Enamel and dentine shear bond strength of two resin modified glass ionomers and two resin based adhesives

Gel Phase Formation at Resin-modified Glass-ionomer/Tooth Interfaces

Ionic bonding between polyalkenoic acid and hydroxyapatite may explain the excellent bonding retention of glass-ionomers in clinical trials. We have here investigated the extent to which the self-adhesiveness of resin-modified glass-ionomers (RMGIs) can be attributed to this chemical bonding capacity. Therefore, the interaction of 3 RMGIs with tooth substrates was comprehensively characterized, with electron and atomic force microscopy correlated with x-ray photoelectron spectroscopy (XPS). Interfacial ultrastructural analysis for 2 RMGIs disclosed a shallow hybridization of hydroxyapatite-coated collagen, on which a submicron gel phase was deposited through reaction of the polyalkenoic acid with calcium extracted from the dentin surface. One RMGI, however, bonded to dentin without hybrid layer or gel phase formation. XPS indicated that polycarboxylic acids included in the RMGIs electrostatically interacted with hydroxyapatite. We conclude that the self-adhesiveness of RMGIs should be attributed to ionic bonding to hydroxyapatite around collagen, and to micro-mechanical interlocking for those RMGIs that additionally hybridize dentin.

Bonding of contemporary glass ionomer cements to different tooth substrates; microshear bond strength and scanning electron microscope study

OBJECTIVE

This study was conducted to evaluate the microshear bond strength (μSBS) and ultramorphological characterization of glass ionomer (GI) cements; conventional GI cement (Fuji IX, CGI), resin modified GI (Fuji II LC, RMGI) and nano-ionomer (Ketac N100, NI) to enamel, dentin and cementum substrates.

MATERIALS AND METHODS

Forty-five lower molars were sectioned above the cemento-enamel junction. The occlusal surfaces were ground flat to obtain enamel and dentin substrates, meanwhile the cervical one-third of the root portion were utilized to evaluate the bonding efficacy to cementum substrate. Each substrate received microcylinders from the three tested materials; which were applied according to manufacturer instructions. μSBS was assessed using a universal testing machine. The data were analyzed using two-way analysis of variance (ANOVA) and Tukey's post-hoc test. Modes of failure were examined using stereomicroscope at ×25 magnification. Interfacial analysis of the bonded specimens was carried out using environmental field emission scanning electron microscope.

RESULTS

Two-way ANOVA revealed that materials, substrates and their interaction had a statistically significant effect on the mean μSBS values at P values; ˂0.0001, 0.0108 and 0.0037 respectively. RMGI showed statistically significant the highest μSBS values to all examined tooth substrates. CGI and RMGI show substrate independent bonding efficiency, meanwhile; NI showed higher μSBS values to dentin and cementum compared to enamel.

CONCLUSION

Despite technological development of GI materials, mainly the nano-particles use, better results have not been achieved for both investigations, when compared to RMGI, independent of tooth substrate.

Influence of HEMA content on the mechanical and bonding properties of experimental HEMA-added glass ionomer cements

The purpose of this study was to determine the influence of incrementally added uncured HEMA in experimental HEMA-added glass ionomer cement (HAGICs) on the mechanical and shear bond strength (SBS) of these materials. Increasing contents of uncured HEMA (10-50 wt.%) were added to a commercial glass ionomer cement liquid (Fuji II, GC, Japan), and the compressive and diametral tensile strengths of the resulting HAGICs were measured. The SBS to non-precious alloy, precious alloy, enamel and dentin was also determined after these surfaces were subjected to either airborne-particle abrasion (Aa) or SiC abrasive paper grinding (Sp). Both strength properties of the HAGICs first increased and then decreased as the HEMA content increased, with a maximum value obtained when the HEMA content was 20% for the compressive strength and 40% for the tensile strength. The SBS was influenced by the HEMA content, the surface treatment, and the type of bonding surface (p<0.05). These results suggest that addition of an appropriate amount of HEMA to glass ionomer cement would increase diametral tensile strength as well as bond strength to alloys and teeth. These results also confirm that the optimal HEMA content ranged from 20 to 40% within the limitations of this experimental condition.

