• The Journal of Advanced Prosthodontics
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• 제2권2호
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• pp.39-45
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• 2010

PURPOSE. The aim of this study was to determine differences in shear bond strength to human dentin using immediate dentin sealing (IDS) technique compared to delayed dentin sealing (DDS). MATERIALS AND METHODS. Forty extracted human molars were divided into 4 groups with 10 teeth each. The control group was light-cured after application of dentin bonding agent ($Excite^{(R)}$ DSC) and cemented with $Variolink^{(R)}$. II resin cement. IDS/SE (immediate dentin sealing, $Clearfil^{TM}$ SE Bond) and IDS/SB (immediate dentin sealing, $Adapter^{TM}$ Single Bond 2) were light-cured after application of dentin bonding agent ($Clearfil^{TM}$ SE Bond and $Adapter^{TM}$ Sing Bond 2, respectively), whereas DDS specimens were not treated with any dentin bonding agent. Specimens were cemented with $Variolink^{(R)}$. II resin cement. Dentin bonding agent ($Excite^{(R)}$. DSC) was left unpolymerized until the application of porcelain restoration. Shear strength was measured using a universal testing machine at a speed of 5 mm/min and evaluated of fracture using an optical microscope. RESULTS. The mean shear bond strengths of control group and IDS/SE group were not statistically different from another at 14.86 and 11.18 MPa. Bond strength of IDS/SE group had a significantly higher mean than DDS group (3.14 MPa) (P < .05). There were no significance in the mean shear bond strength between IDS/SB (4.11 MPa) and DDS group. Evaluation of failure patterns indicates that most failures in the control group and IDS/SE groups were mixed, whereas failures in the DDS were interfacial. CONCLUSION. When preparing teeth for indirect ceramic restoration, IDS with $Clearfil^{TM}$ SE Bond results in improved shear bond strength compared with DDS.

• Restorative Dentistry and Endodontics
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• 제20권2호
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• pp.699-720
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• 1995

본 연구는 양이온 계면활성효과를 가져 소독제로 사용되고 있는 benzalkonium chloride 수용액을 상아질 표면에 대한 습윤용 처리제로 적용시킬 경우 상아질접착제의 접착성능에 미치는 영향을 관찰하기 위해 시행되었다. 소의 하악전치 80개를 8개군으로 분류하여 순면의 상아질을 노출시켜서 산처리한 후 물로 습윤 상태를 유지시킨 대조군과 0.1%, 0.5% 및 1% 농도의 benzalkonium chloride 수용액으로 습윤시킨 실험군으로 나누어 NTG-GMA/BPDM계 상아질접착제인 All-bond 2와 DSDM 계 상아질접착제인 Aelitebond를 각각 접착시킨 후 접착시험을 시행하였다. 상아질 표면을 10% 인산수용액으로 처리한 후 습윤과정을 거친 시편을 각 접착시스템의 primer와 bonding resin을 도포하고 Aelitefil 복합레진으로 접 착시 킨후 항온조에서 24시간 방치한 뒤 인장접착강도를 측정하고, 상아질표면 및 파단면의 양상을 주사전자 현미경으로 관찰하였으며 FT-IR을 사용하여 전처리 전후의 상아질 표면을 분석하여 다음의 결과를 얻었다. 1. NTG-GMA/BPDM 계 상아질접착제 (All-bond 2)로 접착시킨 경우 물로 습윤시킨 대조군에 비해 0.1 % benzalkonium chloride 수용액으로 습윤시킨 군에서 유의하게 높은 인장접착강도를 보였으나(p<0.05), 0.5% 및 1.0 % benzalkonium chloride 수용액으로 습윤시킨 군에서는 유의한 차이가 나타나지 않았다. 2. DSDM계 상아질접착제 (Aelitebond) 로 접착시킨 경우 물로 습윤시킨 대조군과 0.1 %, 0.5% 및 1.0 % benzalkonium chloride 수용액으로 습융시킨 군 간의 인장접착강도의 유의한 차이는 없었다(p>0.05). 3. Benzalkonium chloride 수용액의 적용과 관계 없이 전체적으로 NTG-GMA/ BPDM계 상아질접착제로 접착시킨 경우가 DSDM계 상아질접착제로 접착시킨 경우보다 인장접착강도가 높았으며, 파단양상의 관찰결과에서도 NTG-GMA /BPDM계 상아질접착제를 사용한 경우는 응집성 및 혼합성 파단양상이, DSDM 계 상아질접착제를 사용한 경우는 부착성 파단양상이 우세하였다. 4. 주사전자 현미경적 관찰상에서 benzalkonium chloride 수용액 적용 유무에 따른 각 상아질 표면의 primer 도포양상의 뚜렷한 차이는 관찰되지 않았으나, 상아질 표면에 대한 benzalkonium chloride 수용액 적용 전후의 FT-IR 분석결과 에서는 0.1 % benzalkonium chloride 수용액으로 습윤 처리 시킨 군이 대조군에 비해 NTG-GMA/ BPDM 및 DSDM primer의 도포효과를 다소 향상시킨 소견이었다.

