Assessment of Tensile Bond Strength of Fiber-Reinforced Composite Resin to Enamel Using Two Types of Resin Cements and Three Surface Treatment Methods

摘要

Background: Resin-bonded bridgework with a metal framework is one of the most conservative ways to replace a tooth with intact abutments. Visibility of metal substructure and debonding are the complications of these bridgeworks. Today, with the introduction of fiber-reinforced composite resins, it is possible to overcome these complications. The aim of this study was to evaluate the bond strength of fiber-reinforced composite resin materials (FRC) to enamel. Methods: Seventy-two labial cross-sections were prepared from intact extracted teeth. Seventy-two rectangular samples of cured Vectris were prepared and their thickness was increased by adding Targis. The samples were divided into 3 groups for three different surface treatments: sandblasting, etching with 9% hydrofluoric acid, and roughening with a round tapered diamond bur. Each group was then divided into two subgroups for bonding to etched enamel by Enforce and Variolink II resin cements. Instron universal testing machine was used to apply a tensile force. The fracture force was recorded and the mode of failure was identified under a reflective microscope. Results: There were no significant differences in bond strength between the three surface treatment groups ( P =0.53). The mean bond strength of Variolink II cement was greater than that of Enforce ( P =0.04). There was no relationship between the failure modes (cohesive and adhesive) and the two cement types. There was some association between surface treatment and failure mode. There were adhesive failures in sandblasted and diamond-roughened groups and the cohesive failure was dominant in the etched group. Conclusion: It is recommended that restorations made of fiber-reinforced composite resin be cemented with VariolinkII and surface-treated by hydrofluoric acid.