OBJECTIVETo evaluated the effect of curing modes and light-cure times on knoop hardness (KH) and microtensile bond strength (µTBS) of dentin adhesives in vitro.

METHODSTwenty molars were made into 80 dentin slices (about 1 mm thick). The dentin slices were prepared with an etch&rinse adhesive A (ONE-STEP PLUS) and a self-etch adhesive B (Clearfil SE Bond), and light-cured respectively under fast mode, i.e.1250 mW/cm(2) light intensity for 10 s, 15 s, 20 s, and ramp mode (soft start curing mode), i.e.initial 0 mW/cm(2) gradually increasing to 1250 mW/cm(2) in first 10 s, then steady for the next 10 s. The prepared dentin slices were kept in dark dry room for 24 h at 37°C, and KH were tested. The other 40 molars were flattened to expose coronal dentin, prepared with adhesives as above. Then the prepared teeth were restored with resin composites incrementally and cured under fast mode. The restored teeth were stored in water for 24 h at 37°C, and slowly sectioned to obtain multiple bonded beams. After 7 d water-storage, the samples received microtensile bond test, and the failure models of beams were observed under a stereomicroscope. Data were analyzed by ANOVA and LSD test (α = 0.05).

RESULTSNo statistical difference in KH [(28.20 ± 5.36), (29.13 ± 5.60), (28.13 ± 4.40), (27.06 ± 3.77) MPa] and µTBS [(22.30 ± 5.07), (22.73 ± 6.59), (26.32 ± 6.17), (25.67 ± 4.31) MPa] of adhesive A were found between four curing conditions (fast mode for 10 s, 15 s, 20 s and ramp mode for 20 s) (P > 0.05). In adhesive B, KH of Fast 20 s [(28.23 ± 3.67) MPa] were significantly higher than those of Fast 10 s [(14.15 ± 2.24) MPa] and Fast 15 s [(17.63 ± 2.17) MPa] (P < 0.05). The µTBS of Fast 20 s [(42.52 ± 3.59) MPa] were significantly higher than those of Fast 10 s [(24.21 ± 3.60) MPa], Fast 15 s [(22.25 ± 4.16) MPa] and Ramp 20 s [(31.12 ± 5.40) MPa] (P < 0.05). In Fast 20 s and Ramp 20 s modes, there were no statistical difference in KH of adhesive A and B, while µTBS of adhesive B were higher than that of adhesive A(P < 0.05).

CONCLUSIONSAs for different type dentin adhesives, the appropriate curing time in fast mode is different, and ramp mode (soft start curing mode) has no advantage over fast mode.

Dentin-Bonding Agents ; Hardness ; Humans ; In Vitro Techniques ; Light-Curing of Dental Adhesives ; methods ; Tensile Strength

PURPOSE: Cementation failures of restorations are frequently observed in clinical practice. The purpose of this study is to compare the effect of initial and repeated bonding on the bond strengths of different resin cements to enamel and dentin. MATERIALS AND METHODS: Ninety human maxillary central incisors were bisected longitudinally. The 180 tooth halves were divided into 2 groups (n = 90) for enamel and dentin bonding. The enamel and dentin groups were further divided into 3 groups (n = 30) for different resin cement types. Composite resin (Filtek Ultimate) cylinders (3 × 3 mm) were prepared and luted to enamel and dentin using Variolink II (Group V), RelyX ARC (Group R), or Panavia F 2.0 (Group P) resin cement. After 24 hours, initial shear bond strengths of the resin cements to enamel and dentin were measured. Using new cylinders, the specimens were de-bonded and re-bonded twice to measure the first and the second bond strengths to enamel and dentin. Failure modes and bonding interfaces were examined. Data were statistically analyzed. RESULTS: Initial and repeated bond strengths to enamel were similar for all the groups. The first (15.3 ± 2.2 MPa) and second (10.4 ± 2.2 MPa) bond strengths to dentin were significantly higher in Group V (P<.0001). Second bond strengths of dentin groups were significantly lower than initial and first bond strengths to dentin (P<.0001). CONCLUSION: All resin cements have similar initial and repeated bond strengths to enamel. Variolink II has the highest first and second bond strength to dentin. Bond strength to dentin decreases after the first re-bonding for all resin cements.
Cementation ; Dental Bonding ; Dental Enamel* ; Dentin* ; Humans ; Incisor ; Resin Cements* ; Shear Strength ; Tooth

OBJECTIVETo examine the compositions of those adhesion modes between luting cements and canal dentin, and to evaluate the dentin-cement-post interface by Laser-Ranian spectroscopy.