• Restorative Dentistry and Endodontics
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• 제43권2호
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• pp.14.1-14.16
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• 2018

Objectives: The aim of this systematic review was to critically analyze previously published studies of the effects of dentin surface pretreatment with deproteinizing agents on the bonding of self-etch (SE) adhesives to dentin. Additionally, a meta-analysis was conducted to quantify the effects of the above-mentioned surface pretreatment methods on the bonding of SE adhesives to dentin. Materials and Methods: An electronic search was performed using the following databases: Scopus, PubMed and ScienceDirect. The online search was performed using the following keywords: 'dentin' or 'hypochlorous acid' or 'sodium hypochlorite' and 'self-etch adhesive.' The following categories were excluded during the assessment process: non-English articles, randomized clinical trials, case reports, animal studies, and review articles. The reviewed studies were subjected to meta-analysis to quantify the effect of the application time and concentration of sodium hypochlorite (NaOCl) and hypochlorous acid (HOCl) deproteinizing agents on bonding to dentin. Results: Only 9 laboratory studies fit the inclusion criteria of this systematic review. The results of the meta-analysis revealed that the pooled average microtensile bond strength values to dentin pre-treated with deproteinizing agents (15.71 MPa) was significantly lower than those of the non-treated control group (20.94 MPa). Conclusions: In light of the currently available scientific evidence, dentin surface pretreatment with deproteinizing agents does not enhance the bonding of SE adhesives to dentin. The HOCl deproteinizing agent exhibited minimal adverse effects on bonding to dentin in comparison with NaOCl solutions.

• Restorative Dentistry and Endodontics
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• 제20권1호
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• pp.113-128
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• 1995

The purpose of this study was to investigate the effect of stannous fluoride on the dentin bonding with three kinds of commercially available dentin bonding systems containing different adhesive monomers. Dentin specimens with exposed labial dentin prepared from freshly extracted bovine mandibular anterior teeth were divided into experimental and control groups. The specimens of experimental groups were bonded with dentin bonding systems and composite resins including All bond 2 ㅡ& Bisfil, Scotchbond Multi-Purpose & Z100, and Denthesive II Charisma after 2 % stannous& fluorided application for S minutes and washing for 1 minute. The specimens of control groups were bonded with the same dentin bonding systems and composite resins as used in the experimental groups. After bonded specimens were stored in $37^{\circ}C$ distilled water for 24 hours, the tensile bond strength and cohesive failure rate were measured, and then the pretreated dentin surfaces and the fractured dentin surfaces were examined under scanning electron microscope. The results were as follows : Mean bond strength of stannous fluoride applied groups of All bond 2, Scotchbond MP, and Denthesive II were 2.5MPa, 1.1MPa, and 1.1MPa respectively, and those of control groups were 7.5MPa, 8.1MPa, and 4.6MPa. Bond strength values of stannous fluoride applied groups were significantly lower than those of the control groups(p<0.05). SEM findings of dentin surfaces after stannous fluoride application demonstrated an appearance of partially remained smear layer and smear plugs inspite of pretreatment with 10 % phosphoric aicd or maleic acid solution, and an appearance of smear layer covered surface under Denthesive II priming. But those of control groups commonly showed clean dentin surfaces without smear layer and smear plugs. On SEM observation of the fractured dentin-resin interface, while most of the specimens of stannous fluoride applied groups showed adhesive failure mode, those of All bond 2 and Scotchbond MP control groups showed mainly adhesive-cohesive mixed failure mode, and mainly adhesive failure mode in Denthesive II control group.

