beauty and science

PROGRAM

THE 5TH INTERNATIONAL CONGRESS ON

ADHESIVE DENTISTRY
JUNE 14-15, 2013
UNIVERSITY OF PENNSYLVANIA
ANNENBERG CENTER FOR PERFORMING ARTS
PHILADELPHIA, PA

HOSTED BY
 On behalf of the entire Penn Dental Medicine community, I want
to welcome you to Philadelphia and the University of Pennsylvania campus for
the 5th International Congress on Adhesive Dentistry.
Penn Dental Medicine is especially pleased to be hosting this special meeting.
Under the leadership of Dr. Markus Blatz, our Department of Preventive
and Restorative Sciences organizing committee and the global executive
committee have brought together a truly remarkable group of international
clinicians, researchers, and industry leaders to share the latest advances in
adhesive dentistry.
The rapidly growing and changing field of adhesive dentistry is greatly
improving esthetics while also increasing treatment options across specialties,
message from the dean
and this program offers a unique opportunity to not only learn about the latest
techniques and technologies, but also to explore new collaborations with
colleagues. I am looking forward to the professional exchange and encourage
you to be part of the discussions.
Thank you for joining in this international gathering. Enjoy the program and your
visit to Philadelphia and the Penn campus.
Denis F. Kinane, BDS, PhD
Morton Amsterdam Dean
Penn Dental Medicine
It is with sincere pleasure and great excitement that I welcome you
to the 5th International Congress on Adhesive Dentistry (IAD).
Adhesive dentistry has fundamentally altered and literally transformed our
field toward significantly less invasive, more esthetic, and longer-lasting dental
restorations. In addition, adhesive technologies and resin bonding have vastly
expanded clinical treatment options and become key elements of almost every
specialty area in modern dentistry. The fast-pace clinical improvements, scientific
discoveries, and industry developments are simply fascinating, and we are just
beginning to understand the impact adhesive dentistry has on the future of our
profession.
The 5th IAD serves as a unique international platform for clinicians, researchers,
and the dental industry to focus on this exciting topic, define the state of the
welcome
science, and discuss future clinical needs and developments.
Over the next two days, some of the most eminent researchers and leaders from
around the world will share their latest, cutting-edge science and state-of-art
esthetics. These two days are structured by topics, starting with the history and
current state of dental adhesion followed by discussing some of the challenges
and a look into the future. The afternoon of the first day will feature a scientific
corporate forum, where industry leaders will discuss their latest innovations and
developments.
Day two will focus on adhesive restorative materials and treatment options,
including updates on composite resin materials for direct restorations and on
adhesion to indirect materials, such as dental ceramics. Adhesive dentistry in
prosthodontics and endodontics will be addressed in the afternoon, covering
topics such as endodontic posts and posterior inlays/onlays and culminating in
a journey into the world of bonded laminate veneers from a dental technician’s
point of view.
Peer-reviewed scientific and clinical poster presentations pertaining to all aspects
of adhesive dentistry will be open to you during the course of the congress.
Awards for the best posters will be presented at the conclusion of the meeting.
In this globally connected fast-pace world and in light of the rising importance of
dental adhesion, we believe that it is time to start a focused society of eminent
experts, researchers, clinicians, and leaders from around the world. We are,
therefore, excited to announce that during the 5th IAD, we will hold the founding
meeting of the THE INTERNATIONAL ACADEMY FOR ADHESIVE DENTISTRY (IAAD)
during Friday’s lunch break.
Let me thank all the people involved in making this congress a great success: the
global executive committee; our local organizing committee, faculty, and staff;
the speakers, poster presenters, and moderators; and – last but not least – our
industry sponsors: without your generous support, partnership, and guidance, this
meeting would not be possible.
Welcome and thank you for joining us to celebrate the state-of-the-art and future
of adhesive dentistry.
Markus B. Blatz, DMD, PhD
President of the 5th IAD
Chair and Professor of Preventive and Restorative Sciences

Penn Dental Medicine
Continuing Education Credits
Attendees of this two-day program can earn up to 13 continuing education credits.
The University of Pennsylvania School of Dental Medicine is an ADA CERP Recognized Provider. ADA CERP is
a service of the American Dental Association to assist dental professionals in identifying quality providers of
continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor
does it imply acceptance of credit hours by boards of dentistry.
celebration
WELCOME
FRIDAY, JUNE 14, 2013
6:30 PM
Join us at Penn Dental Medicine,
240 South 40th Street, for a special
welcome reception with colleagues.
Visit, relax, and enjoy the music of the
Dave Manley Trio and DJ Mark B.
5th IAD Organizing Committee
MEMBERS TITLE
Markus Blatz President, 5th IAD, Penn Dental Medicine, USA
Fusun Ozer Vice President, 5th IAD, Penn Dental Medicine, USA
Junji Tagami Senior Vice President, 5th IAD, and President, 1st IAD,
Tokyo Medical and Dental University, Japan
Syngcuk Kim Continuing Education Chair, Penn Dental Medicine, USA
Ricardo Walter Scientific Chair, 5th IAD, Penn Dental Medicine, USA
Alan Atlas Corporate Relations Chair, 5th IAD, Penn Dental Medicine, USA
Najeed Saleh Clinic Committee Chair, 5th IAD, Penn Dental Medicine, USA
Executive Committee/Scientific Advisory Board
MEMBERS AFFILIATION
Luiz Baratieri Federal University of Santa Catarina, Brazil
Stephen Bayne University of Michigan, USA
Lorenzo Breschi University of Trieste, Italy
Ji-Hua Chen President, 3rd IAD, Fourth Military Medical University, P.R. China
William Cheung Hong Kong, China
Didier Dietschi Geneva, Switzerland
Sillas Duarte University of Southern California, USA
Jack Ferracane Oregon Health and Science University, USA
Franklin Garcia-Godoy University of Tennessee, USA
Satoshi Imazato Osaka University, Japan
Fatma Koray Istanbul University, Turkey
Hideo Matsumura Past President, Japanese Society of Adhesive Dentistry,
Nihon University, Japan
Yasuko Momoi President, Japanese Society of Adhesive Dentistry,
Tsurumi University, Japan
Yoichiro Nara Nippon Dental College, Japan
Mutlu Ozcan University of Zurich, Switzerland
committees
David Pashley Georgia Health Sciences University, USA
Patricia Pereira
Jorge Perdigao
University of Brasilia, Brazil
University of Minnesota, USA
John Powers University of Texas, USA
Andre Ritter University of North Carolina, USA
Jean-Francois Roulet University of Florida, USA
Hideiko Sano Hokudai University, Japan
Gottfried Schmalz University of Regensburg, Germany
Akira Senda President, 2nd IAD, Aichi Gakuin University, Japan
Ho-Hyun Son President, 4th IAD, Seoul National University, Korea
Kazuhiko Suese
Edward Swift
Osaka Dental College, Japan
University of North Carolina, USA
Bart Van Meerbeck University of Leuven, Belgium
Nairn Wilson King College of England, U.K.
4 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY PROGRAM OVERVIEW 5

FRIDAY, JUNE 14, 2013 SATURDAY, JUNE 15, 2013

7:00-8:00 AM REGISTRATION AND BREAKFAST 7:00 – 8:00 AM BREAKFAST

Session I – History and Current State of Dental Adhesion Session I – Composite Resin Update
Moderator: Jean-Francois Roulet, DDS Moderator: Edward J. Swift, DMD, MS
8:00 – 8:10 AM OPENING REMARKS 8:00 – 8:10 AM OPENING REMARKS
Markus Blatz, DMD, PhD Markus Blatz, DMD, PhD
8:10 – 8:40 AM THE ORIGIN AND DEVELOPMENT OF DENTIN ADHESIVES 8:10 – 8:40 AM PROPOSAL FOR NEW CLINICAL RESEARCH TRIAL DESIGN FOR COMPOSITES
Nairn Wilson, CBE, DSc (hc), FDS, FFGDP, FFD, FKC Stephen Bayne, MS, PhD, FADM
8:40 – 9:10 AM CLINICAL CHALLENGES IN ADHESIVE DENTISTRY 8:40 – 9:10 AM ADVERSE EFFECTS OF COMPOSITE MATERIALS
Sillas Duarte, DDS, MS, PhD Gottfried Schmalz, DDS, DMD, PhD
9:10 – 9:40 AM LONG-TERM DURABILITY OF CURRENT ADHESIVES 9:10 – 9:40 AM RESIDUAL STRESSES OF VARIOUS DENTAL COMPOSITES
Lorenzo Breschi, DDS, PhD, FADM Jeong-won Park
9:40 – 10:10 AM Q&A/BREAK 9:40 – 10:10 AM Q&A/BREAK

