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Adhesive strength of self-adhesive resins to lithium disilicate ceramic and dentin: effect of dentin chelating agents.


Saker, Samah; Alnazzawi, Ahmad; Özcan, Mutlu (2016). Adhesive strength of self-adhesive resins to lithium disilicate ceramic and dentin: effect of dentin chelating agents. Odontology / the Society of the Nippon Dental University, 104(1):53-9.

Abstract

The aim of this study was to test the effect of different chelating agents on microtensile bond strength (MTBS) of self-adhesive resin cements to dentin. The occlusal surfaces of extracted human mandibular molars (N = 80) were cut horizontally to expose sound dentin. The teeth were randomly divided into four groups (n = 20 per group) and dentin surfaces were conditioned according to one of the following methods: group C: no treatment (control group); group CH: 0.2 % chitosan; group E: 17 % ethylene diamine tetra acetic acid (EDTA) and group P: 25 % polyacrylic acid (PAA). Lithium disilicate glass ceramic (e.max CAD) blocks were cemented to conditioned dentin surfaces with self-adhesive cements (RelyX Unicem or Clearfil SA) and photo-polymerized. Specimens were stored in distilled water at 37 °C for 24 h and thermocycled for 6,000 times. The beams were obtained from bonded ceramic-cement-tooth assemblies and were subjected to the MTBS test (1 mm/min). Failure types were analyzed and selected beams were examined under scanning electron microscope. Data (MPa) were analyzed using two-way ANOVA and Tukey's test (P < 0.05). While cement type significantly affected the MTBS results (P < 0.05), no significant difference was observed between the dentin chelating agents (P = 0.785). Interaction terms were not significant (P = 0.114). Control group with no dentin conditioning presented significantly lower results with both cements (RelyX Unicem: 8.1 ± 1.9(a), Clearfil SA: 8 ± 1.6(a)) than those of conditioned groups (19.3 ± 4.2(b)-24.5 ± 5.2(b)) (P < 0.05). Failure types were predominantly adhesive in all groups. Chitosan (2 %), EDTA (17 %) or PAA (25 %) could all be used as dentin chelating agents in conjunction with self-adhesive resin cements tested.

Abstract

The aim of this study was to test the effect of different chelating agents on microtensile bond strength (MTBS) of self-adhesive resin cements to dentin. The occlusal surfaces of extracted human mandibular molars (N = 80) were cut horizontally to expose sound dentin. The teeth were randomly divided into four groups (n = 20 per group) and dentin surfaces were conditioned according to one of the following methods: group C: no treatment (control group); group CH: 0.2 % chitosan; group E: 17 % ethylene diamine tetra acetic acid (EDTA) and group P: 25 % polyacrylic acid (PAA). Lithium disilicate glass ceramic (e.max CAD) blocks were cemented to conditioned dentin surfaces with self-adhesive cements (RelyX Unicem or Clearfil SA) and photo-polymerized. Specimens were stored in distilled water at 37 °C for 24 h and thermocycled for 6,000 times. The beams were obtained from bonded ceramic-cement-tooth assemblies and were subjected to the MTBS test (1 mm/min). Failure types were analyzed and selected beams were examined under scanning electron microscope. Data (MPa) were analyzed using two-way ANOVA and Tukey's test (P < 0.05). While cement type significantly affected the MTBS results (P < 0.05), no significant difference was observed between the dentin chelating agents (P = 0.785). Interaction terms were not significant (P = 0.114). Control group with no dentin conditioning presented significantly lower results with both cements (RelyX Unicem: 8.1 ± 1.9(a), Clearfil SA: 8 ± 1.6(a)) than those of conditioned groups (19.3 ± 4.2(b)-24.5 ± 5.2(b)) (P < 0.05). Failure types were predominantly adhesive in all groups. Chitosan (2 %), EDTA (17 %) or PAA (25 %) could all be used as dentin chelating agents in conjunction with self-adhesive resin cements tested.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Fixed and Removable Prosthodontics
Dewey Decimal Classification:610 Medicine & health
Date:January 2016
Deposited On:22 Nov 2016 16:53
Last Modified:26 Nov 2016 01:00
Publisher:Springer
ISSN:1618-1247
Publisher DOI:https://doi.org/10.1007/s10266-014-0180-3
PubMed ID:25424594

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