Self-etch Adhesive Clearfil SE Research Articles

In Vitro Evaluation of Desensitizing Agents Containing Bioactive Scaffolds of Nanofibers on Dentin Remineralization.

This study evaluated the effect of the incorporation of bioactive nanofibers in desensitizing agents on dentin permeability. Sixty disks of dentin were randomly distributed in four groups (n = 15). Distribution was based on the desensitizing agents, fluoride varnish and self-etching adhesive, and the presence of nanofibers: C (self-etching adhesive Clearfil SE Bond), CN (Clearfil SE Bond with 1% nanofiber), D (Duraphat varnish), and DN (Duraphat varnish with 1% nanofiber). Dentin permeability was determined using hydraulic conductivity. For a qualitative analysis, confocal laser microscopy and scanning electron microscopy were performed. The C group showed the lowest hydraulic conductance (Lp%) (89.33), while the DN group showed the highest Lp% (116.06). No statistical significance was observed in the Lp% values in all groups after the treatment and 6% citric acid challenge (p > 0.239). In the images, the CN group presented a higher superficial and intratubular deposition. In addition, this group presented a more homogeneous dentin surface and wide occlusion of dentinal tubules than the other treatments. Despite there being no statistical differences among the treatments employed, the images showed that the CN group presented a higher surface and intratubular deposition compared to the other treatments, even after the acid challenge.

Effect of the double application of universal adhesives on the dentine bond strength after radiotherapy.

This study aimed to evaluate the effect of double application of universal adhesives on bond strength to dentine after ionizing radiation. One hundred and forty caries-free human third molars were used. Half of the teeth were irradiated (IR) (70.2Gy). The IR and non-IR teeth were assigned into seven groups (n=10). Universal adhesives Single Bond Universal (3M Oral Care), Gluma Bond Universal (Heraeus Kulzer) and Prime&Bond Elect (Dentsply) were employed (following manufacturer's instructions and double application). Two-step self-etch adhesive Clearfil SE Bond (Kuraray Noritake) was used as control. After composite build-ups were bonded to mid-coronal occlusal dentine surfaces, the specimens were stored in water (37°C/24h) and sectioned into microspecimens. The specimens were subjected to μTBS testing (1.0mm/min). Failure analysis was performed using stereomicroscope and scanning electron microscopy. Data were analysed with two-way ANOVA and Tukey's test (P=0.05). The radiotherapy caused reduction in the bond strength of universal adhesives when the adhesives were used with single application after radiotherapy (P<0.05). The double application resulted in increased bond strength of the universal adhesives to IR dentine (P<0.05). The double application was beneficial in improving the dentine bond strength of universal adhesives affected by radiotherapy after ionizing radiation.

Universal Adhesives Benefit from an Extra Hydrophobic Adhesive Layer When Light Cured Beforehand.

To measure microtensile bond strength (μTBS) of universal adhesives immediately and after 6-month aging, with or without an additional adhesive layer applied on a separately light-cured or non-light-cured universal adhesive. Eighty human third molars were randomly assigned to 8 experimental groups. The universal adhesives Clearfil Universal Bond (Kuraray Noritake) and Single Bond Universal (3M Oral Care) were used in self-etch mode (following the manufacturer's directions), and either light cured or not before application of an extra hydrophobic adhesive layer (Clearfil SE Bond bond, Kuraray Noritake). The two-step self-etch adhesives Clearfil SE Bond (Kuraray Noritake) and OptiBond XTR (Kerr) were used as references. After composite buildups were bonded to mid-coronal occlusal dentin surfaces, the specimens were stored in water (37°C/24 h) and sectioned into microspecimens (0.96 ± 0.04 mm2). Half of the specimens were immediately subjected to μTBS testing (1.0 mm/min), while the other half was stored in water (37°C) for 6 months prior to testing. Failure analysis was performed using stereomicroscopy and SEM. Data were analyzed with two-way repeated measures ANOVA, Tukey's and paired t-tests (p = 0.05). The immediate μTBS was similar for the universal adhesives when applied following the different application strategies (p > 0.05). Application of an extra layer of hydrophobic adhesive improved the aged μTBS of the universal adhesives, which was statistically significant when the universal adhesives were first light cured (p < 0.05). The reference adhesives Clearfil SE Bond and OptiBond XTR exhibited a significantly higher immediate and aged μTBS to dentin than did the universal adhesives (p < 0.05). The bond durability of universal adhesives, applied in self-etch mode, was found to benefit from the application of an extra hydrophobic adhesive layer when the universal adhesives were first light cured.