Session II – History and Current State of Dental Adhesion Session II – Composite Resin Update
Moderator: Jean-Francois Roulet, DDS Moderator: Edward J. Swift, DMD, MS
10:10 – 10:40 AM MULTI-MODE ADHESIVES: CLINICAL AND LABORATORY RESEARCH 10:10 – 10:40 AM RESIN COMPOSITE CONTRACTION STRESS AND ITS EFFECT ON THE ADHESIVE INTERFACE
Jorge Perdigao, DMD, MS, PhD Jack Ferracane, PhD
10:40 – 11:10 AM IMPROVED BOND DURABILITY USING A SELF-ETCH APPROACH 10:40 – 11:10 AM STRATEGIES FOR PREVENTING GAP FORMATION
Bart Van Meerbeek, DDS, PhD Junji Tagami, DDS, PhD
11:10 – 11:40 AM DENTIN BONDING: WHAT IS THE WEAKEST LINK? 11:10 – 11:40 AM PREDICTABLE USE OF COMPOSITES IN ANTERIOR TEETH
Patricia Pereira, DDS, PhD Luiz Baratieri , DDS, MS, PhD
11:40 – 11:50 AM Q&A 11:40 – 11:50 AM Q&A
11:50 – 12:50 PM LUNCH AND FOUNDING MEETING OF THE THE INTERNATIONAL ACADEMY
FOR ADHESIVE DENTISTRY (IAAD), ROOM 221, ANNENBERG CENTER
Special Lecture Series
Moderator: Markus Blatz, DMD, PhD
Session III – Update and Future of Dental Adhesion 11:50 – 12:05 PM BONDING PERFORMANCE OF RECENT ALL-IN-ONE ADHESIVE SYSTEMS
Moderator: Andre Ritter, DDS, MS Yoichiro Nara, DDS, PhD
12:50 – 1:20 PM FUTURE ASPECTS CONCERNING DURABILITY OF DENTIN BONDING 12:05 – 12:20 PM NOVEL STRATEGY FOR DENTIN REMINERALIZATION
Hidehiko Sano, DDS, PhD Takashi Saito, DDS, PhD
1:20 – 1:50 PM DIMINISHING NANOLEAKAGE AT THE BONDING INTERFACE OF COMPOSITE RESIN AND DENTIN 12:20 – 12:35 PM BONDING CAPACITY OF LAYERING MATERIALS TO ZIRCONIA FRAMEWORKS
Ji-hua Chen, PhD, DDS Futoshi Komine, DDS, PhD
1:50 – 2:20 PM NANO-CHARACTERIZATION OF REINFORCED ENAMEL AND DENTIN BY SELF-ETCH ADHESIVES: 12:35 – 1:30 PM LUNCH
SUPER TOOTH FORMATION
Toru Nikaido, DDS, PhD
2:20 – 2:50 PM Q&A/BREAK Session III – The Resin Bond to Dental Materials
Moderator: Markus Blatz, DMD, PhD
1:30 – 2:00 PM TOOTH-COLORED INLAYS & ONLAYS: CLINICAL AND SCIENTIFIC EVIDENCE
Session IV – Update and Future of Dental Adhesion Didier Dietschi, DMD
Moderator: Andre Ritter, DDS, MS 2:00 – 2:30 PM REPAIR OF THE RESTORATIONS WITH DENTAL ADHESIVES
2:50 – 3:20 PM RELATIVE CONTRIBUTIONS OF MMPS VERSUS CATHEPSIN K TO DENTIN COLLAGEN DEGRADATION Fatma Koray, DDS, PhD
David Pashley, BS, DMD, PHD 2:30 – 3:00 PM INTERFACIAL ADHESION BETWEEN ADHESIVE RESIN AND ROOT CANAL DENTIN
3:20 – 3:50 PM CUTTING EDGE TECHNOLOGY TO PROVIDE ADHESIVE MATERIALS Hirofumi Yatani, DDS, PhD
WITH BIO-PROTECTIVE/BIO-PROMOTING FUNCTION 3:00 – 3:30 PM Q&A/BREAK
Satoshi Imazato, DDS, PhD
3:50 – 4:20 PM GLOBAL EFFORTS TO STANDARDIZE THE BOND STRENGTH TEST FOR DENTAL ADHESION IN ISO/TC106
Yasuko Momoi, DMD, PhD Session IV – The Resin Bond to Dental Materials
4:20 – 4:30 PM Q&A Moderator: Markus Blatz, DMD, PhD
3:30 – 4:00 PM BONDING OF FIBER POST: THE CHALLENGES AND SOLUTIONS
William Cheung, DMD, FAGD, FADI, FICD
Corporate Scientific Forum 4:00 – 4:30 PM ADHESION TO CERAMICS: TECHNICAL AND CLINICAL PARAMETERS
Moderator: Alan Atlas, DMD Mutlu Ozcan, DDS, PhD
4:40 – 6:00 PM KURARAY, DENTSPLY, SHOFU, 3M ESPE 4:30 – 5:00 PM PAST << FUTURE – A CHALLENGE TO NATURAL TEETH
Naoki Hayashi, RDT
5:00 – 5:10 PM Q&A
Welcome Celebration 5:10 – 5:30 PM SCIENTIFIC AWARDS PRESENTATION
6:30 PM PENN DENTAL MEDICINE, WITH SPECIAL MUSICAL GUESTS
THE DAVE MANLEY TRIO AND DJ MARK B
6 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY
FRIDAY, JUNE 14, 2013, SPEAKERS
Session I – H
 istory and Current State
of Dental Adhesion
THE ORIGIN AND DEVELOPMENT OF DENTIN ADHESIVES
Presentation abstract: Systems for adhesion to dentin and enamel
bonding are recognized to stem from the work of Buonocore
in the 1950s. While bonding to enamel has become reliable
and predictable, with typically excellent longevity, adhesion to
dentin, despite many remarkable advances and innovations and
its extensive application in clinical practice, has yet to achieve
similar success. Much of the difficulty experienced in consistently
producing an effective, durable, and long lasting bond to dentin
is related to the complex structure and variable nature and DR. NAIRN WILSON
composition of dentin substrates encountered clinically, and the
difficulty in applying adhesive systems in a precise manner in complex cavity forms. The
work of Fusyama and co-workers in 1979, which heralded the now routine etching of
operatively exposed dentin, followed by the description of the resin-infiltrated hybrid
layer by Nakabyashi and co-workers in 1982, were transformational in the evolution
of dentin adhesion technologies. Subsequently, a substantial and ever expanding
body of knowledge and understanding on aspects of adhesion to dentin has evolved
and developed through sustained commercial investment and a vast, diverse body
of basic, translational and clinical research, which has become, and is anticipated
to remain a major element of dental biomaterials science. A great deal has been
achieved, but, as acknowledged by the many champions, let alone pioneers and
giants in the field, more remains to be done to realize the goal of adhesive systems
and techniques being considered by clinicians at all levels to be convenient and
reliably effective in producing predictable, durable adhesive bonds across the broad
spectrum of the many existing and possible future applications for dentin adhesives.
In the meantime, the many different clinical options and considerable patient
benefits made possible by modern adhesive dentistry are considered to be cause
for considerable celebration. Indeed, operative and esthetic dentistry, in particular,
have been transformed in ways which were previously unimaginable, and taken to
new levels of sophistication by recent and existing dentin adhesive technologies.
Dentin adhesives are not only here to stay, but will play an ever increasing role in the
restoration, preservation, esthetic enhancement and replacement of teeth.
Speaker Bio: Nairn Wilson, CBE, DSc (hc), FDS, FFGDP, FFD, FKC, is honorary Professor of
Dentistry at King’s College London, where he was Professor of Restorative Dentistry and
Dean and Head of the College’s internationally renowned Dental Institute between
2001 and 2012, and Deputy Vice Principal (Health) between 2009 and 2012. His many
other positions have included President of the General Dental Council (1999-2003) and
more recently Co-chair of the Forum of European Heads and Deans of Dental Schools
(2007- 2012). His interests and special expertise encompass the regulation of dentistry,
notes
international trends in dental education, and future developments in the clinical
practice of dentistry. Among various other activities, Nairn continues to hold a number
of senior positions in dentistry and to author and edit books and articles for a wide
range of dental publications.
SPEAKERS 7
CLINICAL CHALLENGES IN ADHESIVE DENTISTRY
Presentation Abstract: Performing successful and satisfying
bonded restorations is still dependent on numerous factors,
especially with respect to material selection and marginal
integrity. This presentation provides a systematic and scientific
approach for enhancing bonded esthetic restorations based
on original research data with special emphasis on techniques,
postoperative sensitivity control, and new materials design and
selection. DR. SILLAS DUARTE
Speaker Bio: Sillas Duarte, DDS, MS, PhD, is Associate Professor
and Chair, Division of Restorative Sciences, Ostrow School of Dentistry of University
of Southern California. He is the editor-in-chief of Quintessence of Dental Technology
(QDT), served on the editorial boards of other journals, and has lectured and published
nationally and internationally on esthetic dentistry and adhesion. He has been involved
in teaching cutting-edge clinical techniques and technologies related to esthetic and
adhesive dentistry. Dr. Duarte’s scientific work has been supported by governmental
and commercial grants and he serves as a consultant for several manufacturers. His
research focus is on bonding to dental structures, composites, and ceramics.
LONG-TERM DURABILITY OF CURRENT ADHESIVES
Presentation abstract: The aim of this presentation will be
a critical review of the latest improvements of the dental
adhesives systems and composites, analyzing physical and
chemical characteristics of each of the most common dentin
bonding systems currently available on the market. Chemical
background and physical characteristics of the bonding systems
and composites will be analyzed to understand the clinical
capabilities and the possible role of the clinician to obtain the DR. LORENZO BRESCHI
highest performances, in terms of bond strength, durability,
and post-op sensitivity. The lecture will try to clarify mechanisms that determine bond
stability and the role of the different degrading phenomena affecting the stability of
the hybrid layer. They include: 1) increasing the degree of conversion of adhesives; 2)
the use of inhibitors of dentin endogenous collagenolytic enzymes; 3) the use of cross-
linking agents for silencing the activities of dentin endogenous collagenolytic enzymes;
4) “ethanol wet bonding”; 5) biomimetic remineralization of the water-filled domains of
the hybrid layer. Finally, some clinical tips to allow obtaining the highest performances,
in terms of bond durability and stability of the adhesive interface, will be presented.
Speaker Bio: Lorenzo Breschi, DDS, PhD, FADM, received his DDS degree at the
University of Bologna, Italy, in 1994. In 1998, he defended his PhD dissertation at the
University of Bologna. He is now Associate Professor at the University of Trieste (Italy)
at the Dental Clinic of the Department of Medical Sciences. Dr. Breschi is actively
involved in research on the ultrastructural aspects of enamel and dentin and their
interactions with modern adhesives systems. He has published more than 150 papers
on peer-reviewed journals on different aspects of adhesion and restorative materials.
He is a member of the Dental Materials Group of the IADR, Fellow and President of
the Academy of Dental Materials, active member of the Italian Society of Operative
notes
Dentistry (SIDOC) and of the Italian Academy of Conservative Dentistry (AIC). He is
Associate Editor of The Journal of Adhesive Dentistry and belongs to the editorial board
of several international scientific journals.
8 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY SPEAKERS 9

