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Differential Resin-Dentin Bonds Created after Caries Removal with Polymer Burs

  • Manuel Toledano (a1), Inmaculada Cabello (a1), Monica Yamauti (a1) and Raquel Osorio (a1)


The objective of this article was to investigate the effect of carbide and polymer burs caries removal methods on the bond strength of different adhesives to dentin. Resin restorations were performed in sound and caries-affected dentin, after using polymer or carbide burs and bonding with four different adhesive (Single bond, SB; Clearfil SE bond, SEB; FL-Bond II, FLB; and Fuji II-LC, FUJI). Microtensile bond strength (MTBS) was measured. Data were analyzed with ANOVA and Student-Newman-Keuls tests. Debonded surfaces were observed by scanning electron microscopy. Bonded interfaces were examined using light microscopy (Masson's trichrome staining). In sound dentin, MTBS was similar for SEB and SB, and higher than that of FLB and FUJI. Bond strength to carbide bur prepared dentin was similar for SB, SEB, and FLB; FUJI presented the lowest. SB applied on polymer bur excavated dentin presented similar values to those of the carbide bur group; MTBS attained by SEB, FLB, and FUJI decreased when bonding to dentin treated with polymer burs; FUJI yielded pretesting failures in all specimens. Polymer burs created a thick smear layer that was not infiltrated by tested self-etching agents. The bonding effectiveness of self-etching and glass-ionomer-like adhesives to dentin decreased when polymer burs were used.


