tags and residues of bioceramic sealer provides higher bond strength in the ER strategy.

In vitro Investigation of Resin Tag Lengths of Three Commercially Available Pit and Fissure Sealants.

The aim of this in vitro study was to perform a comparative evaluation of the length of resin tags produced by three different types of pit and fissure sealants (Embrace WetBond, Helioseal Clear, and Fuji VII) using scanning electron microscopy. Thirty extracted mandibular premolars were randomly divided into three groups of ten. Each group was treated with one of the sealants - Embrace WetBond, Helioseal Clear, or Fuji VII. Following cleaning and preparation, the sealants were applied according to the manufacturer's instructions. Teeth were then sectioned and prepared for SEM investigation, and the length of resin tags was measured. Scanning electron microscopy revealed Embrace WetBond produced significantly longer resin tags than Helioseal Clear and Fuji VII. The study concludes that Embrace WetBond sealant exhibited the longest resin tags, which may suggest a stronger mechanical bond to enamel.

Influence of titanium dioxide nanotubes with alkyl ammonium alkyl bromide on the physicochemical properties and adhesion of experimental adhesive resins to dentin

ObjectiveThis study evaluated the effect of the incorporation of titanium dioxide nanotubes with alkyl trimethyl ammonium bromide (ntTiO2/ATAB) into experimental adhesive resins on their physicochemical properties and adhesion to dentin. Materials & methodsThe experimental adhesive resins were formulated with 66.66 wt% Bis-GMA and 33.33 wt% HEMA, photoinitiator with addition of ntTiO2/ATAB (1:1) in different concentrations: G1%, G2.5%, and G5%. One groups with no ntTiO2/ATAB addition was used as control (G0%). An optical tensiometer was used to analyze the contact angle (COA) by the sessile drop method (distilled water and α-bromonaphthalene) (n = 5), while the surface free energy (SFE) was calculated using Owens-Wendt-Rabel-Kaelble method. Flexural strength (FS) test (three-point bending) of polymerized adhesive samples was performed according to ISO 4049:2019 (n = 10) after 24 h or one year of water storage at 37 °C, as well as for the microtensile bond strength (μTBS) test, in which a commercial adhesive (GSBMP) was also used as control (n = 10). The adhesive-dentin interfaces were evaluated by scanning electron microscopy and X-ray spectrometry (n = 5). Data were analyzed by one-way (COA and SFE), two-way (FLE and μTBS) ANOVA and Tukey's test (α = 0.05). ResultsG5% showed the highest COA with nonpolar liquid and higher SFE than G0%. The G5% showed decreased FS compared to G0%. The μTBS of both controls (G0% and GSBMP) decreased after one year. TiO2/ATAB-containing adhesives to dentin showed no significant decrease after one year. All adhesives formed hybrid layer and the resin tags inside the dentinal tubules. ConclusionsThe incorporation of 1 and 2.5% of ntTiO2/ATAB into experimental adhesive resins did not impar the SFE. After one year, any concentration of ntTiO2/ATAB reduced the FS compared with control, but did not impair the μTBS.

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 & 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.

Warm Air Delivery in Adhesive Application: Effect on Bonding Performance and Morphological Outcomes.