Session II – H
 istory and Current State
of Dental Adhesion
MULTI-MODE ADHESIVES: CLINICAL
AND LABORATORY RESEARCH
Presentation abstract: Most multi-mode adhesives can be used as
etch-and-rinse or as self-etch adhesives. These bonding materials
have been recently introduced with only short-term clinical
data backing their use. These new adhesives may bond to tooth
structure through hybridization or chemical bonding, as they
contain a phosphate monomer known by its chemical adhesion
to hydroxyapatite. This presentation will discuss in vitro and clinical DR. JORGE PERDIGAO
results associated with the new multi-mode adhesives, as well
potential clinical shortcomings.
Speaker Bio: Jorge Perdigao, DMD, MS, PhD, received his DMD degree from the
University of Lisbon, Portugal, in 1985. In 1992, he earned a Master’s degree in
Operative Dentistry from the University of Iowa, and in 1993, he received a Certificate
degree in Operative Dentistry from there as well. In 1995, he earned his PhD in Dental
Materials at the Catholic University of Leuven, Belgium. His academic career started
at the University of Lisbon, Portugal. Dr. Perdigão served as an Associate Professor
of Operative Dentistry at the University of North Carolina at Chapel Hill from 1996 to
1999, and is now Full Professor of Operative Dentistry at the University of Minnesota.
He is involved in research of new dental materials mainly in the area of dentin
bonding and new composite resins. Dr. Perdigão is Associate Editor of The Journal of
Adhesive Dentistry and Section Editor of Operative Dentistry in the Journal of Esthetic
and Restorative Dentistry. He served as member of the Editorial Board of the Journal of
Dental Research from 2009-2011, and is currently a member of the Editorial Board of the
American Journal of Dentistry and the Italian Journal of Operative Dentistry.
IMPROVED BOND DURABILITY USING
A SELF-ETCH APPROACH
Presentation abstract: Current dental adhesive technology
follows either an ‘etch-and-rinse’ or ‘self-etch’ approach. Today,
enamel still requires phosphoric-acid etching to obtain a durable
bond. Although functional monomers in self-etch adhesives are
designed to chemically interact with hydroxyapatite (HAp), the
structure, size, and orientation of enamel HAp-crystals appear to
provide insufficient chemical bonding sites to achieve durable DR. BART VAN MEERBEEK
bonding to enamel. Sufficient micro-mechanical interlocking
provided by the ‘etch-and-rinse’ step remains primarily needed. At dentin, phosphoric
acid may today be less preferred, as the adhesives are generally not capable to
envelop the exposed collagen tight enough, so to make the relatively thick hybrid
layer resistant to hydrolytic and enzymatic degradation processes. ‘Ethanol wet-
Speaker Bio: Bart Van Meerbeek, DDS, PhD, obtained his DDS in 1988 and his PhD in
1993 at KU Leuven (University of Leuven) in Belgium. He continued his research activity
abroad during one year at the University of Texas Health Science Center at San
Antonio, Texas, and later at the University of Missouri-Kansas City. In 1995, he became
Assistant Professor (‘Docent’) at KU Leuven, and since then, teaches Biomaterial
Sciences. In 1998 and 2002, he was promoted respectively to Associate Professor
(‘Hoofddocent’) and Professor (‘Hoogleraar’), and in 2005, to Full Professor (‘Gewoon
Hoogleraar’). His primary research interest involves studies related to the adhesion of
restorative materials to tooth tissue. In 2003, he became holder of the Toshio Nakao
Chair for Adhesive Dentistry. He was President of the Pan-European-Federation of
the International Association of Dental Research (IADR) in 2006-2007, and is currently
Secretary of the Continental-European-Division of IADR (CED-IADR). Since 2004, he is
co-Editor-in-Chief of The Journal of Adhesive Dentistry.
DENTIN BONDING: WHAT IS THE WEAKEST LINK?
Presentation abstract: The development of new dentin bonding
systems has promoted great advances in adhesive dentistry and
changes in direct and indirect adhesive restorative procedures.
Despite these advances, the durability of bonded restorations
remains uncertain. There are many intrinsic and extrinsic factors
that affect bonding. Dentin permeability, morphology, wetness
and depth, pulpal pressure, and regional difference, hybrid layer
degradation are important factors which affect dentin bonding.
DR. PATRICIA PEREIRA
In addition, physicochemical properties of the adhesive and
resin composite, contamination during the bonding process, and external stresses may
negatively affect the quality and durability of the bonded restoration. This presentation
will review different structures of the dentin/adhesive/composite interfaces and relate
to clinical long-term successful and unsuccessful outcomes of adhesive restorations.
Speaker Bio: Patricia Pereira, DDS, PhD, received her DDS degree from the University
of the Planalto Central, Brasilia, Brazil, and a PhD degree in Operative Dentistry from
Tokyo Medical and Dental University (TMDU), Japan. She also spent two years as a
Postdoctoral Fellow in the same department at TMDU. Dr. Pereira has taught at the
University of North Carolina at Chapel Hill and is currently a Professor at the Dental
School, University of Brasilia, Brazil. Dr. Pereira is actively involved in dental materials
research, in the area of adhesive and esthetic dentistry, involving direct and indirect
adhesive procedures. She also maintains extramural practice, and is co-owner of the
CE institute named Integrato. Dr. Pereira is a member of various professional national
and international organizations, and serves on editorial boards of international journals.
She has also published over 80 journal articles and presented many scientific papers
and continuing education courses, both nationally and internationally.

