Primary dentin etching time, bond strength and ultra-structure characterization of dentin surfaces. Bond strength of a mild self-etch adhesive with and without prior acid-etching. Bond Strength between Fiber Posts and Root Dentin Treated with Natural Cross-linkers. Effect of haemostatic agent application on the shear bond strength of contemporary/multi-mode adhesive systems. Bond strengths of two adhesive systems to dentin contaminated with a hemostatic agent. Effect of a sodium hypochlorite gel on dentin bonding. Shortening of primary dentin etching time and its implication on bond strength. In Vivo and In Vitro Effects of Chlorhexidine Pretreatment on Immediate and Aged Dentin Bond Strengths. Bonding Performance of a Multimode Adhesive to Artificially-induced Caries-affected Primary Dentin. Effect of ferric sulfate contamination on the bonding effectiveness of etch-and-rinse and self-etch adhesives to superficial dentin Shear bond strength of composite to deep dentin after treatment with two different collagen cross-linking agents at varying time intervals. Three different adhesive systems; three different bond strength test methods Bonding strength to two different surfaces of dentin under simulated pulpal pressure. Does the method of caries induction influence the bond strength to dentin of primary teeth? Adhesion of 10-MDP containing resin cements to dentin with and without the etch-and-rinse technique Effect of 2% chlorhexidine on microtensile bond strength of composite to dentin. Influence of acid etching and enamel beveling on the 6-month clinical performance of a self-etch dentin adhesive. Comparison of different dentin pretreatment protocols on the bond strength of glass fiber post using self-etching adhesive. Bonding of simplified adhesive systems to caries-affected dentin of primary teeth. The effect of tooth-preparation cleansing protocol on the bond strength of self-adhesive resin cement to dentin contaminated with a hemostatic agent. Effect of silver diamine fluoride on microtensile bond strength to dentin. Effect of phosphoric acid etching prior to self-etching primer application on adhesion of resin composite to enamel and dentin. Total-etch versus self-etch adhesive: effect on postoperative sensitivity.
OBJECTIVES To evaluate the effect of shortening the etching time on roughness , microhardness and bond strength of three adhesive systems to primary tooth dentin . METHODS Flat dentin surfaces from primary molars were r and omly assigned to six experimental groups . Three different adhesive systems were used : an etch- and -rinse adhesive ( Single Bond ) , a two-step self-etching ( Clearfil SE Bond ) , and a one-step self-etching ( One-Up Bond F ) adhesive . In half of the specimens , the recommended etching time was used , in the other half the etching time was 50 % reduced . After applying the adhesive , resin composite build-ups were constructed and stored in a humid environment for 24h at 37 degrees C. Specimens were sectioned into 1mm(2 ) beams and tested for microtensile bond strength ( MTBS ) . Debonded surfaces were analyzed by scanning electron microscopy ( SEM ) . Additional surfaces were conditioned for microhardness measurements ( KHN ) and for atomic force microscopy ( AFM ) analysis . Intertubular and total surface roughness ( Ra ) were recorded . Results were analyzed with ANOVA and Student-Newman-Keuls tests ( P<0.05 ) . RESULTS Single Bond and Clearfil SE Bond showed higher MTBS than One-Up Bond F. Bond strength and intertubular roughness increased when Single Bond and One-Up Bond F were used with a reduced etching time . For Clearfil SE Bond no differences in MTBS were detected when reducing the etching time . The application of phosphoric acid , Clearfil SE Bond primer and One-Up Bond F decreases dentin microhardness . CONCLUSIONS Shortening One-Up Bond F application time and reducing the etching time of phosphoric acid to one-half of the manufacturer 's recommended etching time when using Single Bond are recommended when bonding to primary dentin UNLABELLED The self-etch approach provides dentists with a generation of user-friendly and less technique-sensitive adhesives . Nevertheless , some concern has been raised regarding their bonding effectiveness to enamel , in particular when so-called ' mild ' self-etch adhesives are employed . OBJECTIVES The purpose of this study was to test the hypothesis that the two-step self-etch adhesive Clearfil SE Bond ( C-SE ; Kuraray , Osaka , Japan ) bonds equally effective to enamel/dentin either with or without prior etching with phosphoric acid . METHODS Bur-cut enamel/dentin surfaces prepared from human molars were partially split in two halves by cutting a shallow groove . One half was first etched with 40 % phosphoric acid ( K-etchant ) , while protecting the other half by holding a razor blade in the groove . Next , C-SE was applied strictly following the manufacturer 's instructions , after which the surface was built up using Z100 ( 3 M Espe ) . After 24-h water storage , micro-specimens were prepared with the interface circularly constricted using a Micro-Specimen Former , prior to micro-tensile bond strength ( MPa ) measurement . In addition , interfaces of C-SE with enamel/dentin prepared with and without beforeh and acid etching were examined by Feg-SEM and TEM . RESULTS Beforeh and etching significantly increased the bonding effectiveness of C-SE