Solvent evaporation within an adhesive layer is a crucial step during a bonding process. The aim of this current research was to test whether the use of different air temperatures (20 °C, 40 °C, and 60 °C) for solvent evaporation improves the performance of four adhesive systems to dentin. Sixty non-carious human molar teeth were randomly prepared for micro-tensile bond strength (μTBS) tests. Four different adhesive systems, Prime&Bond Universal (PBU), OptiBond Universal (OBU), OptiBond FL (OBFL), and Clearfil SE (CSE), were applied following the manufacturer's instructions. Three groups based on the air-drying temperature were used: solvent evaporation was performed with either of warm (40 °C), (60 °C), and cold air as control group (20 °C) for 10 s at a distance of 5 cm. In all bonded surfaces, three resin composite (Reflectys, Itena Clinical, Paris, France) layers of 2 mm thickness were built up. The resin-dentin samples were kept in distilled water at 37 °C for 24 h and 6 months, respectively, before μTBS testing. Failure analysis, scanning electron microscopy of resin-dentin bonded interface, and solvent evaporation rate were tested as secondary variables. All analyses were conducted using a significance level of α = 0.05. Bond strength (BS) values were similar among all the adhesive systems used (p > 0.05). Also, the aging factor did not affect the BS (p > 0.05). Only the factor of temperature used for solvent evaporation resulted in a statistically significant effect (p < 0.05), with the temperature of 60 °C being the highest value (p < 0.05). A failure mode evaluation revealed mostly adhesive or mixed modes of failures in all the different temperatures of air used for the solvent evaporation of each adhesive system. The thickness of the adhesive layer and the creation of resin tags varied amongst the temperatures evaluated. For all adhesive systems tested, the use of 40 °C or 60 °C air for solvent evaporation led to an increased mass loss. Warmer temperatures for solvent evaporation contributed positively to bonding performance, enhancing both the quality of the adhesive layer and its interaction with the dentin tissue. Optimizing solvent evaporation with warmer air temperatures (40 °C and 60 °C) significantly improved µTBS, offering a practical means to enhance the quality and longevity of adhesive restorations in esthetic dentistry.

Alpha-tocopherol: An alternative solution for the adverse effects of dental bleaching on dentin adhesion

PurposeThis study evaluated the effect of solutions of different concentrations of alpha-tocopherol on hybrid layer formation and microtensile bond strength of endodontically treated teeth bleached with 38% hydrogen peroxide. Materials and methodsSixty bovine incisors were randomly distributed into six groups (n = 10). In the control group (CONT), no intervention was performed. In the 38HP group, only bleaching with 38% hydrogen peroxide was conducted. In the 15AT, 20AT, 25AT, and 10SA groups, bleaching with 38% hydrogen peroxide was followed by the application of alpha-tocopherol at 15%, 20%, 25%, or 10% sodium ascorbate, respectively. Subsequently, bond strength was performed using the microtensile test, and the formation of the hybrid layer was examined through scanning electron microscopy. The obtained data were subjected to Kruskal-Wallis and Dunn tests (α = 0.05). ResultsFor bond strength, groups CONT and 20AT displayed higher values compared to HP. There were no significant differences in the other groups compared to the control. 38HP, 10SA, 20AT and 25AT exhibited a predominance of adhesive failures, while CONT and 15AT presented more cohesive failures in dentin. In the evaluation of the hybrid layer, the CONT group showed greater formation of longer resin tags than 38HP and 15AT, which presented a predominance of few and short resin tags (p < 0.05). ConclusionAlpha-tocopherol at 20% is capable of minimizing the deleterious effects of dental bleaching on the hybrid layer formation and bond strength to dentin.

Evaluation of the Dentinal Shear Bond Strength and Resin Interface in Primary Molars after Pre-Treatment with Various Dentin Bio-Modifiers: An In Vitro Study.

Dentine adhesives have demonstrated great success with permanent teeth. Though the results in primary teeth are not well documented, some studies have demonstrated lower values of bond strength in primary teeth than those found in permanent teeth. The aim of this study was to compare and evaluate the effect of grape seed extract (6.5%) (Herbal Bio Solutions, Delhi, India), glutaraldehyde (5%) (Loba Chemie PVT. LTD., Mumbai), hesperidin (0.5%) (Herbal Bio Solutions, Delhi, India), and casein phosphopeptide-amorphous calcium phosphate (tooth mousse) (GC Corporation, Alsip, IL, USA) on the shear bond strength of dentine of primary teeth and to evaluate the resin tags at the resin tooth interface. Seventy-five caries-free human primary molars were collected, and their occlusal surfaces were ground flat. Dentin surfaces were etched using phosphoric acid. Then teeth were randomly assigned in sequential order to five groups according to the dentinal treatment method: Group I (Control group) (no treatment), Group II (5% glutaraldehyde), Group III (6.5% grape seed extract), Group IV (0.5% hesperidin), and Group V (CPP-ACP). Ten teeth from each group were assigned for Shear Bond Strength and five for SEM analysis. ANOVA and a post hoc least significant difference test (p < 0.05) were used for statistical analysis of the collected data. The grape seed extract group showed significantly increased shear bond strength than the control group (p < 0.05), and the mean length of resin tags in different dentine bio modifiers groups was also statistically significant (p < 0.05). The use of dentin bio modifiers such as 5% glutaraldehyde, 6.5% grape seed extract, 0.5% hesperidin, and CPP-ACP in the bonding process for primary teeth did not improve the dentinal bond strength.

