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Effect of dentin on the antibacterial activity of dentin bonding agents.

Dentin bonding agents with antibacterial effects may inhibit secondary caries formation and pulp inflammation by eliminating residual bacteria in and on dentin. Therefore, the antibacterial effects of Prime & Bond NT (PB), Prime & Bond NT without fluoride (PBNF), Gluma Comfort Bond (GL), ABF, Xeno CF II (XE), 2-hydroxyethyl methacrylate (HEMA), triethylene glycol dimethacrylate (TEG-DMA), and 0.2% chlorhexidine were tested against Streptococcus mutans, S. sobrinus, and Lactobacillus acidophilus using the agar-diffusion method with and without bovine-dentin disks (200 microm and 500 microm thickness) placed between the bacteria and the test substances. Without dentin, ABF Primer showed growth inhibition for all bacterial strains. XE inhibited S. mutans and S. sobrinus, and PB S. sobrinus. ABF Bonding inhibited L. acidophilus. PBNF, HEMA, and TEGDMA did not have any antibacterial effects. Dentin disks of 500 microm thickness reduced the inhibitory effect of chlorhexidine to 23% to 54% compared with direct application. ABF Primer (nonpolymerized) produced inhibition zones against all tester strains regardless of dentin disks interposed or not. XE (against S. mutans and S. sobrinus) and PB (against S. sobrinus) did not produce any inhibition zones on 200 microm thick dentin. After polymerization, the ABF system did not inhibit bacterial growth on 200 microm thick dentin disks. A dentin barrier reduces significantly the antibacterial activity of chlorhexidine and dentin bonding agents.

Animals↗

Shear bond strength to moist and dry dentin of four dentin bonding systems.

PURPOSE: To compare the shear bond strength of four single-bottle adhesive systems (Prime & Bond NT, Single Bond, Gluma Comfort Bond, Gluma Comfort Bond + Desensitizer) bonded to moist and dry dentin. MATERIALS AND METHODS: A column of resin-based composite was bonded to human dentin using the dentin bonding systems following manufacturers' directions (n= 12). For half the specimens, the dentin was dried completely after acid etching (air dried for 10 s). For the remaining specimens, the dentin was left moist (glistening appearance with no puddles) after acid etching. All specimens were thermocycled for 1,000 cycles at 6-60 degrees C, placed in a fixture on an MTS machine and loaded in shear until failure. RESULTS: Statistical analysis revealed that dentin condition (moist or dry) was significant for Prime & Bond NT, Single Bond, and Gluma Comfort Bond. Bonding to moist dentin produced higher bond strengths than bonding to dry dentin. For Gluma Comfort Bond + Desensitizer, no statistical difference was found between bonding to moist vs. dry dentin. Over all, Single Bond and Gluma Comfort Bond bonded to moist dentin produced significantly higher bond strengths than all other groups.

Acid Etching, Dental↗

[Ultrastructural study of sclerotic dentin in non-carious cervical lesions disposed by a total-etching dentin adhesive].

OBJECTIVE: To examine the ultrastructure of resin-infiltrated sclerotic dentine following the application of a three-step total-etching dentin adhesive. METHODS: Naturally-occurring, non-carious cervical lesions on extracted premolars were bonded using a total-etching dentin adhesive-Scotchbond Multi-purpose. Artificially prepared wedge-shaped lesions were also made in sound premolars and restored using the same adhesive as control. The morphological change of the dentin surface conditioned with the etchant, and the hybrid zone and resin tags in the dentin-resin interface were studied by SEM. RESULTS: Most dentinal tubules were obliterated by rod-like sclerotic casts in the non-carious cervical lesion, and could not be dissolved by Scotchbond Multi-purpose etchant. Both the hybrid zone and resin tags were observed in sclerotic dentin after restoration, although the resin tags were fewer and in lack of communications, the length of resin tags and the thickness of the hybrid zone were almost similar to those of the sound dentin. CONCLUSION: Bonding to sclerotic dentin is different from sound dentin, and may be compromised by the fewer resin tags and communications.

Acid Etching, Dental↗

Effects of dentin disinfectants on the shear bond strength of all-ceramics to dentin.

