Bond Strengths of Resin Cements to Astringent-contaminated Dentin

Abstract
The contamination of the dentin surface with an astringent-containing aluminum chloride does not reduce the bond strength of either the resin cement used in conjunction with an etch-and-rinse or the resin cement with a self-etching adhesive. However, the contamination probably interferes with the etching ability of the self-etching primer and the adaptation of the resin cement to the dentin surface. The current study evaluated the micro-shear bond strength of two resin cements to astringent-contaminated dentin. Twelve occlusal dentin discs were prepared from extracted caries-free human molars and divided into two groups subjected to two types of resin cements, Panavia F (PF) and Variolink II (VL). Each disc was ground with 600 grit SiC paper and sectioned into two semi-disks, one for the normal dentin surface and the other for the contaminated dentin surface. For contaminated dentin, an astringent containing aluminum chloride was applied for two minutes and rinsed before the bonding procedures. A micro tygon tube was placed on the dentin surface following the bonding application and then filled with a resin cement. After the resin was polymerized, the specimen was kept in water for 24 hours before the micro-shear bond strengths evaluation. The micro morphology of the treated surfaces and resin-dentin interfaces were observed under a scanning electron microscope (SEM). Aluminum content under different dentin conditions was also examined. No significant differences were found between the dentin bond strengths to normal dentin and contaminated dentin surfaces in both the PF and VL groups (p>0.05). PF showed similar bond strengths to VL on normal and contaminated dentin (p>0.05). SEM observations of the VL groups revealed no differences in the treated dentin surfaces and the resin-dentin interfaces between normal and contaminated dentin. However, for the PF group, an inconsistent etching pattern of the self-etching primer and gap formation at the interface of resin cement to contaminated dentin were observed.