In-vitro transdentinal diffusion of monomers from adhesives

ObjectivesBiocompatibility of adhesives is important since adhesives may be applied on dentin near the pulp. Accurate knowledge of the quantity of monomers reaching the pulp is important to determine potential side effects. The aim of this study was to assess the transdentinal diffusion of residual monomers from dental adhesive systems using an in-vitro pulp chamber model. MethodsDentin disks with a thickness of 300 μm were produced from human third molars. These disks were fixed between two open glass tubes, representing an in-vitro pulp chamber. The etch-and-rinse adhesive OptiBond FL and the self-etch adhesive Clearfil SE Bond were applied to the dentin side of the disks, while on in the pulpal side, the glass tube was filled with 600 μl water. The transdentinal diffusion of different monomers was quantified using ultra-performance liquid chromatography-tandem mass spectrometry. ResultsThe monomers HEMA, CQ, BisGMA, GPDM, 10-MDP and UDMA eluted from the dental materials and were able to diffuse through the dentin disks to a certain extent. Compounds with a lower molecular weight (uncured group: HEMA 7850 nmol and CQ 78.2 nmol) were more likely to elute and diffuse compared to monomers with a higher molecular weight (uncured group: BisGMA 0.42 nmol). When the adhesives were left uncured, diffusion was up to 10 times higher compared to the cured conditions. ConclusionsThis in-vitro research resulted in the quantification of various monomers able to diffuse through dentin and therefore contributes to a more detailed understanding about the potential exposure of the dental pulp to monomers from dental adhesives. Clinical significanceBiocompatibility of adhesives is important since adhesives may be applied on dentin near the pulp, where tubular density and diameter are greatest.

Antibacterial activity and dentin bonding ability of combined use of Clearfil SE Protect and sodium hypochlorite.

The aim of this study was to evaluate the antibacterial activity and dentin bonding ability of a commercial self-etch adhesive Clearfil SE Protect (Kuraray Noritake Dental, Tokyo, Japan) in combination with sodium hypochlorite (NaOCl). Agar disc diffusion tests and measurement of minimum inhibitory/bactericidal concentrations (MIC/MBC) against Streptococcus mutans were performed to evaluate antibacterial effects. The mixture solution of 5.25% NaOCl and the primer of Clearfil SE Protect demonstrated less antibacterial activity than primer only. In microtensile bond strength tests using non-carious human molars, pretreatment with 5.25% NaOCl aqueous solution had no influence on the bond strength of Clearfil SE Protect. These results indicate that pretreatment with NaOCl does not influence the bonding ability of Clearfil SE Protect, while their combined use does not enhance cavity disinfecting effects.

Effect of silane coupling agent on composite-composite bond strength: an in vitro study