This study investigated the effect of dentin disinfectants on the shear bond strength of all-ceramic restorations luted with two different dual-polymerizing systems to dentin. Dentin disinfectants chlorhexidine gluconate-based Concepsis and benzalkonium chloride-based Tubulicid Red were applied in combination with Variolink 2 and Resilute. The buccal surfaces of non-carious extracted human premolars were flattened to expose dentin and subsequently polished with 600-grit wet silicon carbide paper. Each dual-polymerizing luting system had two test groups and a control group. Dentin from the test groups was first treated with dentin disinfectants, then the all-ceramic restorations were luted with dual polymerizing systems. The dentin without disinfectant application and ceramic restoration was used as a control. After the all-ceramic samples were luted to all treated surfaces, the specimens were thermocycled and tested for shear bond strength until failure. Analysis of the fractured dentin surfaces was performed using Optical Microscope-Nikon ECLIPSE ME 600 (Nikon Co, Tokyo, Japan) at between 10x and 1000x magnifications and the images were analyzed with Image Analyzer LUCIA 4.21 (Nikon Co). The data were analyzed with one-way ANOVA and Duncan test at a significance level of p<0.05. Application of the two dentin disinfectants increased the shear bond strength of both the Variolink 2 and Resilute systems, but this increase was statistically significant only in Tubulicid Red treated specimens (p<0.05). Surface analysis showed that all the specimens showed the adhesive failure mode between the dentin and composite luting agent interface.

Acid Etching, Dental↗

Thickness and morphology of resin-infiltrated dentin layer in young, old, and sclerotic dentin.

The purpose of the present study was to evaluate the morphology of the resin tags and the resin-infiltrated dentin layer (RIDL) of several bonding systems in superficial vs deep young, old, and sclerotic human dentin. Dentin was obtained after the removal of occlusal enamel from extracted molars. Phosphoric acid gels (35-37%) were used to etch dentin before the application of bonding systems (OptiBond FL; Prime & Bond 2.0; Scotchbond Multi-Purpose Plus and Scotchbond 1; One Step). Each bonded specimen was then sectioned into two halves. One half was polished using a standard procedure to evaluate RIDL thickness and morphology by SEM. The other half was demineralized and deproteinized to evaluate the presence and the morphology of resin tags. RIDL was thinner in superficial dentin than in deeper dentin for all the materials tested regardless of the type of dentin. Sclerotic and old dentin showed thinner RIDL, with short resin tags, and fewer lateral branches than normal dentin.

Acid Etching, Dental↗

Dentinal proteoglycans demonstrate an increasing order of affinity for hydroxyapatite crystals during the transition of predentine to dentine.

The transition from an unmineralized predentine to a mineralized dentine involves a variety of molecular extracellular matrix interactions and protein degradation events. Previous studies have identified that different pools of proteoglycan (PG) species are present within the matrix of the predentine, the transitional phase at the predentine-dentine border, and the mineralized dentine. These PGs alter with respect to the chemical nature of the glycosaminoglycan (GAG) chain and as a result of extracellular processing of the macromolecule in the matrix. This study has examined the hydroxyapatite (HAP) binding affinity of the PGs isolated from these phases and the influence of the attached GAG chains upon their binding characteristics. PGs isolated from the three phases were characterized to contain a mixture of decorin and biglycan, substituted with chondroitin sulfate GAG chain(s). Maximal binding for dentine PGs onto HAP was achieved at 15.60 microg/ml protein and for predentine-dentine interface PGs at 0.125 mg/ml. A significantly increasing gradient of affinity was observed moving toward dentine, with dentine PGs exhibiting 19 times greater binding affinity for HAP than predentine PGs and 7.5 times greater affinity than predentine-dentine interface PGs. Removal of the GAG chains from dentine PGs significantly reduced binding affinity for HAP but did not influence the number of binding sites. The difference in binding ability observed for the different PG pools gives further support for the involvement of these macromolecules in regulating the transition from predentine to dentine and suggests key roles for the GAG chains in the mineralisation process.

Animals↗

Effect of storage media on subsequent water loss and regain by human and bovine dentine and on mechanical properties of human dentine in vitro.