notes
notes

bonding’ and ‘biomimetic repair’ by remineralization of etch-and-rinse hybrid layers

have proven to be effective. However, these techniques are rather time-consuming,
which makes their applicability questionable for routine clinical practice. Also, the
use of MMP inhibitors, to be applied separately or mixed with the primer/adhesive,
appeared to retard rather than prevent bond degradation. Another strategy in
search for durable bonding to dentin involves chemical interaction of functional
monomers with HAp. This lecture will focus primarily on the most recent findings
on molecular interaction of diverse functional monomers with HAp and on a new
interfacial nano-scale phenomenon, termed as ‘nano-layering,’ both studied using
diverse ultra-morphologic and chemical analytic techniques. In addition, the findings
of extensive meta-analytic reviews on both laboratory and clinical effectiveness of
dental adhesives will be presented in order to answer the important question if clinical
effectiveness can be predicted in the laboratory.
10 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY
Session III – Update and Future of Dental Adhesion
FUTURE ASPECTS CONCERNING
DURABILITY OF DENTIN BONDING
Presentation abstract: Adhesive dentistry is becoming one of
the important fields of dentistry. Since 1990s, the developments
of new adhesive technologies have made it possible to create
short-term strong bonds between tooth and adhesive resin.
Current interest of the research for tooth adhesion is the durability
of dentin bonding which can be a potential “Achilles heel” of
adhesive dentistry. Clinically, considering the durability of dentin
DR. HIDEHIKO SANO
bonding, two important factors should be focused on: operator
variability/technique sensitivity and pre-installed defect created by the dentin
adhesives. Reported clinical success rates of bonded restorations are increasing but
not enough. Some of the restorations tend to fail relatively in the short term. The short-
term failure seems to occur by early “Infant Mortality Failure” which it is called in the
field of reliability engineering. Wear-out failures in the field should correspond to failures
induced by the pre-installed defect at the adhesive interface over time. The durability
of dentin bonding is still challenging and should be multifactorial. I am hoping to
discuss future aspects of durability of dentin bonding, focusing on the factors affecting
the failures.
Speaker Bio: Hidehiko Sano, DDS, PhD, is Professor of Hokkaido University Graduate
School of Dentistry, Department of Oral Health Science (2000-present). His other
credentials and appointments include: Hospital Staff of Tokyo Medical and Dental
University, Department of Operative Dentistry (1987-1988); Instructor of Tokyo Medical
and Dental University, Department of Operative Dentistry (1988-1995); Lecturer of
Tokyo Medical and Dental University, Department of Operative Dentistry (1995-1997);
Professor of Hokkaido University, Department of Operative Dentistry (1997-2000); and
Professor of Hokkaido University, Division of Oral Rehabilitation (1998-present). He is
widely published with 188 English publications, including Fu J, Pan F, Kakuda S, Sidhu
SK, Ikeda T, Nakaoki Y, Selimovic D, Sano H. The effect of air blowing duration on all-
in-one systems. Dent Mater J. 2012;31(6):1075-81. He presented the keynote address,
“Durability of Bonds,” at the 86th IADR, Toronto, Canada in 2008 and more than 59
overseas lectures.
DIMINISHING NANOLEAKAGE AT THE BONDING
INTERFACE OF COMPOSITE RESIN AND DENTIN
Presentation abstract: The objective was to evaluate the effect
of high-pressure air blowing during adhesive application on the
resin infiltration and nanoleakage of an etch-and-rinse adhesive
system to dentin. An etch-and-rinse adhesive system (Single Bond
2) was bonded to dentin surface under simulated pulpal pressure.
In the control group, the adhesive was thinned by ordinary air
blowing with a pressure of 0.2 Mpa for 5 sec and bonded as the
notes
DR. JI-HUA CHEN
manufacture’s instruction. In the experimental group, a high-
pressure air blowing technique (air blowing with a pressure of 0.4 Mpa for 5 sec) during
adhesive application was used. All the other procedures were the same as those in
the control group. Resin tag formation and nanoleakage at the bonding interface
were evaluated with scanning electron microscopy (SEM) and transmission electron
microscopy (TEM).
Longer and more homogeneous resin tags were formed when the adhesive was air
thinned with high-pressure air blowing. In nanoleakage evaluation, silver deposits
could barely be identified from the adhesive/dentin interface when the infiltration of
SPEAKERS 11
adhesive resin was driven with high pressure air-blowing. Conclusions: High-pressure
blowing technique could facilitate the resin monomer infiltration into the demineralized
dentin in the single bond 2 adhesive/dentin bonding interface. It is a feasible method
to eliminate nanoleakage in the dentin hybrid layer. Clinical Significance: Air thinning
of adhesive with high-pressure air blowing provides a clinically possible adjunctive
procedure for better resin infiltration in the Single Bond 2 etch-and-rinse adhesive
system.
Speaker Bio: Ji-hua Chen, PhD, DDS, is the Vice Dean of School of Stomatology,
Fourth Military Medical University (FMMU), and also the Chair of the Department of
Prosthodontics. He is a member of the executive council of the Chinese Stomatological
Association. He is the Editor of The Journal of Adhesive Dentistry and Journal of Oral
Rehabilitation, the Vice Chief Editor of Asian Pacific Journal of Dentistry, and has been
listed in the editorial board of the International Dental Journal SA, Journal of Oral Science
and six Chinese professional journals. He is also the reviewer for 8 SCI journals. For a long
time, Prof. Chen has carried out a series of studies on the stability of resin-dentin bonds
and has published over 40 papers in international SCI journals in the last five years and
is named as an inventor in six Chinese patents. He was President of the 3rd International
Congress on Adhesive Dentistry.
NANO-CHARACTERIZATION OF REINFORCED
ENAMEL AND DENTIN BY SELF-ETCH
ADHESIVES: SUPER TOOTH FORMATION
Presentation abstract: In recent years, bonding to tooth substrates
with self-etch adhesive (SEA) systems has gained popularity.
Because these systems contain specific acidic monomers to
condition and prime tooth substrates simultaneously, separate
etching and water-rinsing steps are eliminated, reducing the
application procedures and technique sensitivity. Furthermore, DR. TORU NIKAIDO
it has been shown that some functional monomers in SEA can
chemically interact with the hydroxyapatite in the tooth demineralized layer within
a clinically manageable time. Hypothetically, this chemical interaction can improve
the bonding performance and degradation resistance of the bonding interface.
The acid-base resistant zone (ABRZ), a structural layer formed on the tooth bonding
interface, has been confirmed. Because this layer can resist acid and base challenges,
it might play an important role in the prevention of secondary caries. Morphology of
dentin ABRZ was highly adhesive-material dependent. The dentin ABRZ was formed in
SEA systems but not in acid etch adhesive systems. Recently, the formation of enamel
ABRZ was also found with a two-step SEA system, containing 10-methacryloyloxydecyl
dihydrogen phosphate (MDP) as the acidic monomer. It was proposed that the
diffusion of the acidic monomers beyond the classic interface could result in formation
of stable organic-inorganic complexes in ion-exchange interactions with the available
hydroxyapatite, and that the structures should be termed “super tooth,” as it would in
concept withstand major causes of destruction of the dental tissue. The recent findings
on the ultra-morphological characteristics of super enamel and super dentin are
presented in this lecture.
Speaker Bio: Toru Nikaido, DDS, PhD, graduated from Hokkaido University in 1985 and
notes
received his PhD from Tokyo Medical and Dental University in 1990 (under supervision
of Professor Dr. Nobuo Nakabayashi). He is now Senior Lecturer in Cariology and
Operative Dentistry, Oral Restitution Department, Graduate School of Medical and
Dental Sciences, Tokyo Medical and Dental University. His research topics cover basic
and clinical aspects of Adhesive Dentistry, Operative Dentistry and Preventive Dentistry.
He is on the editorial board of Dental Materials Journal, and The Journal of Adhesive
Dentistry, and is Associate Editor for Asian Pacific Journal of Dentistry. He was Visiting
Professor of State University of Campinas, Brazil in 2003 and Chulalongkorn University,
Thailand in 2008. He published more than 100 peer-reviewed articles.
12 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY
Session IV – Update and Future of Dental Adhesion
RELATIVE CONTRIBUTIONS OF MMPS VERSUS
CATHEPSIN K TO DENTIN COLLAGEN DEGRADATION
Presentation abstract: The poor durability of resin-dentin bonds
is thought to be due to the acid-etching step in bonding
procedures that uncovers and activates endogenous dentin
proteases in the demineralized dentin matrix. These include
matrix metalloproteinases (MMPs 2, 2, 8, 9 and 20). In addition,
acid etching also uncovers and activates cysteine cathepsins
B, L and K. The relative contribution of MMPs vs. cathepsins
DR. DAVID PASHLEY
can be determined by measuring the total loss of dry mass of
demineralized dentin over time and by measuring specific telopeptide fragments in the
incubation medium. Only MMPs produce ICTP telopeptide fragments. Only cathepsin
K produces CTX telopeptide fragments. Our work shows that MMP activity in dentin is
usually greater than cathepsin K activity and that both proteases can be inhibited by
5% MDPB, an antimicrobial monomer in Clearfil Protect SE self-etching primer/adhesive
system.
Speaker Bio: David Pashley, BS, DMD, PHD, earned a DMD degree from the Oregon
Health Sciences University in 1964 and a PhD in physiology from the University of
Rochester School of Medicine and Dentistry in 1970. That same year, he joined the
faculty at the Medical College of Georgia as an Assistant Professor, rising through the
academic ranks to Regents’ Professor (1987-present) of Oral Biology in the School of
Dentistry and Professor of Physiology and Endocrinology in the School of Medicine,
Medical College of Georgia. His research interests include pulp biology, the structure
and function of dentin, dentin sensitivity and its treatment, dentin bonding, the
mechanical properties of dentin and their modification, adhesive dentistry, and
enamel and dentin bonding. His research activities have been supported by the NIDCR
since 1973. Dr. Pashley has published over 600 papers in peer-reviewed journals about
two-thirds of which deal with the structure and function of dentin. He has held various
offices in the Pulp Biology Group of the IADR and received the Pulp Biology Research
Award (one of the IADR Distinguished Scientist Awards) in 1990 for his research,
contributions to the field of pulp biology. He received the Hollenbach Award from the
Academy of Operative Dentistry in 1998. In 2001, he received the Wilmer Souder Award
(another of the IADR Distinguished Scientist Awards) for his work in dental materials.
CUTTING EDGE TECHNOLOGY TO PROVIDE
ADHESIVE MATERIALS WITH BIO-PROTECTIVE/BIO-
PROMOTING FUNCTION BY DR. SATOSHI IMAZATO
Presentation abstract: Future innovation in adhesive materials
should seek novel properties rather than simply modifying existing
