Effect of caries removal techniques on the bond strength of adhesives to caries-affected primary dentin in vitro

Eur J Paediatr Dent. 2013 Sep;14(3):209-14.

Abstract

Aim: The aim of this in vitro study is to evaluate the effects of three different caries removal techniques on the microtensile bond strength of adhesive materials to caries-affected dentin.

Materials and methods: Thirty primary molar teeth were used. The teeth were randomly divided into three groups according to the caries removal technique employed: conventional steel bur (group 1); Er:YAG laser (group 2); chemomechanical method (group 3). Each group was divided into two subgroups according to bonding agents: one-step self-etch adhesive and etch-and-rinse adhesive. The teeth were restored with composite resin. Vertical sticks were obtained and subjected to tensile stress. Data were analyzed by two-way analysis of variance (ANOVA), Tukey's test and an independent samples t-test.

Results: The values for the laser groups were significantly lower than those of the bur groups for both bonding agents (p<0.05). There were no significant differences between the bur and chemomechanical groups (p > 0.05).

Conclusion: Bur and chemomechanical techniques in primary teeth were found more successful. Similar results were found according to the adhesives used for each caries removal techniques.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adhesiveness
  • Composite Resins / chemistry
  • Curettage / instrumentation
  • Dental Bonding*
  • Dental Caries / therapy*
  • Dental Cavity Preparation / instrumentation
  • Dental Cavity Preparation / methods*
  • Dental Cements / chemistry
  • Dental High-Speed Equipment
  • Dental Materials / chemistry
  • Dental Restoration, Permanent / methods
  • Dental Stress Analysis / instrumentation
  • Dentin / ultrastructure*
  • Dentin-Bonding Agents / chemistry*
  • Glutamic Acid / therapeutic use
  • Humans
  • Laser Therapy / instrumentation
  • Lasers, Solid-State / therapeutic use
  • Leucine / therapeutic use
  • Lysine / therapeutic use
  • Materials Testing
  • Methacrylates / chemistry
  • Microscopy, Electron, Scanning
  • Molar / ultrastructure
  • Steel / chemistry
  • Stress, Mechanical
  • Surface Properties
  • Tensile Strength
  • Tooth, Deciduous / ultrastructure*

Substances

  • Adper single bond 2
  • Carisolv
  • Composite Resins
  • Dental Cements
  • Dental Materials
  • Dentin-Bonding Agents
  • Filtek Z250
  • G-Bond
  • Gradia
  • Methacrylates
  • Steel
  • Glutamic Acid
  • Leucine
  • Lysine