This study was designed to determine whether storage media and time affect any changes in water loss with dehydration of dentine. The effect of storage of prepared bars was also compared with storage of whole teeth. Prepared bovine dentine bars were stored for 3 days or 12 weeks in deionized water, phosphate-buffered saline or neutral-buffered formalin and whole teeth were stored in neutral-buffered formalin for 12 weeks before the preparation of dentine bars. Specimens were removed from storage and weight loss with dehydration, determined gravimetrically, was equated directly to water loss. Tensile and three-point bend tests were made on human dentine bars that had been stored in deionized water or neutral-buffered formalin for 3 days. Results were subjected to analysis of variance and Duncan's new multiple-range test. Weight loss by evaporation from dentine at 22.3 degrees C and 53.2% relative humidity was rapid and non-linear, reaching 5.05 +/- 0.55% for bovine dentine compared with 3.33 +/- 0.63% for human dentine after 7 days. Water loss with dehydration was not affected by 3-day storage of specimens in different media or by 12-week storage of whole teeth, but was affected when prepared specimens were stored for 12 weeks. Different storage media had no significant effect (p > 0.05) on the strength or toughness of human dentine. Water loss in human dentine was associated with shrinkage of specimens, but these dimensional changes were fully recovered with rehydration. Storage of teeth in neutral-buffered formalin followed by minimal storage time for prepared specimens is recommended to minimize changes in dentine after extraction.

Animals↗

Effect of the dentin cleansing techniques on dentin wetting and on the bond strength of a resin luting agent.

STATEMENT OF PROBLEM: Remnants of the provisional cement on prepared teeth may have an adverse effect on the performance of the definitive luting agent. PURPOSE: This in vitro study investigated the effect of different dentin cleansing techniques on the bond strength of a resin luting agent and dentin wetting. MATERIAL AND METHODS: Sixty buccal or lingual coronal portions of human molar teeth were mounted, with the buccal or lingual surfaces up, in acrylic resin blocks. The specimens were prepared until the dentin was exposed and a eugenol-containing provisional cement (Temp Bond) was applied to the dentin surfaces. After mechanical removal of the cement with a carving instrument, specimens were divided into 6 groups of 10 specimens each. The dentin surfaces of the specimens were treated with 1 of 5 cleansing techniques: Group S, cleansing agent (Sikko Tim); Group C, cleansing agent (Cavity Cleanser); Group O, rotary instrumentation (OptiClean); Group OS, rotary instrument preceding Sikko Tim; and Group OC, rotary instrumentation preceding Cavity Cleanser. The remaning 10 specimens were untreated and served as controls (CT). An adhesive resin luting agent (Variolink II) was applied to all specimens. Shear bond strength (MPa) was measured using a universal testing machine at a 0.5 mm/min crosshead speed. To measure the contact angle, another 6 groups (n=5) were prepared using the same methods. Contact angle measurements were performed to assess wettability using the Axisymmetric Drop Shape Analysis-Contact Diameter (ADSA-CD) technique. Wettability measurements were made with water. Data were statistically analyzed by 1-way analysis of variance with Tukey HSD tests (alpha=.05). The effect of the dentin cleansing techniques on removing the provisional cement from the dentin surface was examined with scanning electron microscope (SEM). RESULTS: Specimens cleaned with all techniques showed stronger shear bond strength values than control specimens (P<.001), with the exception of C specimens. The surface cleansing techniques tested affected the dentin wetting significantly in comparison with the control group (P<.001), except for the C and the O groups. There was no significant difference in wetting between the groups C and O. The SEM observations demonstrated that the dentin cleansing techniques left differing amounts of provisional cement remnants. CONCLUSION: Specimens treated with only the cleansing agent Sikko Tim showed the highest bond strength, likely due to the solvent effect of Sikko Tim on the removal of provisional cement. The lowest bond strength was obtained with the rotary instrument. It was concluded that the provisional cement could plug the dentinal tubules into which the resin luting agent penetrates.

Dental Bonding↗

Comparison of dentin apposition and dentinal caries progression in the mandibular and maxillary molars of the rat.

