Bond Strength Evaluation of Bulk- fill Composites to Dentin Under Different Surface Treatments
DOI:
https://doi.org/10.15517/ijds.2021.45008Keywords:
Bulk-fill composite; Turbo handpiece; Er; Cr: YSGG laser; Shear bond strength.Abstract
Purpose: The aim of this study is to compare the shear bond strength of three high-viscosity bulk-fill composite resins applied as single layers of 4mm thickness and of one microhybrid composite resin applied incrementally with a thickness of 2mm on dentin surfaces prepared with different surface preparation methods. Materials and Methods: A total of 132 caries-free human molars whose dentines had been exposed were used. Three groups, each containing 44 teeth, were formed. The acid group was etched with 32% phosphoric acid; laser group was etched with Er, Cr; YSGG laser and the control group was prepared with silicon carbid paper. Following the application of bonding agent, composite resin materials were applied on teeth using teflon moulds of 4x4mm. The samples were then subjected to shear bond strength tests. Two-way variance analysis and Tukey HSD multiple comparison test were applied on collected data. Results: There was a significant difference between surface treatment methods used regarding shear bond strength (P<0.001). The highest shear bond strength values were detected in the “Acid” group while the lowest shear bond strength values were detected in the “control” group. On the other hand, there was no statistically significant difference among composite resins (P>0.05). Conclusions: Laser etching of the dentin tissues is not as effective as acid etching. Bulk-fill composites had similar effects compared with conventional composite resins with regard to bonding strength. More in vitro studies supported with clinical data are required to investigate the performance of bulk-fill composites and laser.
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Kwon Y., Ferracane J., Lee I.B. Effect of layering methods, composite type, and flowable liner on the polymerization shrinkage stress of light cured composites. Dent Mater. 2012; 28: 801-809. DOI: https://doi.org/10.1016/j.dental.2012.04.028
Kim R.J., Son S.A., Hwang J.Y., et al. Comparison of photopolymerization temperature increases in internal and external positions of composite and tooth cavities in real time: Incremental fillings of microhybrid composite vs. bulk filling of bulk fill composite. J Dent. 2015; 43 (9): 1093-1098. DOI: https://doi.org/10.1016/j.jdent.2015.07.003
Kim R.J., Kim Y.J., Choi N.S., et al. Polymerization shrinkage, modulus, and shrinkage stress related to tooth-restoration interfacial debonding in bulk-fill composites. J Dent. 2015; 43 (4): 430-439. DOI: https://doi.org/10.1016/j.jdent.2015.02.002
Karadas M., Hatipoglu O., ER H., et al. Influence of different light-curing units on monomer elution from bulk fill composites. J Adhes Sci Technol. 2018; 32, (23): 2631-2646. DOI: https://doi.org/10.1080/01694243.2018.1499320
Ilie N., Bucuta S., Draenert M. Bulk-fill resin-based composites: an in vitro assesment of their mechanical performance. Oper Dent. 2013; 38 (6): 618-625. DOI: https://doi.org/10.2341/12-395-L
Bucuta S., Ilie N. Light transmittance and micro-mechanical properties of bulk fill vs. conventional resin based composites. Clin Oral Invest. 2014; 18 (8): 1991-2000. DOI: https://doi.org/10.1007/s00784-013-1177-y
Yousaf A., Aman N., Manzoor M.A., et al. Postoperative sensitivity of self etch versus total etch adhesive. J Coll Physicians Surg Pak. 2014; 24 (6): 383-6.
Dunn W.J., Davis J.T., Bush A.C. Shear bond strength and SEM evaluation of composite bonded to Er: YAG laser-prepared dentin and enamel. Dent Mater. 2005; 21 (7): 616-24. DOI: https://doi.org/10.1016/j.dental.2004.11.003
Yazici R., Karaman E., Tuncer D., et al. Er A. Effect of an Er,Cr:YSGG laser preparation on dentin bond strength of a universal adhesive. J Adhes Sci Technol. 2016; 30 (22): 2477-2484. DOI: https://doi.org/10.1080/01694243.2016.1184812
Kilinc E., Roshkind D.M., Antonson S.A., et al. Thermal safety of Er:YAG and Er,Cr:YSGG lasers in hard tissue removal. Photomed Laser Surg. 2009; 27 (4): 565-70. DOI: https://doi.org/10.1089/pho.2008.2335
Dederich D.N., Bushick R.D. Lasers in dentistry: separating science from hype. J Am Dent Assoc. 2004; 135 (2): 204-12; quiz 229. DOI: https://doi.org/10.14219/jada.archive.2004.0153
Hossain M., Nakamura Y., Yamada Y., et al. Effects of Er,Cr:YSGG laser irradiation in human enamel and dentin: ablation and morphological studies. J Clin Laser Med Surg. 1999; 17 (4): 155-9. DOI: https://doi.org/10.1089/clm.1999.17.155
Moritz A., Schoop U., Strapl M., Wintner E., Moritz A., Beer F., et al. Cavity preparation. Oral Laser Application Berlin: Quintessenz. 2006; 75-136.