• 대한소아치과학회지
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• 제26권1호
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• pp.53-61
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• 1999

Newley developed dentin bonding system which contains self-etching primer performed the removing of smear layer and etching procedure at once. So, it make possible more simple and shorter working time, the stronger bonding strength than conventional dentin bonding system. Cavities were prepared in the buccal and lingual surface of 30 extracted primary molars, and randomly assigned into three equal groups of 10 each. All cavities were filled with Z-100 composite resin following manufacturer's specifications after priming of three different dentin bonding system. Specimens stored for 7 days in 37 degree C water, thermocycled for 1000 cycles between 5 degree C and 55 degree C, immersed in 50% silvernitrate solution for 24 hours, and embedded in resin before being sectioned longitudinally. Data were analyzed by t-test and ANOVA. Mac-Bond II and Clearfil Linear-Bond II showed less microleakage at the occlusal and gingival margins compared to Scotchbond Multi Purpose. All dentin bonding systems showed significantly less microleakage at the occlusal margins compared to the gingival margins. But, there were no significantley difference between each group.

• Restorative Dentistry and Endodontics
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• 제23권1호
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• pp.401-412
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• 1998

The aim of this study was to measure the regional micro-shear bond strength of dentin bonding agents to dentin, and to investigate the relationship between the micro-shear bond strength and two dentinal characteristics ; Vickers hardness and remaining dentin thickness. Twenty-four freshly extracted, noncarious human molars were selected for this study. The materials tested in this study consisted of two commercially available dentin bonding agents (MAC-BOND, ONE-STEP) and two restorative light-cured composite resins (AELITEFIL, Z100). The occlusal or side surface of tooth crown was sectioned to expose dentin, and the exposed surface was finally polished with # 600 sandpaper. Four groups of application methods were used combining the filling materials and the dentin bonding agents. The composite resin-attached tooth specimens were embeded in a cold cure acrylic resin, and were cut with a low speed diamond saw to the dimension of 1mm $\times$ 1mm. Nine specimens were obtained from each tooth. The cut specimens were divided into three groups depending on the position of the dentin bonding surface. The micro-shear bond strength, remaining dentin thickness, and dentinal hardness were measured. Experimental results were then statistically analyzed with ANOVA. t-test, Scheffe test, and regression analysis. From this experiment, the following results were obtained : 1. In the case of occlusal surface bonding, the pooled micro-shear bond strength of ONST-AELIT group (16.62 MPa) was significantly higher than that of MACB-AELIT group (9.91 MPa) (p<0.05). However, there was no significant difference in the micro-shear bond strength depending on the dentin position (p>0.05). 2. In the case of side surface bonding of crown, the pooled micro-shear bond strength of four different bonding groups was not significantly different among each other (p>0.05). However, in three of the test groups (ONST-AELIT, MACB-Z100, ONST-Z100), the micro-shear bond strength to the lower 1/3(III) position was significantly lower than that to middle 1/3(II) position of surface (p<0.05). 3. In the ONST-AELIT bonding group, the pooled micro-shear bond strength to the occlusal surface was significantly lower than that to the side surface of crown (p<0.05). 4. There was no significant correlation between the micro-shear bond strength and dentin hardness / remaining dentin thickness (p>0.05).

• Restorative Dentistry and Endodontics
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• 제25권4호
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• pp.550-560
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• 2000

In this study, shear bond strength of two bonding systems were measured and appearance of dentin surfaces were observed with SEM according to the storage time of eugenol on dentin surface, thus evaluated the effect of eugenol on bond strength of two dentin bonding systems. Control groups were directly bonded to dentin surface with One Step, Prime & Bond 2.1. Experimental groups were divided into experimental I and II according to dentin bonding agents. After eugenol application, dentin surfaces were bonded with One Step and Prime & Bond 2.1 according to the each storage time of immediately, 3min, 24hour, 48hour and 1week, and then control and experimental groups were filled with light cured composite resin(Z-100). After 24 hours water storage at $37^{\circ}C$, all samples were subjected to a shear load to fracture at a cross head 1.0mm/min with Instron universal testing machine(No. 4467). Etched dentin surface storaged for each time of immediately, 3min, 24hour, 48hour and 1 week after eugenol application were observed under Scanning Electron Microscope(Hitachi S-2300) at 20kvp. The data were evaluated statistically with two-way ANOVA and Tukey's HSD. The results were as follows; 1. Shear bond strengths were higher in control groups than in the experimental groups. 2. As storage time was increased after eugenol application, the shear bond strengths were decreased in experimental groups. 3. In experimental I, II the shear bond strengths were the lowest in which storage time was 1 week after eugenol application. 4. As storage time was increased after eugenol application, etched dentin surfaces showed obstructed dentinal tubule.