Bond strength of adhesive systems to human tooth enamel

The purpose of this study was to evaluate in vitro three adhesive systems: a total etching single-component system (G1 Prime & Bond 2.1), a self-etching primer (G2 Clearfil SE Bond), and a self-etching adhesive (G3 One Up Bond F), through shear bond strength to enamel of human teeth, evaluating the type of fracture through stereomicroscopy, following the ISO guidance on adhesive testing. Thirty sound premolars were bisected mesiodistally and the buccal and lingual surfaces were embedded in acrylic resin, polished up to 600-grit sandpapers, and randomly assigned to three experimental groups (n = 20). Composite resin cylinders were added to the tested surfaces. The specimens were kept in distilled water (37°C/24 h), thermocycled for 500 cycles (5°C-55°C) and submitted to shear testing at a crosshead speed of 0.5 mm/min. The type of fracture was analyzed under stereomicroscopy and the data were submitted to Anova, Tukey and Chi-squared (5%) statistical analyses. The mean adhesive strengths were G1: 18.13 ± 6.49 MPa, (55% of resin cohesive fractures); G2: 17.12 ± 5.80 MPa (90% of adhesive fractures); and G3: 10.47 ± 3.14 MPa (85% of adhesive fractures). In terms of bond strength, there were no significant differences between G1 and G2, and G3 was significantly different from the other groups. G1 presented a different type of fracture from that of G2 and G3. In conclusion, although the total etching and self-etching systems presented similar shear bond strength values, the types of fracture presented by them were different, which can have clinical implications.

Long-term bond between dual-polymerizing cementing agents and human hard dental tissue

OBJECTIVES

To examine the long-term adhesion of seven dual-polymerizing cementing agents to human dentin in vitro.

METHODS

Two hundred and eighty extracted non-carious human molars were ground flat to expose dentin surfaces. The bond strengths of cementing agents with their respective bonding systems were examined: one compomer cement (PermaCem), five resin cements (RelyX ARC, Panavia F, Variolink II, Nexus 2, Calibra) and one self-adhesive universal resin cement (RelyX Unicem). One subgroup (n=10) was tested after 150 days of storage in water at 37 degrees C (time t(1)), the other subgroup (n=10) was tested after 150 days of storage plus 37,500 thermal cycles (time t(2)). All specimens were stressed in shear at a constant crosshead speed of 0.5mm/min until failure. Statistical analysis was performed by ANOVA, taking effect interactions into account. The Tukey method was used for multiple paired comparisons (alpha=0.05).

RESULTS

The three-way ANOVA (cementing agents, polymerization methods, times of measurements) showed Variolink II to have the highest strength at 9.9+/-4.5MPa. Values were slightly higher at t(1) (5.9+/-4.7MPa) than at t(2) (4.9+/-4.2MPa) (p=0.0044). Polymerization with light activation (6.5+/-5.1MPa) yielded higher strengths than polymerization without (4.3+/-3.3MPa) (p<0.0001). Separate two-way ANOVAs for t(1) and t(2) showed that the two main effects (cementing agent, polymerization method) and their interactions differed significantly.

SIGNIFICANCE

Cementing agents/adhesive systems and the polymerization method influence the long-term bond to hard dental tissues.

Retention of a resin-modified glass ionomer adhesive in non-carious cervical lesions. A 6-year follow-up

OBJECTIVES

The purpose of this study was to evaluate the clinical retention of a new resin-modified glass ionomer cement based adhesive combined with a hybrid resin composite or a poly-acid modified resin composite in non-carious cervical lesions during a 6-year period.

METHODS

The resin-modified glass ionomer adhesive (Fuji Bond LC), was placed in 73 cervical lesions, 36 with a universal hybrid resin composite (Tetric Ceram) and 37 with a poly-acid modified resin composite (Hytac). Fifty-one in lesions with sclerotic dentin and 22 in non-sclerotic ones. Of the sclerotic lesions 38 were slightly roughened with a diamond bur before conditioning. The restorations were evaluated with slightly modified USPHS criteria every six months during a 6-year period.

RESULTS

All except six restorations were evaluated during the 6 years. Twelve (17.9%) were lost, four Tetric Ceram (11.8%) and eight Hytac (24.2%) (p<0.05). Four were found in non-sclerotic lesions (20.0%) and eight in sclerotic lesions (17.0%). The differences between the sclerotic and non-sclerotic and the roughened and non-roughened lesions were not significant.

CONCLUSIONS

The resin-modified glass adhesive showed a superior clinical retention combined with the resin composite material, with an annual failure rate of 2%.