Objective: To investigate the effect of silane coupling agent on composite-composite bond strength, and to provide experimental basis for improving composite-composite bond strength clinically. Methods: Self-etching adhesive Clearfil SE Bond (CSE) and silane-containing universal adhesive Single Bond Universal (SBU) were used as adhesives. A silane coupling agent (RelyX ceramic primer) was tested. P60 resin composite blocks were prepared and divided into 4 groups according to whether silane coupling agent was applied or the type of the adhesives: CSE group, in which CSE was applied as an adhesive; Silane + CSE group, in which the surface was treated with silane coupling agent followed by CSE; SBU group, in which SBU was applied as an adhesive; Silane+ SBU group, in which the surface was treated with silane coupling agent followed by SBU, then filling a new composite. All the composite blocks were cut into about twenty 1 mm×1 mm×14 mm samples to detect the micro-tensile bond strength. Fractographic analysis were performed under a three-dimensional laser scanning microscope. The micro-tensile bond strength data were analyzed statistically by one-way ANOVA and the failure pattern data were analyzed statistically by Chi-square test. Results: Silane + SBU group [(69.6 ± 3.3) MPa] showed a significantly higher micro-tensile bond strength than the other groups (P<0.05). Silane+CSE group showed a significantly higher micro-tensile bond strength [(63.9±3.7) MPa] than CSE group [(55.7±4.2) MPa] and SBU group [(55.4±4.0) MPa] (P<0.05); There was no significant difference in micro-tensile bond strength between the SBU group and the CSE group (P>0.05). Failure patterns in the 4 groups were adhesive failure, cohesive failure and mixed failure. There was no significant difference in the proportion of adhesive failure between the Silane+CSE group and the Silane+SBU group, and the proportion of adhesive failure in these two groups were significantly less than that in the CSE and the SBU group (P<0.05). Conclusions: Silane coupling agent pretreatment could improve composite-composite bond strength, however, the bond strength could not be higher when silane was mixed with adhesives in one bottle.

Bonding effectiveness of self-etch adhesives to dentin after 24 h water storage.

Purpose:This study evaluated the immediate bonding effectiveness of five self-etch adhesive systems bonded to dentin.Materials and Methods:The microtensile bond strength of five self-etch adhesives systems, including one two-step and four one-step self-etch adhesives to dentin, was measured. Human third molars had their superficial dentin surface exposed, after which a standardized smear layer was produced using a medium-grit diamond bur. The selected adhesives were applied according to their respective manufacturer's instructions for μTBS measurement after storage in water at 37°C for 24 h.Results:The μTBS varied from 11.1 to 44.3 MPa; the highest bond strength was obtained with the two-step self-etch adhesive Clearfil SE Bond and the lowest with the one-step self-etch adhesive Adper Prompt L-Pop. Pretesting failures mainly occurring during sectioning with the slow-speed diamond saw were observed only with the one-step self-etch adhesive Adper Prompt L-Pop (4 out of 18).Conclusions:When bonded to dentin, the self-etch adhesives with simplified application procedures (one-step self-etch adhesives) still underperform as compared to the two-step self-etch adhesive Clearfil SE Bond.

Influence of degradation conditions on dentin bonding durability of three universal adhesives

ObjectivesThis study aims to determine dentin bonding durability of universal adhesives using shear bond strength (SBS) tests under various degradation conditions. MethodsG-Premio Bond (GP, GC), Scotchbond Universal (SU, 3M ESPE) and All Bond Universal (AB, Bisco) were compared with conventional two-step self-etch adhesive Clearfil SE Bond (SE, Kuraray Noritake Dental). Bonded specimens were divided into three groups of ten, and SBSs with bovine dentin were determined after the following treatments: 1) Storage in distilled water at 37°C for 24h followed by 3000, 10,000, 20,000 or 30,000 thermal cycles (TC group), 2) Storage in distilled water at 37°C for 3 months, 6 months or 1year (water storage, WS group) and 3) Storage in distilled water at 37°C for 24h (control). ResultsSE bonded specimens showed significantly higher SBSs than universal adhesives, regardless of TC or storage periods, although AB specimens showed significantly increased SBSs after 30,000 thermal cycles. In comparisons of universal adhesives under control and degradation conditions, SBS was only reduced in SU after 1year of WS. ConclusionFollowing exposure of various adhesive systems to degradation conditions of thermal cycling and long term storage, SBS values of adhesive systems varied primarily with degradation period. Clinical significanceAlthough universal adhesives have lower SBSs than the two-step self-etch adhesive SE, the present data indicate that the dentin bonding durability of universal adhesives in self-etch mode is sufficient for clinical use.