to enamel . A clearly more micro-retentive surface was revealed by TEM and Feg-SEM when enamel was etched . Phosphoric-acid etching prior to C-SE application on dentin significantly decreased the muTBS to dentin . TEM provided indications of a low- quality hybrid layer after beforeh and phosphoric-acid etching . CONCLUSION Using C-SE , additional etching with phosphoric acid to improve bonding effectiveness should be limited to enamel INTRODUCTION The aim of this study was to investigate the effects of a proanthocyanidin-rich extract ( grape seed extract [ GSE ] ) on the bond strength and stability of the adhesion of fiber posts to the root dentine using 2 adhesive systems : a total-etch and a self-etch adhesive system . METHODS Single-rooted human teeth were r and omly divided into 6 groups : G1 ( control ) , untreated + total-etch adhesive Adper Scotchbond Multi- Purpose ( 3 M ESPE , St Paul , MN ) ; G2 , 6.5 % GSE for 5 minutes + SB ; G3 , 10 % GSE for 5 minutes + SB ; and G4 to G6 groups were similar to previous ones ; however , the self-etch adhesive system Clearfil SE Bond ( Kuraray , Kurashiki , Japan ) was used . Fiber posts were cemented with RelyX ARC ( 3 M ESPE ) , and the specimens were immediately tested for push out or stored for 12 months . The bond strength means were analyzed by analysis of variance and Games-Howell post hoc tests ( α = 0.05 ) . Additionally , matrix metalloproteinase inhibition by 0.65 % , 0.065 % , and 0.0065 % GSE was examined with gelatin zymography . RESULTS The use of GSE did not affect immediate bond strength to dentin and contributed to preserve the bond strength after 12 months ( P < .05 ) for both adhesives . The bond strength of SB was significantly higher than Clearfil SE Bond ( P < .05 ) . Gelatin zymography showed reduced matrix metalloproteinase activity when recombinant enzymes were incubated with both 0.65 % and 0.065 % GSE , with complete inhibition at the highest concentration . CONCLUSIONS The pretreatment with GSE can be used as a natural alternative to improve bond strength stability of dentin-adhesive interfaces in root canals OBJECTIVES The aim was to determine the effect of blood contamination and haemostatic agent application on the shear bond strength ( SBS ) of different adhesives to dentin . MATERIAL S AND METHODS Seventy-two extracted human molars were used in this study . Teeth were mounted acrylic in moulds . Mesial and distal surfaces were removed to obtain flat dentin surfaces ( n=144 ) and grinded with a 600 grit s and paper . The sample s were r and omly divided into three main groups ( N=48 ) based on the adhesive system and application procedures . GROUP 1 : No contamination ( control ) , GROUP 2 : Blood contamination , GROUP 3 : Blood Contamination+Haemostatic agent application . Each group was further divided into four subgroups : SUBGROUP I : Single Bond 2 ( etch- and -rinse ) Subgroup II : Clearfil SE Bond ( two-step self-etch ) Subgroup III : Single Bond Universal ( multimode , etch- and -rinse ) subgroup IV : Single Bond Universal ( multimode , all-in-one self-etch ) ( n=12 ) . Resin cylinders ( Filtek Z550 ) were bonded to the dentin surfaces according to the manufacturers ' instructions . A shear load was applied to the specimens using universal testing machine at a cross-head speed of 0.5 mm/min until failure . Data were analyzed statistically ( p<0.05 ) . RESULTS Statistically significant differences were observed between no contamination ( control ) and blood + haemostatic agent contamination groups for both Single Bond 2 ( etch- and -rinse ) and Single Bond Universal ( multimode , all-in-one self-etch ) ( p<0.05 ) . When the adhesive systems were compared to each other , no statistically significant differences were found in all contamination groups and control group for the mean SBS values ( p>0.05 ) . CONCLUSION When blood contamination is inevitable two step self- etching adhesive systems may be the choice of adhesive system in terms of shear bond strength This study evaluated the bond strength of a total-etch and a self-etch adhesive to dentin contaminated with a hemostatic agent containing aluminum chloride ( AlCl3 ) . Eighteen occlusal dentin discs were prepared from human molars . Each disc was ground and sectioned into two halves , one for normal dentin and the other for contaminated dentin . The specimens of both normal and contaminated dentin were r and omly divided into three groups and treated with the following material s : ( 1 ) Excite ( EX ) ; ( 2 ) Clearfil SE Bond with 20-second primer application time ( CB 20 ) and ( 3 ) Clearfil SE Bond with 40-second primer application time ( CB 40 ) . The microshear bond strength specimens were prepared using the resin composite Clearfil APX . The bond strengths were evaluated on a universal testing machine . Statistical analysis was performed at alpha = 0.05 . The surface micromorphology and aluminum content of the different dentin conditions were also examined . In EX , no significant difference was found between the bond strengths of normal dentin and contaminated dentin . The bond strength of CB20 to contaminated dentin was significantly lower than that to normal dentin . The extension of primer application time from 20 to 40 seconds significantly increased the bond strength of CB to contaminated dentin UNLABELLED It has been suggested that the hybrid layer ( HL ) does not play any important