The dentin substrate: structure and properties related to bonding.

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

Teeth and bones: applications of surface science to dental materials and related biomaterials

This review examines fundamental concepts in bonding to dentin. Emphasis is placed on the structure and permeability characteristics of dentin and how they may influence its interaction with adhesive resin. Several new techniques to examine the interfaces between resin and dentin are reviewed along with some of their limitations. The advantages and disadvantages of acid etchants/conditioners vs. self-etching conditioners/primers are discussed. The problems of matching the surface tension of resin-bonding systems to the surface energy of the substrate are reviewed in terms of wetting the various components of dentin. The problems associated with matching the permeability of intertubular dentin to the diffusibility of bonding reagents are explored. Speculation is advanced on how to ensure polymerization and wetting of dentinal collagen. Theoretical problems associated with dentin bonding and with bond testing are reviewed to encourage future research in this rapidly developing area.

Current Concepts On Adhesion To Dentin

Nonvital Tooth Bleaching: A Review of the Literature and Clinical Procedures

Cylinders of a visible-light-cured microfil resin were formed on, and bonded to, the flattened labial enamel surfaces of young bovine incisor teeth which had previously been subjected to four different treatments: (1) immersion in 10% carbamide-peroxide gel, pH 4.7, for three h; (2) immersion in 10% carbamide-peroxide gel, pH 4.7, for six h; (3) immersion in 10% carbamide-peroxide gel, pH 7.2, for three h; and (4) immersion in 10% carbamide-peroxide gel, pH 7.2, for six h. For each experimental group, a control group of resin-bonded to saline-immersed teeth was prepared. In addition, two groups, prepared according to treatment 4, were leached in distilled water for one and seven d, respectively, prior to resin application. Specimens were stored in distilled water at 37 degrees C for seven d prior to shear-bond-strength testing. A total of 90 teeth was tested. Statistical analysis of the results indicated that there was a highly significant reduction in the shear bond strength to carbamide-peroxide-treated enamel as compared with that to saline-treated enamel. The effects of duration of peroxide treatment and pH, as well as the interaction term, were not statistically significant. Leaching of the peroxide-treated enamel in water for either one or seven d prior to resin application restored the adhesiveness of the enamel. Scanning electron microscopic examination of randomly selected, fractured test specimens indicated that the peroxide-induced reduction in enamel adhesiveness was related to alterations in both attachment-surface area at the resin-enamel interface and resin quality.

The Effect of Carbamide-Peroxide Gel on the Shear Bond Strength of a Microfil Resin to Bovine Enamel

Adhesion of a resin composite to bleached and unbleached human enamel

X-ray photoelectron spectroscopic (XPS) and secondary ion-mass spectroscopic (SIMS) analyses were performed on unground un-pumiced, unground pumiced, and ground labial enamel surfaces of young bovine incisors exposed to four different treatments: (1) immersion in 35% H2O2 for 60 min; (2) immersion in 37% H3PO4 for 60 s; (3) immersion in 35% H2O2 for 60 min, in distilled water for two min, and in 37% H3PO4 for 60 s; (4) immersion in 37% H3PO4 for 60 s, in distilled water for two min, and in 35% H2O2 for 60 min. Untreated unground un-pumiced, unground pumiced, and ground enamel surfaces, as well as synthetic hydroxyapatite surfaces, served as controls for intra-tooth evaluations of the effects of different treatments. The analyses indicated that exposure to 35% H2O2 alone, besides increasing the nitrogen content, produced no other significant change in the elemental composition of any of the enamel surfaces investigated. Exposure to 37% H3PO4, however, produced a marked decrease in calcium (Ca) and phosphorus (P) concentrations and an increase in carbon (C) and nitrogen (N) concentrations in unground un-pumiced specimens only, and a decrease in C concentration in ground specimens. These results suggest that the reported decrease in the adhesive bond strength of resin to 35% H2O2-treated enamel is not caused by a change in the elemental composition of treated enamel surfaces. They also suggest that an organic-rich layer, unaffected by acid-etching, may be present on the unground un-pumiced surface of young bovine incisors. This layer can be removed by thorough pumicing or by grinding. An awareness of its presence is important when young bovine teeth are used in a model system for evaluation of resin adhesiveness.

Preliminary Surface Analysis of Etched, Bleached, and Normal Bovine Enamel

X-ray photo-electron spectroscopy (XPS) and secondary ion mass spectrometry (SIMS) were used to characterize the dentin surface, to determine the effects of different pre-conditioning procedures on the elemental composition of the dentin surface, and to investigate the interaction between dentin and a dentin bonding agent (ScotchBond) by studying the changes in the elemental composition of dentin as a result of the interaction. Scanning electron microscopy (SEM) was used to characterize sample surface morphology, which was then correlated with surface elemental composition.The results showed that: (a) the elemental composition of the smear layer was similar to that of the underlying dentin; (b) cleaning with hydrogen-peroxide did not produce any modification in the elemental composition of the dentin surface; and (c) acid-etching led to an almost complete demineralization of the dentin, leaving behind an organic-rich surface. The results suggest that bonding systems that use acid-etching as a pre-conditio...

N.D. Ruse

Papers

The Effect of Carbamide-Peroxide Gel on the Shear Bond Strength of a Microfil Resin to Bovine Enamel

Adhesion of a resin composite to bleached and unbleached human enamel

Preliminary Surface Analysis of Etched, Bleached, and Normal Bovine Enamel

Adhesion to Bovine Dentin-Surface Characterization