What is the best protocol for bonding resin-modified glass ionomer cement to composite resin?

Objective: The objective of this study was to evaluate the bond strength of resin-modified glass ionomer cement (RMGIC) to composite resin considering the use of conventional and self-etching adhesive systems. Material and Methods: 60 RMGIC blocks (Riva, SDI) measuring 4 x 4 x 4 mm. were constructed. On the blocks, the application of different protocols of adhesive systems (n = 10) was carried out: Group 1 (Control) - without application of adhesive agent; Group 2 - 37% phosphoric acid + conventional adhesive agent Single Bond 2; Group 3 - conventional adhesive agent Single Bond 2; Group 4 – conventional adhesive agent Scotch Bond Multi-Purpose; Group 5 - self-etching adhesive Clearfil SE Bond; Group 6: self-etching adhesive Optibond Allin-One. Next, resin composite blocks measuring 4 x 4 x 4 mm were constructed (Venus, Heraeus Kulzer). The specimens were cut to obtain sticks which were submitted to microtensile bond strength test in a universal testing machine. The data were submitted to ANOVA and Tukey test (5%). Results: ANOVA showed a value of p &lt; 0.05, which indicated significant differences between the groups (in Mpa): Group 2 - 32.83; Group 5 - 31.2; Group 3 - 25,15b; Group 6 - 22.92; Group 4 - 22.15; Group 1 - 13.84. The analysis of fracture mode demonstrated that there was a predominance of adhesive and mixed fractures for all groups. Conclusion: The protocols of acid etching + conventional adhesive system Single Bond 2 (Group 2) or self-etching adhesive system Clearfil SE Bond (Group 5) increased the bond strength of RMGIC to the composite resin. The presence of an adhesive layer between the two materials tended to improve the bonding of RMGIC to composite resin.

Influence of pH cycling on the microtensile bond strength of self-etching adhesives containing MDPB and fluoride to dentin and microhardness of enamel and dentin adjacent to restorations.

To evaluate the influence of pH cycling on microtensile bond strength (µTBS) and fracture pattern of MDPB- and fluoride-containing self-etching adhesive systems to dentin, and on the cross-sectional Knoop microhardness (CSMH) of enamel and dentin adjacent to restorations. The two-step self-etching adhesive Clearfil SE Bond (SE; Kuraray), the two-step MDPBand fluoride-containing adhesive Clearfil Protect Bond (PB; Kuraray), and the one-step fluoride-containing adhesive One-Up Bond F Plus (OU; Tokuyama) were used to bond resin composite to midcoronal dentin surfaces (for µTBS testing) or to Class V cavities (for CSMH testing). µTBS and CSMH tests were performed after a 15-day period of pH cycling or storage in artificial saliva. µTBS to dentin was not affected by pH cycling or storage in artificial saliva; however, µTBS values found for PB were higher than those observed for OU. No difference existed among the µTBS values shown by PB, OU, and SE. The fracture pattern was affected by both pH cycling and adhesive system. In enamel, there was no difference in CSMH values provided by the different adhesive systems and storage media, regardless of the distance and depth from restoration. In dentin, PB and SE showed the highest CSMH values, which differed from those obtained for OU. Significantly higher CSMH values were found 100 µm from the restoration margin for all adhesive systems tested. The bond strength and microhardness in the vicinity of restorations were adhesive dependent, with MDPB and fluoride exerting no effect on the performance of the adhesive systems.