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Banerjee, A., Kidd, E.A.M. & Watson, T.F. (2000). Dentin caries excavation: A review of current clinical techniques. Br Dent J 188, 476482.
Boston, D.W. (2003). New device for selective dentin caries removal. Quintessence Int 34, 678685.
Cardoso, M.V., Delmé, K.I., Mine, A., Neves, A.A., Coutinho, E., De Moor, R.J. & Van Meerbeek, B. (2010). Towards a better understanding of the adhesion mechanism of resin-modified glass-ionomers by bonding to differently prepared dentin. J Dent 38, 921929.
Celiberti, P., Francescut, P. & Lussi, A. (2006). Performance of four dentine excavation methods in deciduous teeth. Caries Res 40, 117123.
Coutinho, E., Yoshida, Y., Inoue, S., Fukuda, R., Snauwaert, J., Nakayama, Y., De Munck, J., Lambrechts, P., Suzuki, K. & Van Meerbeek, B. (2007). Gel phase formation at resin-modified glass-ionomer/tooth interfaces. J Dent Res 86, 656661.
Dias, W.R., Pereira, P.N. & Swift, E.J. Jr. (2004). Effect of bur type on microtensile bond strengths of self-etching systems to human dentin. J Adhes Dent 6, 195203.
Fagundes, T., Toledano, M., Navarro, M.F.L. & Osorio, R. (2009). Resistance to degradation of resin-modified glass-ionomer cements dentine bonds. J Dent 5, 342347.
Featherstone, J.D.B. (2008). Dental caries: A dynamic disease process. Aust Dent J 53, 286291.
Fusayama, T., Okuse, K. & Hosoda, H. (1966). Relationship between hardness, discoloration, and microbial invasion in carious dentin. J Dent Res 45, 10331046.
Haj-Ali, R., Walker, M., Williams, K., Wang, Y. & Spencer, P. (2006). Histomorphologic characterization of noncarious and caries-affected dentin/adhesive interfaces. J Prosthodont 15, 8288.
Kidd, E.A., Joyston-Bechal, S. & Beighton, D. (1993). Microbiological validation of assessments of caries activity during cavity preparation. Caries Res 27, 402408.
Kuboki, Y., Ohgushi, K. & Fusayama, T. (1977). Collagen biochemistry of the two layers of carious dentin. J Dent Res 56, 12331237.
Marshall, G.W. Jr., Chang, Y.J., Gansky, S.A. & Marshall, S.J. (2001). Demineralization of caries-affected transparent dentin by citric acid: An atomic force microscopy study. Dent Mater 17, 4552.
Marshall, G.W. Jr., Marshall, S.J., Kinney, J.H. & Balooch, M. (1997). The dentin substrate: Structure and properties. J Dent 25, 441458.
Meller, C., Welk, A., Zellgowski, T. & Splieth, C. (2007). Comparison of dentin caries excavation with polymer and conventional tungsten carbide burs. Quintessence Int 38, 565569
Monticelli, F., Osorio, R., Mazzitelli, C., Ferrari, M. & Toledano, M. (2008). Limited decalcification/diffusion of self-adhesive cements into dentin. J Dent Res 87, 974979.
Moszner, N., Salz, U. & Zimmermann, J. (2005). Chemical aspects of self-etching enamel-dentin adhesives: A systematic review. Dent Mater 21, 895910.
Mount, G.J. (2003). Minimal intervention dentistry: Rationale of cavity design. Oper Dent 28, 9299.
Nakabayashi, N., Kojima, K. & Masuhara, E. (1982). The promotion of adhesion by the infiltration of monomers into tooth substrates. J Biomed Mater Res 16, 265273.
Nakajima, M., Hosaka, K., Yamauti, M., Foxton, R.M. & Tagami, J. (2006). Bonding durability of a self-etching primer system to normal and caries-affected dentin under hydrostatic pulpal pressure in vitro. Am J Dent 19, 147150.
Nakajima, M., Sano, H., Urabe, I., Tagami, J. & Pashley, D.H. (2000). Bond strengths of single-bottle dentine adhesives to caries affected dentine. Oper Dent 25, 210.
Neves, A.A., Coutinho, E., Cardoso, M.V., Lambrechts, P. & Van Meerbeek, B. (2011). Current concepts and techniques for caries excavation and adhesion to residual dentin. J Adhes Dent 13, 722.
Oliveira, S.S., Pugach, M.K., Hilton, J.F., Watanabe, L.G., Marshall, S.J. & Marshall, G.W. Jr. (2003). The influence of the dentin smear layer on adhesion: A self-etching primer vs. a total-etch system. Dent Mater 19, 758767.
Osorio, R., Ceballos, L., Tay, F.R., Cabrerizo-Vilches, M.A. & Toledano, M. (2002). Effect of sodium hypochlorite on dentin bonding with a polyalkenoic acid-containing adhesive system. J Biomed Mater Res 60, 316324.
Perdigão, J. (2010). Dentin bonding—Variables related to the clinical situation and the substrate treatment. Dent Mater 26, e24e37.
Sattabanasuk, V., Vachiramon, V., Qian, F. & Armstrong, S.R. (2007). Resin-dentin bond strength as related to different surface preparation methods. J Dent 35, 467475.
Silva, N.R., Carvalho, R.M., Pegoraro, L.F., Tay, F.R. & Thompson, V.P. (2006). Evaluation of a self-limiting concept in dentinal caries removal. J Dent Res 85, 282286.
Suwatviroj, O., Messer, L.B. & Palamara, J.E. (2004). Microtensile bond strength of tooth-colored materials to primary tooth dentin. Pediatr Dent 26, 6774.
Tay, F.R., Sidhu, S.K., Watson, T.F. & Pashley, D.H. (2004). Water-dependent interfacial transition zone in resin-modified glass-ionomer cement/dentin interfaces. J Dent Res 83, 644649.
Toledano, M., Nieto-Aguilar, R., Osorio, R., Campos, A., Osorio, E., Tay, F.R. & Alaminos, M. (2010). Differential expression of matrix metalloproteinase-2 in human coronal and radicular sound and carious dentine. J Dent 38, 635640.
Toledano, M., Yamauti, M., Osorio, E., Monticelli, F. & Osorio, R. (2011). Characterization of micro- and nanophase separation of dentin bonding agents by stereoscope and atomic force microscopy. Microsc Microanal 18, 279288.
Unemori, M., Matsuya, Y., Matsuya, S., Akashi, A. & Akamine, A. (2003). Water sorption of poly(methyl methacrylate) containing 4-methacryloxyethyl trimellitic anhydride. Biomaterials 24, 13811387.
Van Landuyt, K.L., Snauwaert, J., De Munck, J., Peumans, M., Yoshida, Y., Poitevin, A., Coutinho, E., Suzuki, K., Lambrechts, P. & Van Meerbeek, B. (2007). Systematic review of the chemical composition of contemporary dental adhesives. Biomaterials 28, 37573785.
Van Meerbeek, B., De Munck, J., Yoshida, Y., Inoue, S., Vargas, M., Vijay, P., Van Landuyt, K., Lambrechts, P. & Vanherle, G. (2003). Buonocore memorial lectura: Adhesion to enamel and dentin: Current status and future challenges. Oper Dent 28, 215235.
Van Meerbeek, B., Peumans, M., Poitevin, A., Mine, A., Van Ende, A., Neves, A. & De Munck, J. (2010). Relationship between bond-strength tests and clinical outcomes. Dent Mater 26, e100e121.
Walker, M.P., Wang, Y. & Spencer, P. (2002). Morphological and chemical characterization of the dentin/resin cement interface produced with a self-etching primer. J Adhes Dent 4, 181189.
Wang, Y. & Spencer, P. (2005). Continuing etching of an all-in-one adhesive in wet dentin tubules. J Dent Res 84, 350354.
Wang, Y., Spencer, P. & Walker, M.P. (2006). Chemical profile of adhesive/caries-affected dentin interfaces using Raman microspectroscopy. J Biomed Mater Res A 81, 279286.
Wei, S.H., Kaquelle, J.C. & Massler, M. (1968). Remineralization of carious dentin. J Dent Res 47, 381391.
Yazici, A.R., Ozgünaltay, G. & Dayangaç, B. (2002). A scanning electron microscopic study of different caries removal techniques on human dentin. Oper Dent 27, 360366.
Yelamanchili, A. & Darvell, B.W. (2008). Network competition in a resin-modified glass-ionomer cement. Dent Mater 24, 10651069.
Yip, H.K. & Samaranayake, L.P. (1998). Caries removal techniques and instrumentation: A review. Clin Oral Investig 2, 148154.
Yip, H.K., Tay, F.R., Ngo, H.C., Smales, R.J. & Pashley, D.H. (2001). Bonding of contemporary glass ionomer cements to dentin. Dent Mater 17, 456470.
Yoshida, Y., Nagakane, K., Fukuda, R., Nakayama, Y., Okazaki, M., Shintani, H., Inoue, S., Tagawa, Y., Suzuki, K., De Munck, J. & Van Meerbeek, B. (2004). Comparative study on adhesive performance of functional monomers. J Dent Res 83, 454458.
Yoshiyama, M., Doi, J., Nishitani, Y., Itota, T., Tay, F.R., Carvalho, R.M. & Pashley, D.H. (2004). Bonding ability of adhesive resins to caries-affected and caries-infected dentin. J Appl Oral Sci 12, 171176.
Yoshiyama, M., Tay, F.R., Doi, J., Nishitani, Y., Yamada, T., Itou, K., Carvalho, R.M., Nakajima, M. & Pashley, D.H. (2002). Bonding of self-etch and total-etch adhesives to carious dentin. J Dent Res 81, 556560.
Yoshiyama, M., Urayama, A., Kimochi, T., Matsuo, T. & Pashley, D.H. (2000). Comparison of conventional vs self-etching adhesive bonds to caries-affected dentin. Oper Dent 25, 163169.



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