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Sensory transduction mechanisms responsible for pain caused by cold stimulation of dentine in man.

OBJECTIVE: To determine the effects on the sensitivity of exposed dentine to cold that are produced when dentine is etched to remove the smear layer and when the tubules are blocked again with calcium oxalate. Separate in vitro observations were made on the effects of these procedures on fluid flow through the dentine. DESIGN: The experiments were carried out on 24 premolars in 17 subjects. Dentine was exposed at the tip of the buccal cusp and cold stimuli were applied by placing the tip of an ice stick on the cavity floor for 5s under the following conditions: before etching the dentine, after etching, and after oxalate treatment. The subject indicated the intensity of any pain produced on a visual analogue scale (VAS). Fluid flow through the dentine was recorded under similar conditions in eight of the teeth in vitro. RESULTS: The mean VAS score produced by the ice before etching was 21.3+/-19.5mm (S.D.). This increased significantly to 85.4+/-15.6mm after etching (P<0.01). After oxalate treatment, it decreased significantly to 8.5+/-13.3mm. The corresponding mean rates of fluid flow through dentine were 2.15+/-1.02, 1.55+/-0.84, and 2.29+/-1.28nL/smm(2) exposed dentine, respectively. The mean after etching was significantly less than the other two values (P<0.05). CONCLUSION: If the pain was due to hydrodynamic receptors, their sensitivity to dentinal fluid flow changed when the tubules were opened or closed. Alternatively the pain was produced by receptors sensitive to some other change produced by the cold stimuli, such as specific cold receptors.

Adolescent↗

Analysis of the dentin-resin interface by use of laser Raman spectroscopy.

OBJECTIVES: Adhesion of resin-bonding agents to dentin is currently believed to result from impregnation of adhesive resin into superficially demineralized dentin. The purpose of this study was to investigate the chemical composition of the resin-impregnated dentin (hybrid) layer using a micro-Raman spectroscopy. METHODS: Resin composites were bonded to bovine dentin with the two-step bonding systems, and specimens were sectioned parallel to dentinal tubules. These surfaces were then polished down to 1 microm diamond pastes. Raman spectra were successively recorded along a line perpendicular to the dentin-adhesive interface by steps of 0.2 microm on a computer controlled X-Y stage. The relative amounts of hydroxyapatite (960 cm(-1), P-O), adhesive resin (640 cm(-1), aromatic ring), and organic substrate (1450 cm(-1), C-H) in the dentin-adhesive bonding area were calculated. RESULTS: From the Raman spectroscopy results, the hybrid layer represents a gradual transition in the relative amount of adhesive from the resin side to dentin side. Evidence of poor saturation of the adhesive resin in the demineralized dentin with the one-bottle adhesive system was detected. SIGNIFICANCE: From the results of this study, inhomogeneity of the hybrid layer composition was detected, and the degree of resin impregnation was found to be different between the bonding systems tested.

Animals↗

A morphological and micro-tensile bond strength evaluation of a single-bottle adhesive to caries-affected human dentine after four different caries removal techniques.

OBJECTIVES: This study evaluated the influence of different caries removal techniques (conventional bur; chemomechanical removal/Carisolv()-MediTeam; a sonic preparation system/SonicsysMicro-Kavo and air abrasion/PrepStar-Danville Engineering) on microtensile bond strength to caries-affected human dentine. METHODS: Occlusal surfaces of extracted human permanent third molars with coronal dentine caries extending approximately halfway through the dentine was ground perpendicular to the long axis of the tooth to expose a flat surface of normal dentine surrounding the carious lesion with laser fluorescence values of approximately 30 (DIAGNODent), KaVo). Carious lesions were excavated with one of the four techniques until laser fluorescence values decreased to 15 in the center of the lesions. An ethanol-based dentine adhesive (Single Bond, 3M) was used to bond composite resin (P60, 3M) to the substrate. Vertical slices (n=11/group), approximately 0.8 mm thick were made through the caries-affected portions of each tooth, perpendicular to the bonding surface. Specimens were subjected to tensile stress at a crosshead speed of 1 mm/min. Data were analyzed by Kruskal-Wallis test. SEM investigation was performed for the qualitative evaluation of resin-dentine hybridization. RESULTS: The microtensile bond strengths were as follows (mean+/-SD in MPa): 6.4+/-5.3 (bur), 8.4+/-3.3 (Carisolv), 8.5+/-5.9 (Sonicsys Micro), and 8.8+/-8.8 (air abrasion). Statistical analysis did not show significant differences between any of the treatment modalities (p=0.160). Tensile fracture was cohesive within caries-affected dentine in all specimens. CONCLUSIONS: The four different caries removal techniques used within this study did not influence the bond strength of the tested dentine adhesive to caries-affected human dentine.