Effect of Postoperative Peroxide Bleaching on the Stability of Composite to Enamel and Dentin Bonds

This study investigated the effect of peroxide bleaching gel on the durability of the adhesive bond between composite material, enamel, and dentin created with the etch-and-rinse adhesive Gluma Comfort Bond (GLU) and with the self-etch adhesives Clearfil SE Bond (CLE), Adper Prompt (ADP), and iBond (IBO). The adhesives were applied to flattened enamel and dentin of extracted human molars and built up with a microhybrid composite (Charisma). After 25 eight-hour cycles of bleaching with a 20% carbamide peroxide bleaching gel (Opalescence PF 20), the shear bond strength was measured and compared with one-day and two-month control specimens stored in water. The data were analyzed using nonparametric Mann-Whitney and Kruskal-Wallis statistics (p<0.05). Detailed fractographic analysis was performed using scanning electron microscopy. The bleaching gel significantly decreased the bond strength on both enamel and dentin for the simplified single-step self-etch adhesives ADP and IBO and markedly affected a fracture pattern of ADP specimens at the periphery of their bonded area. The results of our study indicate that the durability of adhesive restorations can be detrimentally influenced by carbamide peroxide bleaching and that different adhesives show varying sensitivity levels to the bleaching gel.

Bonding durability of dual-curing composite core material with different self-etching adhesive systems in a model complete vertical root fracture reconstruction.

This study evaluated a dual-curing composite along with different dentin adhesive systems for 1 year under water storage, as a new bonding method of root fragments in complete vertical root fracture. Bovine root fragments were bonded with the dual-curing resin composite Clearfil DC Core Automix (DCA) and one of three adhesive systems: two-step self-etching adhesive Clearfil SE Bond (SE), one-step self-etching adhesive Tokuyama Bond Force (BF), one-step dual-curing self-etching adhesive Clearfil DC Bond (DC). Microtensile bond strength (µTBS)/ultimate tensile bond strength (UTS), FE-SEM ultramorphology of fracture modes, and adhesive dentin interface were observed after water storage for periods of up to one year. The data were analyzed with two-way ANOVA. µTBS was influenced by "dentin adhesive system" (F = 324.455, p < 0.001) and "length of water storage" (F = 8.470, p < 0.001). SE yielded significantly higher µTBS, regardless of storage period (p < 0.05) and maintained the initial µTBS without a significant change after 1 year of water storage (p > 0.05). From 24 h to 1 month, BF showed significantly higher bond strength than DC. UTS of DCA was influenced only by the curing mode of the material (F = 5.051, p = 0.027), but not by the length of water storage (F = 0.053, p > 0.05). Two-step self-etching adhesive systems and dual-curing composite core material can be considered as a suitable bonding method for complete root fractures.

Two-year bond strengths of “all-in-one” adhesives to dentine

ObjectivesTo test the long-term in vitro bonding performance of “all-in-one” self-etch adhesives to dentine. MethodsAdper Prompt (3M ESPE), Bond Force (Tokuyama), Brush & Bond (Parkell), iBond Self Etch (Heraeus Kulzer), OptiBond All-In-One (Kerr), and Xeno IV (Dentsply Caulk) were tested. The two-step self-etch adhesive Clearfil SE Bond (Kuraray) served as the control. Extracted human teeth were assigned to groups after creation of smear layer on occlusal dentine. Adhesives were applied according to manufacturers’ instructions, and resin composite (Filtek Z250, 3M ESPE) build-ups were placed. The bonded specimens were sectioned into beams after 24h of storage in water. Microtensile bond strengths (μTBS) was determined at baseline, and following one and two years of water storage using an EZ-Test device (Shimadzu). Representative specimens were examined under field emission scanning electron microscope. Fracture mode was recorded. The data were analyzed using linear mixed effects and least square means analyses. The significance level was set at 0.01 for the pairwise comparisons and at 0.05 for the overall model effects. ResultsThe mean μTBS decreased significantly over time for Adper Prompt, iBond Self Etch, and OptiBond All-In-One. After two years of water ageing, Bond Force, Brush & Bond, OptiBond All-In-One, and Xeno IV had mean μTBS values not statistically different from Clearfil SE Bond. ConclusionsAfter two years of water ageing, Clearfil SE Bond outperformed two of six all-in-one adhesives. That indicates that the composition of the adhesives rather than their application approach is accountable for their performance. Clinical significanceDespite the data available suggesting that most all-in-one adhesives are severely affected by hydrolytic degradation, results of the present in vitro study suggest that some may perform as well as the clinically proven Clearfil SE Bond in the longer term.