Effects of tooth-conditioning agents on bond strength of a resin-modified glass-ionomer sealant to enamel

OBJECTIVES

The purpose of this study was to evaluate the effects of tooth-conditioning agents on bond strength of resin-modified glass-ionomer sealant (Fuji III LC) to bovine enamel as well as on dissolution of calcium ions from the bovine enamel surfaces.

METHODS

The enamel surfaces of bovine lower incisors were treated with 10 and 20% polyacrylic acid, 12% citric acid and 35% phosphoric acid for 20s. Fuji III LC was applied to the etched enamel surfaces, and the shear bond strength of each specimen was measured using an Instron Universal Testing Instrument. The amounts of calcium ions dissolved from the treated enamel surfaces were also measured using a polarized Zeeman atomic absorptiometer.

RESULTS

In specimens pretreated with distilled water, 10% polyacrylic acid, 20% polyacrylic acid, 12% citric acid and 35% phosphoric acid, the mean values of shear bond strength were 5.5, 12.5, 15.2, 15.2 and 15.1MPa, respectively, and the amounts of Ca(2+) dissolved from the enamel surfaces were 5.6, 41.4, 88.5, 131.6 and 588.3 microg/cm(2), respectively.

CONCLUSIONS

The adhesion of a resin-modified glass-ionomer sealant to bovine enamel was significantly improved by the use of tooth-conditioning agents. Especially, treatment of an enamel surface with 20% polyacrylic acid results in good shear both strength and relatively small degree of enamel erosion.

Effect of remaining dentin thickness and the use of conditioner on micro-tensile bond strength of a glass-ionomer adhesive

OBJECTIVES

The purpose of this study is to investigate the effect of remaining dentin thickness and the use of a 20% polyalkenoic acid conditioner on the micro-tensile bond strength of a glass-ionomer adhesive to dentin.

METHODS

Resin composite was bonded to flat dentin surfaces from 14 extracted human teeth using Fuji BOND LC (GC) with or without a polyalkenoic acid conditioner, then sectioned to thin slabs, trimmed into an hourglass shape with the area of the interface being approximately 1mm(2), and subjected to micro-tensile testing at a cross-head speed of 1mm/min. Micro-tensile bond strengths were determined at three depth levels with a remaining dentin thickness of more than 3mm, between 2 and 3mm, and less than 2mm. Failure modes of the broken interfaces were determined using field-emission scanning electron microscopy.

RESULTS

The micro-tensile bond strength to dentin significantly improved when the remaining dentin thickness increased and the conditioner was used. When the conditioner was used (irrespective of remaining dentin thickness), failures mainly occurred adhesively at the interface between the adhesive and resin composite. When no conditioner was used, no adhesive failures between the adhesive and resin composite occurred, but failures occurred mainly adhesively between dentin and the adhesive, or mixed adhesive-cohesively.

SIGNIFICANCE

The bonding effectiveness of the glass-ionomer adhesive tested was affected by the area of intertubular dentin available for micro-mechanical retention through hybrid-layer formation. Removal of the smear layer improved the bond strength of the adhesive to dentin.

Bond strength of dual-cured resin cements to human teeth

PURPOSE

This study evaluated the bond strength of four commercial resin luting cements to enamel and superficial dentin, using a second-generation laboratory composite.

MATERIALS AND METHODS

Forty teeth were embedded in acrylic: 20 had superficial dentin exposed; 20 had enamel exposed. Each group was divided into four subgroups (n = 5) to be bonded with Variolink II, Dual Cement, 2-bond-2, and Permalute System, using an inverted, truncated cone of pre-cured Artglass that was placed over the resin cement with a load of 2 N for 2 seconds. Specimens were stored at 37 degrees C in 100% relative humidity for 24 hours before being tested for tensile bond strength (MPa). Data were analyzed using a two-way analysis of variance. Tukey-Kramer intervals for comparisons among resin cements and bonding substrates were calculated at a .05 significance level.

RESULTS

Significant differences were found among resin cements. Variolink II had statistically higher bond strength values for both substrates than the rest of the cements evaluated. When bonding was to enamel, all failures were cohesive in the composite, and when bonding was to dentin, some adhesive failures occurred at the resin cement-dentin interface. Permalute System had higher bond strengths than 2-bond-2 and Dual Cement when bonded to enamel.

CONCLUSIONS

Variolink II and Permalute had statistically different bond strengths to enamel and dentin. Variolink II showed statistically higher values for dentin bonding than the other cements. Use of Variolink II and Permalute resulted in statistically higher bond strengths than the other two cements.