The effects of desensitizing resin, resin sealing, and provisional cement on the bond strength of dentin luted with self-adhesive and conventional resincements

摘要

Statement of problem: Self-adhesive resin cements were designed to bond without any pretreatment of dentin. However, pretreatments such as the application of desensitizing resin or the resin sealing of dentin with priming/bonding solutions might influence the bonding quality of these self-adhesive resin cements. Little is known about the effect of dentin pretreatment on the bond quality of self-adhesive resin cements. Purpose: This study evaluated whether dentin desensitizing or sealing methods influenced the shear bond strength of 1 self-adhesive and 2 conventional resin cements. Material and methods: One-hundred and eighty human molars were assigned to 5 different pretreatment groups: 1) freshly ground dentin, 2) glutaraldehyde/ hydroxyethylmethacrylate (HEMA) desensitized dentin (Gluma), 3) contamination of desensitized dentin with provisional cement, 4) sealed dentin (dual bonding technique), and 5) contamination of sealed dentin with provisional cement. The shear bond strength of a self-adhesive resin cement (RelyX Unicem; RXU) and 2 conventional resin cements (Variolink II; VAR, Panavia 21; PAN) was assessed for each pretreatment group (n=12 per cement types). Two-way ANOVA and 1-way ANOVA together with the post hoc Tukey multiple comparison (α=.05) were performed. Results: On freshly ground dentin, PAN exhibited the highest shear bond strength values (P<.001). The use of the glutaraldehyde/HEMA resulted in a significant increase in the bond strength of RXU as compared to fresh dentin (P<.001). Resin sealing of dentin increased the bond strength of RXU but had no significant effect on VAR or PAN. RXU exhibited the highest mean bond strength after the contamination of resin-sealed dentin by provisional cement. Conclusions: Glutaraldehyde/HEMA treatment and resin sealing of dentin have a beneficial effect on the shear bond strength of self-adhesive resin cement (RXU). Contamination of dentin with provisional cement has no influence on the bond strength of the self-adhesive resin cement (RXU) or VAR but lowered the bond strength of PAN. (J Prosthet Dent 2012;107:252-260)