Van Meerbeek B., De Munck J., Mattar D., et al. Microtensile bond stregths of an etch and rinse and self-etch adhesives to enamel and dentin as a function of surface treatment. Oper Dent. 2003; 28 (5): 647-60.
Marshall G.W. Dentine microhardnes and characterisation. Quintessence Int. 1993; 24 (9): 606-17.
Versluis A., Tantbirojn D., Douglas W.H. Why do shear bond tests pull out dentin? J Dent Res. 1997; 76 (6): 1298-307. DOI: https://doi.org/10.1177/00220345970760061001
Ansari Z.J., Fekrazad R., Feizi S., et al. The effect of an Er,Cr:YSGG laser on the micro-shear bond strength of composite to the enamel and dentin of human permanent teeth. Lasers Med Sci. 2012; 27 (4): 761-5. DOI: https://doi.org/10.1007/s10103-011-0961-7
Misilli T., Gönülol N., Cabadağ Ö.G., et al. The effect of curing lights and modes on dentin bond strength of bulk-fill composites applied in different thickness. J Adhes Sci Technol. 2019, 33 (10): 2281-91 DOI: https://doi.org/10.1080/01694243.2019.1640174
Tulga A., Saraç D. Effects of Dentin Surface Treatments on Hypersensitivity to Bond Strength of Restorations: An In Vitro Study. Int J Periodontics Restorative Dent. 2015; 35 (5): e66-e74 DOI: https://doi.org/10.11607/prd.2194
Shamrani A.S.A. An in-vitro assessment of micro-shear bond strength of a nano adhesive to dentin with different types of composite restorative systems. J Dent Health Oral Disord Ther. 2016; 5 (2): 240-244. DOI: https://doi.org/10.15406/jdhodt.2016.05.00148
Colak H., Ercan E., Hamidi M.M. Shear bond strength of bulk- fill and nano-restorative materials to dentin. Eur J Dent. 2016, 10 (1): 40-45. DOI: https://doi.org/10.4103/1305-7456.175697
Takada M., Shinkai K., Kato C., et al. Bond strength of composite resin to enamel and dentin prepared with Er,Cr:YSGG laser. Dent Mater J. 2015; 34 (6): 863-71. DOI: https://doi.org/10.4012/dmj.2015-053
Obeidi A., McCracken M.S., Liu P.R., Litaker M.S., Beck P., Rahemtulla F. Enhancement of bonding to enamel and dentin prepared by Er,Cr:YSGG laser. Lasers Surg Med. 2009 Aug; 41 (6): 454-62. DOI: https://doi.org/10.1002/lsm.20790
Flury S., Peutzfoldt A. and Lussi A. Influnce of increment thickness on microhardness and dentin bond strength of bulk fill resin composites. Dent Mater. 2014; 30 (10):1104-12. DOI: https://doi.org/10.1016/j.dental.2014.07.001
Usumez A., Aykent F. Bond strengths of porcelain laminate veneers to tooth surfaces prepared with acid and Er,Cr:YSGG laser etching. J Prosthet Dent 2003; 90: 24-30. DOI: https://doi.org/10.1016/S0022-3913(03)00235-X
Martínez-Insua A., da Silva Dominguez L., Rivera F.G., et al. Differences in bonding to acid-etched or Er: YAG-laser-treated enamel and dentin surfaces. J Prosthet Dent. 2000; 84 (3): 280-8. DOI: https://doi.org/10.1067/mpr.2000.108600
Ceballos L., Toledano M., Osorio R., et al. ER-YAG laser pretreatment effect on in vitro secondary caries formation around composite restorations. Am J Dent. 2001; 14 (1): 46-9.