role in the mechanism of adhesion to dentin . To substantiate this hypothetical in significance of the HL , sodium hypochlorite ( NaOCl ) has been used to remove collagen from etched dentin prior to bonding . OBJECTIVES The present study was conducted to determine the effect of a commercial 10 % NaOCl gel on the dentin shear bond strengths and HL ultra-morphology of two simplified dentin adhesives . The null hypothesis tested was that treatment of etched dentin collagen with NaOCl would not compromise dentin bonding . METHODS The labial surface of eighty bovine incisors was polished to expose middle dentin . The specimens were r and omly assigned to two total-etch adhesive systems ( N = 40 ) : Prime&Bond NT ( Dentsply Caulk ) ; and  Single Bond ( 3 M Dental Products Division ) . After rinsing off the etchant , one drop of 10 % NaOCl ( AD Gel , Kuraray Ltd. ) was applied to the etched dentin surface and left for 0 ( control ) , 15 , 30 , or 60 s. The gel was rinsed off with water and the dentin surface kept visibly moist prior to the application of the adhesive as per manufacturer 's instructions . The respective composite resin was subsequently applied and light-cured . After 24 h in water at 37 degrees C , the specimens were thermocycled for 500 cycles in baths kept at 5 and 55 degrees C and the shear bond strengths measured . The data were analyzed with two-way ANOVA . For TEM , sixteen dentin disks were taken from middle dentin of extracted human third molars , assigned to the eight treatment sequences , and observed . RESULTS The increase in the  NaOCl application time result ed in a progressive decrease in shear bond strengths for both dentin adhesives . For Single Bond , the application of AD Gel for 60 s result ed in a reduction of bond strengths to 38 % of that obtained for the control . For Prime&Bond NT , the mean bond strength obtained when AD Gel was applied for 60 s was 31 % of that obtained for the control . The application of AD Gel result ed in distinct morphology for each one of the two adhesives tested . For Single Bond , the general morphology of the collagen network was maintained , regardless of the deproteinization time . The interfibrillar space within the collagen network increased with increasing deproteinization times . For Prime&Bond NT , the general appearance of the HL was maintained for deproteinization times of 15 and 30 s. When the NaOCl gel was applied for 60 s , the morphological appearance of the HL lost its fibrillar arrangement . While remnants of the collagen fibers were observed in one of the dentin disks , the other specimen showed an amorphous structure without any discernible HL morphological features . SIGNIFICANCE The integrity of the collagen fibrils left exposed upon acid-etching plays a major role in the mechanism of adhesion of the specific adhesive systems tested in this study . The intermingling of the adhesive monomers with the filigree of collagen fibers or HL should still be considered the paramount dentin bonding mechanism OBJECTIVE The aim of this study was to investigate the influence of shortening the etching time on the bond strength of a conventional and a self-etching primer adhesive system used in primary tooth dentin . METHODS Flat dentin surfaces were obtained from 24 primary molars , r and omly assigned to 4 experimental groups . The adhesive systems Single Bond and Clearfil SE Bond were applied in two groups according to the manufacturers ' recommendations . In the other two groups , the adhesives were applied after half-time of acid etching , 7 s for Single Bond and 10 s for Clearfil SE Primer . Resin crowns were built up and after 24 h storage in water at 37 degrees C , the teeth were sectioned to produce beams with cross-sectional area of approximately 0.49 mm2 . Specimens were tested in tension at 0.5 mm/min until failure . Fractured specimens were analyzed to determine the failure mode . RESULTS Tensile bond strengths for Single Bond in primary dentin were higher than for Clearfil SE Bond . Shortening of acid etching time improved bond strength only for Single Bond , while no statistically significant difference was observed for Clearfil SE Bond when both etching times were compared . SIGNIFICANCE No detrimental effect on bond strength was observed when the time of acid etching was shortened in 50 % . Shortening the time for a procedure in a small child without compromising the quality of the work is a very important finding for the practicing pediatric dentist This study evaluated the effect of 2 % chlorhexidine ( CHX ) pretreatment of dentin on the immediate and aged microtensile bond strength ( μTBS ) of different adhesives to dentin in vivo and in vitro . Class I cavities were prepared in 80 caries-free human third molars of 40 patients in a split-mouth fashion . In each tooth pair , one tooth received 2 % CHX pretreatment after which both teeth were r and omly assigned to one of the following groups with respect to the type of adhesive system applied : Adper Single Bond 2 ( etch- and -rinse ) , Clearfil SE Bond ( two-step self-etch ) , Clearfil S(3 ) Bond ( one-step self-etch ) , and Adper Prompt-L-Pop ( all-in-one self-etch ) . The teeth were restored with resin composite and extracted for μTBS testing either immediately or after six months in function . In vitro specimen pairs were prepared as with the clinical protocol in intact , freshly extracted