J Conserv Dent. 2016 Nov-Dec;19(6):555-559. doi: 10.4103/0972-0707.194019.
Resin bond strength to water versus ethanol-saturated human dentin pretreated with three different cross-linking agents.
Journal of conservative dentistry : JCD
Bhuvan Shome Venigalla, Pinnamreddy Jyothi, Shekhar Kamishetty, Smitha Reddy, Ravi Chandra Cherukupalli, Depa Arun Reddy
Affiliations
Affiliations
- Department of Conservative Dentistry and Endodontics, Sri Sai College of Dental Surgery, Vikarabad, Telangana, India.
- Department of Conservative Dentistry and Endodontics, SVS Institute of Dental Sciences, Mahbubnagar, Telangana, India.
- Department of Conservative Dentistry and Endodontics, Guru Govind Singh College of Dental Sciences, Burhanpur, Madhya Pradesh, India.
PMID: 27994318
PMCID: PMC5146772 DOI: 10.4103/0972-0707.194019
Abstract
CONTEXT: Resin-dentin bonds are unstable owing to hydrolytic and enzymatic degradation. Several approaches such as collagen cross-linking and ethanol-wet bonding (EWB) have been developed to overcome this problem. Collagen cross-linking improves the intrinsic properties of the collagen matrix. However, it leaves a water-rich collagen matrix with incomplete resin infiltration making it susceptible to fatigue degradation. Since EWB is expected to overcome the drawbacks of water-wet bonding (WWB), a combination of collagen cross-linking with EWB was tested.
AIM: The aim of this study was to compare the effect of pretreatment with different cross-linking agents such as ultraviolet A (UVA)-activated 0.1% riboflavin, 1 M carbodiimide, and 6.5 wt% proanthocyanidin on the immediate and long-term bond strengths of an etch and rinse adhesive system to water- versus ethanol-saturated dentin within clinically relevant application time periods.
SETTINGS AND DESIGN: Long-term
SUBJECTS AND METHODS: Eighty freshly extracted human molars were prepared to expose dentin, etched with 37% phosphoric acid for 15 s rinsed, and grouped randomly. They were blot-dried and pretreated with different cross-linkers: 0.1% riboflavin for 2 min followed by UVA activation for 2 min; 1 M carbodiimide for 2 min; 6.5 wt% proanthocyanidin for 2 min and rinsed. They were then bonded with Adper Single Bond Adhesive (3M ESPE), by either WWB or EWB, followed by resin composite build-ups (Filtek Z350, 3M ESPE). Bonded specimens in each group were then sectioned and divided into two halves. Microtensile bond strength was tested in one half after 24 h and the other after 6 months storage in artificial saliva.
STATISTICAL ANALYSIS USED: Analysis was done using SPSS version 18 software (SPSS Inc., Chicago, IL, USA). Intergroup comparison of bond strength was done using ANOVA with
RESULTS: The microtensile bond strength of cross-linked groups was higher compared to control group (
CONCLUSIONS: 0.1% riboflavin pretreatment of dentin followed by UVA activation for 2 min exhibited highest increase in bond strength values at 24 h and least reduction in bond strength values after 6 months storage compared to other groups. Biomodification of dentin using collagen cross-linking followed by EWB exhibited a synergistic effect in improving the resin-dentin bond durability.
Keywords: Bond durability; carbodiimide; collagen cross-linking; ethanol-wet bonding; proanthocyanidin; ultraviolet A-activated riboflavin
Conflict of interest statement
There are no conflicts of interest.
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