Long-term bonding to eroded dentin requires superficial bur preparation

ObjectivesThis study aims to evaluate the influence of different surface preparation techniques on long-term bonding effectiveness to eroded dentin.Materials and methodsDentin specimens were eroded by pH cycling or were left untreated as control, respectively. Five different “preparation” techniques were applied: (1) cleaning with pumice, (2) air abrasion, (3) silicon polisher, (4) proxo-shape, and (5) diamond bur. The three-step etch-and-rinse adhesive OptiBond FL (O-FL; Kerr) and the mild two-step self-etch adhesive Clearfil SE Bond (C-SE; Kuraray) were evaluated. Micro-tensile bond strength was measured after water storage for 24 h and 1 year. Fracture analysis was performed by stereomicroscopy and SEM. Interfaces were characterized by TEM. Differences were statistically analyzed with a linear mixed effects model (α = 0.05).ResultsErosion reduced bond strength in all groups, but this effect was less prominent when eroded dentin was prepared by diamond bur. Storage lowered bond strength in almost all groups significantly, but this ageing effect was more prominent for the eroded surfaces than for non-eroded controls. Whereas after 1-year control specimens revealed superior bond strength with the three-step etch-and-rinse adhesive (O-FL), the mild two-step self-etch adhesive (C-SE) revealed a better 1-year bond strength to eroded dentin. The interface at eroded dentin appeared very prone to degradation as was shown by the increased amount of adhesive failures and by the silver infiltration detected by TEM.Conclusions and clinical relevanceAlthough a minimally invasive approach should clinically always be strived for, superficial preparation (or minimal roughening) with a diamond bur is recommendable for long-term bonding to eroded dentin.

Self‐etching adhesive on intact enamel, with and without pre‐etching

Bond strengths of composite resin to enamel using self-etch adhesive (SEA) Clearfil SE bond system on intact enamel and enamel pre-etched with phosphoric acid were compared. The objective was to determine if the pre-etching would increase the bond strengths of the SEA systems to intact enamel and to evaluate the effect of pre-etching on bond formation of self-etch adhesives on intact enamel. Labial surfaces of 40 caries free permanent upper central and lateral incisors were cleaned, sectioned of their roots. All specimens were mounted on acrylic block and divided randomly into four groups. In two groups the application of self-etch adhesive, Clearfil SE bond was carried as per manufacturer's instructions, composite cylinders were built, whereas in the other two groups, 37% phosphoric acid etching was done before the application of self-etching adhesives. Then the resin tags were analyzed using scanning electron microscope and shear bond strength was measured using Instron universal testing machine. When phosphoric acid was used, there was significant increase in the depth of penetration of resin tags and in the Shear Bond Strength of composite to enamel. The results indicate that out of both treatment groups, pre-etching the intact enamel with 37% phosphoric acid resulted in formation of longer resin tags and higher depth of penetration of resin tags of the Clearfil SE bond, and attaining higher bond strength of the Clearfil SE bond to intact enamel.