Air Abrasion, Dental↗

Effects of plaque control on the patency and occlusion of dentine tubules in situ.

To elucidate the nature of dentine hypersensitivity, the effects of plaque control on the patency and occlusion of dentinal tubules were investigated systematically in situ using human dentine slabs embedded in partial dentures. The dentine slabs were divided into three groups. In group I, the dentine slabs were kept in an oral cavity without plaque control. In group II, plaque was removed mechanically by brushing. Plaque control was carried out chemically using chlorhexidine in group III. After being kept in the oral cavities for 1, 2 and 3 weeks, the slabs were removed from the partial denture, followed by SEM observation to determine the morphological changes of the dentinal tubules. When no attempt was made to remove plaque, the diameter of tubule orifices increased to 390% of the original values within 3 weeks. In contrast, dentinal tubules were found to be occluded, i.e. the tubule orifices became <20% of the original value within 1 week when plaque control efforts were made, using either method of plaque control. We conclude that plaque control plays one of the key roles in the patency versus occlusion of dentinal tubules, and thus in the aetiology and natural reparative process of dentine hypersensitivity.

Adult↗

Bond strength of five current adhesives to caries-affected dentin.

Five current dentin adhesives were evaluated for their ability to bond to caries-affected dentin. The materials were: total etch [Solid Bond (SB)], two self-etch [Clearfil SE Bond (CSE), Etch and Prime (EP)], two one bottle [Prime and Bond 2.1 (PB), One Coat Bond (OCB)]. Sixty extracted molar teeth with proximal caries (mesial or distal) extending into mid-dentin were used. By grinding normal and caries-affected proximal surfaces, flat dentin surfaces were obtained. The surfaces were then bonded with each adhesive system and composite resins were added to the surfaces by packing the material into a cylindrical-shaped plastic matrix with an internal diameter of 2.5 mm and height of 3 mm. Shear bond testing was performed following 10 days incubation of specimens in distilled water at 37 degrees C. Results were analysed by Kruskal-Wallis ANOVA, and Mann-Whitney U multiple comparison test and Wilcoxon rank tests. The results obtained with CSE, SB, and EP were similar in caries affected and normal dentin (P > 0.05). But bonds made to normal dentin with OCB and PB were lower (P < 0.05) than bonds to caries-affected dentin. Bonding to caries-affected dentin with CSE (24.49 +/- 5.38), SB (21.49 +/- 9.15), and EP (21.19 +/- 9.17) showed shear bond strengths higher than OCB (17.43 +/- 9.78) and PB (14.10 +/- 7.94) (P < 0.05). Bonding to normal dentin with CSE (29.91 +/- 8.95) was the highest (P < 0.05). SB (21.17 +/- 5.41) and EP (17.45 +/- 6.21) showed shear bond strengths higher than OCB (11.99 +/- 10.15) and PB (10.57 +/- 4.56) (P < 0.05).

Acetone↗

Detection of acid diffusion through bovine dentine after adhesive application.

AIM: Acidic diffusion through bovine dentine was investigated by measuring pH changes on dentine surfaces after applying three adhesive systems. METHODOLOGY: Coronal incisor bovine dentine discs, 0.5 mm thick, were prepared from dentine close to the pulp chamber. A single-bottle adhesive system-Single Bond, a self-etching primer system-Clearfil SE Bond and an 'all-in-one' adhesive system-AQ Bond were used. The labial dentine surfaces were conditioned as follows: Single Bond groups: (SB-1) 35% phosphoric acid etchant was applied and left in place; (SB-2) the etchant was applied for 15 s and rinsed off for 10 s; (SB-3) application of adhesive agent and light curing following step SB-2; Clearfil SE Bond groups: (SE-1) SE primer was applied for 20 s and dried; (SE-2) application of adhesive agent and light curing following step SE-1; AQ Bond groups: (AQ-1) AQ Bond adhesive was applied for 20 s and dried, applied for additional 5 s and dried again; (AQ-2) light curing following step AQ-1. The pH change on the pulpal dentine surface was measured using a pH-imaging microscope. RESULTS: All the Single Bond groups revealed a lower pH on the pulpal surface (pH 6.25, 6.59 and 6.64 for SB-1, SB-2 and SB-3, respectively) compared with intact dentine. Clearfil SE Bond and AQ Bond groups showed no significant deference in pH value from intact dentine. CONCLUSIONS: Acid diffusion from phosphoric acid etching was observed when placed on 0.5 mm-thick dentine discs; however, there was only limited evidence of acid diffusion from SE primer and AQ Bond.