human molars , and thereafter , subjected to testing immediately or after 5000 × thermocycling . Data were analyzed with four-way analysis of variance ( ANOVA ) . Bonferroni test was utilized for pair-wise comparisons . The immediate bond strength values were significantly higher than " aged " ones for all tested adhesives ( p=0.00 ) . The in vitro immediate bond strength values were statistically higher than in vivo bond strength values ( p<0.05 ) . While the bond strength of in vitro aged , CHX-treated sample s were higher than their in vivo counterparts ( p<0.05 ) , no difference was observed in non-CHX treated groups ( p>0.05 ) . In the absence of CHX pretreatment , all adhesives showed significantly higher immediate bond strength values than CHX-treated groups , while all " aged " , non-pretreated adhesives exhibited significantly lower bond strength values ( both p<0.05 ) . By contrast , chlorhexidine pretreatment result ed in significantly higher aged bond strengths , regardless of the adhesive system and testing condition . Aging-associated decline in dentin bond strength of etch- and rinse and self-etch adhesives can be counteracted by chlorhexidine application PURPOSE To investigate the bonding of a new universal adhesive applied using different etching strategies on sound and caries-affected dentin of primary teeth . MATERIAL S AND METHODS Flat dentin surfaces from 50 primary molars were r and omly assigned to 10 groups according to substrate ( sound dentin [ SD ] vs caries-affected dentin [ CAD ] pH cycled for 14 days ) and bonding approach ( Scotchbond Universal Adhesive : self-etching , vs dry or wet-bonding etch- and -rinse strategies ; Adper Single Bond Plus [ two-step etch- and -rinse adhesive ] and Clearfil SE Bond [ two-step self-etching system ] as controls ) . After 24 h of water storage , bonded sticks with cross-sectional areas of 0.8 mm2 were tested for microtensile bond strength ( μTBS ) . Two sticks from each tooth were immersed in silver nitrate solution in order to evaluate nanoleakage ( NL ) with SEM . The μTBS means were analyzed using two-way ANOVA and Tukey 's tests . For NL , the Kruskal-Wallis and Mann-Whitney tests were used ( α = 0.05 ) . RESULTS The influence of the etching strategy on the bonding performance of the universal adhesive was substrate dependent . The self-etching approach result ed in lower μTBS values and higher silver nitrate uptake into hybrid layers for Scotchbond Universal Adhesive on SD , while no difference among experimental groups was observed in CAD . CONCLUSION It is preferable to use the universal adhesive following either a dry- or wet-bonding etch- and -rinse approach on both sound and caries-affected primary dentin Aim : This study investigated the effect of one hemostatic agent on the shear bond strength of  self-etch and etch- and -rinse adhesive systems . Material s and Methods : Sixty extracted third molars were selected . After preparing a flat surface of superficial dentin , they were r and omly divided into six groups . Adhesives were Tetric N-Bond , AdheSE , and AdheSE One F. Before applying adhesives , surfaces were contaminated with ViscoStat for 60 s in three groups and rinsed . Then composite were attached to surfaces and light cured . After thermocycling , the bond strength was calculated and failure modes were determined by stereomicroscope . The data were analyzed by t-test and one-way ANOVA with P < 0.05 as the level of significance . Results : ViscoStat had significantly decreased the shear bond strength of AdheSE ( P < 0.0001 ) to dentin . Modes of failures in all groups were mainly adhesive . Conclusion : Contamination had an adverse effect on the shear bond strength of AdheSE and reduced it OBJECTIVE This in vitro study evaluated the shear bond strength of composite resin to deep dentin using a total etch adhesive after treatment with two collagen cross-linking agents at varying time intervals . MATERIAL S AND METHODS Thirty freshly extracted human maxillary central incisors were sectioned longitudinally into equal mesial and distal halves ( n=60 ) . The proximal deep dentin was exposed , maintaining a remaining dentin thickness ( RDT ) of approximately 1 mm . The specimens were r and omly divided into three groups based on the surface treatment of dentin prior to bonding as follows : group I ( n=12 , control ) : no prior dentin surface treatment ; group II ( n=24 ) : dentin surface pretreated with 10 % sodium ascorbate ; and group III ( n=24 ) : dentin surface pretreated with 6.5 % proanthocyanidin . Groups II and III were further subdivided into two subgroups of 12 specimens each , based on the pretreatment time of five minutes ( subgroup A ) and 10 minutes ( subgroup B ) . Shear bond strength of the specimens was tested with a universal testing machine , and the data were statistically analyzed . RESULTS Significantly higher shear bond strength to deep dentin was observed in teeth treated with 10 % sodium ascorbate ( group II ) and 6.5 % proanthocyanidin ( group III ) compared to the control group ( group I ) . Among the collagen cross-linkers used , specimens treated with proanthocyanidin showed significantly higher shear bond strength values than those treated with sodium ascorbate . No significant difference was observed between the five-minute and 10-minute pretreatment times in groups II and III . CONCLUSION It can be concluded that dentin