Post retention strength of apical and conventional coating obturation methods using bioceramic sealer: a laboratory investigation

BackgroundOnce bioceramic sealer (BCS) enters the dentinal tubules, it cannot be reliably removed. BCS-occupied dentinal tubules reduce fibre post retention strength. Coating gutta-percha with BCS only on the apical portion may improve post retention strength due to increased retention strength between the dentin and resin cement interface. The aim of the study was to test this hypothesis.MethodsRoot canals of 27 extracted human mandibular premolars were instrumented and randomly assigned to three obturation methods: conventional coating (CC), non-coating (NC), and apical coating (AC). The root canals were obturated with gutta-percha to 4 mm from the working length under an operating microscope. After the BCS was completely set, post spaces were prepared, and quartz fibre posts were cemented. The apical 4.5 mm of the roots were removed. Two samples were prepared at the apical, middle, and coronal root levels (one for scanning electron microscope (SEM) study and another for the push out bond strength (PBS) test). After the PBS test, the samples were examined with a stereo microscope to determine the failure mode: dentine-cement (DC), post-cement (PC) and mixed. The PBS data were analysed by One way ANOVA for the specific obturation method effects. Repeated ANOVA was used for the specific effects of the root levels on PBS in different obturation methods.ResultsAt all three root levels, more continuous hybrid layers and denser resin tags were found in the NC and AC than the CC group. The AC and NC groups’ PBS was significantly higher than the CC group at the apical 1/3 (p = 0.002 and p = 0.001) and coronal 1/3 (p = 0.016 and p = 0.041). The PBS in the CC group at the middle 1/3 was significantly higher than the apical 1/3 (p = 0.022). DC failure mode was most commonly found in the CC group, while PC failure mode was found most frequently in the NC and AC groups.ConclusionsThe apical coating obturation method significantly increased PBS over the conventional coating method, potentially reducing fiber post dislodgement. However, this study was only preliminary. Clinical studies are required to confirm the results.

Resin tags formation by modified Renewal MI formulations in a carious dentine model.

To determine which components in a new restorative material (Renewal MI) improve its ability to form resin tags within demineralized dentine. Varied components included polylysine (PLS), monocalcium phosphate (MCP), powder to liquid ratio (PLR), 4-methacryloyloxyethyl trimellitate anhydride (4META), and polypropylene glycol dimethacrylate (PPGDMA). Urethane dimethacrylate (UDMA), containing PPGDMA (24 wt%) and 4META (3 wt%), was mixed with glass filler with MCP (8 wt%) and PLS (5 wt%). PLR was 3:1 or 5:1. Reducing MCP and/or PLS to 4 and 2 wt% respectively or fully removing MCP, PLS, 4META or PPGDMA gave 16 formulations in total. Renewal MI, Z250 (with or without Scotchbond Universal adhesive) and Activa were used as commercial comparators. Collagen discs were obtained by totally demineralizing 2 mm thick, human, premolar, coronal dentine discs by immersion in formic acid (4M) for 48 h. The restorative materials were then applied on top (n = 3), before dissolving the collagen in sodium hypochlorite (15%). SEM/EDX was employed to determine resin tags length, composition, and surface coverage. Tags were >400, 20 and 200 µm and covered 62, 55 and 39% of the adhesion interface for Renewal MI, Scotchbond and Activa, respectively. With experimental formulations, they were 200 and >400 µm long with high vs. low PLR and composed primarily of polymerized monomers. Percentages of the adhesion interface covered varied between 35 and 84%. Reducing PLS or MCP caused a decline in coverage that was linear with their concentrations. Reducing MCP had lesser effect when PLS or PLR were low. Removal of 4META caused a greater reduction in coverage than PPGDMA removal. PLS, MCP, 4META, PPGDMA and low PLR together enhance Renewal MI tags formation in, and thereby sealing of, demineralized dentine.

