Effect of rotary instrumentation on composite bond strength with simulated pulpal pressure.

This study evaluated the effect of cutting teeth with different types of burs at various speeds on shear bond strength using Prime and Bond NT (Dentsply/DeTrey). A simulated pulpal pressure of 25-mmHg, equivalent to 34 cmH2O, was created in a false pulpal chamber filled with distilled water and maintained for seven days. The human teeth were divided into six groups of 10 teeth each: fine grit straight fissure diamond bur in air rotor (DA), fine grit straight fissure diamond bur in micromotor (DM), crosscut fissure carbide bur in air rotor (CCA), crosscut fissure carbide bur in micromotor (CCM), plain fissure carbide bur in micromotor (CM) and #600-grit silicon carbide paper (SiC). The tooth surfaces in these groups were cut under copious air-water spray and treated with Prime and Bond NT after etching with 38% phosphoric acid. Composite restorations were then prepared with TPH spectrum (Dentsply/ DeTrey). After soaking in water at 37 degrees C for 24 hours, the specimens were loaded at a 45 degrees angle to their longitudinal axes by using a Z 010 Universal Testing Machine (Zwick), and shear bond strengths were determined at a crosshead speed of 2 mm/minute. All of the specimens were then observed under Stereomicroscope at 10x. Statistical analysis was made using one-way and two-way ANOVA and t-test (p < 0.05). The bond strengths achieved with a fine grit straight fissure diamond bur, a crosscut fissure carbide bur in air rotor and a crosscut fissure carbide bur in micromotor, were significantly higher than a fine grit straight fissure diamond bur, a plain fissure carbide bur and #600-grit silicon carbide abrasive paper in the micromotor. Therefore, selecting an appropriate bur and its speed may improve bonding for adhesive systems, although crosscut fissure carbide burs produced high bond strengths at either speed used.