surface pretreatment with both 10 % sodium ascorbate and 6.5 % proanthocyanidin result ed in significant improvement in bond strength of resin composite to deep dentin Abstract Objective . The aim of this study was to evaluate the efficacy of the microtensile , microshear and shear bond strength test methods to assess the bond strength of two self-etch adhesives and one etch&rinse adhesive on dentin . Material s and methods : Seventy-five extracted human molars were ground to expose their flat dentin surfaces and r and omly assigned to one of three groups according to the type of test method ( 15 for microtensile , 15 for microshear , 45 for shear ) . Each of these groups was then assigned to three sub-groups according to the bonding systems ( Clearfil SE Bond , Kuraray ; G Bond , GC ; Prime&Bond NT , Dentsply ) used . Then , 15 specimens were prepared for each sub-group according to the test method employed ( n = 15 ) . After being stored in distilled water at 37 ° C for 24 h , the specimens were placed in a universal testing machine for three test methods and stressed at a crosshead speed of 0.5 mm/min . Mean bond strengths were analyzed using Kruskall-Wallis and Mann-Whitney U-tests at a significance level of p < 0.05 . Results . The microtensile test had the highest bond strength ( p = 0.046 ) . Clearfil SE Bond and Prime&Bond NT produced significantly higher values than the G Bond in the microtensile bond test ( p < 0.05 ) , whereas no significant differences were found among the adhesives in the microshear bond test ( p > 0.05 ) . For the shear test , Clearfil SE Bond showed higher bond strength than Prime&Bond NT and G Bond ( p < 0.05 ) . Conclusion : Bond strength to dentin depends on the material and the test method used PURPOSE The purpose of this in vitro study was to measure and compare the in vitro shear bond strengths ( SBS ) of the following dentin bonding systems to different dentin surfaces under simulated pulpal pressure : Liner Bond 2 ( self-etching ) ( LB2 ) , Liner Bond 2V ( self-etching ) ( LB2V ) , Opti Bond Solo ( single component ) ( OBS ) , Fuji Bond LC ( filled ) ( FBLC ) , Prime & Bond 2 - 1 ( single component ) ( P&B2 - 1 ) , and Solid Bond ( total etching ) ( SB ) . MATERIAL S AND METHODS Occlusal and buccal surfaces of 60 extracted human molars were prepared to expose the dentin bonding surface . After being wet ground with 600-grit abrasive papers , teeth were r and omly assigned to 6 equal groups of 10 each . The dentin surfaces were treated with the bonding systems mentioned above , and resin composite cylinders ( Clearfil AP-X ) were built up under simulated pulpal pressure when diluted bovine serum was used as the pulpal fluid . After one day of storage in 37 degrees C water , the specimens were shear tested to failure on an Instron machine . RESULTS The data were statistically analyzed with the Student 's t-test and a post hoc Tukey test . Comparing buccal surfaces , the post hoc Tukey test indicated no significant differences among all the test groups ( p > 0.05 ) . On occlusal surfaces , the post hoc Tukey test indicated significant differences among the tested groups ( p < 0.05 ) . The Student 's t test revealed significant differences between the occlusal and buccal shear bond strength values in LB 2 , LB2V , and SB groups ( p < 0.05 ) . CONCLUSION The strength of adhesion to dentin depends upon both the adhesive system used - with self-etching systems tending to show higher bond strengths than the other material s tested - and the location of the dentin , with significantly higher SBS being found on buccal surfaces in 3 of the 7 tested bonding systems PURPOSE To evaluate the effect of chemical and microbiological methods of caries induction on microtensile bond strength ( μTBS ) of current adhesive systems to primary dentin . MATERIAL S AND METHODS Flat dentin surfaces from 36 primary molars were assigned to 3 groups according to the method of inducing caries-affected dentin : ( 1 )  control ( sound dentin ) ; ( 2 )  pH cycling ; and ( 3 ) microbiological . In both methods , teeth were su bmi tted to caries induction for 14 days , and the sound dentin was stored in distilled water for the same period . Specimens were then r and omly reassigned according to adhesive system : a two-step etch- and -rinse adhesive ( Adper Single Bond 2 ) or a two-step self-etching system ( Clearfil SE Bond ) . Composite buildups were constructed and the teeth were sectioned to obtain bonded sticks ( 0.8 mm2 ) to be tested for microtensile bond strength . The μTBS means were analyzed by two-way ANOVA and Tukey 's tests ( α = 0.05 ) . Failure mode was evaluated using a stereomicroscope ( 400X ) . RESULTS Both methods of caries induction result ed in lower μTBS values ( with no significant difference between them ) than those obtained for sound dentin . Adhesive systems showed similar bond strength values . The percentage of premature failure was higher in the microbiological group , regardless of adhesive system . CONCLUSION Microbiological and pH-cycling methods are both suitable for simulating caries-affected dentin for bonding evaluations in primary teeth PURPOSE This study evaluated the adhesion of 10-MDP containing self-etch and self-adhesive resin cements to dentin with and without the use of etch- and -rinse technique . MATERIAL S AND METHODS Human third molars ( N=180 ) were r and omly divided into 6 