Pomegranate extract on eroded dentin: antioxidant action, bond strength and morphology of the adhesive interface after aging.

This study aimed to evaluate the effect of pomegranate solution (Punica granatum) on eroded dentin through antioxidant action, shear bond strength (SBS) and interface morphology. The 10% pomegranate peel extract was prepared by the lyophilization method. Punicalagin polyphenol was confirmed by high-performance liquid chromatography. Antioxidant activity was evaluated by capturing the 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical. For the SBS, 48 dentin fragments were divided into sound or eroded, and subdivided according to the pretreatment (n = 12): water or P. granatum. The surfaces were restored with self-etch adhesive and a bulk-fill resin (Ecosite; DMG). The SBS was done immediately (24 hours) and after thermal cycling + water storage (12 months). For scanning electron microscopy, 48 dentin fragments (24 sound and 24 eroded) received the same treatments as for SBS (n = 6), and they were analyzed after 24 hours and 12 months. The P. granatum had antioxidant action similar (p = 0.246) to the phenolic standard antioxidants. After 24 hours, eroded dentin had lower SBS than sound dentin (p < 0.001), regardless of the pretreatment. After 12 months, P. granatum maintained the SBS of sound dentin (13.46 ± 3.42 MPa) and eroded dentin (10.96 ± 1.90 MPa) statistically similar. The lowest values were found on eroded dentin treated with water (5.75 ± 1.65 MPa) (p < 0.001). P. granatum on eroded dentin caused peritubular demineralization and hybrid layer with resin tags. The pomegranate extract had antioxidant action and preserved the adhesive interface of the eroded dentin.

Effect of Dimethyl Sulfoxide Primer on Microtensile Bond Strength and Micromorphological Pattern of HEMA-free Universal Adhesive to Dry/Wet Dentin After Thermomechanical Aging.

To evaluate the effect of dimethyl sulfoxide (DMSO) primer on microtensile bond strength (μTBS) and the micromorphological pattern of a hydroxyethyl methacrylate (HEMA)-free universal adhesive (UA) applied on wet/dry dentin in etch and rinse (E&R) mode before/after thermomechanical aging. For the μTBS test, the mid-coronal dentin of 80 human mandibular first molars was exposed and etched with 35% phosphoric acid. Teeth were randomly divided into two equal groups: dry and wet dentin (n = 40). Then, each group was subdivided according to dentin pretreatment by DMSO before UA (Gluma Bond Universal, Heraeus Kulzer, Hanau, Germany) application into unpretreated and 10% DMSO/water (OT Primer S100, OT Oy Dent, Turku, Finland) pretreated (n = 20). Resin composite blocks were built up using a specially designed Teflon mold. In every subgroup, both the μTBS test and failure analysis by stereomicroscope were evaluated immediately after 24 h and after thermomechanical aging (n = 10). The data were statistically analyzed using a three-way analysis of variance (ANOVA) (p = 0.05). For the micromorphological pattern, 16 maxillary first premolars were distributed as mentioned in the μTBS test, prepared, and buccolingually sectioned. The dentin-resin interface was examined using an environmental scanning electron microscope (ESEM) (n = 2). Three-way ANOVA revealed that the main effects and interactions between dentin wetness, dentin pretreatment, and evaluation time (thermomechanical aging) were not significant for µTBS (p> 0.05). Adhesive failure was the predominant type in all immediate and delayed specimens. Longer and more prominent resin tags were observed at dentin-resin interfaces after DMSO application. Neither the initial dentin wetness condition, dentin pretreatment, nor thermomechanical aging could affect the dentin bond strength. No correlation was found between the bond strength and the micromorphology findings. Key words:Wet/dry dentin bonding, Microtensile bond strength, Micromorphology, Universal adhesive, Dimethyl sulfoxide, Thermomechanical aging.