Acid Etching, Dental↗

Effects of a new antibacterial adhesive on the repair capacity of the pulp-dentine complex in infected teeth.

AIM: To evaluate the effects of a self-etching/priming adhesive system, containing the antibacterial monomer 12-methacryloyloxy-dodecylpyridinium bromide (MDPB), on the repair capacity of the pulp-dentine complex in infected cavities in dog's teeth. METHODOLOGY: Class V cavities with a residual dentine thickness ranging from 0.3-0.8 mm were prepared on the buccal surface of permanent teeth in four dogs. Pulpal exposures were performed in half of the cavities. Millipore filters that had been incubated for 3 h in a 10(5) milky suspension of a-streptococci were placed in the cavities, which were then filled temporarily. After 24 h, the filters were removed and both the exposed and non-exposed cavities were washed with sterile saline and assigned to four groups which were treated with either the experimental antibacterial adhesive system, or Clearfil SE bond, Dycal and Teflon discs. Stereotype connective tissue reactions (inflammatory cell response and/or tissue necrosis) and pulp-specific reparative tissue responses (reduction of odontoblasts and tertiary dentine formation) were assessed at post-operative periods of 4 and 8 weeks. RESULTS: Neither severe inflammation nor tissue necrosis was observed, either in the dentinal cavities or pulpal exposures treated with the self-etch adhesive containing MDPB. Rates of tertiary dentine formation in infected dentinal cavities treated with this system were comparable with those observed after dentine treatment with the Ca(OH)2-based material. Dentinal bridging was not seen in pulpal exposures treated with the experimental adhesive. CONCLUSIONS: The new antibacterial adhesive system maintained pulp vitality and primary odontoblastic function in infected nonexposed and exposed cavities but interfered with reparative dentine formation in infected pulpal exposures.

Animals↗

Fracture surface characterization of dentin-bonded interfacial fracture toughness specimens.

Although the current trend in dentin bonding favors the development of a hybrid layer interdiffusion zone for micromechanical bonding, the exact nature of the dentin-composite bond is still unclear. The objective of this study was to characterize the fracture surfaces of specimens used to measure interfacial fracture toughness. Morphological (SEM) and chemical (EDS and XPS) surface analyses were used for characterization. Fracture toughness specimens generally failed along the dentin-bonded interface in agreement with observed clinical failure modes. Four sites of bond failure were identified within the dentin-composite interfaces when All-Bond 2, Scotchbond Multi-Purpose, and Scotchbond 2 were used as the dentinal adhesives. These were located within (1) the smear layer, (2) a resin-modified layer between the interdiffusion zone and the adhesive resin, (3) a well-infiltrated hybrid interdiffusion zone, and (4) a non-infiltrated unsupported collagen layer. The interfacial region had a complex architecture which varied with the nature of the dentin, the dentin surface treatment, and the dentin bonding system. The sites of bond failure appeared to correlate with the interfacial fracture toughness and the extent to which polymerized resin infiltrated and acted to support the organic dentinal structures.

Animals↗

Resin permeation into acid-conditioned, moist, and dry dentin: a paradigm using water-free adhesive primers.