technologies. Here, it is proposed that adhesive materials in
this new era could be bio-functional, i.e. materials with “bio-
protective” and “bio-promoting” effects that contribute to a
notes
better prognosis for restorative treatments. Recent trials with DR. SATOSHI IMAZATO
much interest include the following approaches: 1) Incorporation
of QAC-based monomers: As represented by MDPB or DMAE-CB, incorporation of
antibacterial monomers based on QAC (quaternary ammonium compounds) provides
adhesives with antibacterial effects before and after curing. MDPB has also been
reported to inhibit matrix metalloproteinases, and achievement of durable bonding
is expected by adhesives incorporating QAC-based monomers. 2) Addition of nano-
particles: Several studies have reported inclusion of nano-size particles, which release
active components but do not jeopardize physical properties of adhesives. These
include application of nano-silver particle for antibacterial effects and calcium
SPEAKERS 13
phosphate nanoparticles for remineralization. 3) Incorporation of multiple-ions-
releasing filler: Fine glass powder with pre-reacted glass-ionomer phase, named
S-PRG filler, releases multiple ions such as F-, Sr2+ or BO33. These ions released are
known to have some therapeutic effects, and S-PRG filler has been demonstrated
to promote calcification, to inhibit bacterial growth/biofilm formation, or to prevent
demineralization. 4) Addition of growth factors: Aiming at usage of adhesives in
contact with periodontal tissue, enhancement of healing through promotion of tissue
regeneration by adhesives is being focused. Our group is working on development of
FGF-2-releasing hydrogels to be added to adhesives.
Speaker Bio: Satoshi Imazato, DDS, PhD, is Professor and Chair, Department of
Biomaterials Science, Osaka University Graduate School of Dentistry, 2011-present.
His other credentials and appointments include: 1986, DDS, Osaka University Dental
School; 1986-1991, Research/Clinical Fellow, Department of Operative Dentistry,
Osaka University Faculty of Dentistry; 1992, PhD, Osaka University; 1991-1993, Assistant
Professor, Department of Operative Dentistry, Osaka University Faculty of Dentistry;
1993-1994, Visiting Researcher, Department of Oral Biology, Newcastle University, UK;
1994-1999, Assistant Professor, Department of Restorative Dentistry and Endodontology,
Osaka University Faculty of Dentistry; 1999-2010, Associate Professor, Department
of Restorative Dentistry and Endodontology, Osaka University Graduate School of
Dentistry; IADR, Dental Materials Group, President (2008-2009); Editorial board member:
Dent Mater, J Dent, J Adhes Dent, Dent Mater J, J Investig Clin Dent.
GLOBAL EFFORTS TO STANDARDIZE THE BOND
STRENGTH TEST FOR DENTAL ADHESION IN ISO/TC106
Presentation abstract: The importance of dental adhesion is
increasing so that today’s dental treatment cannot be done
without dental adhesive materials. It is therefore very important
to standardize the adhesion test methods to tooth structure
internationally. Adhesion test methods currently documented
by ISO (International Standardization Organization) are not a
standard, but a technical specification (ISO/TS 11405:2003: Dental DR. YASUKO MOMOI
Materials – Testing of adhesion to tooth structure). The consensus
level of TS is regarded as lower than the standard. Adhesion test methods for tooth
structure were documented by ISO for the first time in 1994 as a technical report (TR).
The TR was the report which collected the various data about dental adhesion test
methods. Then, the TR was promoted to TS in 2003, where the tensile bond tests listed
are “Kemper and Killian test,” “Bencor test,” “Dumb-bell test,” and “Micro tensile test,”
and the shear bond tests listed are “Noguchi test,” “Watanabe test,” and “Shear
test” according to ISO 10477: 1992/AM 1A.” “Fracture toughness test” is also listed. If
standardization of the adhesion test methods is carried out internationally, it becomes
possible to do the direct comparison of the bond strength values reported by various
laboratories in the world, like compressive strength, flexural strength, knoop hardness
number and so on. This will definitely bring a great benefit to researchers, clinicians,
and manufactures. This presentation will address the work undertaken to upgrade
the shear bond test in TS to ISO standard, which will follow upgrading of the tensile
bond test.
notes
Speaker Bio: Yasuko Momoi, DMD, PhD, is currently a Professor, Department of
Operative Dentistry, Tsurumi University School of Dental Medicine, Yokohama, Japan. In
1976, she graduated from Tsurumi University School of Dental Medicine. She has served
as an Assistant Professor from 1976 to 1982 and was promoted to lecturer in 1983. From
1991 to 1992, she visited the Dental Materials Science Unit, The Dental School, University
of Newcastle upon Tyne, U.K. and was involved in the dental materials research under
the direction of Prof. J. F. McCabe. In 2003, she was appointed Professor, Department
of Operative Dentistry. She is now President of the Japan Society for Adhesive Dentistry,
an executive member of Japanese Association of Conservative Dentistry, and expert
of the ISO/TC106. Her research interests are dental materials and clinical cariology.
14 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY
SATURDAY, JUNE 15, 2013, SPEAKERS
Session I – Composite Resin Update
PROPOSAL FOR NEW CLINICAL RESEARCH
TRIAL DESIGN FOR COMPOSITES
Presentation abstract: Evidence-based dentistry requires
substantially more and better clinical research trials. There
are new standards for clinical research management (public
registration) and reporting (CONSORT and PRISMA). Less than
10% of the evidence base for dentistry is substantiated by well-
done clinical research. Restorative dental materials and their
bonding systems require more revealing longitudinal clinical DR. STEPHEN BAYNE
research approaches. Current clinical trials tend to be short-term
(1-5 years) when longer ones are needed (5-20 years) to reveal key problems. Costs
and logistics for conducting long-term trials prevent most from ever being done. Long-
term trials in any form are very expensive. Major factors involved in clinical research
outcomes are (a) operator variables, (b) cavity designs, (c) restorative materials,
(d) intraoral location, and (e) patient variables. Most risks affected outcomes are
associated with operators. Materials problems are less prevalent and generally do not
reveal key differences until well beyond 5 years. A different approach to clinical trials
is now being considered. Previous restorative clinical research trials are predominantly
tied to USPHS formats and evaluation systems. These are not formally RCTs, but rather
trials linked to standards and not controls. This creates a challenge for dentistry
because of new publication hurdles to comply with CONSORT requirements. More
importantly, restorative dentistry needs trials that can provide feedback quickly about
potential problems. This presentation proposes a new two-year clinical research format
that is very different than standard designs and which maximizes risks for failure.
Speaker Bio: Stephen Bayne, MS, PhD, FADM, is Professor and Chair of the Department
of Cariology, Restorative Sciences, and Endodontics at the University of Michigan.
He received his MS and PhD in Biological Materials from Northwestern University and
then taught at University of Mississippi (1977-1984), UNC (1984-2005), and University
of Michigan (2005-present). He received the Award of Merit (ADI, 1999), Lecturer of
the Year Award (GNYSP, 2000), Distinguished Alumni Achievement Award (Carleton
College, 2003), UNC Distinguished Professor (2004-2006, highest teaching award UNC
bestows), Hollenback Prize (AOD, 2005), Faculty Teaching Excellence Award (2005,
ADEA), Founder’s Award (ADM, 2007), Clinical Research Award (DMG-IADR, 2010),
honorary PhD (University of Athens, Greece, 2010), and Distinguished Scientist Award
(IADR Souder Award, 2011). He is past-President of the ADM, DMG, AADR, and IADR.
He has been involved in funded clinical research on posterior composites, CAD/CAM,
bonded Class-V restorations, and bleaching materials. His research is published in 50
chapters, 125 journal articles, and 260 abstracts. He has presented 224 scientific and
272 continuing dental education lectures.
notes
SPEAKERS 15
ADVERSE EFFECTS OF COMPOSITE MATERIALS
Presentation abstract: In shallow and medium cavities,
composite materials and corresponding substances used for
adhesion do not cause adverse effects to the dental pulp. In
deep cavities with the potential of pulp exposure, monomer-
induced pulp damage is discussed and the inhibition of
biomineralization (i.e. no dentin bridge formation) has been
described both in vitro and in vivo. Cellular Redox imbalance
after pulp cell contact with low concentrations of acrylic DR. GOTTFRIED SCHMALZ
monomers has been described as a potential mechanism.
Bacteria penetrating under the restoration to the cavity floor will damage the pulp
and acrylic monomers have been shown to down regulate of the immune response of
macrophages against bacteria.
Local effects are also related to curing lamps. Incorrect use may lead to (1) insufficient
curing or (2) overheating; e.g. lip burning, even through rubber dam. High-energy
lamps may also lead to critical pulp temperature increase when used in the high power
mode in deep cavities. Recent extension of the wavelengths to below 400 nm will have
to be discussed. Allergies, predominantly of type IV (delayed type, cell mediated),
but also immediate reactions were reported. The frequency for dental personnel was
reported to be 1 – 2 %. Surgical gloves do not offer any protection. Recently, attention
has been drawn to the fact that molecules used in composite materials contain a
bisphenol-A (BPA) part. It was shown that (the more seldom used) Bis-DMA is indeed
degraded into BPA, but the commonly used Bis-GMA is stable under oral conditions. As
BPA may be used during the production process of Bis-GMA, residues of BPA may be
present as impurities. Exposure calculations have shown that even with the use of Bis-
DMA or experimentally contaminated (100μg BPA/g Bis-GMA), BPA release and patient
exposure is far beyond the limits presently set according to classical toxicological
methods. However, national and international competent authorities presently discuss
these limits.
Speaker Bio: Gottfried Schmalz, DDS, DMD, PhD, is Professor and Chairman,
Department of Operative Dentistry and Periodontology, University of Regensburg. His
credentials and other appointments include: 1971, State Board (DDS), University of
Bonn;1972, Doctor Med Dent Degree (DMD), University of Bonn; 1974-975, Research
Associate at the “Material Science Toxicology Laboratory,” University of Memphis, Tenn,
USA; 1980, Habilitation (PhD), University of Tübingen, Subject: “The Biocompatibility of
Dental Materials;” 1989-2012, Dean of the Dental School, University of Regensburg;
1987-1989, President of the Continental European Division of IADR; since 1989/1990,
Secretary (Treasurer until 2008) of the Continental European Division; since 1996, Editor-
in-Chief of Clinical Oral Investigations; since 1998, Adjunct Professor, University of Texas
at Houston; since 2008, Honorary Professor University ‘Iuliu Hatieganu’ Cluj-Napoca
(Klausenburg), Romania; 2007, Distinguished Scientist Award of the International
Association for Dental Research; 2011, Distinguished Service Award of the International
Association for Dental Research; 2011, Award of Excellence of the European Federation