Fuerza de unión de resina compuesta/adhesivo universal a dentina sometida a radio-terapia

Aim: To evaluate the bond strength of a universal adhesive system to dentin submitted to radiotherapy. Materials and Methods: Sixty extracted human teeth were divided into two groups (n = 30): without radiotherapy (control); with radiotherapy, according to the adhesive protocol (n=15): ER-etch-and-rinse (acid + Single Bond Uni-versal); SE-self-etch (Single Bond Universal). The analyzes were shear bond strength (SBS) (n=10), failure pattern (n=10) and scanning electron microscopy (n=5). Data was analyzed by a two-way ANOVA (α =0.05). Results: The radiotherapy decreased SBS of the restorative material to dentin (p&lt;0.0001). The ER protocol provided lower bond strength values (p&lt;0.001). The predominant type of fracture without radiotherapy was mixed (SE), cohesive to the material (ER). Both protocols presented adhesive failures with radiotherapy. Teeth had a hybrid layer and long resin tags (without radiotherapy) and few tags (with radiotherapy). Conclusions: The SE adhesive mode favors the shear bond strength of resin to dentin in teeth submitted to radiotherapy. Keywords: Dental Cements; Adhesives; Dental bonding; Self-curing of dental Resins; radiation treatment; Dentin.

Evaluating the advancements in a recently introduced universal adhesive compared to its predecessor

Background/purposeThe dental adhesive market is constantly evolving to meet the demands of dentists and patients, but new products and upgrades should be rigorously evaluated before being used in clinical practice. This study investigated the physicomechanical properties and dentin bonding efficacy of a newly upgraded universal adhesive compared to its predecessor. Materials and methodsTwenty-four molars were divided into four groups (n = 6/group) based on adhesive (new vs. predecessor) and application mode [self-etch (SE) vs. etch-and-rinse (ER)] for evaluating their dentin microtensile bond strength (μTBS), failure pattern, and bonding interface. Additional thirty-six molars’ crowns were perpendicularly sectioned to obtain flat mid-coronal dentin discs. The opposing dentin surfaces of each disc received contrasting treatments (new/predecessor adhesive applied in SE/ER mode), resulting in six interventions. The bonded discs (n = 6/intervention) were used to assess the adhesives’ survival probability employing a double-sided μTBS test. The other physicomechanical properties examined were adhesives’ oxygen inhibition layer (OIL), viscosity, hardness, elastic modulus, degree of conversion (DC), and in-situ DC. ResultsBoth adhesive versions showed similar μTBS (P > 0.05), failure pattern (P > 0.05), and survival probability (P > 0.008). ER mode promoted resin tag formation and exhibited a slender adhesive layer for both adhesives. The newer adhesive version showed a thinner adhesive layer in general with narrower OIL (P < 0.001), less viscosity (P < 0.001), higher hardness (P < 0.05), elastic modulus (P < 0.05), DC (P < 0.001), and in-situ DC (P < 0.001). ConclusionWhile the newly updated adhesive had superior physicomechanical properties with more fluidity, its dentin bonding efficacy and survival probability were comparable to its predecessor.