Light-curing efficiency of dental adhesives by gallium nitride violet-laser diode determined in terms of ultimate micro-tensile strength

The purpose of this study was to evaluate whether violet-laser diode (VLD) can be used as light-curing source. The ultimate (micro-)tensile strength (μTS) of three adhesives was determined when cured by VLD in comparison with curing by two different types of commercial LED light-curing units. One VLD (VLM 500) and two LED units (Curenos and G-Light Prima) were used to cure the adhesive resin of the two-step self-etch adhesives Clearfil SE Bond, Tokuso Mac Bond II, and FL-Bond II. A 0.6-mm thick acrylic mould was filled with adhesive resin and cured for 60 s. After 24-h water storage, specimens were trimmed into an hourglass shape with a width of 1.2 mm at the narrowest part, after which the μTS was determined (n=10). In addition, the light transmittance of each adhesive was characterized using a UV-vis-NIR spectrometer. No significant difference in curing efficiency between VLD and LED were observed for both Tokuso Mac Bond II and FL-Bond II (p>0.05). For Clearfil SE Bond, the μTS of VLD-cured specimens was higher than that of the specimens cured by the LED Curenos unit (p<0.05). Spectrometry revealed that this marked difference must be attributed to a different light transmittance of Clearfil SE Bond for visible blue light versus for the lower area of UV and visible violet light. In conclusion, A GaN-based violet laser diode can be used as light-curing source to initiate polymerization of dental resins.

Retracted: Push‐out bond strengths of two fiber post types bonded with different dentin bonding agents

The aim of this study was to evaluate the regional push-out bond strengths for two fiber-reinforced post types using three different dentin bonding agents. Sixty single-rooted extracted human first premolar teeth were sectioned below the cemento-enamel junction, and the roots were endodontically treated. Following standardized post space preparations, the roots were divided into two fiber-post groups (Glassix and Carbopost), and further divided into three subgroups of 10 specimens each for the bonding systems self-etching dentin bonding agents (Clearfil SE Bond and Optibond all-in-one), and total-etching dentin bonding agent (XP Bond). A dual-cure resin luting cement (Maxcem) was then placed in the post spaces and posts were then seated into the root canals polymerized through the cervical portion. The roots were then cut into 3-mm thick sections. Push-out tests were performed at a crosshead speed of 0.5 mm/min. The data were analyzed with multivariate ANOVA (alpha = 0.05). The morphology of interface between different dentin bonding agents from the cervical sections were analyzed with SEM. Glass fiber-reinforced posts demonstrated significantly higher push-out bond strengths than carbon fiber-reinforced posts (p < 0.001). Bond strength values decreased significantly from the cervical to the apical root canal regions (p < 0.001). Self-etching dentin adhesive Clearfil SE Bond and total-etching dentin adhesive XP Bond demonstrated similar bond strengths values and this was significantly higher compared with the Optibond all-in-one in cervical root canal region. In conclusion, in all root segments, the glass fiber-reinforced posts provided significantly increased post retention than the carbon fiber-reinforced posts, regardless of the adhesive used.

Immediate bonding effectiveness of contemporary composite cements to dentin

The objective of this study was to compare the one-week bonding effectiveness of nine contemporary composite cements used to lute ceramic to dentin and to determine an appropriate processing method for pretesting failures. The microtensile bond strengths (µTBS) of different luting agents including five self-adhesive cements (Unicem, 3M ESPE; Maxcem, Kerr; Monocem, Shofu; G-Cem, GC; and Multilink Sprint, Ivoclar-Vivadent), two self-etch cements (Panavia F2.0 and Clearfil Esthetic Cement, Kuraray), and two etch-and-rinse cements (Calibra, Dentsply, and Variolink II, Ivoclar-Vivadent) were measured using a standardized protocol. As control, a two-step self-etch adhesive combined with a restorative composite (Clearfil SE+Clearfil APX, Kuraray) were included as luting material. Depending on the processing of the pretesting failures, two groups of cements could be distinguished: (1) those with low bond strength and many pretesting failures and (2) those with relatively high bond strength and few pretesting failures. Nevertheless, the control luting procedure involving a self-etch adhesive combined with a restorative composite presented with a significantly higher µTBS. The µTBS was clearly product-dependent rather than being dependent on the actual adhesive approach. Fracture analysis indicated that failure usually occurred at the dentin-cement interface especially for the cements with low bond strength and many pretesting failures. Depending on the cement system, an adequate immediate ceramic-to-dentin bond strength can be obtained, even with self-adhesive cements that do not use a separate dental adhesive. Yet, the self-etch adhesive Clearfil SE combined with the restorative composite revealed a superior bonding performance and should therefore be preferred in clinical situations where the restoration transmits light sufficiently.

