Conclusions Multi-mode ' universal ' adhesives can achieve substantial bonding to dentin , regardless of the used modes ( either etch- and -rinse or self-etch )
Objectives The aims of this study were to conduct a systematic review of the microtensile bond strength ( µTBS ) of  multi-mode adhesives to dentin and to perform a meta- analysis to assess the significance of differences in the µTBS of one of the most commonly used universal adhesives ( Scotchbond Universal , 3 M ESPE ) depending on whether the etch- and -rinse or self-etch mode was used .
Adhesion of 10-MDP containing resin cements to dentin with and without the etch-and-rinse technique
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
Conclusions Multi-mode ' universal ' adhesives can achieve substantial bonding to dentin , regardless of the used modes ( either etch- and -rinse or self-etch )
Objectives The aims of this study were to conduct a systematic review of the microtensile bond strength ( µTBS ) of  multi-mode adhesives to dentin and to perform a meta- analysis to assess the significance of differences in the µTBS of one of the most commonly used universal adhesives ( Scotchbond Universal , 3 M ESPE ) depending on whether the etch- and -rinse or self-etch mode was used .