A1 Refereed original research article in a scientific journal

To etch or not to etch, Part II: On the hydrophobic-rich content and fatigue strength of universal adhesives




AuthorsStape Thiago Henrique Scarabello, Viita-Aho Tapio, Sezinando Ana, Seseogullari-Dirihan Roda, Eleftheriadi Eirini, Mutluay Murat, Tezvergil-Mutluay Arzu

PublisherELSEVIER SCI LTD

Publication year2022

JournalDental Materials

Journal name in sourceDENTAL MATERIALS

Journal acronymDENT MATER

Volume38

Issue8

First page 1419

Last page1431

Number of pages13

ISSN0109-5641

eISSN1879-0097

DOIhttps://doi.org/10.1016/j.dental.2022.06.031

Web address https://doi.org/10.1016/j.dental.2022.06.031

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/176719277


Abstract

Objective: To determine whether smear layer management, via conservative etching pro-tocols, and the hydrophobic-rich content of hybrid layers would affect the fatigue strength of resin-dentin interfaces.

Methods: Bar-shaped dentin beams obtained from sound third molars were wet-polished for 30 s. Dentin was etched with 32 % ortho-phosphoric acid for 3 or 15 s, 10 % meta -phosphoric acid for 15 s or by a prime-and-rinse application using a mild universal ad-hesive (Scotchbond Universal, 3M ESPE). Self-etch application served as control. Coating was performed with a solvent-free bisGMA-based resin. Composite buildups were made with a nanofilled composite. Resin-dentin beams with twin-bonded interfaces were sec-tioned and stored in deionized water for 24 h at 37 celcius before 4-point flexural quasi-static monotonic testing (n = 16). Stress-life fatigue behavior was evaluated under cyclic loading (n = 35) by the staircase method at 4 Hz. The tension side of cyclic-loaded unfractured beams were evaluated under SEM, along with the micro-morphology of etched dentin surfaces. Monotonic data was analyzed by two-way ANOVA followed by the Tukey Test and cyclic-loaded data by Kruskal-Wallis on Ranks (alpha = 0.05).

Results: Etching protocols and higher hydrophobic-rich content produced significantly higher fatigue life distributions (p < 0.05). Dentin demineralization was ranked as OPA 15 s > MPA 15 s > OPA 3 s > P + R > SE. Less aggressive etching and coating reduced crack formation at hybrid layers.

Significance: Current oversimplification trends in resin-dentin bonding constitute a trade-off between hybridization quality and easier adhesive handling. Controlled dentin etching and increasing the hydrophobic-rich content of hybrid layers may be necessary to extend the longevity of mild universal adhesives.

(c) 2022 Published by Elsevier Inc. on behalf of The Academy of Dental Materials. CC_BY_NC_ND_4.0


Downloadable publication

This is an electronic reprint of the original article.
This reprint may differ from the original in pagination and typographic detail. Please cite the original version.





Last updated on 2024-26-11 at 16:33