groups ( n=30 per group ) . Conventional ( Panavia F2.0 , Kuraray-PAN ) and self-adhesive resin cements ( Clearfil SA , Kuraray-CSA ) were bonded to dentin surfaces either after application of 3-step etch- and -rinse ( 35 % H3PO4 + ED Primer ) or two-step self-etch adhesive resin ( Clearfil SE Bond ) . Specimens were subjected to shear bond strength test using the universal testing machine ( 0.5 mm/min ) . The failure types were analyzed using a stereomicroscope and quality of hybrid layer was observed under a scanning electron microscope . The data ( MPa ) were analyzed using two-way ANOVA and Tukey 's tests ( α=.05 ) . RESULTS Overall , PAN adhesive cement showed significantly higher mean bond strength ( 12.5 ± 2.3 - 14.1 ± 2.4 MPa ) than CSA cement ( 9.3 ± 1.4 - 13.9 ± 1.9 MPa ) ( P<.001 ) . Adhesive failures were more frequent in CSA cement groups when used in conjunction with two-step self-adhesive ( 68 % ) or no adhesive at all ( 66 % ) . Hybrid layer quality was inferior in CSA compared to PAN cement in all conditions . CONCLUSION In clinical situations where bonding to dentin substrate is crucial , both conventional and self-adhesive resin cements based on 10-MDP can benefit from etch- and -rinse technique to achieve better quality of adhesion in the early clinical period PURPOSE To evaluate the effect of 2 % chlorhexidine on the microtensile bond strength of composite resin to dentin treated with three dentin bonding systems . MATERIAL S AND METHODS Flat dentinal surfaces were prepared in 24 extracted human third molars . Teeth were r and omly divided into 8 distinct experimental groups according to the adhesive applied ( Prime & Bond NT , Single Bond and Clearfil SE Bond ) , the application ( yes/no ) of chlorhexidine , and the time point at which it was applied ( before or after acid etching the dentin ) . Composite resin blocks were built up over treated surfaces , and teeth were then stored in water at 37 degrees C for 24 h. Sample s were thermocycled , stored under the same conditions , and then vertically sectioned , thus obtaining specimens with 1.0 + /- 0.1 mm2 cross-sectional area . Specimens were stressed in tension at 0.5 mm/min crosshead speed . Bond strength results were evaluated using a one-way ANOVA ( p < 0.05 ) . The modes of failures were verified using optical microscopy . Dentin disks were obtained from 3 additional teeth treated in the same manner for observation under SEM . The most representative sample s of fractured specimens were also observed under SEM . RESULTS No statistically significant differences of bond strength values were found between any groups . Failures occurred mainly within the bond ; exclusively adhesive fractures ( adhesive-dentin ) were not observed . CONCLUSION The 2 % chlorhexidine solution , applied before or after acid etching of the dentin , did not interfere with the microtensile bond strength of composite resin to the dentin treated with Prime & Bond NT , Single Bond , or Clearfil SE Bond bonding systems This study tested the hypothesis that beveling and /or etching enamel does not affect the 6-month clinical performance of the self-etch adhesive Clearfil SE Bond in class V noncarious lesions . With Institutional Review Board approval , 34 patients were enrolled in this study . A total of 120 noncarious cervical lesions were selected and assigned to 4 groups : ( 1 ) Clearfil SE Bond was applied without any cavity preparation ; ( 2 ) After the enamel was beveled , Clearfil SE Bond was applied ; ( 3 ) After the enamel was etched for 15 seconds with 35 % phosphoric acid , Clearfil SE Bond was applied ; ( 4 ) After the enamel was beveled and etched with 35 % phosphoric acid for 15 seconds , Clearfil SE Bond was applied . A microfilled composite resin was used for all restorations . Six months after initial placement , 120 restorations ( a 100 % recall rate ) were re-evaluated . Retention rates at 6 months were 100 % for all groups . Sensitivity to air improved from baseline to 6 months , but the overall difference was not statistically significant . The 6-month retention rate of the self etch dentin adhesive system Clearfil SE Bond was not improved by enamel beveling or by enamel etching . For the self-etch material Clearfil SE Bond , instrumentation or etching of enamel may not be critical for its clinical performance at 6 months INTRODUCTION This study compared the influence of different irrigants with and without ultrasound or laser irradiation on the bond strength of glass fiber posts using a self-etching adhesive in a supplementary dentin pretreatment . METHODS Ninety bovine incisor roots were divided into 3 groups according to the irrigant tested : 2 % chlorhexidine ( CHX ) ( n = 30 ) ; 2.5 % sodium hypochlorite ( NaOCl ) ( n = 30 ) , and saline solution ( control ) ( n = 30 ) . Each group was r and omly divided into 3 subgroups according to the supplementary dentin pretreatment : ultrasound , Nd : YAG laser , and nonsupplemented ( control ) . A self-etching adhesive system ( Futurabond DC ; VOCO GmbH , Cuxhaven , Germany ) was used , and the glass fiber posts were cemented with dual-cure epoxy-based luting agent ( Bifix QM , VOCO GmbH ) . All roots were sectioned transversely , and the push-out test was performed . Failure mode analysis was also evaluated . RESULTS Bond strength decreased significantly after the use of 2.5 % NaOCl in all root thirds ( P < .05 ) . CHX