To show that the rate and the rate of reduction of dentin apposition are about the same in mandibular and maxillary molars, 23 Sprague-Dawley rat pups were randomized into 2 groups on the day of birth. During lactation half of their dams received a standard rodent diet; the other half, a diet containing 41% sucrose. At the age of 3 weeks the pups were weaned, weighed, given an intraperitoneal injection of oxytetracycline hydrochloride, and inoculated with oral Streptococcus sobrinus. During the experiment the pups received the same diet as their dams during lactation. After 5 weeks the pups were decapitated, their jaws sectioned sagittally, the first and second molars photographed, and the areas of dentin apposition and dentinal caries measured planimetrically. The area of dentin formation was about the same in maxilla and mandible in the first molars, but slightly smaller in the mandibular second molars of the control group. The sucrose diet reduced dentin apposition significantly in both jaws, although the areas were significantly smaller in the mandibles than in the maxillae. Caries did not affect the rate of dentin apposition. The areas of caries lesions were smaller in the maxillary molars of both diet groups. The results show that the hypothesis of equal rate of dentin apposition in mandible and maxilla was not valid because the reduction, caused by sucrose, was more prominent in mandibular molars for unknown reasons. The reduction of dentin apposition was reflected as acceleration of caries progression among the diet groups and the jaws. It was concluded that the response of the pulpodentinal complex to sucrose and dentinal caries during the primary dentinogenesis cannot be seen as a formation of reactionary or reparative dentin, as with adult rats.

Animals↗

Morphological aspects of the resin-dentin interdiffusion zone with different dentin adhesive systems.

Cross-sections of resin-dentin interfaces were etched with an argon-ion beam to make their substructure detectable by scanning electron microscopy. The dentin adhesive systems were categorized morphologically into three groups, and an attempt was made to clarify their adhesive mechanism. The first group of products removed the smear layer. The argon-ion bombardment clearly disclosed a hybrid or resin-impregnated dentin layer. It is hypothesized that conditioning with acidic or chelating agents demineralized the dentin surface-layer to a certain depth, leaving behind a collagen-rich mesh-work. Hydrophilic monomers are then believed to alter this collagen-fiber arrangement in a way that facilitates penetration of the adhesive resin, resulting in a mechanical, intermingled link between collagen and the adhesive resin. The second group preserved the smear layer. In this case, the dentinal tubules were obliterated with globular particles at their orifices and remained patent underneath these smear plugs. This type of adhesive system aims at the incorporation of the smear layer into the hydrophilic monomers, which have an affinity for the organic and/or inorganic components of the underlying dentin. Finally, a third, small group only partly dissolved the smear layer, creating a thin resin-impregnated dentin layer and a resin-impregnated smear plug. This study clearly showed that the application of recent adhesive systems induced structural changes in the dentin surface morphology, creating a retentive interface, called the inter-diffusion zone, between the deep, untouched dentin layers and the composite filling material. This resin-dentin interdiffusion zone offers bonding sites for copolymerization with the resin composite and, concurrently, might have protective potential for the pulp tissues.

Acid Etching, Dental↗

WDX study of resin-dentin interface on wet vs. dry dentin.

The purpose of the present study was to determine the resin-dentin Interface conditions in Wet vs. Dry Dentin. Dentin disks were prepared from extracted human premolars. Sectioned dentin surfaces were used for SEM studies of wet vs. dried acid-etched dentin. These specimens were cut perpendicular to the surface into two equal halves. One-half of the sectioned specimen was observed by SEM in three treatment groups and the other half was observed for micromorphological differences in the resin-dentin interface using Wavelength Dispersive X-ray Spectrometer (WDX). SEM photomicrographs of the dentin surface showed the collapse of collagen fibrils in the demineralized layer and enlargement of the tubule orifices. A collagen rich layer approximately 8-10 microns thick (WDX) was observed at the resin-dentin interface when treated with the conventional dry-bonding technique. Dentin surfaces treated by the wet-bonding technique (SB), as observed by SEM, showed an uncollapsed collagen layer, while the collagen-rich layer was approximately 1-2 microns thick (WDX). The present findings suggest that moist bonding is required for optimum infiltration of adhesive resin into the demineralized layer.

Acid Etching, Dental↗

Effect of ammonium hexafluorosilicate on dentin tubule occlusion for the treatment of dentin hypersensitivity.