Polyvinylpyrrolidone as a primer for resin-dentin bonding

ObjectiveThis study aimed to investigate the effects of polyvinylpyrrolidone (PVP)-containing primer (PCP) on dentin bonding. MethodsPVP and anhydrous ethanol were used to prepare the PCPs, which were prepared at concentrations of 0.5%, 1%, and 2% (w/v). These PCPs were subsequently applied to the dentin surface, denoted as E1, E2, and E3, respectively. In the control group, no primer was applied. Following the treatment, the dentin surfaces were subjected to analysis using Fourier-transform infrared spectroscopy (FTIR), and the micro-tensile bond strength (MTBS) was evaluated. The failure mode, nanoleakage, and bonding longitudinal section were observed utilizing scanning electron microscopy (SEM). Additionally, the effect of PCPs on matrix metalloproteinases (MMPs) activity was analyzed through an in situ zymography test. Data were subjected to statistical analysis using ANOVA tests (α = 0.05). ResultsSignificant alterations in the infrared resonances associated with collagen cross-linking within the collagen matrix were observed across all PCP groups. The application of PCP demonstrated a noteworthy enhancement in micro-tensile bond strength (MTBS) compared to group C (p < 0.05). Notably, group C exhibited the lowest MTBS (41 ± 7.7 MPa), whereas group E2 demonstrated the highest MTBS (66 ± 11.9 MPa). Even after undergoing aging, the MTBS of the PCP groups remained superior to that of group C (p < 0.05). The resin tag length in the PCP groups was found to be greater than that of group C, and the occurrence of nanoleakage was comparatively lower in the PCP groups, both before and after aging. Additionally, PCP exhibited a dose-dependent inhibition of matrix metalloproteinases (MMPs) activity, which was statistically significant (p < 0.05). ConclusionsThe utilization of PCP Primer exhibits notable enhancements in bond strength, mitigates nano-leakage, and suppresses enzyme activity within the hybrid layer.

In Vitro Evaluation of Viscosity, Depth of Penetration, Microleakage, and Shear Bond Strength of Conventional and Hydrophilic Sealants.

Sealants are effective in preventing and arresting pit and fissure caries. Newer brands of sealants continue to be developed despite the lack of scientifically based information addressing the caries-preventive properties of these materials. Hence, laboratory in vitro tests play a vital role in providing the necessary information regarding the efficacy of new products in a short period of time. To compare and evaluate the viscosity, resin tag length, microleakage, and shear bond strength between conventional and hydrophilic sealants. A total of 40 extracted third molars were selected. Only 20 were evaluated for microleakage and resin tag length and another 20 for shear bond strength evaluation between group I-ClinPro and group II-UltraSeal XT hydro. After sealant placement, specimens were immersed in 0.1% rhodamine dye, followed by thermocycling. Microleakage testing was done using a confocal laser scanning microscope and resin tag length evaluation using a scanning electron microscope (SEM) and shear bond strength using an Universal Instron machine. Viscosity was assessed using an Anton Paar viscometer. Results were subjected to statistical analysis using Statistical Package for the Social Sciences (SPSS) software version 20. Viscosity and mean microleakage scores for group I (0.92 MPa and 1.50) were found to be higher than for group II (0.72 MPa and 0.60). Mean resin tag length and mean shear bond strength for group I (7.46 ± 0.95 μm and 13.71 ± 0.94 MPa) were found to be less compared to group II (10.03 ± 1.00 μm and 20.39 ± 0.98 MPa). The results were found to be statistically significant (p < 0.05). Group II was found to be less viscous, which resulted in the formation of resin tags of sufficient length and showed less microleakage and higher shear bond strength than group I. Prabakar J, Jeevanandan G, Kengadaran S. In Vitro Evaluation of Viscosity, Depth of Penetration, Microleakage, and Shear Bond Strength of Conventional and Hydrophilic Sealants. Int J Clin Pediatr Dent 2023;16(5):745-750.

Effect of Modified Triple-Layer Application on the Bond Strength of Different Dental Adhesive Systems to Dentin.