• Restorative Dentistry and Endodontics
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• 제34권5호
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• pp.442-449
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• 2009

이 연구의 목적은 5급 와동의 복합레진 수복에서 상아질 접착제를 비교적 두껍게 도포하거나 낮은 탄성계수(low elastic modulus)를 가진 복합레진을 선택하는 방법을 택하여 수복물의 탄성율의 차이에 따른 치아와 복합레진 경계에서 발생하는 응력의 차이를 알아보는 것이었다. abfraction 병소가 있는 하악 제 1소구치를 유한요소법을 이용하여 모델로 만들었다. 병소는 상아질 접착제의 두께 ($50{\mu}m$, $100{\mu}m$, $150{\mu}m$) 및 복합레진의 종류를 달리하며 수복되었다. 170N의 교합압을 협측 또는 설측에서 가하여 상아질 접착제와 치아면에서의 Von Mises stress를 측정하였다. 상아질 접착제의 두께가 두꺼울수록 상아질 접착제면에 가해지는 Von Mises stresss 는 감소하였다. 낮은 탄성계수 값을 가진 복합레진에서 Von Mises stress가 더 작았다. 치근상아질 경계 (margin)가 법랑질 경계에서보다 더 큰 응력이 발생하였다. 상아질 접착제면에 작용하는 교합압의 영 향을 감소시키기 위해 상아질 접착제를 두껍게 바르거나 낮은 탄성계수 값을 가진 복합레진을 사용하는 것이 추천된다.

• 대한치과보철학회지
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• 제36권1호
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• pp.26-49
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• 1998

The purpose of this study was to confirm the formation of hybrid layer and resin tags in dentin tissue and the possibility of bonding between luting cements used for the prosthesis and the resinous surface coated with resin bonding agents to prevent the dentin hypersensitivity after abutment preparation. Some resin bonding agents, which may have the possibility of bonding with polyacrylic acid as a liquid ingredient of polycarboxylate and glass ionomer cements, were selected. All-Blond desensitizer containing NTG-GMA and BPDM, Scotch-Bond Multipurpose plus containing HEMA, and XR-bond containing organophosphate were selected as a coating agent. Dental cements were zinc phosphate, polycarboxylate, and glass ionomer cement. After the exposed dentin surface of premolars was ethced with 10% phosphoric acid and coated with resin bonding agents, the morphology of treated surfaces and the resin tags and hybrid layers on sectioned surfaces were observed by SEM. Shear bond strength between the resin bonding agents and 3 kinds of cements was measured 24 hours after bonding. On the debonded surfaces of the shear bond strength tested specimens, the cement tags and the bonding sites between the resin materials and cements were examined by SEM. Following conclusions were drawn : 1. Coating of dentin with resin bonding agents had no effect on the shear bond strength of zinc phosphate cement. 2. Both of polycarboxylate and glass ionomer cements showed the increased shear bond strength by the dentinal coating with Scotch-Bond Multipurpose plus containing HEMA. However, in the case of dentinal coating with some agents containing NTG-GMA and BPDM or organophosphate, polycarboxylate cement exhibited the lowered shear bond strength, and glass ionomer cement showed the unchanged shear bond strength. 3. Complete obstructions of dentinal tubules were observed on the dentin coated with All-Bond desensitizer or XR-bond, but distinct shape of the orifices of dentinal tubules was observed consistently on the dentin coated with Scotch-Bond Multipurpose plus. 4. The hybrid layer was thickest on the dentin coated with All-Bond desensitizer, and the length of resin tags was longest on the dentin coated with Scotch-Bond Multipurpose plus. 3. On the debonded specimens which had been bonded with polycarboxylate cement or glass ionomer cement after coating with Scotch-Bond Multipurpose plus, the cement tags and the bonding sites between the resinous surface and the cements could be examined.

• Restorative Dentistry and Endodontics
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• 제20권1호
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• pp.183-192
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• 1995

The purpose of this study was to evaluate the effect of smear layer management on the interfacial morphology between dentin bonding system and dentin. Clearfil New Bond, Scotchbond Multipurpose, Prisma Universal Bond 3 and X-R Bond were used on the cervical dentinal surfaces of bovine incisor teeth. All of the dentin bonding systems were labeled with fluorescene in primer and rhodamine B in adhesive. Specimens of 2~3mm thichness were prepared by longitudinal and labiolingual sectioning. The interface between dentin bonding system and dentin was observed by flouresence imaging with a confocal laser scanning microscope. Following results were obtained. 1. In the specimen of Clearfil New Bond, dentinal tubules were widened by destruction of peritubular dentin in the course of treatment with phosphoric acid of high concentration. 2. Hybrid layer was observed in the specimen of Scotchbond Multipurpose and X-R Bond. 3. In the specimen of Prisma Universal Bond 3, the penetraton of adhesive was not observed clearly.