PURPOSE: To evaluate the occluding ability of ammonium hexafluorosilicate (SiF). METHODS: Dentin disks prepared from human extracted teeth were grouped as follows to prepare different situations of dentin hypersensitivity: (1) those sonicated for 20 minutes; (2) those treated with 0.5 mol/L EDTA for 2 minutes; (3) those treated with 6% citric acid for 2 minutes; (4) those treated with 50% citric acid for 2 minutes. Then, SiF or diamine silver fluoride (AgF) was applied to the dentin disks and the dentin tubule occlusion was observed with scanning electron microscopy (SEM). The percent of open tubules before and after SiF or AgF treatment were measured by NIH image using SEM photographs. Also, the dentin permeability was measured. RESULTS: SEM micrographs demonstrated that the dentin tubules were completely occluded by the precipitate after SiF treatment. Also, the dentin permeability was reduced to 10.3%. In contrast, most of the dentin tubules remained open after AgF treatment. EDXA analysis showed that the precipitate in the dentin tubules that forms after SiF treatment contains Si, Ca and P, indicating a silica-calcium phosphate complex.

Acids↗

[Treatment of dentin sensitivity with stannous fluoride gel. Electron microscopic study and evaluation of dentin permeability].

Dentine hypersensitivity still represent a major clinical problem only partially solved. The presence of exposed opened dentinal tubules has been demonstrated increase the dentine permeability and it is the responsible for pain and sensitivity. Stannous fluoride solution has been recently proposed to reduce dentine hypersensitivity. The aim of the present study was to evaluate the dentinal permeability of a new stannous fluoride gel proposed for the therapy of dentine hypersensitivity. Human extracted teeth have been used and mounted and connected with a hydraulic pressure apparatus working at 1 psi (70 cm of water pressure). It was calculated the permeability of untreated smear layer, treated smear layer (after gel application) and after acidic treatment. It was observed that gel treatment was able to reduce dentine permeability. Scanning electron microscopy demonstrated the presence of a homogeneous smear layer after treatment with gel. This in vitro study confirms that stannous fluoride treatment has the capacity to modify dentine permeability of sensitive dentine.

Dentin↗

Bovine deciduous dentine is more susceptible to osteoclastic resorption than permanent dentine: results of quantitative analyses.

Many clinical reports suggest that deciduous teeth exhibit a greater susceptibility to resorption than permanent ones. To examine the difference between deciduous and permanent dentine in their susceptibility to osteoclastic resorption, osteoclast-like cells (OCLs) were cultured on deciduous and permanent dentine slices. The number, area, depth, and volume of resorption pits were then measured, using image-analyzing systems. We measured the level of degraded collagen (cross-linked N-telopeptide of type I collagen; NTx) in culture medium using an enzyme-linked immunosorbent assay (ELISA). The levels of cathepsin K, matrix metallo proteinase (MMP)-9, and MMP-13 mRNAs in the cells attached to dentine were also analyzed by real-time reverse transcription polymerase chain reaction (RT-PCR). Deciduous dentine slices exhibited a significant (twofold) increase in resorbed area compared with the permanent slices. Three-dimensional analysis revealed that the volume of pits in deciduous dentine differed significantly (fourfold) compared to that in the permanent dentine. The depth of pits also followed the same trend. However, there was no significant difference in the number of pits or osteoclasts on the dentine slices. The NTx level in deciduous media was significantly more than that in permanent media. The mRNA levels also followed the same trend. These results suggest that deciduous dentine is more susceptible to resorption than permanent dentine and signals from the substrate play an important role in physiological resorption.

Animals↗

The relationship between dentin bond strengths and dentin permeability.

The relationship between dentin permeability and the shear bond strength of Scotchbond/Silux was investigated. In the presence of a smear layer, there was no correlation between dentin permeability and dentin bond strengths. After removal of the smear layer with acids, there was an inverse relationship between dentin permeability and dentin bond strength. The bond strengths were high when dentin permeability was low and decreased as dentin permeability increased. Creation of smear layers with abrasive paper or dental burs reduced permeability by 80-85%. When Scotchbond/Silux bonds were made to such smear layers and then broken, the permeability of the dentin remained low. If the smear layer was removed by acid-etching prior to bonding, the permeability increased. When these bonds were broken, the permeability of the dentin remained elevated.

Adolescent↗

Influence of light irradiation of dentine primers on dentine-resin bond.

