Farklı üniversal adeziv sistemler ile hemen dentin kapama işleminin kendinden bağlanabilen yapıştırma simanının bağlanma dayanımı üzerine etkisi

Amaç: Bu in vitro çalışmanın amacı, farklı üniversal adeziv sistemler ile hemen dentin kapama (IDS) işleminin, kimyasal-ışıkla sertleşen kendinden bağlanabilen yapıştırma simanının kesme tipi dayanıklılık üzerindeki etkisini incelemektir. Gereç ve Yöntem: Bu çalışmaya 60 adet sağlam insan molar dişi dahil edildi. Koronal dentin, model trimleme cihazında açığa çıkartıldı ve 600-gritlik silikon karbid kağıtlarla standart smear tabakası elde etmek için su soğutması altında aşındırıldı. Örnekler kullanılan üniversal adezive göre rastgele 4 gruba ayrıldı (n=15); Grup 1 (kontrol; C): hemen dentin kapama yok; Grup 2: Clearfil Universal Bond Quick (UBQ); Grup 3: Single Bond Universal (SBU); Grup 4: OptiBond Universal (OBU). Adeziv sistemler kendinden pürüzlendirmeli olarak üreticinin talimatları doğrultusunda uygulandı. Ardından, silindir silikon kalıplar (çap: 3 mm, yükseklik: 2 mm) kullanılarak yüzeylere kendinden bağlanabilen yapıştırma simanı (Nova Resin Siman) bağlandı. Örnekler, 24 saat distile suda bekletildi ve ardından 1mm/dk piston başlığı hızında üniversal test cihazı kullanılarak kesme tipi dayanım testi uygulandı. Kırık yüzeylerin başarısızlık analizi, 15× büyütmede stereomikroskopla incelendi. Veri Kruskal Wallis ve Dunn testi kullanılarak değerlendirildi (p<0.05). Bulgular: Kontrol grubu, IDS yapılan gruplara kıyasla istatistiksel olarak daha düşük kesme tipi dayanıklılık gösterdi (p<0.05). Grup 2 (UBQ), Grup 3’e (SBU) kıyasla istatistiksel olarak daha yüksek kesme tipi dayanıklılık gösterdi (p<0.05). IDS yapılan gruplarda karma tip başarısızlık gözlenirken, kontrol grubunda adeziv tip başarısızlık gözlendi. Sonuç: Üniversal adeziv sistemler kullanılarak yapılan IDS işleminin, kendinden bağlanabilen yapıştırma simanının bağlanma dayanımı üzerine olumlu etkisi olmuştur. Ayrıca, MDP ve amid monomeri içeren Clearfil Universal Bond Quick ile en yüksek bağlanma dayanım değerleri elde edilmiştir.

Effect of immediate dentin sealing procedure using different universal adhesive systems on the shear bond strength of self-adhesive resin cement

Objective: The aim of this in vitro study was to investigate the effect of immediate dentin sealing (IDS) procedure using different universal adhesive systems on the shear bond strength (SBS) of dual-cure self-adhesive luting cement. Materials and Method: Sixty sound human molar teeth were used. The coronal dentin surfaces were exposed with model trimmer device and ground with 600-grit silicon carbide paper under water cooling to obtain standard smear layers. Specimens were randomly divided into 4 groups according to the different types of universal adhesive systems used (n=15): Group 1 (control; C): no immediate dentin sealing; Group 2: Clearfil Universal Bond Quick (UBQ); Group 3: Single Bond Universal (SBU); Group 4: OptiBond Universal (OBU). Adhesive systems were applied in self-etch mode according to the manufacturers’ instructions. Then, self-adhesive luting cement (Nova Resin Cement) was bonded using cylinder-shaped silicone mold (diameter: 3 mm, height: 2 mm). The specimens were stored in distilled water for 24 h and subjected to SBS test at a crosshead speed of 1 mm/min using universal testing machine. Debonded surfaces were observed with a stereomicroscope under 15× magnification to determine the failure mode. Data were statistically analyzed with Kruskal Wallis and Dunn test (p<0.05). Results: Control group showed statistically lower shear bond strength than IDS-treated groups (p<0.05). Group 2 (UBQ) showed statistically higher SBS than Group 3 (SBU) (p<0.05). IDS-treated groups showed predominantly mixed failures while control group showed adhesive failure patterns. Conclusion: IDS procedures using universal adhesive systems improved the SBS of the self-adhesive luting cement. Besides, the highest shear bond strengths were obtained with Clearfil Universal Bond Quick which contains MDP and amide monomers.

