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http://dx.doi.org/10.4047/jap.2014.6.2.88

The effect of dentin desensitizers and Nd:YAG laser pre-treatment on microtensile bond strength of self-adhesive resin cement to dentin  

Acar, Ozlem (Department of Prosthodontics, Faculty of Dentistry, Baskent University)
Tuncer, Duygu (Department of Department of Restorative Dentistry, Faculty of Dentistry, Baskent University)
Yuzugullu, Bulem (Department of Prosthodontics, Faculty of Dentistry, Baskent University)
Celik, Cigdem (Department of Department of Restorative Dentistry, Faculty of Dentistry, Baskent University)
Publication Information
The Journal of Advanced Prosthodontics / v.6, no.2, 2014 , pp. 88-95 More about this Journal
Abstract
PURPOSE. The purpose of this study is to evaluate if pre-treatment with desensitizers have a negative effect on microtensile bond strength before cementing a restoration using recently introduced self-adhesive resin cement to dentin. MATERIALS AND METHODS. Thirty-five human molars' occlusal surfaces were ground to expose dentin; and were randomly grouped as (n=5); 1) Gluma-(Glutaraldehyde/HEMA) 2) Aqua-Prep F-(Fluoride), 3) Bisblock-(Oxalate), 4) Cervitec Plus-(Clorhexidine), 5) Smart protect-(Triclosan), 6) Nd:YAG laser, 7) No treatment (control). After applying the selected agent, RelyX U200 self-adhesive resin cement was used to bond composite resin blocks to dentin. All groups were subjected to thermocycling for 1000 cycles between $5-55^{\circ}C$. Each bonded specimen was sectioned to microbars ($6mm{\times}1mm{\times}1mm$) (n=20). Specimens were submitted to microtensile bond strength test at a crosshead speed of 0.5 mm/min. Kolmogorov-Smirnov, Levene's test, Kruskal-Wallis One-way Analysis of Variance, and Conover's nonparametric statistical analysis were used (P<.05). RESULTS. Gluma, Smart Protect and Nd:YAG laser treatments showed comparable microtensile bond strengths compared with the control group (P>.05). The microtensile bond strengths of Aqua-Prep F, and Cervitec Plus were similar to each other but significantly lower than the control group (P<.05). Bisblock showed the lowest microtensile bond strength among all groups (P<.001). Most groups showed adhesive failure. CONCLUSION. Within the limitation of this study, it is not recommended to use Aqua-prep F, Cervitec Plus and Bisblock on dentin when used with a self-adhesive resin cement due to the decrease they cause in bond strength. Beside, pre-treatment of dentin with Gluma, Smart protect, and Nd:YAG laser do not have a negative effect.
Keywords
Desensitizer agents; Dentin pretreatment; Nd:YAG laser; Self-adhesive resin cement; Microtensile bond strength; Adhesive cementation;
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