Preservation of the morphological integrity of demineralized dentin collagen in its hydrated state may account for the success observed in wet-bonding procedures. This study investigated the micromorphological differences between moist- and dry-bonding techniques with the use of: (a) Aelitebond, an alcohol-based, water-free, single-component dentin adhesive primer system; and (b) a water-free, acetone-based experimental primer similar to the acetone-based, water-containing All-Bond 2, a two-component primer system. In the wet groups, acid-conditioned dentin surfaces were blotted so that they remained visibly moist prior to bonding. In the dry groups, dentin surfaces were air-dried for 30 sec. Following the bonding procedures, dentin discs in each group were laminated together by means of a chemical-cure resin and processed for scanning electron microscope (SEM) and transmission electron microscope (TEM) examination. Conditioning with 10% H3PO4 for 20 sec. produced complete demineralization of the outer dentin. In the wet groups, banded collagen and interfibrillar spaces could be observed at the surface of the acid-conditioned dentin. Complete wetting of the loosely arranged collagen fibrils by the resin resulted in the formation of a hybrid layer. In the dry groups, only a very thin hybrid layer was observed on the dentin surface, along the walls of the tubules, and along the course of their lateral branches. The absence of banded collagen and interfibrillar spaces within these areas suggested the existence of a collapsed dentin matrix along various liquid-vapor boundaries that restricted resin permeation into the subsurface intertubular matrix, producing an incompletely infiltrated "hybridoid region".

Dental Bonding↗

Effect of perfusion with water on demineralization of human dentin in vitro.

Dentinal fluid rarely features in caries studies of dentin. The mutual effects of in vitro perfusion and dentin demineralization were investigated. The correlation between the remaining dentin thickness and demineralization was also analyzed. Buccal cervical dentin windows in human tooth segments were demineralized either with or without perfusion with water at 3.14 kPa. Transverse microradiography revealed that dentin perfusion reduced the amount of mineral loss from the lesions by 22 vol%; the reduction in lesion depth was 8%. Perfusion rate, which was measured throughout the demineralization process by means of a fluid transport model, did not change significantly. Lesions formed closer to the pulp exhibited increased mineral loss and lesion depth. In conclusion, dentinal fluid flow offers some protection against demineralization. For a better approximation of clinical reality, therefore, in vitro studies on dentinal caries should consider the effect of dentinal fluid flow.

Analysis of Variance↗

Bond strengths of a 1-step self-etching system to caries-affected and normal dentin.

This study was designed to evaluate the bond strengths of a 1-step self-etching system and a 2-step "etch and rinse" adhesive system to caries-affected dentin and normal dentin. In addition, the micromorphology of the adhesive interfaces was analyzed using scanning electron microscopy (SEM). Extracted human molars with occlusal caries that had been stored frozen were ground in order to expose the caries-affected dentin and surrounding normal dentin. The teeth were then bonded using either Adper Prompt L-Pop or Single Bond (3M ESPE) and restored with Filtek Z250 (3MESPE). After storage in water for 24 hours at 37 degrees C, the teeth were sectioned, prepared for microtensile bond strength test and tested in tension at a crosshead speed of 1-mm/minute. After debonding of the interfaces, microhardness of the dentin underlying the interface of all specimens was measured. The thickness of the hybrid layers was observed under SEM. The results of this study indicate that the bond strength of Adper Prompt L-Pop adhesive was significantly higher to normal dentin than to caries-affected dentin (p<0.05) and that the bond strength of Single Bond to both normal and caries-affected dentin was not significantly different (p>0.05). Additionally, the thickness of the hybrid layers produced by both adhesive systems was thicker for caries-affected dentin.

Acid Etching, Dental↗

Influence of bleaching agents and desensitizing varnishes on the water content of dentin.

This in vitro study investigated the possible dehydration of dentin caused by bleaching agents. Furthermore, it tested whether protective dentin varnishes can maintain the physiological moisture of dentin during bleaching treatment. Fifty-five standardized dentin cylinders were prepared from freshly extracted bovine incisors under constant water irrigation. Prior to bleaching, the treatment specimens were conditioned at room temperature in a hygrophor for 14 days. The samples were divided into 11 groups. The Group A specimens, which were completely dehydrated, and Group B, which was stored for 2 weeks in a hygrophor, served as controls (A, B n=5). The other samples (n=10 each group) were coated with Vivasens [VS] (C), Bilfuorid [BF] (D) and Seal&Protect [SP] (E). Five specimens from each group (C-E) were subsequently treated with an experimental bleaching gel (Exp BG) (20% carbamide peroxide [CP], glycerine-based gel): Cb, Db, Eb. The remaining specimens were bleached with Exp BG (F) only, Vivastyle (G: 16% CP, glycerine-based gel) or Vivastyle Paint On (H: 6% CP-varnish) for 7 days (n=5 each group) with bleaching time for gels: 2 hours/day, paint on: 20 minutes/day. After the respective treatments, the overall water content of each specimen was determined using the analytical method of Karl-Fischer-titration. The water content of bovine dentin (Group B, mean%+/-SD) obtained in this study amounted to 15.24+/-0.4. All bleaching products significantly reduced the water content compared to the controls (exp BG: 13.32+/-0.47, Vivastyle 13.2+/-0.27, paint on 13.72+/-0.54; p<0.05). Also, application of SP before bleaching resulted in reduced water content (14.06+/-0.12; p=0.0005). However, bleaching with exp BG following use of VS (14.99+/-0.42) or SP (13.85+/-0.26) did not result in a reduction of water content in dentin. Pretreatment with BF did not protect dentin from water loss during bleaching (12.44+/-0.38; bi p=0.0009). All glycerine-based bleaching products used in this study had a significant dehydrating effect on dentin. The application of protective varnishes prior to bleaching treatment may reduce or even prevent dentin dehydration.