Olivi M., Olivi G. Physics of Laser. Lasers in Restorative Dentistry, Berlin: Springer; 2015; 39-50. DOI: https://doi.org/10.1007/978-3-662-47317-7_3
Carvalho A.O., Reis A.F., de Oliveira M.T., et al. Bond Strength of Adhesive Systems to Er, Cr:YSGG Laser-Irradiated Dentin. Photomed Laser Surg. 2011; 29 (11): 747-52. DOI: https://doi.org/10.1089/pho.2010.2983
Jeevarathan J., Aravind I. , Ponnuduraiet A., et al. Comparative Evaluation of Shear Bond Strength of Composite Resin Bonded to Acid Etched and Lased Primary Enamel (Er, Cr: YSGG). Indian J Public Health Res Dev. 2019, 10 (6): 171-75. DOI: https://doi.org/10.5958/0976-5506.2019.01260.9
Lee B.S., Lin P.Y., Chen M.H., et al. Tensile bond strength of Er,Cr:YSGG laser-irradiated human dentin and analysis of dentin-resin interface. Dent Mater. 2007; 23 (5): 570-8. DOI: https://doi.org/10.1016/j.dental.2006.03.016
Pashley D.H., Carvalho R.M. Dentin permeability and dentin adhesion. J Dent. 1997; 25 (5): 355-72. DOI: https://doi.org/10.1016/S0300-5712(96)00057-7
Sung E.C., Chenard T., Caputo A.A., et al. Composite resin bond strength to primary dentin prepared with Er, Cr:YSSG laser. J Clin Pediatr Dent. 2005; 30 (1): 45-9. DOI: https://doi.org/10.17796/jcpd.30.1.el385u211tnu2574
Ilie N., Schoner C., Bucher K., et al. An in-vitro assessment of the shear bond strength of bulk-fill resin composites to permanent and deciduous teeth. J Dent. 2014; 42 (7): 850-5. DOI: https://doi.org/10.1016/j.jdent.2014.03.013
Omran T.A., Garoushi S, Abdulmajeed AA, et al. Influence of increment thickness on dentin bond strength and light transmission of composite base materials. Clin Oral Investig. 2017; 21 (5): 1717-1724. DOI: https://doi.org/10.1007/s00784-016-1953-6
Seyhan Cezairli N., Küçükekenci A.S., Başoğlu H. Evaluation of Shear Bond Strength Between Orthodontic Brackets and Three Aged Bulk Fill Composites. ODOVTOS-Int. J. Dent. Sc. | No. 21-3, 89-99, 2019. DOI: https://doi.org/10.15517/ijds.v0i0.36005
Guler C., Keskin G., Görgen V.A., et al. Süt Dişlerinde Farklı Renklerdeki Kompomerlerin Mikrogerilim Bağlanma Dayanımlarının Değerlendirilmesi. Turkiye Klinikleri J Dental Sci 2013; 19 (2): 106-12
El Araby A.M., Talic Y.F. (2007). The effect of thermocycling on the adhesion ofselfetching adhesives on dental enamel and dentin. J Contemp Dent Pract, 8 (2): 17-24. DOI: https://doi.org/10.5005/jcdp-8-2-17
Mandava J., Vegesna D.P., Ravi R., Boddeda M.R., et al. Microtensile bond strength of bulk-fill restorative compos¬ites to dentin. J Clin Exp Dent. 2017;9(8):e1023-8.
Yamanel K. Farklı restoratif materyallerle restore edilen abraksiyon lezyonlu dişlerde oluşan streslerin 3 boyutlu sonlu elemanlar analizi kullanılarak değerlendirilmesi. A.Ü. Diş Hek. Fak. Derg. 45 (3) 115-125, 2018.
Rizzante F.A.P., Mondelli R.F.L., Furuse A.Y., et al. Shrinkage stress and elastic modulus assessment of bulk-fill composites. J Appl Oral Sci. 2019; 27: e20180132. DOI: https://doi.org/10.1590/1678-7757-2018-0132
Wieczkowski, G.Jr., Joynt R.B., Klockowski R., et al. Effects of incremental versus bulk fill technique on resistance to cuspal fracture of teeth restored with posterior composites. J Prosthet Dent. 1998; 60 (3). 283-287. DOI: https://doi.org/10.1016/0022-3913(88)90269-7
Yap A.U. Effectiveness of polymerization in composite restoratives claiming bulk placement: impact of cavity depth and exposure time. Oper Dent. Mar-Apr 2000; 25 (2): 113-20.
Benetti A.R., Havndrup-Pedersen C., Honoré D. et al. Bulk-fill resin composites: Polymerization contraction, depth of cure, and gap formation. Oper Dent. 2015; 40: 190-200. DOI: https://doi.org/10.2341/13-324-L
Leprince J.G., Palin W.M., Vanacker J., et al. Physicomechanical characteristics of commercially available bulk-fill composites. J Dent. 2014; 42 (8): 993-1000. DOI: https://doi.org/10.1016/j.jdent.2014.05.009
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