Bonding effectiveness of two contemporary self-etch adhesives to enamel and dentin

Objectives Among contemporary adhesives, self-etch adhesives have been adopted by general practitioners for routine adhesive restorative purposes, mainly because of their ease of use. However, many versions that differ for their clinical application procedure, pH, number of components, etc., are currently available on the market. The purpose of this study was to determine the bonding effectiveness of two new self-etch adhesives (Adper Easy Bond and Adper ScotchBond SE, 3M ESPE) to enamel and dentin using a micro-tensile bond strength (μTBS) protocol and to characterise the interfacial ultra-structure at enamel and dentin using transmission electron microscopy (TEM). Methods The adhesives were applied onto coronal human enamel and dentin surfaces and built up with the micro-hybrid resin composite Z100 (3M ESPE). The ‘gold-standard’ two-step self-etch adhesive Clearfil SE Bond (Kuraray) served as control. Specimens were sectioned to sticks and trimmed at the interface to a cylindrical hour-glass shape (‘trimmed’ micro-specimens). Non-demineralized and demineralized TEM sections through the adhesive-dentin/enamel interface were prepared by ultra-microtomy. Results The μTBS of the two self-etch adhesives to enamel was statistically significantly lower than that of the control. To dentin, the μTBS of Adper Easy Bond was significantly lower than that of Adper ScotchBond SE and the control. TEM showed a tight interface to enamel for all three self-etch adhesives. A relatively thick, completely demineralized and acid-resistant hybrid layer was formed at dentin by Adper ScotchBond SE, whereas the interaction of Adper Easy Bond was much shallower, and comparable to that of so-called ‘ultra-mild’ self-etch adhesives. Some degree of spot- and cluster-like nano-leakage was observed for both adhesives, but did not differ in extent and form from that observed for the control. Conclusions Although the new two self-etch adhesives revealed a tight interaction at both enamel and dentin, their bond strength to both tooth tissues was generally lower than that of the control adhesive. Nevertheless, their bonding effectiveness appears in line with other simplified self-etch adhesives.

Hybrid layers of etch-and-rinse versus self-etching adhesive systems

To evaluate the effectiveness in the formation of resin tags, adhesive lateral branches and hybrid layers of five adhesive systems, when bonding to dentine. Flat dentin surfaces from 25 molars were bonded with several adhesive systems according to the manufacturers' instructions. Composite build-ups were constructed incrementally with Tetric Ceram. The Specimens were sectioned parallel to the long axis. One section was treated with phosphoric acid and sodium hypochlorite in order to reveal the hybrid layer formation. The other section was stored in 30% hydrochloric acid to detect resin tags and adhesive lateral branch formation. The two etch-and-rinse self-priming adhesives exhibited thicker hybrid layers than those found in self-etching adhesive systems. The all-in-one adhesive showed droplet formation between the adhesive and the resin composite. The resin tags formed with the etch-and-rinse adhesives were much longer than those found with the self-etching adhesives. Lateral branch formation was observed in etch-and-rinse adhesives and in one of the self-etch adhesives Clearfil SE Bond (SEB). The formed hybrid layer obtained with the two-step self-etching adhesives and the etch-and-rinse systems were continuous and uniform in thickness. Droplets within the all-in-one adhesive layer may occur as a result of water absorption from dentin through osmosis, and may interfere with proper resin polymerization. Resin tags obtained with SEB and the etch-and-rinse adhesive systems showed lateral branches, which is a sign of proper resin infiltration.