of Conservative Dentistry (EFCD). His main research areas are biocompatibility of
dental materials and regenerative dentistry.
notes
16 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY
RESIDUAL STRESSES OF VARIOUS DENTAL COMPOSITES
Presentation abstract: During the polymerization of dental
composite, shrinkage stress is developed and affects the bonding
surface. Also the internal residual stress is developed and it
influences the mechanical properties and clinical performance
of the restoration. Residual stress (RS) has been defined as “a
stress which exists in the bulk of a material without application
of an external load (including gravity) or other source of stress,
such as a thermal gradient.” The amount of this stress is smaller DR. JEONG-WON PARK
than polymerization shrinkage stress, and it can have an
effect on the fracture behavior and restoration failure. There are several methods to
measure the residual stress, and we modified the ring slitting method to measure the
RS of composites. To compare the RS of various composite materials, we compared
the RS of conventional and nanofiller containing composites, compomer, dual-cure
core composite, conventional resin cement, and self-adhesive resin cement. Also we
measured the RS, elastic modulus, water sorption, and solubility of several conventional
and self-adhesive resin cements to evaluate the effect of hydrophilicity on RS.
Generally, hydrophilic composite showed higher RS in wet condition, but no difference
in dry condition. If higher RS is remaining in the polymerized material, the chance of
fracture or crack incidence can increase. Thus, when we choose composite materials,
we have to consider these factor to achieve successful and durable restorations.
Speaker Bio: Dr. Jeong-won Park is a graduate of Yonsei University College of Dentistry.
His credentials and appointments include: Clinical Researcher in Samsung Medical
Center Department of Conservative Dentistry; Associate Professor at Kyungpook
National University; Visiting Professor at Oregon Health and Science University; Professor
at Yonsei University; and a member of the Korean Academy of Conservative Dentistry.
notes
SPEAKERS 17
Session II – Composite Resin Update
RESIN COMPOSITE CONTRACTION STRESS AND
ITS AFFECT ON THE ADHESIVE INTERFACE
Presentation abstract: The setting of resin-based dental
composites is accompanied by significant polymerization
contraction that results in the generation of stresses within the
material and at the tooth-restoration interface. These stresses
can have deleterious effects on marginal integrity if they exceed
the adhesive strength of the restorative, as well as on the
properties of the composite itself. DR. JACK FERRACANE
It has been determined that several factors affect these stresses,
including the polymerization rate of the composite, its formulation (filler and monomer
composition), and the constraints imposed by the geometry of the cavity preparation.
New methods for studying these stresses, and their effects on the tooth-restoration
interface, include crack analysis and acoustic emission. Studies have shown reduced
adhesion to cavity preparation walls in composites in which significant stress was
generated during polymerization due to external constraints imposed by the tooth.
Another outcome of these interfacial stresses is crack propagation in the bonding
substrate near the interface.
Many strategies have been developed to reduce the effect of these stresses.
Changes in the formulation of the composite have included the inclusion of stress
relieving components, the introduction of new monomers, and the modification
of the photoinitiator system. Clinically, modifications to the placement technique
have included the use of alteration in the light activation protocol, the use of
incremental placement and curing, and the placement of resilient liners. Despite these
approaches, stress generation in dental composites continues to demand a careful
placement technique to ensure adequate adhesion at the restoration-tooth interface.
Speaker Bio: Jack Ferracane, PhD, is Professor and Chair of Restorative Dentistry,
and Division Director of Biomaterials and Biomechanics at Oregon Health & Science
University, Portland, Oregon. Dr. Ferracane earned his PhD in Biological Materials at
Northwestern University. He is a founding fellow and past-President of the Academy
of Dental Materials. He is a past-President of the Dental Materials Group of the IADR.
He serves on the editorial board of 10 journals, and is Associate Editor of the Journal
of Dental Research and Odontology. He has authored a textbook entitled “Materials
in Dentistry. Principles and Applications.” He has published and lectured globally on
dental materials. His current research interests are in dental composites and the use
of bioactive glasses in resin-based dental materials. He also is actively involved in the
establishment and operation of networks designed to conduct dental clinical research
in the private practice setting. His research is funded by the NIH/NIDCR as well as
private industry.
notes
18 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY
STRATEGIES FOR PREVENTING GAP FORMATION
Presentation abstract: The fundamental bonding performance
of recent adhesive materials is very high and durable. However,
in the clinical situation, the gap at the cavity floor is frequently
propagated because of the shrinkage stress of composite
and weak bond strength of adhesive resin immediately after
light irradiation. To reduce the shrinkage stress of composites,
non-shrinkage composite have been performed, however, the
clinically applicable material is not yet developed. Currently, DR. JUNJI TAGAMI
the incremental filling technique is recommended especially in
the case of deep cavities. Though the bulk filling materials with less shrinkage stress are
recommended, the gap propagation is confirmed under real time observation with
the swept source optical coherent tomography (SS-OCT) during the light irradiation.
The application of thin coating with flowable composite is still preferable. The gap
formation is often observed between adhesives and composite, probably because
of lower conversion of bonding resin surface, which resulted in the lower bonding
immediately after irradiation. The contact cured system, in which the conversion of
the bonding resin is increased by the accelerator included in composite resin which
is placed onto the bonding resin. Because of the contact cure systems, the bond
strength between composite and bonding resin is considered to be promoted to be
able to resist to the shrinkage stress of the composite. The SS-OCT is also expected to
be a new apparatus for direct and non-invasive evaluation of the restorations in both
laboratory studies and in clinic.
Speaker Bio: Junji Tagami, DDS, PhD, received his DDS degree at the Faculty of
Dentistry, Tokyo Medical and Dental University in 1980. He obtained his Ph.D. degree
under the supervision of Profs. Takao Fusayama and Hiroyasu Hosoda in Dental
Science in March 1984. In 1987 and 1988, he studied under Professor David Pashley,
Medical College of Georgia. Currently, Dr. Tagami is Dean of the Faculty of Dentistry
and Dean of Graduate School at Tokyo Medical and Dental University. His primary
research interest involves studies related to the adhesion of restorative materials to
tooth substance and dental materials within the broad area of adhesive dentistry and
cariology. His research work has been published in more than 300 international and
national peer-reviewed journals.
PREDICTABLE USE OF COMPOSITES IN ANTERIOR TEETH
Presentation abstract: The lecture will address basic fundamentals
for obtaining “excellence” in the use of composites in anterior
teeth. The main optical properties of the latest generation
composites are depicted. The stratification technique for anterior
teeth based in the counter opalescence principle will be based
and detailed. An extensive showcase will be presented revealing
alternatives for obtaining “excellence” in detail along with key
clinical “tips.” DR. LUIZ BARATIERI
Speaker Bio: Luiz Baratieri, DDS, MS, PhD, is Professor and Chair,
Department of Operative Dentistry, Federal University of Santa Catarina. His other
credentials include: certification in periodontics; postdoctorate degree, University of
notes
Sheffield, England; coordinator, certification program, operative dentistry, Federal
University of Santa Catarina; coordinator, graduate program, master of science,
operative dentistry, Federal University of Santa Catarina; international lecturer, more
than 600 lectures; Editor-in-Chief, Journal Clínica, International Journal of Brazilian
Dentistry.
SPEAKERS 19
Special Lecture Series
BONDING PERFORMANCE OF RECENT
ALL-IN-ONE ADHESIVE SYSTEMS
Presentation abstract: Adhesive dentistry has changed dental
treatment remarkably. Nobody doubts that adhesive dentistry
contributes to minimally invasive clinical treatment. This
presentation will focus on the performance of recent all-in-
one adhesive systems examined under a combination stress
simulating the oral environment. Standardized V-shaped cavity
was prepared in the cervical region of 80 extracted human DR. YOICHIRO NARA
premolars. The cavities were pretreated and restored with the
four systems, two latest all-in-one systems (LA), a previous all-in-one system (PA) and a
self-etching adhesive system (SE) that evaluated as a high bonding efficiency system
in previous studies, according to the manufacturer’s instructions. A half of the restored
specimens were subjected to thermo-mechanical cyclic stress condition simulating
oral environment; thermocycling(5ºC/55ºC×2,000 sets) and simultaneous repeated-
load(12kgf×105 times). Another half of the specimens were supplied to non-stress
condition. µ-TBS to the gingival dentin wall of the specimens with/without the stress
were measured. The data(n=20) were examined using ANOVA and Weibull analysis.
The µ-TBS without stress of LA were similar to that of SE, but the values with stress of
LA were greater than that of SE. Weibull modulus value(Wm) without stress of LA and
PA were similar to or greater than the value of SE. Wm with stress of LA were greater
than the values of PA and SE. Estimated µ-TBS with stress at 10% and 90% probability of
failure levels of LA and PA were greater than that of SE. It seems that the latest all-in-
one adhesive systems demonstrate stable and high-rated bonding performance even
under severe oral stress conditions.
Speaker Bio: Yoichiro Nara, DDS, PhD, is Professor and Chairman, Department of
Adhesive Dentistry, The Nippon Dental University (NDU). His credentials and other
appointments include: 1974-80, School of Dentistry at Tokyo, NDU, DDS and License
of Dentist; 1980-84, Graduate School of Dentistry at Tokyo, NDU, PhD; 1985-86,
Postdoctoral Research Fellowship in Dental Materials, The Forsyth Institute (Forsyth
Dental Center), Boston, Mass., U.S.A.; 1991-present, Dental Practitioner Conducting
Advanced Clinical Training of Foreign Dental Practitioners, Japanese Ministry of
Health and Welfare; 1984-87, Assistant Professor, Department of Operative Dentistry,
NDU; 1987-01, Senior Assistant Professor, Department of Operative Dentistry, NDU;
1989-present, Research Affiliate in Dental Materials in the Research Institute Division,
The Forsyth Institute (Forsyth Dental Center), Boston, Mass., U.S.A.; 2003-12, Professor,
Department of Endodontics and Operative Dentistry, NDU; 2004-12 , Executive Director
of Educational Affairs, NDU.
notes
20 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY SPEAKERS 21