METHODSThree representative luting cements (zinc phosphate, glass ionomer and resin cements), two kinds of prefabricated posts (titanium and fiber-glass), six extracted intact human maxillary anterior teeth were used canal dentin after endodontic treatment. Laser-Raman spectroscopy measure of cement, post and canal dentin before and after luting together.

RESULTSThere are no evident Raman spectra change cross the ZPC/dentin interface and glass ionomer/dentin interface, while cross the resin/dentin interface and resin/glass fiber post interface can be seen special Raman spectra.

CONCLUSIONLaser-Raman microspectroscopy is a useful analytical technique for evaluation interface between dentin and luting cements. Resin cement may interact with dentin and glass fiber post.

Cementation ; Dental Bonding ; Dental Cements ; Dental Cementum ; Dental Pulp Cavity ; Dentin ; Dentin-Bonding Agents ; Glass Ionomer Cements ; Humans ; Post and Core Technique ; Resin Cements ; Root Canal Therapy

OBJECTIVETo evaluate the microleakage of fiber post and core systems after high-speed handpiece preparation at different time points.

METHODSThe crowns of forty-five extracted human premolar were removed and the roots were endodontically treated. The samples were devided into five groups. Root canal preparation was performed on each premolar followed by fiber post cementation and core build up. Tooth preparation was applied at 5 min in group 1, at 15 min in group 2 and at 30 min in group 3 after post cementation. Five teeth with only 5 mm apical sealing were served as a positive control group, and ten with fiber post and core build-up but no coronal preparation were taken as a negative control group. Microleakage was evaluated using a fluid filtration system. The bonding interface was observed by scanning electronic microscope (SEM).

RESULTSThe microleakage was significantly increased after coronal preparation with high-speed handpiece. The negative control group has less leakage [(1.50 × 10(-6) ± 0.37 × 10(-6)) µl×min(-1)×Pa(-1)] than the groups with coronal preparation (P < 0.05); Group 1 leaked significantly more [(6.02 × 10(-5) ± 1.02 × 10(-5)) µl×min(-1)×Pa(-1)] than group 2 [(1.50 × 10(-5) ± 0.26 × 10(-5)) µl·min(-1)×Pa(-1)] and group 3 [(1.50 × 10(-5) ± 0.39 × 10(-5)) µl×min(-1)×Pa(-1)] did (P < 0.05). Corresponding to microleakage, the micro gaps between the resin cement and dentine in group 1 were wider than those in the other groups. The coronal section was wider than the apical part.

CONCLUSIONSHigh-speed handpiece had negative effects on microleakage of fiber post and core systems. Coronal preparation should be performed 15 min or more after post cementation.

Cementation ; Dental Bonding ; Dental Leakage ; Dentin-Bonding Agents ; Humans ; Microscopy, Electron, Scanning ; Post and Core Technique ; instrumentation ; Resin Cements ; Root Canal Preparation ; Time Factors

Fiber-reinforced resin composite posts (fiber posts) are used extensively for the restoration of root-treated teeth with excessive loss of coronal structure. However, the longevity of a fiber post restoration still needs to be improved because of the various confounding factors that affect bonding procedures. Operational specification for clinical use of dental intraradicular fiber post was established based on the in-depth discussions by a panel of experts from Society of Prosthodontics, Chinese Stomatological Association. This specification should be helpful in standardizing the clinical technique of fiber post placement and improving the clinical longevity of a fiber post restoration.
Cementation ; Composite Resins ; Dental Bonding ; Dental Stress Analysis ; Glass ; Materials Testing ; Post and Core Technique ; Resin Cements ; Tooth Root

OBJECTIVEThis study was to compare the retention of posts fabricated by different methods and cemented with various cements in order to provide a guidance for clinical choice of post fabrication methods and luting cements.

