Shinichi Kakuda

The effect of dentine surface preparation and reduced application time of adhesive on bonding strength

OBJECTIVE This study evaluated the effects of surface preparation and the application time of adhesives on the resin-dentine bond strengths with universal adhesives. METHODS Sixty molars were cut to exposed mid-coronal dentine and divided into 12 groups (n=5) based on three factors; (1) adhesive: G-Premio Bond (GP, GC Corp., Tokyo, Japan), Clearfil Universal Bond (CU, Kuraray Noritake Dental Inc., Okayama, Japan) and Scotchbond Universal Adhesive (SB, 3M ESPE, St. Paul, MN, USA); (2) smear layer preparation: SiC paper ground dentine or bur-cut dentine; (3) application time: shortened time or as manufacturers instruction. Fifteen resin-dentine sticks per group were processed for microtensile bond strength test (μTBS) according to non-trimming technique (1mm(2)) after storage in distilled water (37 °C) for 24h. Data were analyzed by three-way ANOVA and Dunnett T3 tests (α=0.05). Fractured surfaces were observed under scanning electron microscope (SEM). Another 12 teeth were prepared and cut into slices for SEM examination of bonded interfaces. RESULTS μTBS were higher when bonded to SiC-ground dentine according to manufacturers instruction. Bonding to bur-cut dentine resulted in significantly lower μTBS (p<0.000). Shortening the application time resulted in significantly lower bond strength for CU on SiC and GP on bur-cut dentine. SEM of fractured surfaces revealed areas with a large amount of porosities at the adhesive resin interface. This was more pronounced when adhesives were bonded with a reduced application time and on bur cut dentine. CLINICAL SIGNIFICANCE The performance of universal adhesives can be compromised on bur cut dentine and when applied with a reduced application time.

Effect of remaining dentin thickness on microtensile bond strength of current adhesive systems

The purpose of this study was to evaluate the effect of remaining dentin thickness (RDT) on the bond strength of current adhesive systems. Third molars were randomly allocated among four groups depending on the adhesive system used: Clearfil SE Bond ONE (SE1), G-Bond PLUS (GB), BeautiBond (BB), and Clearfil Mega Bond (MB). Bonded specimens were stored in water at 37°C for 24 h. Teeth were then sectioned perpendicular to the adhesive interface to produce beams. After measuring RDT of each beam, microtensile bond strength test was carried out using a universal testing machine at a crosshead speed of 1 mm/min. All data were analyzed by linear regression analysis. Bond strengths of one-step self-etch materials used in this study increased with an increase in RDT. In contrast, that of two-step self-etch adhesive system was not affected by RDT.

Microtensile bond strength of a newly developed resin cement to dentin

The purpose of this study was to evaluate the microtensile bond strength (µTBS) of a newly developed resin cement, ECD-89 (ECD, Tokuyama Dental, Tokyo, Japan) to dentin and to observe the interfacial micromorphology by comparing with two commercial resin cements, Multilink Automix (MA, Ivoclar Vivadent AG, Schaan, Liechtenstein) and Panavia F2.0 (PF, Kuraray Noritake Dental, Tokyo, Japan). Flat dentin surfaces of human third molars were exposed using #600 SiC. After application of primer and cement to the dentin surface, each cement was applied and cured with light (light condition) or without light (dark condition). The teeth were sectioned to obtain beams (1 mm×1 mm) after 24 h of water storage. The mean bond strengths and SDs (MPa) were: ECD: 68.6±14.9, MA: 39.2±18.9, PF: 39.4±18.5 and ECD: 54.5±22.4, MA: 36.7±15.6, PF: 13.4±4.46 when cured in light and dark condition, respectively. In both conditions, ECD-89 showed statistically higher µTBS than the others.

Effect of different remaining dentin thickness and long term water storage on dentin bond strength

The purpose of this study was to investigate the effect of remaining dentin thickness (RDT) and long term water storage on dentin bond strength in-vitro. Twenty-seven third molars were randomly divided into 3 groups: Clearfil Bond SE ONE (SE1, Kuraray Noritake Dental, Okayama, Japan), G-Bond plus (GB, GC, Tokyo, Japan) and Clearfil Mega Bond (MB, Kuraray Noritake Dental). Bonded specimens were stored in water at 37ºC for 24 h. The teeth were then sectioned perpendicular to the adhesive interface to produce beams. RDT of each beam was measured digital calliper. Microtensile bond strength testing was carried out at a crosshead speed of 1 mm/min after 24 h and 1 year water storage. Thicker RDT produced higher bond strengths with one/two-step self-etch materials tested except for the group of 24 h MB. Nevertheless water storage time and RDT affected µTBS in all materials used.

Buffering or non-buffering; an action of pit-and-fissure sealants

OBJECTIVES The aim of this study was to evaluate the buffering capacity of glass-ionomer material in vitro. The null hypothesis tested was that there is no effect of cured glass-ionomer pit-and-fissure sealant (PFS) pastes on the environmental acidity as well as the tooth substrate. METHOD For each material, a cured PFS disk and a section of human enamel were simultaneously soaked in lactic acid solution in a conical tube, and the pH of the solution was measured daily for one week. Subsequently, the total amount of calcium leached out in solution was also measured with ICP-AES. RESULTS The results showed that the acidity of the solutions changed over time. Significant differences of calcium ion concentration in solution were observed as a result of decalcification. As the PFS products tested did not include calcium, the concentration of calcium ion released indicated acidic erosion of the tooth enamel. CONCLUSIONS The glass-ionomer countered the acid of the solution rapidly and preserved the structure of human tooth enamel.