NOVEL STRATEGY FOR DENTIN REMINERALIZATION
Presentation abstract: Recent achievement of a consistently
reliable bonding of resin composite to dentin has dramatically
changed the clinical practice strategy in restorative dentistry.
Comparatively high bond strength of resin composite to dentin
has been reported in long-term clinical use. Conversely, for
the adhesion of resin composite to carious dentin according
to the concept of MI, a resin-free decalcified dentin zone may
exist at the base of the hybrid layer as a result of incomplete
DR. TAKASHI SAITO
resin infiltration and inter-connecting water trees may remain
in the adhesive interface, causing insufficient polymerization of resin. In both cases,
the exposed collagen is susceptible to hydrolytic degradation over a long period,
leading to reduction in bond strength. Hence, it is speculated that a rapid induction of
remineralization of decalcified collagen is quite effective in improving the long-term
durability of resin-dentin bonding. The aim of our study is to enhance the durability of
resin-dentin bond interface through the development of adhesive monomers which
possess dentin remineralization activity. The remineralization activity will be discussed
regarding newly developed adhesive monomer, CMET which is a calcium derivative of
4-MET, for the development of dentin remineralization therapy as a novel strategy for
caries treatment.
Speaker Bio: Takashi Saito, DDS, PhD, received a DDS degree in 1990 and PhD
degree in Dentistry in 1994 from Health Sciences University of Hokkaido, followed by
a postdoctoral fellowship for two years in the laboratory of Prof. Miles A. Crenshaw
at the University of North Carolina at Chapel Hill. From 2003 to the present, he has
been a Professor and Chair of the Division of Clinical Cariology and Endodontology,
Department of Oral Rehabilitation, School of Dentistry, Health Sciences University of
Hokkaido, Japan. Currently, he also serves as the Dean. Prof. Saito’s current research
activities include the development of new techniques for dentin remineralization using
new adhesive monomer and dentin regeneration using RGD-containing peptides. He
is the recipient of Hatton Travel Award from IADR in 1999. He is a Director and Board
Certified member of Japanese Society of Conservative Dentistry, Japan Society for
Adhesive Dentistry, and Japan Academy of Esthetic Dentistry.
BONDING CAPACITY OF LAYERING
MATERIALS TO ZIRCONIA FRAMEWORKS
Presentation abstract: Due to their excellent biocompatibility,
increased strength, and inherent esthetic properties, zirconium
dioxide (zirconia) ceramics have been used as a framework
material for tooth-supported or implant-supported all-ceramic
restorations. A number of clinical studies of tooth-supported
zirconia-based all-ceramic restorations have confirmed that
zirconia ceramics exhibit high stability as a framework material. DR. FUTOSHI KOMINE
However, a relatively high rate (6–25%) of chipping and minor
fracture of layering porcelain during a 5-year observation period was reported in
several clinical studies of zirconia-based all-ceramic fixed partial dentures. Some
causal factors for these mechanical issues have been identified in previous studies, and
Session III – The Resin Bond to Dental Materials
TOOTH-COLORED INLAYS & ONLAYS:
CLINICAL AND SCIENTIFIC EVIDENCE
Presentation abstract: The reduction in the carious disease
incidence, the growing concern of patients for potential toxicity
of metals, and the growing concern for dental aesthetics
have called for the profession to develop restorative options
adapted to new demands. Composites, ceramics, and adhesive
techniques have then become the foundation of modern
restorative dentistry, following tremendous improvements in DR. DIDIER DIETSCHI
material mechanical performances, wear resistance, and
aesthetic potential. Composite resins are currently used in a broad range of situations,
including the treatment of initial decays to the restoration of extended and serial
cavities, and the aesthetic and functional rehabilitation of patients with severe tooth
wear. However, polymerisation shrinkage of the resin matrix and in-mouth material
application still are crucial issues which impose certain limitations to the use of direct
techniques. Therefore, other restorative options such as semidirect and indirect
techniques have to be considered for large and deep cavity configurations or non-
vital teeth. The lecture will present an overview decision criteria for the treatment of
posterior teeth using indirect techniques and will examine as well material choice in
consideration to tooth biomechanical status, with special focus on the “cracked tooth
syndrome” and non-vital teeth. New, improved concepts related to tooth preparation
and cavity lining, as well as luting procedures will be presented, which lead to a
simplification of clinical procedures and superior results in indirect restorations.
Speaker Bio: Didier Dietschi, DMD, was licensed in 1984 and got his doctoral and
Privat Docent degrees in 1988 and 2004, respectively, at the University of Geneva,
Switzerland. He also got a PhD degree in 2003 at the University of ACTA, Netherlands.
Following a six-year period of full-time teaching and research activity in Operative
Dentistry and Periodontology, he started a part-time activity in a private office in
Geneva, dedicated to aesthetic restorative dentistry. He now holds positions of
adjunct Professor at CASE Western University (USA) and senior lecturer at the University
of Geneva. Dr. Dietschi has published more than 80 clinical and scientific papers and
book chapters on adhesive and aesthetic restorations; he also co-authored the book
“Adhesive Metal-free Restorations,” edited in 1997 by Quintessence and translated in
seven languages. Dr. Dietschi is lecturing internationally on adhesive and aesthetic
restorations.