Animals↗

Comparison of the occluding ability of dentinal tubules with different morphology between calcium phosphate precipitation method and potassium oxalate treatment.

The aim of this study was to evaluate the occluding ability of calcium phosphate precipitation (CPP) method and potassium oxalate treatment when each method was applied to dentin disks with different surface morphology. Occluding ability was observed by scanning electron microscopy. Irrespective of the diameter of the dentinal tubules, the CPP method showed a consistent occluding ability for dentinal tubules at the dentin surface, and that the depths of the precipitate formed in the dentinal tubules by CPP method were not significantly different. In contrast, the occluding ability of potassium oxalate treatment was reduced with increasing diameter of the dentinal tubules. However, the reduction of the occluding ability of potassium oxalate treatment was more markedly affected by the demineralization of dentin surface. Since the CPP method showed a consistent occluding ability irrespective of the diameter of the dentinal tubules, it is suggested that the CPP method would be a useful means for treating dentin hypersensitivity.

Adult↗

Dentin bonding--questions for the new millennium.

PURPOSE: The objective of this review article is to summarize the most recent concepts in dentin bonding and, simultaneously, challenge some convictions that have not been backed up by sound, convincing research. After the introduction of the enamel acid-etch technique by Dr. Buonocore in 1955, the increasing demand for restorative and non-restorative esthetic treatments, as well as the refinement in the utilization of fluoride-containing products, have totally transformed the practice of operative dentistry. While bonding to enamel is a reliable technique, bonding to dentin represents a greater challenge: dentin is an intrinsically wet organic tissue penetrated by a tubular labyrinth containing the odontoblastic process, which communicates with the pulp. The manufacturers of new adhesive systems recommend the application of their adhesive materials on moist dentin. The main reason is that the spatial alteration that occurs upon drying demineralized dentin may prevent the monomers from penetrating the labyrinth of nano-channels formed by dissolution of hydroxyapatite crystals between collagen fibrils. Several of the current concepts in dentin bonding have been built from the observation of clinical studies, which measure retention rates, and from laboratory bond strength studies, which measure the force needed to debond a composite post from a flat dentin area. Although their utility is doubtful as far as clinical performance is concerned, bond strength studies are still necessary in order to compare similar parameters among materials. However, both clinical and laboratory studies lack information on the dynamic behavior of the substrate in a vital environment. For example, the changes induced by adhesive systems in the resin-infiltrated demineralized dentin have not been fully characterized. Also, the role of collagenous and non-collagenous proteins in dentin bonding has been generally overlooked.

Acid Etching, Dental↗

Bonding mechanism of Compoglass to dentin in primary teeth.

This study evaluated the bonding mechanism of Compoglass compomer to dentin in primary teeth. Buccal or labial dentinal surfaces of 20 human extracted, non carious primary teeth stored in 4 degrees C physiological saline solution were obtained by grinding on silicon carbide paper (final grit 600). The specimens were divided into two groups of 10 teeth each: (1) unetched dentin, Compoglass SCA, Compoglass; and (2) dentin etched with 10% phosphoric acid (Etch-AII), Compoglass SCA, Compoglass. The Compoglass SCA and Compoglass compomer were placed according to the instructions of the manufacturer, except Group 2 were the dentin was first etched with 10% phosphoric acid for 30 seconds. Twenty-four hours after placing the compomer over the treated dentinal surface, the specimens were dehydrated with a series of alcohol and freon. Then critically point dried. The specimens were split with a chisel and the compomer/dentin interface evaluation was performed with the SEM. The results showed that when the instructions of the manufacturer were followed (Group 1) the compomer showed a very close relation to the dentin with some tag structures penetrating the dentin. When phosphoric acid etching preceded the compomer placement a hybrid layer with tags penetrating the dentin was noted in most specimens.