METHODSNinety human maxillary anterior teeth were sectioned by the cementoenamel junction and post-holes were prepared. All roots were embedded in the center of plastic cylinders and paralleled with the cylinder. All samples were divided into 9 groups randomly and equally. Posts fabricated with different methods were then cemented with different luting cements. Each sample was placed into a specialized jig and mounted on a tensile testing machine with crosshead speed of 5 mm/min. Constant tensile force was applied until the post was dislodged, and the tensile force required to dislodge the cemented post was recorded.

RESULTSThe mean retention force of parapost and direct post demonstrated significantly higher than that of indirect post did (P < 0.05), but there was no significant difference between parapost and direct post(P > 0.05). The mean retention of parapost cement demonstrated significantly higher than that of ZPC and HY-Bond cement did (P < 0.05), but there was no significant difference between ZPC and HY-Bond cement (P > 0.05).

CONCLUSIONDifferent fabrication methods and luting cements significantly affect the retention of posts; and there exists an interaction between different fabricating methods and luting cements.

Cementation ; methods ; Dental Bonding ; Dental Cements ; chemistry ; Dental Prosthesis Design ; Dental Prosthesis Retention ; Dental Stress Analysis ; Dentin-Bonding Agents ; chemistry ; Glass Ionomer Cements ; chemistry ; Humans ; Materials Testing ; Post and Core Technique ; instrumentation ; Resin Cements ; chemistry ; Tensile Strength ; Zinc Phosphate Cement ; chemistry

In this study, we evaluate the influence of post surface pre-treatments on the bond strength of four different cements to glass fiber posts. Eighty extracted human maxillary central incisors and canines were endodontically treated and standardized post spaces were prepared. Four post pre-treatments were tested: (i) no pre-treatment (NS, control), (ii) sandblasting (SA), (iii) silanization (SI) and (iv) sandblasting followed by silanization (SS). Per pre-treatment, four dual-cure resin cements were used for luting posts: DMG LUXACORE Smartmix Dual, Multilink Automix, RelyX Unicem and Panavia F2.0. All the specimens were subjected to micro push-out test. Two-way analysis of variance and Tukey post hoc tests were performed (α=0.05) to analyze the data. Bond strength was significantly affected by the type of resin cement, and bond strengths of RelyX Unicem and Panavia F2.0 to the fiber posts were significantly higher than the other cement groups. Sandblasting significantly increased the bond strength of DMG group to the fiber posts.
Aluminum Oxide ; chemistry ; Composite Resins ; chemistry ; Curing Lights, Dental ; classification ; Cuspid ; pathology ; Dental Bonding ; Dental Etching ; methods ; Dental Materials ; chemistry ; Dental Stress Analysis ; instrumentation ; Glass ; chemistry ; Humans ; Incisor ; pathology ; Materials Testing ; Microscopy, Electron, Scanning ; Polymerization ; Post and Core Technique ; instrumentation ; Resin Cements ; chemistry ; Root Canal Preparation ; methods ; Self-Curing of Dental Resins ; methods ; Silanes ; chemistry ; Stress, Mechanical ; Surface Properties ; Tooth, Nonvital ; therapy

OBJECTIVETo evaluate the influence of eugenol-containing and resin-containing endodontic sealers on the bond strength of fiber posts using different strategies of root canal irrigation.

METHODSForty-eight mandibular premolars were endodontically treated. The specimens were randomly assigned into two groups according to different endodontic sealers. Group A used Endofil (eugenol-containing endodontic sealer), and group B used AH-plus (resin-containing endodontic sealer). After post space preparation, each group was randomly assigned into three subgroups according to the strategies of root canal irrigation (eight premolars in each subgroup). Group Al and B1: 0.9%NaCl irrigation; Group A2 and B2: 17% ethylene diamine tetraacetic acid (EDTA)+5.25%NaClO+0.9%NaCl irrigation; Group A3 and B3: ultrasonic agitation associated with 1 7%EDTA+5.25%NaClO+0.9%NaCl. One week after the cementation of fiber posts using RelyX™ Unicem, a push-out test was performed to measure the bond strength of the posts. The microstructure of the root canal surface was examined under scanning electron microscope (SEM).

