title: Comparison of conventional vs self-etching adhesive bonds to caries-affected dentin.
abstract: The mechanism of resin adhesion to caries-affected dentin is still unclear. This study evaluated the interfacial morphology of two bonding systems to caries-affected dentin, coupled with the measurement of microtensile bond strengths (mu TBS). Carious human molars were prepared as previously described in Nakajima and others (1995) and were bonded with Single Bond (SB) or FluoroBond (FB) according to the manufacturer's instructions, followed by creation of AP-X composite buildups. After one day of storage in 37 degrees C water, the teeth were serially sectioned vertically into 0.8 mm slabs, trimmed to yield a 1 mm2 test area, and tested to failure in a Bencor device used in an Instron machine operated at 1 mm/min. Resin-dentin interfaces were observed with SEM before or after acid/base challenge. Bonding to normal dentin with the two bonding systems (SB and FB) showed tensile bond strengths significantly higher than those to caries-affected dentin. The moist bonding technique significantly increased bond strength of SB to normal and caries-affected dentin. SEM examination revealed that typical hybrid layer and resin tags could not be formed to caries-affected dentin. The results suggested that resin penetration may be prevented by occlusion of dentinal tubules by mineral deposits that may also impart acid-resistance to the intertubular matrix of caries-affected dentin.
authors.affiliation: Department of Conservative Dentistry, School of Dentistry, Tokushima University, 3-18-15, Kuramoto-cho, Tokushima 770 Japan.
authors.forename: M
authors.initials: M
authors.lastname: Yoshiyama
authors.forename: A
authors.initials: A
authors.lastname: Urayama
authors.forename: T
authors.initials: T
authors.lastname: Kimochi
authors.forename: T
authors.initials: T
authors.lastname: Matsuo
authors.forename: D H
authors.initials: DH
authors.lastname: Pashley
mesh_terms: D000134:Acid Etching, Dental; D000268:Adhesiveness; D000704:Analysis of Variance; D017438:Bisphenol A-Glycidyl Methacrylate / Q000737:chemistry; D001840:Dental Bonding; D003731:Dental Caries / Q000473:pathology*; D003738:Dental Cements / Q000737:chemistry; D003799:Dental Stress Analysis / Q000295:instrumentation; D003804:Dentin / Q000648:ultrastructure*; D017220:Dentin-Bonding Agents / Q000737:chemistry*; D005460:Fluorides, Topical / Q000737:chemistry; D006801:Humans; D016018:Least-Squares Analysis; D008422:Materials Testing; D008689:Methacrylates / Q000737:chemistry; D008855:Microscopy, Electron, Scanning; D008963:Molar; D019279:Resin Cements / Q000737:chemistry; D013223:Statistics as Topic; D013499:Surface Properties; D013696:Temperature; D013718:Tensile Strength; D014867:Water / Q000737:chemistry
chemical_list: C112828:Clearfil AP-X; D003738:Dental Cements; D017220:Dentin-Bonding Agents; D005460:Fluorides, Topical; C072652:FluoroBond; D008689:Methacrylates; D019279:Resin Cements; C115612:single bond; D014867:Water; D017438:Bisphenol A-Glycidyl Methacrylate