An in vitro assessment of the effects of three surface treatments on repair bond strength of aged composites

Oper Dent. 2011 Nov-Dec;36(6):608-17. doi: 10.2341/10-386-L. Epub 2011 Aug 22.

Abstract

Objective: This study evaluated the effectiveness of three surface treatments on repair shear bond strength (SBS) of aged composites.

Methods: A total of 120 cylindrical samples made of a micro-hybrid composite (Clearfil AP-X) were randomly assigned to one control and three experimental groups (n=30) after water storage (3 weeks). All experimental groups included surface roughening with diamond burs. Subsequent treatments were provided as follows: group 1 - only (self-etching) bonding; group 2 - silane and bonding; and group 3 - phosphoric acid etching, silane, and bonding. The composites were repaired with the same brand and were aged (water storage [48 hours] and thermocycling [2000 cycles]). Each group was divided into two subgroups (each, n=15): new - water storage at 37°C for one week; old - water storage for six months. The SBS was tested. The fracture mode was assessed under 40× magnification.

Results: Mean SBS values (MPa) for the study subgroups were as follows: control (new: 3.38 ± 1.6; old: 1 ± 0.76), group 1 (new: 27.3 ± 1.8; old: 25.7 ± 1.9), group 2 (new: 59.1 ± 7.9; old: 50.8 ± 4.6), and group 3 (new: 48.5 ± 8.6; old: 39 ± 3.5). Significant influence of the conditioning method and the duration of water storage was observed (p<0.01 [two-way analysis of variance {ANOVA}]). The SBS of all groups were significantly different (all p values <0.01 [Tukey]). Longer water storage time significantly reduced repair bond strength in all experimental groups (p<0.01). Although the control group and group 1 showed approximately 100% and 75% adhesive failures, respectively, groups 2 and 3, respectively, demonstrated about 75% mixed and cohesive failures. Weibull analysis showed that groups 2 and 1 had the lowest and highest probabilities of failure among the experimental groups, respectively.

Conclusion: All experimental groups produced acceptable SBS levels; however, use of silane and bonding systems showed the most superior results. Acid etching reduced the SBS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Composite Resins*
  • Dental Bonding / methods*
  • Dental Etching
  • Dental Restoration Failure
  • Dental Restoration Repair* / methods
  • Dental Stress Analysis
  • Methacrylates
  • Random Allocation
  • Resin Cements*
  • Shear Strength
  • Silanes
  • Surface Properties
  • Survival Analysis
  • Time Factors
  • Water

Substances

  • Clearfil AP-X
  • Composite Resins
  • Methacrylates
  • Resin Cements
  • Silanes
  • Water