The goal of this article was to assess the effect of modified triple-layer application (MTLA) in conjunction with the active bonding technique on the bond strength of four adhesive systems to dentinal substrate. The adhesives tested were Prime&Bond Universal (PBU), OptiBond Universal (OBU), OptiBond FL (OBFL), and Clearfil SE (CSE). The adhesives were applied according to the following strategies: single active application (A) and triple adhesive layer application including Active-Passive-Passive (APP); AAP; and AAA. The micro-tensile bond strength test was evaluated following 24 h or 6 months of storage. The composite-dentin interface morphology was investigated using scanning electron microscopy. The data were statistically analyzed with a significance level of α = 0.05. At 24 h of aging, all of the factors tested were not significant (p > 0.05) for CSE. For OBFL, OBU, and PBU, statistically higher values were observed for the A technique (p < 0.05). Plus, there were no significant variances between the APP, AAP, and AAA techniques (p > 0.05) for OBFL and PBU. However, for OBU, there were no significant differences between the A and AAA techniques (p > 0.05). After 6 months of aging, the A technique showed statistically higher values when compared to the other techniques (p < 0.01), except for OBFL, where the A and AAA techniques showed promising outcomes. When comparing the bond strength values of 24 h and 6 months, only for PBU, all of the techniques used resulted in bond strength stability over time (p > 0.05). Thicker adhesive layers were observed when MTLA was applied. Only the OBFL adhesive showed the formation of resin tags in all of the modalities tested. The bonding performances of the different application techniques used were material-dependent.

A scanning electron microscope-based comparative evaluation of resin tag formation at the resin dentin inter-diffusion zone

Aim of study was evaluate and compare the formation of the resin dentin interdiffusion zone (RDIZ) at the radicular dentin and resin interface after etching with phosphoric acid (PA) and glycolic acid (GA), using either light-cure and self-cured adhesives. Twenty extracted teeth were root canal treated. Post space preparation was done, and the samples were randomly divided into two main groups depending upon the etchant. Each group was further divided into two subgroups depending on the type of adhesive used. One group was etched with 37% PA (Prime® Dental Products PVT LTD, India) and the other with 35% GA (Glycolic 35 Peel, Rejsol, India). Etching was followed by the application of light-cured adhesive (3M ESPE Adper Single Bond, USA) or self-etch (3M ESPE Single Bond Universal, Germany). Fibre posts were then placed and after a coronal build-up, the teeth were sectioned longitudinally and observed under SEM. Statistical analysis: Data was analyzed by descriptive statistics as a percentage of resin tag density for all the groups. The Kruskall-Wallis test was applied for overall comparison and a Mann-Whitney U test for inter-group analysis. Resin tag density was found to be the highest in the coronal third followed by the middle third of radicular dentin and was the least in apical thirds for both groups. Resin tag density was similar for light cure and self-etch adhesives in the coronal, middle, and apical thirds of both groups. In conclusion this study concluded that GA could be thought of as a potential etchant for the radicular dentin.

Effect of green tea extract antioxidant on dentin shear bond strength and resin-tag penetration depth after non-vital bleaching.

Background: 35% Hydrogen peroxide (H 2O 2) as an active material for internal bleaching can produce free radicals that can affect resin tag penetration into the dentinal tubules. Application of 10% and 35% green tea (GT) extract as an antioxidant after 2 minutes are expected to remove free radical residues and increase dentin shear bond strength and resin tags penetration depth after non-vital bleaching. Methods: 30 extracted healthy human premolars were cut horizontally 2 mm from the Cemento Enamel Junction margin to the crown part, then cut in a mesio-distal direction into two parts. The specimens were divided into five groups: normal dentin, post bleaching dentin, delayed 2 weeks, 10% GT, and 35% GT group. Non-vital walking bleach with 35% H 2O 2 gel was done to all groups except control group. Soon after, 10% and 35% GT extract gel were applied on dentin for 2 minutes, then the specimens were rinsed-off with aquabidest for 2 minutes and dried. All specimens were etched and bonded with an etch-and-rinse adhesive system and filled with resin composite. The shear bond strength assessment was carried out using a Universal Testing Machine (UTM) with a cross-head speed of 0.5 mm/minute. Confocal laser scanning microscopy (CLSM) with a wavelength of 560 nm and a lens magnification of 40x was used to analyze the resin tag penetration. Data were analyzed by one way ANOVA and t-test. Results: There was a significant difference in resin tag penetration depth and shear bond strength between applying 10% and 35% GT extract (p < 0.05). The 35% GT extract group resulted in a significantly longer resin tag penetration than the 10% GT extract group. Conclusions: The application of 35% GT extract is more effective than 10% GT extract as an antioxidant for increasing the shear bond strength of composite resin after internal bleaching.