The immediate bonding effectiveness of contemporary adhesives is quite favorable, regardless of the approach used. In the long term, the bonding effectiveness of some adhesives drops dramatically, whereas the bond strengths of other adhesives are more stable. This review examines the fundamental processes that cause the adhesion of biomaterials to enamel and dentin to degrade with time. Non-carious class V clinical trials remain the ultimate test method for the assessment of bonding effectiveness, but in addition to being high-cost, they are time- and labor-consuming, and they provide little information on the true cause of clinical failure. Therefore, several laboratory protocols were developed to predict bond durability. This paper critically appraises methodologies that focus on chemical degradation patterns of hydrolysis and elution of interface components, as well as mechanically oriented test set-ups, such as fatigue and fracture toughness measurements. A correlation of in vitro and in vivo data revealed that, currently, the most validated method to assess adhesion durability involves aging of micro-specimens of biomaterials bonded to either enamel or dentin. After about 3 months, all classes of adhesives exhibited mechanical and morphological evidence of degradation that resembles in vivo aging effects. A comparison of contemporary adhesives revealed that the three-step etch-and-rinse adhesives remain the 'gold standard' in terms of durability. Any kind of simplification in the clinical application procedure results in loss of bonding effectiveness. Only the two-step self-etch adhesives approach the gold standard and do have some additional clinical benefits.

http://www.endoexperience.com/documents/DeMunketalDurabiltyofadhesionJDR.pdf

A Critical Review of the Durability of Adhesion to Tooth Tissue: Methods and Results

Systematic review of the chemical composition of contemporary dental adhesives

http://webdelprofesor.ula.ve/odontologia/robertramirez/PDF/1.pdf

State of the art of self-etch adhesives

Aggressiveness of contemporary self-etching systems. I: Depth of penetration beyond dentin smear layers.

Chemical aspects of self-etching enamel–dentin adhesives: A systematic review

Effect of light exposure on fracture toughness and flexural strength of light-cured composites

Milk and milk products, such as cheese, have been shown to exhibit anticariogenic properties in human and animal models. CPP-ACP shows an anti-caries effect by suppressing demineralization, enhancing remineralization, or possibly a combination of both. The purpose of this study was to evaluate the effect of CPP-ACP paste on demineralization by observing the treated tooth surface using an FE-SEM. The specimens were prepared by cutting enamel and dentin of bovine teeth into blocks. A few specimens were stored in 0.1 M lactic acid buffer solution for 10 min and then in artificial saliva (negative control). The remaining specimens were stored in a 10 times-diluted solution of CPP-ACP paste or a placebo paste containing no CPP-ACP for 10 min, followed by 10 min immersion in a demineralizing solution (pH = 4.75, Ca) twice a day before storage in artificial saliva. After treatment of the specimens for 3, 7, 21 and 28 days, they were fixed in 2.5% glutaraldehyde in cacodylate buffer solution, dehydrated in ascending grades of tert-butyl alcohol, and then transferred to a critical-point dryer. The surfaces were coated with a thin film of Au in a vacuum evaporator, and were observed under field emission-scanning electron microscopy (FE-SEM). The SEM observations revealed different morphological features brought about by the various storage conditions. Demineralization of the enamel and dentin surfaces was more pronounced with the longer test period in the control and negative control specimens. On the other hand, enamel and dentin specimens treated with CPP-ACP paste revealed slight changes in their morphological features. From the morphological observations of the enamel and dentin surfaces, it could be considered that the CPP-ACP paste might prevent demineralization of the tooth structure.

/pdf/effect-of-cpp-acp-paste-on-tooth-mineralization-an-fe-sem-crx6b42lle.pdf

Effect of CPP-ACP paste on tooth mineralization: an FE-SEM study.

The purpose of this study was to analyze the ions released from a surface pre-reacted glass ionomer (S-PRG) filler in distilled water or lactic acid solution. S-PRG filler was mixed with either solution at 1000:1, 100:1, 10:1, and 1:1 ratios by weight. By means of inductively coupled plasma atomic emission spectroscopy and a fluoride electrode, elements released from S-PRG filler were identified to be Al, B, Na, Si, Sr, and F. To investigate the effect of solution pH on ion release, the pH values of the solutions before mixing and after 24 hours' mixing with S-PRG were measured. After 24 hours' mixing, the pH values of solutions at all ratios became more neutral or weakly alkaline regardless of their initial pH levels before mixing. In conclusion, results showed that S-PRG filler released several types of ions, and that ion release was influenced by the mixing ratio of the solution rather than the initial pH of the solution.

Detection of ions released from S-PRG fillers and their modulation effect.

The purpose of this study was to investigate the influence of thermal cycling on enamel bond strength of 2-step bonding systems. The systems used were self-etching primer systems; Imperva Fluoro Bond, Clearfil Liner Bond II, and Mac Bond II; and self-priming adhesive systems; One Step, OptiBond Solo, Prime & Bond 2.0, and Single Bond. Bovine mandibular incisors were mounted in self-curing resin and the facial surfaces were wet ground with #600 SiC paper. Enamel surfaces were treated following each manufacturer's instructions. Adhesives were applied and composites were condensed into a Teflon mold (phi 4 x 2 mm) and light cured. Bonded specimens were divided into four groups; stored in 37 degrees C water for 24 hours, followed by thermal cycling between 5 degrees C and 60 degrees C for 3,000, 10,000, and 30,000 cycles. Ten samples per test group were tested in shear mode at a crosshead speed of 1.0 mm/min. One-way ANOVAs followed by Duncan's multiple range test (p < 0.05) were done. For self-etching primer systems, a significant decrease in bond strength was observed for the thermal cycling groups. For the self-priming adhesive systems, a small decrease in bond strength was observed but no significant differences were found for thermal cycling groups. The changes in bond strength after thermal cycling were different between the bonding systems.

Masashi Miyazaki

Papers

Effect of light exposure on fracture toughness and flexural strength of light-cured composites

Effect of CPP-ACP paste on tooth mineralization: an FE-SEM study.

Detection of ions released from S-PRG fillers and their modulation effect.

Durability of enamel bond strength of simplified bonding systems.

Influence of filler addition to bonding agents on shear bond strength to bovine dentin