___

  • Bayne SC, Heymann HO, Swift EJ. Update on dental composite restorations. J Am Dent Assoc 1994;125:687-701.
  • Magne P. Immediate Dentin Sealing: A fundamental procedure for indirect bonded restorations. J Esthet Restor Dent 2005;17:144-55.
  • Magne P, Kim TH, Cascione D, Donovan TE. Immediate dentin sealing improves bond strength of indirect restorations. J Prosthet Dent 2005;94:511-9.
  • Ferreira-Filho RC, Ely C, Amaral RC, Rodrigues JA, Roulet JF, Cassoni A, et al. Effect of different adhesive systems used for immediate dentin sealing on bond strength of a self-adhesive resin cement to dentin. Oper Dent 2018;43:391-7.
  • Rigos AE, Dandoulaki C, Kontonasaki E, Kokoti M, Papadopoulou L, Koidis P. Effect of immediate dentin sealing on the bond strength of monolithic zirconia to human dentin. Oper Dent 2019;44:E167-79.
  • Günsel Kesimli E, Yılmaz Atalı P, Türkmen C. Effect of immediate dentin sealing on the bonding state of hybrid ceramic CAD/CAM restorative material to dentin. Eur J Res Dent 2020;4:52-8.
  • Marchesi G, Frassetto A, Mazzoni A, Apolonio F, Diolosà M, Cadenaro M, et al. Adhesive performance of a multi-mode adhesive system: 1-year in vitro study. J Dent 2014;42:603-12.
  • Takamizawa T, Barkmeier WW, Tsujimoto A, Berry TP, Watanabe H, Erickson RL, et al. Influence of different etching modes on bond strength and fatigue strength to dentin using universal adhesive systems. Dent Mater 2016;32:e9-21.
  • Wang R, Shi Y, Li T, Pan Y, Cui Y, Xia W. Adhesive interfacial characteristics and the related bonding performance of four self-etching adhesives with different functional monomers applied to dentin. J Dent 2017;62:72-80.
  • Papadogiannis D, Dimitriadi M, Zafiropoulou M, Gaintantzopoulou MD, Eliades G. Universal Adhesives: Setting Characteristics and Reactivity with Dentin. Materials (Basel) 2019;12:1720.
  • Duarte S Jr, de Freitas CR, Saad JR, Sadan A. The effect of immediate dentin sealing on the marginal adaptation and bond strengths of total-etch and self-etch adhesives. J Prosthet Dent 2009;102:1-9.
  • van den Breemer CR, Özcan M, Pols MR, Postema AR, Cune MS, Gresnigt MM. Adhesion of resin cement to dentin: effects of adhesive promoters, immediate dentin sealing strategies, and surface conditioning. Int J Esthet Dent 2019;14:52-63.
  • Shafiei F, Aghaei T, Jowkar Z. Effect of proanthocyanidin mediated immediate and delayed dentin sealing on the strength of premolars restored with composite resin inlay. J Clin Exp Dent 2020;12:e235-41.
  • Qanungo A, Aras MA, Chitre V, Mysore A, Amin B, Daswani SR. Immediate dentin sealing for indirect bonded restorations J Prosthodont Res 2016;60:240-9.
  • Dietschi D, Monasevic M, Krejci I, Davidson C. Marginal and internal adaptation of class II restorations after immediate or delayed composite placement. J Dent 2002;30: 259-69.
  • Stavridakis MM, Krejci I, Magne P. Immediate dentin sealing of onlay preparations: thickness of pre-cured Dentin Bonding Agent and effect of surface cleaning. Oper Dent 2005;30:747-57.
  • Magne P, So WS, Cascione D. Immediate dentin sealing supports delayed restoration placement. J Prosthet Dent 2007;98:166-74.
  • Hayashi K, Maeno M, Nara Y. Influence of immediate dentin sealing and temporary restoration on the bonding of CAD/CAM ceramic crown restoration. Dent Mater J 2019;38:970-80.
  • Kuno Y, Hosaka K, Nakajima M, Ikeda M, Klein Junior CA, Foxton RM, et al. Incorporation of a hydrophilic amide monomer into a one-step self-etch adhesive to increase dentin bond strength: Effect of application time. Dent Mater J 2019;38:892-9.
  • Hirokane E, Takamizawa T, Kasahara Y, Ishii R, Tsujimoto A, Barkmeier WW, et al. Effect of double-layer application on the early enamel bond strength of universal adhesives. Clin Oral Investig 2021;25:907-21.
  • Tichy A, Hosaka K, Abdou A, Nakajima M, Tagami J. Degree of conversion contributes to dentin bonding durability of contemporary universal adhesives. Oper Dent 2020;45:556-66.
  • Ahmed MH, Yoshihara K, Yao C, Okazaki Y, Landuyt KV, Peumans M, et al. Multiparameter evaluation of acrylamide HEMA alternative monomers in 2-step adhesives. Dent Mater 2021;37:30-47.
  • Cruz J, Sousa B, Corro C, Lopes M, Vargas M, Cavalheiro A. Microtensile bond strength to dentin an enamel of self-etch vs. etch-and-rinse modes of universal adhesives. Am J Dent 2019;32:174-82.
  • Yoshihara K, Nagaoka N, Hayakawa S, Okihara T, Yoshida Y, Van Meerbeek B. Chemical interaction of glycero-phosphate dimethacrylate (GPDM) with hydroxyapatite and dentin. Dent Mater 2018;34:1072-81.
  • Hoshika S, Kameyama A, Suyama Y, De Munck J, Sano H, Van Meerbeek B. GPDM- and 10-MDP-based Self-etch Adhesives Bonded to Bur-cut and Uncut Enamel- "Immediate" and "Aged" TBS. J Adhes Dent 2018;20:113-20.