RESULTSThe bond strengths of the six groups were as follows: Al (7.96±2.23) MPa, A2 (9.95±2.89) MPa, A3 (18.88±3.69) MPa, B1 (11.41±3.71) MPa, B2 (14.00±4.04) MPa, and B3 (19.14±3.27) MPa. Statistical analysis revealed a significant interaction between the different endodontic sealers and the strategies of root canal irrigation (P<0.05). Lower bond strength was found in group Al but not in group BI (P<0.05), and the same result was revealed when comparing group A2 and B2. No significant difference was observed between group A3 and B3 (P>0.05). SEM showed that the root canal in group A3 and B3 achieved the cleanest surface with nearly all dentine tubules opened.

CONCLUSIONThe eugenol-containing endodontic sealer can impair the bond strength of fiber posts compared with the resin-containing sealer when the root canal is irrigated by 0.9% NaCl or 17%EDTA+5.25%NaClO+0.9%NaC. No difference was observed between the two sealers when using 17%EDTA+5.25% NaCIO+0.9%NaCl combined with ultrasonic irrigation.

Bicuspid ; Cementation ; Dental Bonding ; Dental Pulp Cavity ; Dental Stress Analysis ; Dentin ; Humans ; Post and Core Technique ; Root Canal Filling Materials ; Root Canal Irrigants ; Root Canal Therapy

PURPOSE: Post surface conditioning is necessary to expose the glass fibers to enable bonding between fiber post and resin cement. The purpose of the present study was to evaluate the effect of different surface conditioning on tensile bond strength (TBS) of a glass fiber reinforced post to resin cement. MATERIALS AND METHODS: In this in vitro study, 40 extracted single canal central incisors were endodontically treated and post spaces were prepared. The teeth were divided into four groups according to the methods of post surface treatment (n=10): 1) Silanization after etching with 20% H2O2, 2) Silanization after airborne-particle abrasion, 3) Silanization, and 4) No conditioning (Control). Adhesive resin cement (Panavia F 2.0) was used for cementation of the fiber posts to the root canal dentin. Three slices of 3 mm thick were obtained from each root. A universal testing machine was used with a cross-head speed of 1 mm/minute for performing the push-out tests. Two-way ANOVA and Tukey post hoc tests were used for analyzing data (alpha=0.05). RESULTS: It is revealed that different surface treatments and root dentin regions had significant effects on TBS, but the interaction between surface treatments and root canal regions had no significant effect on TBS. There was significant difference among H2O2 + Silane Group and other three groups. CONCLUSION: There were significant differences among the mean TBS values of different surface treatments. Application of hydrogen peroxide before silanization increased the bond strength between resin cements and fiber posts. The mean TBS mean values was significantly greater in the coronal region of root canal than the middle and apical thirds.
Adhesives ; Cementation ; Collodion ; Composite Resins ; Dental Bonding ; Dental Pulp Cavity ; Dentin ; Glass ; Hydrogen Peroxide ; Incisor ; Post and Core Technique ; Resin Cements ; Tooth

OBJECTIVETo evaluate the effects of GLUMA desensitizing bonding system in desensitizing hypersensitivity of vital abutment.

METHODS69 central incisors with vital pulp from 69 patients were randomly divided into A, B and C group. After tooth preparation, group A coated with primer after etching, group B coated with primer after etching cervical dentin only, and group C was control group without special treatment. The cold sensitivity of abutments was tested after coating with primer, after cementation of crown and three months later. Two fresh extracted caries and restoration-free middle incisor were prepared in routine way. The surface of specimen 1 was etched with conditioner and the control specimen 2 was prepared without any special surface treatment. Scanning electron microscope (SEM) observation was used to examine the details on dentin surface.

RESULTSIn all three times of examination, the sensitivities of two experimental groups had been significantly reduced compared with the control group. Immediately after coating, group B were more sensitive than group A (P < 0.05). After cementation of crown and three months later, there was no statistically significant between group A and group B. SEM photomicrograph showed that the smear layer was removed from etched dentine surface with open dentinal tubules.

CONCLUSIONCoating with GLUMA desensitizing bonding system could prevent hypersensitivity of vital abutment.

Acid Etching, Dental ; Cementation ; Dental Pulp ; Dentin ; Dentin Sensitivity ; prevention & control ; Dentin-Bonding Agents ; Glutaral ; Humans ; Methacrylates ; Microscopy, Electron, Scanning ; Smear Layer