showed no difference in the mean bond strength value compared with saline solution ( P > .05 ) . The supplementary dentin pretreatment using the Nd : YAG laser or ultrasound did not improve the bond strength values for both NaOCl and CHX ( P > .05 ) . Moreover , the apical third exhibited the lowest mean bond strength values ( P < .05 ) . Analysis indicated that the predominant failure mode was the mixed type . CONCLUSIONS Regardless of the irrigant used , the supplementary dentin pretreatment with ultrasound or laser irradiation showed no improvement in bond strength . Also , the use of NaOCl decreased the bond strength of glass fiber posts using a self-etching adhesive system , whereas CHX preserved it PURPOSE To evaluate the bonding of simplified adhesive systems to sound and caries-affected dentin of primary teeth with microtensile ( µTBS ) and nanoleakage ( NL ) tests . MATERIAL S AND METHODS Occlusal cavities were prepared in 36 sound second primary molars . Half of the specimens were su bmi tted to pH cycling to simulate caries-affected dentin . Teeth were r and omly restored with one of three material s : the etch- and -rinse adhesive system Adper Single Bond 2 ( SB ) , the two-step self-etching adhesive system Adper SE Plus ( SE ) , and the one-step self-etching adhesive system Adper Easy One ( EASY ) . After storage for 24 h , specimens with cross-sectional areas of 0.8 mm2 were prepared for microtensile testing ( 1 mm/min ) . One stick from each tooth was immersed in silver nitrate solution ( 24 h ) and allowed to develop for 8 h in order to score the nano leakage with SEM . The fracture pattern was evaluated using a stereomicroscope ( 400X ) . The µTBS means were analyzed by two-way ANOVA and Tukey 's post-hoc test . For NL , the Kruskal- Wallis and Mann-Whitney tests were used ( α < 0.05 ) . RESULTS SB ( 35.5 ± 3.5 ) showed the highest µTBS value to sound dentin , followed by EASY ( 26.3 ± 1.9 ) and SE ( 18.2 ± 6.5 ) ( p < 0.05 ) . No difference among material s was observed for caries-affected dentin ( SB : 17.8 ± 4.2 ; SE : 13.9 ± 3.2 ; EASY : 14.4 ± 4.2 , p > 0.05 ) . For all groups , adhesive/mixed fracture prevailed . Caries affected dentin promoted silver nitrate uptake into the adhesive interface ; however , with SE , the nano leakage was more pronounced than in the other adhesive systems , even in sound dentin . CONCLUSION Caries-affected dentin negatively influences the bond strength and nano leakage of the two-step etch- and -rinse and one-step self-etching adhesive systems tested in primary teeth This study evaluated the effect of tooth-preparation cleansing protocol s on the bond strength of a self-adhesive resin cement to dentin contaminated with two different types of hemostatic agents . The occlusal surface of extracted third molars was flattened to expose the dentin surface and prepared for a full crown . Acrylic temporary crowns were fabricated and placed using temporary cement . The specimens were stored at 100 % relative humidity for seven days . Following removal of the temporary crowns , the specimens were surface debrided using aluminum oxide abrasion with a particle size of 27 μm at 40 psi . The specimens were r and omly assigned to three groups , according to the hemostatic agents : Group I – an agent containing aluminum chloride was applied to the tooth surface ; Group II – an agent containing ferric sulfate was applied to the tooth surface and Group III – uncontaminated ( control ) . The contaminated specimens were then further subdivided into three subgroups ( A – C ; n=12 ) : Group A – tooth surface cleansing with water spray ; Group B – tooth surface cleansing with phosphoric acid etch and Group C – tooth surface cleansing with aluminum oxide abrasion with a particle size of 27 μm at 40 psi . Ceramic blocks were treated with a 9.5 % hydrofluoric acid-etch and silanized prior to being cemented with self-adhesive resin luting agent ( RelyX Unicem ) to the prepared dentin . The shear bond strength was determined at a crosshead speed of 0.5 mm/minute . The data were analyzed with two-way ANOVA , followed by the Duncan multiple range test , to determine any significant differences between the testing groups . The microstructure morphology of the tooth surface was evaluated using SEM analysis . The results revealed that there was a significant difference between the bond strength of the control and the contaminated testing groups ( p<0.05 ) . A tooth preparation cleansing protocol using particle abrasion with low-pressure aluminum oxide particles provided a significant improvement in bond strength to contaminated dentin , while rinsing with water spray result ed in the lowest mean bond strength of the self-adhesive resin cement to dentin ( p<0.05 ) The aim of this in vitro study was to investigate the effect of the cariostatic and preventive agent silver diamine fluoride ( SDF ) on the microtensile bond strength of resin composite to dentin . Forty-two caries-free , extracted molars were flattened occlusally and apically using a diamond saw , and the exposed occlusal dentin was polished with a series of silicon carbide papers , all under water irrigation . The teeth were then r and omly divided into six groups of seven teeth each that were treated as follows : 1 ) Peak SE self-etch bonding agent ; 2 ) 12 % SDF + Peak SE ; 3 ) 38 % SDF + Peak SE ; 4 ) Peak LC etch- and -rinse bonding agent ; 5 ) 