Center for Plastic & Reconstructive Surgery, Department of Stomatology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou 310014, Zhejiang, China; Department of Restorative Dentistry, Faculty of Dental Medicine, Hokkaido University, Kita 13, Nishi 7, Kita-ku, Sapporo 060-8586, Japan.
Department of Stomatology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou 310014, Zhejiang, China.
J Dent. 2023 Aug;135:104568. doi: 10.1016/j.jdent.2023.104568. Epub 2023 Jun 10.
To determine the effect of an extra hydrophobic resin layer (EHL) on the bond strength and durability of three different pH one-step universal adhesives (UAs) utilized in self-etch (SE) mode, and to explore whether UAs can be used as a primer in two-step bonding system.
Three different pH UAs were utilized: G-Premio Bond (GPB), Scotchbond Universal (SBU), All-Bond Universal (ABU), while the bonding agent of Clearfil SE Bond 2 (SE2) was selected as the EHL. For the EHL groups, EHL was applied after the air blow of each UA and before light curing. The microtensile bond strength (μTBS), fracture modes, interfacial structures and nanoleakage (NL) were evaluated after 24 h water storage and after 15,000 thermal cycling (TC). Elastic modulus (EM) and hardness (H) was tested by a nanoindenter after 24 h.
Significantly higher μTBS was achieved in the GPB+EHL group compared with GPB both at 24 h and after 15,000 TC, while the additional use of EHL did not improve the μTBS of SBU and ABU significantly both at 24 h and after 15,000 TC. GPB+EHL demonstrated lower NL than GPB. The mean EM and H of the adhesive layer in GPB+EHL was significantly decreased compared with GPB.
The results indicated that the bond strength and durability of low pH one-step UA (GPB) were significantly improved by additional application of EHL both at 24 h and after 15,000 TC, while no significant improvement was observed for ultra-mild one-step UAs (SBU and ABU).
This study indicates that GPB can be used as a primer in a two-step bonding system, while SBU and ABU may not be as effective. These findings may help guide clinicians in selecting the appropriate UAs and bonding techniques for different clinical scenarios.
确定额外疏水性树脂层(EHL)对三种不同 pH 值一步通用黏结剂(UAs)在自酸蚀(SE)模式下的黏结强度和耐久性的影响,并探讨 UAs 是否可作为两步法黏结系统中的底涂剂。
使用三种不同 pH 值的 UAs:G-Premio Bond(GPB)、Scotchbond Universal(SBU)、All-Bond Universal(ABU),同时选择 Clearfil SE Bond 2(SE2)的黏结剂作为 EHL。对于 EHL 组,在每个 UA 吹气后和光固化前应用 EHL。在 24 h 水储存后和 15000 次热循环(TC)后评估微拉伸黏结强度(μTBS)、断裂模式、界面结构和纳米渗漏(NL)。通过纳米压痕仪在 24 h 后测试弹性模量(EM)和硬度(H)。
与 GPB 相比,在 24 h 和 15000 TC 后,GPB+EHL 组的 μTBS 显著更高,而在 24 h 和 15000 TC 后,额外使用 EHL 对 SBU 和 ABU 的 μTBS 均无显著改善。GPB+EHL 的 NL 低于 GPB。与 GPB 相比,GPB+EHL 中黏结层的平均 EM 和 H 显著降低。
结果表明,通过额外应用 EHL,低 pH 值一步 UAs(GPB)的黏结强度和耐久性在 24 h 和 15000 TC 后均显著提高,而超轻度一步 UAs(SBU 和 ABU)则未见明显改善。
本研究表明,GPB 可作为两步法黏结系统中的底涂剂,而 SBU 和 ABU 可能效果不佳。这些发现可能有助于指导临床医生在不同临床情况下选择合适的 UAs 和黏结技术。