Tensile bond strength of a so-called self-adhesive luting resin cement to dentin.
OBJECTIVE
The purpose of the study was to evaluate the bond strength and durability of a so-called self-adhesive resin luting cement to human dentin. In addition, the influence of a dentin adhesive system on the bond strength was tested.


METHODS
Forty-eight dentin disks from human teeth were divided into two groups of 24 specimens.One group was bonded to composite resin tubes with the self-adhesive luting cement (RelyX Unicem Aplicap, 3MESPE), in the other group the dentin surfaces were conditioned with a three-step dentin adhesive system (OptiBondFL, Kerr) prior to bonding with the same cement. Three subgroups of eight specimens each were tested for tensile bond strength following storage in 37°C tap water for either 3 days or for 150 days with an additional 37,500 thermal cycles either between 20°C and 40°C ("soft TC") or between 5°C and 55°C ("hard TC"). Statistical analyses were performed with the Shapiro-Wilk test, Levene's test, two-way analysis of variance (ANOVA) followed by multiple comparisons with the Scheff test.


RESULTS
Without the dentin adhesive, the mean tensile bond strengths after 3 days were 7.1 ± 3.8 MPa; after 150 days/"soft TC" 6.8 + 3.6; and after 150 days/"hard TC" 5.3 + 4.5 MPa. With the dentin adhesive, the mean bond strengths after 3 days were 16.5 ± 5.5 MPa; after 150 days/"soft TC" 13.1 + 3.9 MPa; and after 150 days/"hard TC" 10.1 + 5.2 MPa.


CONCLUSIONS
Regardless of storage conditions, the use of a dentin adhesive increased the tensile bond strength of a self-adhesive resin luting cement significantly in comparison to the use of the luting cement without adhesive.
Department of Prosthodontics, Propaedeuticsand Dental Materials, Christian-Albrechts University, Kiel, Germany.
Simone
S
Brunzel
Bin
B
Yang
Stefan
S
Wolfart
Matthias
M
Kern
D000268:Adhesiveness; D000704:Analysis of Variance; D001840:Dental Bonding; D003799:Dental Stress Analysis / Q000379:methods; D003804:Dentin; D017220:Dentin-Bonding Agents; D006358:Hot Temperature; D006801:Humans; D008422:Materials Testing; D008855:Microscopy, Electron, Scanning; D008963:Molar; D019279:Resin Cements; D018709:Statistics, Nonparametric; D013718:Tensile Strength; D014867:Water
D017220:Dentin-Bonding Agents; C483701:Rely X Unicem; D019279:Resin Cements; D014867:Water