Acid Etching, Dental↗

Effects of low and high fluoride levels on rat dental caries and simultaneous dentine apposition.

The effects of various fluoride levels in drinking water on the development of enamel and dentinal caries and on dentine apposition were determined in Osborne-Mendel rats fed ad libitum either on a 43% sucrose diet and distilled water supplemented with 0, 1, 7 or 19 parts/10(6) fluoride, or on a non-cariogenic diet. The jaws were sectioned sagittally and fissure caries was assessed. The areas of the dentinal lesions and simultaneously formed dentine were quantified after tetracycline staining. There were fewer and smaller caries lesions in all fluoride groups than in the non-fluoride groups. The anti-caries effects of fluoride at 1 and 7 parts/10(6) were similar, but both had significantly less effect than 19 parts/10(6) fluoride. Much smaller dentinal lesions were seen with 19 parts/10(6) fluoride, which appears to have been accompanied by an even greater reduction in dentine apposition. Dentine formation in the third molars was significantly reduced in the rats fed a cariogenic diet. These observations suggest that a high-sucrose diet interferes with the formation of dentine in the developing tooth. Fluoride has a multiple effect; besides reducing the formation and progression of caries, it may also affect the dentinal response normally seen in the development of a caries lesion.

Animals↗

Tensile bond strength of dental adhesives bonded to simulated caries-exposed dentin.

This study investigated the possibility of resin bonding to carious dentin. The study was divided into two parts, to determine first whether an in vitro model for caries could be developed for testing bond strength and second whether chemical modification of the caries model dentin surface, instead of mechanical removal of the carious layer, would enhance resin bond strengths. Dentin samples were exposed to an artificial caries decalcification solution (lactic acid+nitrocellulose) for 7 days. The depth of the decalcified surface was determined by microhardness and the nature of the surfaces analyzed by use of the scanning electron microscope. After bur removal of the decalcified dentin, samples were bonded with three different dentin bonding systems and the tensile bond strengths were determined. Control specimens were prepared and bonded with no decalcification or bur preparation. These values were compared with specimens prepared by decalcification but with no mechanical removal of the decalcified surface layer before bonding. Additional decalcified samples were treated with phosphoric acid to modify the decalcified surface before dentin bond testing. Bond strengths were significantly higher (p < 0.05) for the decalcified and mechanically prepared dentin as compared with either the unmodified or the phosphoric acid modified decalcified dentin. The highest bond strengths for all systems were found for the undecalcified control group. These results suggest that it may be possible to bond to the collagenous structures remaining in carious dentin. This could lead to conservation of tooth structure and rethinking of cavity preparation design.

Collagen↗

The influence of age and depth of dentin on bonding.

OBJECTIVES: The purpose of this study was to investigate what influence the two variables of dentin depth and age may have on the tensile bond strengths of three bonding systems. METHODS: Dentin discs prepared from human molars were divided into young and old, superficial and deep surfaces. Three bonding systems, Scotchbond Multi-purpose (3M Dental Products), Superbond D-liner (Sun Medical Co.), and Liner Bond II (Kuraray Co.) were the materials tested for tensile bond strength. In addition, the structural variation of the resin-impregnated, or hybrid, layer was compared among the two variables and three bonding systems. RESULTS: Tensile bond strengths exceeding 10 MPa were obtained for all materials. After ANOVA, an effect on tensile bond strength could be attributed to dentin age or depth for only Superbond D-liner used on deep-young dentin as compared with old-superficial dentin. All other group comparisons failed to show any variation between dentin depth or age. However, specimens bonded to deeper dentin showed slightly lower strengths. SEM observations showed thicker resin-impregnated layers for Scotchbond MP and Superbond D-liner compared with Liner Bond II. Liner Bond II exhibited a thinner and more diffuse resin-impregnated layer, believed to be due to the different dentin conditioning method. SIGNIFICANCE: Dentin age or depth may not show as great an influence on bond strengths with the newer type of bonding systems. The resin-impregnated layer quality, rather than thickness, is believed to be the most important factor for obtaining high tensile bond strengths.

Age Factors↗