Effects of surface wetness of etched dentin on bonding durability of a total-etch adhesive system: comparison of conventional and dumbbell-shaped specimens.

The dentin bonding durability of a total-etch adhesive system (Prime & Bond NT) was investigated by tensile bond test using conventional and dumbbell-shaped specimens. Two bonding techniques were compared. After etching and rinsing, dentin surface was either blotted by cotton ball (wet-bonding) or air-dried (dry-bonding) before bonding agent was applied. The bond strength of wet-bonding specimens was significantly higher than that of dry-bonding for both conventional and dumbbell-shaped specimens after one day. The bond strength of wet-bonded conventional specimens did not decrease after two years of water immersion, but cohesive failure in demineralized dentin was observed after two years. Wet-bonded dumbbell-shaped specimens showed cohesive failure within demineralized dentin after only one day. The bond strength of dry-bonded conventional specimens decreased significantly after one year, and cohesive failure in demineralized dentin was confirmed after three months. As for dry-bonded dumbbell-shaped specimens, they showed cohesive failure in demineralized dentin after one month. The results of the present study showed that the bonding durability of dry-bonded Prime & Bond NT restorations was lower than that of wet-bonded restorations. Further, by using tensile bond test, cohesive failure in demineralized dentin was detected earlier in dumbbell-shaped specimens than in conventional specimens.