Effect of short dentin etching and water storage on bonding of resin composite to dentin with universal and two-step self-etch adhesive systems

短时牙本质酸蚀和水浸泡对通用型和两步自酸蚀粘接剂将树脂复合材料粘接到牙本质的影响

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Abstract

To evaluate the effect of short dentin etching and 6-month water storage on the microtensile bond strength (µTBS) of universal and two-step self-etch adhesives to dentin. Mid-coronal dentin specimens obtained from 56 third molars were assigned into two groups according to the adhesive type (n = 28); universal adhesive (Scotchbond Universal Plus Adhesive, 3 M Oral Care) and two-step self-etch adhesive (Clearfil SE Bond, Kuraray Noritake). Each group was further divided into two subgroups (n = 14) based on the application protocol: self-etch (SE) and etch-and-rinse with short dentin etching (E&R/SDE) for 3 s. After bonding and composite application, half of the specimens were stored in 37 ± 1 °C distilled water for 24 h (immediate), while the other half were stored for 6 months (aged). Thereafter, specimens were cut into 1 mm² beams using a slow-speed diamond saw under copious water cooling. The beams were then subjected to a tensile force at a cross-head speed of 0.5 mm/min in a universal testing machine until failure occurred. The µTBS was then calculated in megapascals (MPa) by dividing the load at failure by the cross-sectional area of each beam. The values of five beams were averaged to obtain one µTBS value per tooth, and accordingly, data were analyzed using three-way ANOVA and Tukey HSD post-hoc tests (p < 0.05). Failure modes were recorded. The application protocol and the storage time significantly influenced the µTBS results (p < 0.001). Regarding the application protocol, E&R/SDE for 3 s yielded significantly higher bond strength values than the SE for both adhesives (p < 0.05). In terms of storage-time, all groups exhibited a statistically significant reduction in bond strength after 6-month water storage (p < 0.05). On the contrary, no statistically significant difference was detected between the two adhesives irrespective of the application protocol or the storage time (p > 0.05). The predominant failure mode observed for immediate groups was mixed failure, while adhesive failure was the most frequently noted after 6 months. Despite the beneficial effect of E&R/SDE for 3 s in improving the bond strength of universal and 2-step self-etch adhesives to dentin, the 6-month water storage negatively affected the bonding performance of both adhesives. Clinical relevance: E&R/SDE enhanced μTBS at both storage times and may contribute to better bond stability, although all groups exhibited degradation after 6-month water storage, which necessitates further clinical validation.

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