12 % SDF + Peak LC ; and 6 ) 38 % SDF + Peak LC . Four-millimeter buildups of Amelogen Plus were incrementally placed on all teeth ; after a 24-hour storage period in distilled water , the specimens were sectioned perpendicular to the adhesive interface to produce beams of cross-sectional surface area measuring approximately 1 mm(2 ) . The beams were placed on a microtensile testing machine , which utilized a single-speed pump motor and force gauge at 20 kgf × 0.01 second to record maximum tensile force before failure occurred . Two-way analysis of variance and post hoc Tukey tests were performed to compare the effects of the SDF  on microtensile bond strength , with statistical significance set at α = 0.05 . None of the experimental groups treated with different concentrations of SDF showed a significant difference in bond strength compared to the control groups , and there was no significant difference in bond strength between self-etch and etch- and -rinse groups . However , the effect of SDF  on self-etch bonded teeth compared to etch- and -rinse bonded teeth was statistically significant ( p=0.0363 ) , specifically at the 12 % concentration . SDF does not adversely affect the bond strength of resin composite to noncarious dentin PURPOSE To investigate the effect of phosphoric acid etching prior to the application of self-etching primer on the adhesion of resin composite to tooth substrates . MATERIAL S AND METHODS Bovine teeth were r and omly divided in four groups of 20 sample s each . Tooth surface conditions were as follows : Group 1 : enamel ground with 600-grit SiC paper ; Group 2 : ground enamel was etched with 35 % phosphoric acid gel for 15 seconds , water-rinsed and completely dried ; Group 3 : ground dentin ; Group 4 : dentin etched using the same method as Group 2 . The sample s in each group were divided in two subgroups of 10 each . UniFil Bond ( UB ) and Clearfil SE Bond ( SE ) were applied as adhesive systems with self-etching primers , and a layer of resin composite ( AP-X ) was placed and light-cured for 40 seconds . The tensile bond strengths ( TBS ) were measured and the resin-tooth interfaces were observed with scanning electron microscopy . RESULTS The mean TBS values were 11.2 MPa ( Group 1-UB ) , 14.3 MPa ( Group 1-SE ) , 16.3 MPa ( Group 2-UB ) , 20.5 MPa ( Group 2-SE ) , 13.4 MPa ( Group 3-UB ) , 16.7 MPa ( Group 3-SE ) , 9.3 MPa ( Group 4-UB ) and 12.6 MPa ( Group 4-SE ) . Two-way ANOVA and Scheffe 's F test showed that the enamel etching significantly increased the TBS values but dentin etching significantly decreased the TBS values BACKGROUND Self-etching adhesives are believed to prevent postoperative sensitivity when used under posterior resin-based composite restorations . The authors tested a twofold hypothesis : a self-etch , or SE , adhesive would result in less postoperative sensitivity than a total-etch , or TE , adhesive ; an SE adhesive would result in poorer enamel marginal integrity than a TE adhesive . METHODS Patients were selected on the basis of requiring Class I and II restorations in molars and premolars . The authors placed 30 restorations with the SE material ( Clearfil SE Bond , Kuraray America , New York ) and 36 restorations with Prime & Bond NT ( Dentsply Caulk , Milford , Del. ) , which uses 34 percent phosphoric acid to etch enamel and dentin simultaneously . Preparations were of st and ard design , with all margins in enamel without beveling . Upon rubber dam isolation , the authors conditioned the enamel and dentin walls with the self-etching primer ( for Clearfil SE Bond ) or etched with the proprietary 34 percent phosphoric acid ( for Prime & Bond NT ) , followed by application of the corresponding dentin adhesive . Teeth were restored with the proprietary hybrid resin-based composite indicated for posterior restorations : Clearfil AP-X for Clearfil SE Bond or Esthet-X Micro Matrix Restorative for Prime & Bond NT . The restored teeth were evaluated preoperatively and at two weeks , eight weeks and six months postoperatively for sensitivity to cold ( ice ) , air and masticatory forces , as well as for marginal discoloration . RESULTS Analysis of variance revealed no statistically significant differences in postoperative sensitivity between the SE and TE material s at any recall time . Marginal discoloration was rated as " absent " for all restorations at six months . Only one tooth displayed sensitivity to occlusal forces at six months . CONCLUSION The SE adhesive did not differ from the TE adhesive in regard to sensitivity and marginal discoloration . CLINICAL IMPLICATION S Postoperative sensitivity may depend on the restorative technique rather than on the type of dentin adhesive used
Conclusions In light of the currently available scientific evidence , dentin surface pretreatment with deproteinizing agents does not enhance the bonding of SE adhesives to dentin .
The HOCl deproteinizing agent exhibited minimal adverse effects on bonding to dentin in comparison with NaOCl solutions
Objectives The aim of this systematic review was to critically analyze previously published studies of the effects of dentin surface pretreatment with deproteinizing agents on the bonding of  self-etch ( SE ) adhesives to dentin .
Additionally , a meta- analysis was conducted to quantify the effects of the above-mentioned surface pretreatment methods on the bonding of SE adhesives to dentin .