Influence of TiO(2) and ZrO(2) Nanoparticles on Adhesive Bond Strength and Viscosity of Dentin Polymer: A Physical and Chemical Evaluation.

The present study aimed to formulate an experimental adhesive (EA) and reinforce it with 5 wt.% titanium dioxide (TiO(2)) or zirconium oxide (ZrO(2)) to yield 5% TiO(2) and 5% ZrO(2) adhesives, respectively, and then analyze the impact of this reinforcement on various mechanical properties of the adhesives. The EA contained a blend of monomers such as bisphenol A glycol dimethacrylate (BisGMA), triethylene glycol dimethacrylate (TEGDMA), 2-hydroxyethyl methacrylate (HEMA), and ethyl 4-dimethylamino benzoate and camphorquinone. The EA included ethyl 4-dimethylamino benzoate and camphorquinone photo-initiators, and diphenyliodonium hexafluorophosphate (DPIHP) was also included to act as an electron initiator. The TiO(2) and ZrO(2) nanoparticles were incorporated into the EA post-synthesis. To characterize the filler nanoparticles, scanning electron microscopy (SEM) and line-energy dispersive X-ray (EDX) spectroscopy were performed. The adhesives were characterized by analyzing their rheological properties, shear-bond strength (SBS), and interfacial failure types. Further, the resin-dentin interface was also analyzed via SEM. The TiO(2) nanoparticles were spherically shaped on the SEM micrographs, while the ZrO(2) nanoparticles were seen as non-uniformly shaped agglomerates. The EDX mapping demonstrated the presence of Ti and oxygen for TiO(2) and Zr and oxygen for the ZrO(2) nanoparticles. Both 5% TiO(2) and 5% ZrO(2) adhesives revealed decreased viscosity as compared with the EA. The 5% TiO(2) adhesive demonstrated higher SBS values for both non-thermocycled (NTC) and thermocycled samples (NTC: 25.35 ± 1.53, TC: 23.89 ± 1.95 MPa), followed by the 5% ZrO(2) adhesive group (NTC: 23.10 ± 2.22, TC: 20.72 ± 1.32 MPa). The bulk of the failures (>70%) were of adhesive type in all groups. The SEM analysis of the resin-dentin interface revealed the development of a hybrid layer and resin tags (of variable depth) for the EA and 5% TiO(2) groups. However, for the 5% ZrO(2) group, the hybrid layer and resin tag establishment appeared compromised. Reinforcement of the EA with TiO(2) or ZrO(2) caused an increase in the adhesive's SBS (with the 5% TiO(2) group demonstrating the highest values) in comparison with the EA (without nanoparticles). However, both nanoparticle-containing adhesives revealed decreased viscosity compared with the EA (without nanoparticles). Further studies investigating the impact of diverse filler concentrations on the properties of adhesives are suggested.