OBJECTIVE: The purpose of this study was to examine the influence of light irradiation of dentine primers that contain camphoroquinone (CQ) on the shear bond strength to dentine and their contact angle. METHOD: Three dentine bonding systems which contain CQ, Imperva Bond, OptiBond and XR-Bond; and Light Bond, which does not contain CQ, were employed. Labial surfaces of freshly extracted lower bovine incisors were ground with no. 600 grit SiC paper. Dentine primers were applied to the dentine surfaces in two groups, irradiated and non-irradiated. A shear bond strength test was performed and the direct contact angle was measured. RESULTS: Statistical analysis (Newman-Keuls multiple comparison P < 0.05) of the data indicated that light irradiation of the dentine primer for systems containing CQ resulted in increased bond strength and decreased contact angle. CONCLUSION: This study indicates that for these dentine bonding systems containing CQ in their primers, light irradiation of the dentine primer is effective in improving wettability and increasing the bond strength to dentine.

Analysis of Variance↗

Influence of Carisolv on resin adhesion for two different adhesive systems to sound human primary dentin and young permanent dentin.

OBJECTIVE: This study evaluated the influence of Carisolv (Medi Team) for resin adhesion to sound human primary and young permanent dentin. METHODS: The buccal surfaces of 28 primary molars and 64 premolars were used. Two adhesive systems and resin composites were used; SE: Clearfil SE (Kuraray) and Clearfil APX (Kuraray), and SB: Single Bond (3M) and Z250 (3M). Six groups were prepared. Groups 1-2 were primary dentin and Groups 3-6 were permanent dentin. Groups 1 and 3: SE was used. Groups 2 and 4: treated with Carisolv and then primed, SE was used. Group 5: SB was used. Group 6: treated with Carisolv and then etched, SB was used. The microstructural effects of primer or etchant, and Carisolv plus primer or etchant applied to dentin were evaluated by SEM. In addition, the microstructure of the resin-dentin interfaces of each group was studied using SEM. Shear bond strengths (SBS) were tested, and the failed surfaces were observed using SEM. Data was statistically analyzed using ANOVA with subsequent application of Fisher's PLSD at p<0.05. RESULTS: The mean SBS (unit: MPa) of Groups 1-6 were: 27.8, 19.2, 21.3, 21.7, 6.7 and 7.6. The SBS of Group 2 was significantly lower than that of Group 1. There was no significant difference of the SBS among Groups 1 and 4, 2, 3 and 4, and 5 and 6. In SE groups, the hybrid layer for primary dentin was thicker than that for permanent dentin. CONCLUSIONS: Carisolv treatment before priming significantly decreased the SBS to primary dentin in SE groups, but did not influence the SBS to permanent dentin in both SE and SB groups.

Acid Etching, Dental↗

Shear bond strength of AH-26 root canal sealer to dentine using three dentine bonding agents.

OBJECTIVE: The purpose of the study was to compare the bond strength of AH-26 root canal sealer to human root canal dentine exposed to different intracanal medications both with and without the use of three bonding agents. The materials used were AH-26 sealer, two one-bottle bonding agents (Single Bond, Bond-1) and one self-etching bonding agent (Clearfill SE Bond). METHODS: The dentine substrate was obtained from single rooted human teeth. The dentine specimens were treated either with EDTA 15% or phosphoric acid 37% to achieve the removal of smear layer. The AH-26 sealer was placed on the dentine surfaces both with and without the use of the bonding agents. Bond strength was tested using a single plane shear test assembly. RESULTS: The SBS values were (MPa): Group A (EDTA-AH-26) 3.678+/-0.853, Group B (Phosphoric acid-AH-26) 3.470+/-0.834, Group C (EDTA-Single Bond-AH-26) 4.8+/-0.865, Group D (Phosphoric acid-Single Bond-AH-26) 5.043+/-1.022, Group E (EDTA-Bond 1-AH-26) 4.939+/-0.877, Group F (Phosphoric acid-Bond 1-AH-26) 5.101+/-1.117, Group G (Clearfill SE Bond-AH-26) 6.975+/-1.694. The use of dentine bonding agents improved significantly (p<0.05) the adhesion of AH-26 sealer with the root canal dentine. However, the best results were obtained with the self-etching system. Similar results were observed from the pretreatment of dentine either with phosphoric acid 35% or EDTA 15%. CONCLUSIONS: The use of dentine bonding agents gave higher shear bond strengths of AH-26 sealer to human root canal dentine.

Adhesiveness↗