Influence of light-curing units on dentin bond strength after bleaching.

摘要

PURPOSE: The aim of this in vitro study was to comparatively evaluate the influence of three different light curing units (QTH Hilux, LED SmartLite, PAC Plasmaster) on shear bond strength of an adhesive system (Clearfil SE Bond ) after bleaching. MATERIALS AND METHODS: Sixty molars were used for this study. Carbamide peroxide was applied to the floor and wall of the dentin surfaces in bleached groups for 3 weeks. Each week the paste was renewed for the bleached group. Teeth were sectioned mesiodistally. The roots of the sectioned teeth were mounted in a cylindrical mold using chemically cured acrylic resin. Composite resin was added to the center of flattened dentin surfaces with an internal diameter of 3 mm and height of 3 mm. The bonding procedure was performed in the bleached test groups as follows: G1: immediately/QTH; G2: after 1 week/QTH; G3: after 2 weeks/QTH; G4: immediately/LED; G5: after 1 week/LED; G6: after 2 weeks/LED; G7: immediately/PAC; G8: after 1 week/PAC; G9: after 2 weeks/PAC. The non-bleached groups (control group) were G10: QTH; G11: LED; G12: PAC. Specimens were mounted in a universal testing machine and shear load was applied at a crosshead speed of 1 mm/min until failure. Bond strength values were calculated as MPa and the comparisons were made statistically using one-way ANOVA with light source and bleaching treatment) as the two factors. RESULTS: The mean values of shear bond strength in MPa were: G1 (12.23), G2 (19.18), G3 (23.08), G4 (13.07), G5 (21.01), G6 (25.27), G7 (12.55), G8 (19.06), G9 (25.41), G10 (24.54), G11 (26.99), G12 (25.97). No statistical difference was found between the control group and groups bonded two weeks later. The bond strength values of the control group and those bonded 2 weeks later were higher than other groups. Statistically significant differences were found between the immediate and 1-week groups (p < 0.01). Immediately bonded groups had the lowest bond strength compared to the others (p < 0.05). No significant differences in bond strength were observed among three lightcuring units (p > 0.05). CONCLUSION: It was concluded that different light-curing units had no effect on shear bond strength of bleached dentin. A 2-week delay in restoration after bleaching improved the reduced bond strength of resin composite.