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KMID : 1023820130050030226
The Journal of Advanced Prosthodontics
2013 Volume.5 No. 3 p.226 ~ p.233
Adhesion of 10-MDP containing resin cements to dentin with and without the etch-and-rinse technique
Volkan Turp

Deniz Sen
Betul Tuncelli
Mutlu Ozcan
Abstract
PURPOSE : This study evaluated the adhesion of 10-MDP containing self-etch and self-adhesive resin cements to dentin with and without the use of etch-and-rinse technique.

MATERIALS AND METHODS : Human third molars (N=180) were randomly divided into 6 groups (n=30 per group). Conventional (Panavia F2.0, Kuraray-PAN) and self-adhesive resin cements (Clearfil SA, Kuraray-CSA) were bonded to dentin surfaces either after application of 3-step etch-and-rinse (35% H3PO4 + ED Primer) or two-step self-etch adhesive resin (Clearfil SE Bond). Specimens were subjected to shear bond strength test using the universal testing machine (0.5 mm/min). The failure types were analyzed using a stereomicroscope and quality of hybrid layer was observed under a scanning electron microscope. The data (MPa) were analyzed using two-way ANOVA and Tukey's tests (¥á=.05).

RESULTS : Overall, PAN adhesive cement showed significantly higher mean bond strength (12.5 ¡¾ 2.3 - 14.1 ¡¾ 2.4 MPa) than CSA cement (9.3 ¡¾ 1.4 - 13.9 ¡¾ 1.9 MPa) (P<.001). Adhesive failures were more frequent in CSA cement groups when used in conjunction with two-step self-adhesive (68%) or no adhesive at all (66%). Hybrid layer quality was inferior in CSA compared to PAN cement in all conditions.

CONCLUSION : In clinical situations where bonding to dentin substrate is crucial, both conventional and self-adhesive resin cements based on 10-MDP can benefit from etch-and-rinse technique to achieve better quality of adhesion in the early clinical period.
KEYWORD
Adhesion, Bond strength, Dentin, Hybrid layer, Self-adhesive cement
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