Effect of etching on bonding of a self-etch adhesive to dentine affected by amelogenesis imperfecta

J Investig Clin Dent. 2018 Feb;9(1). doi: 10.1111/jicd.12276. Epub 2017 Jun 13.

Abstract

Aim: Dentine affected by amelogenesis imperfecta (AI) is histologically altered due to loss of hypoplastic enamel and becomes hypermineralized. In the present study, we examined the effect of additional acid etching on microtensile bond strength of a self-etch adhesive to AI-affected dentine.

Methods: Flat coronal dentine obtained from extracted AI-affected and non-carious permanent molars were allocated to two groups: (a) Clearfil SE Bond (control); and (b) Clearfil SE Bond and additional etching with 34% phosphoric acid for 15 seconds. The bonded teeth were sectioned into .8-mm2 beams for microtensile bond strength testing, and stressed to failure under tension. The bond strength data were analyzed using two-way analysis of variance (dentine type and etching step) and Student-Newman-Keuls multiple comparison test (P<.05). Representative fractured beams from each group were examined under scanning electron microscopy.

Results: Both factors, dentine substrate (P<.001) and etching step (P<.05), and their interactions (P<.001), were statistically significant. Additional etching had an adverse effect on the bond strength of Clearfil SE Bond to normal dentine (P<.005), and no significant improvement was found for AI-affected dentine (P=.479).

Conclusion: Additional acid etching does not improve the bond strength of a self-etch adhesive to AI-affected dentine.

Keywords: acid-etching; amelogenesis imperfecta; bond strength; dentin; self-etch.

MeSH terms

  • Acid Etching, Dental / adverse effects*
  • Acid Etching, Dental / methods
  • Amelogenesis Imperfecta / pathology*
  • Analysis of Variance
  • Composite Resins / chemistry
  • Dental Bonding / methods*
  • Dental Restoration, Permanent / methods
  • Dental Stress Analysis
  • Dentin / drug effects*
  • Dentin / pathology*
  • Dentin-Bonding Agents / chemistry*
  • Humans
  • In Vitro Techniques
  • Materials Testing
  • Microscopy, Electron, Scanning
  • Molar / pathology
  • Phosphoric Acids
  • Resin Cements
  • Stress, Mechanical
  • Surface Properties
  • Tensile Strength
  • Time Factors

Substances

  • Clearfil SE Bond
  • Composite Resins
  • Dentin-Bonding Agents
  • Phosphoric Acids
  • Resin Cements
  • phosphoric acid