Autor: |
Sarr, Mouhamed, Kane, Abdoul Wakhabe, Vreven, José, Mine, Atsushi, Van Landuyt, Kirsten L., Peumans, Marleen, Lambrechts, Paul, Van Meerbeek, Bart, De Munck, Jan |
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Zdroj: |
Operative Dentistry; Jan/Feb2010, Vol. 35 Issue 1, p94-104, 11p, 3 Black and White Photographs, 2 Charts, 1 Graph |
Abstrakt: |
Objectives: This study evaluated mechanically and ultra-morphologically 11 different adhesive systems bonded to dentin. Methods: The microtensile bond strength (µTBS) of 11 contemporary adhesives, including two three-step etch&rinse, three two-step etch&rinse, two two-step self-etch and four one-step self-etch adhesives to dentin, were measured. The resultant interfacial ultrastructure at dentin was characterized by transmission electron microscopy (TEM). Human third molars had their superficial dentin surface exposed, after which a standardized smear layer was produced using a medium-grit diamond bur. The selected adhesives were applied according to their respective manufacturer's instructions for uTBS measurement after storage in water at 37°C for 24 hours or for TEM interfacial characterization. Results: The µTBS varied from 11.1 to 63.6 MPa; the highest bond strengths were obtained with the three-step etch&rinse adhesives and the lowest with one-step self-etch adhesives. TEM evaluation showed very different interaction patterns, especially for the self-etch adhesives. "Mild" self-etch adhesives demineralized the dentin surface sufficiently to provide micro-mechanical retention, while preserving hydroxyapatite within the hybrid layer to enable additional chemical interaction. Conclusions: When bonded to dentin, the adhesives with simplified application procedures (in particular, one-step self-etch adhesives) still underperform as compared to conventional three-step adhesives. "Mild" two-step self-etch adhesives that provide additional chemical bonding appear to most optimally combine bonding effectiveness with a simplified application protocol. [ABSTRACT FROM AUTHOR] |
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Supplemental Index |
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