notes
notes

include inappropriate framework design, mismatched thermal properties of veneering

porcelain and zirconia ceramics, and the use of incompatible layering porcelains.
Consequently, inadequate bond of layering porcelain to the zirconia ceramic
framework seems to be a relevant factor for veneer chipping. This presentation will
discuss the bonding between zirconia and some layering materials, such as feldspathic
porcelain and indirect composite material, for zirconia-based restorations. The program
will address the clinical issues of minor chipping or fractures of the layering porcelain.
Speaker Bio: Futoshi Komine, DDS, PhD, is currently Assistant Professor, Department of
Fixed Prosthodontics, Nihon University School of Dentistry in Tokyo, Japan. He received
his DDS degree in 1991, and his PhD degree in 1995, from Nihon University School of
Dentistry. He was Visiting Assistant Professor, Department of Prosthodontics at the
University of Freiburg, School of Dentistry in Germany (Chair: Prof. Dr. Jörg Strub) from
2002 to 2004. He is an editorial board member of several recognized journals, including
The Journal of Prosthetic Dentistry; Quintessence International; Asian Pacific Journal of
Dentistry, and acts as a reviewer for many other scientific dental journals.
22 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY
REPAIR OF THE RESTORATIONS WITH DENTAL ADHESIVES
Presentation abstract: The longevity of the dental restorations,
which is evaluated by the type and degree of failure in their
clinical performance, is dependent on various factors including
their retention, anatomic form, marginal integrity, color match,
surface texture, postoperative sensitivity, and secondary caries.
For many years, dentists had to choose whether to leave the
failed restoration unprotected against the damaging effect of
the existing problems or to remove and replace it with a new DR. FATMA KORAY
one. Advances in adhesive dentistry enabled the clinicians to
rely on a new treatment planning “the repair of the failed restoration,” which is superior
to the replacement with regard to conservation of the dental tissues, as well as being
less time-consuming process with a relatively low cost. The repair provides an effective
solution to the problems of marginal integrity (gap, splitting of material and/or enamel,
marginal discoloration etc.), prevents new caries adjacent to the tooth structure and
results in a better esthetic match. Its success is based on the bond strength of the repair
material to the old restoration which is influenced by the type of bonding material and
surface pretreatment. Additionally, the mechanical property of materials, occlusion,
and oral hygiene affect the performance of the repaired restoration. To improve the
quality of the repaired restoration and to extend the area of its application against the
replacement, further studies using different materials and methods for the repair and
more clinical trials are required.
Speaker Bio: Fatma Koray, DDS, PhD, was born in Istanbul. She graduated Faculty of
Dentistry, Istanbul University. She received her PhD degree in Conservative Dentistry.
She worked as a research fellow in the Free University, Berlin; and was supported
by DAAD (German Academic Exchange Service) and Av Humboldt Foundation.
Continuing to work as a clinician and a lecturer, she was promoted to Professor in the
Department of Conservative Dentistry in 1982, where she worked as the Head of the
Department for 22 years; she retired in 2012. She was an Executive Committee member
of the Institute of Experimental Medicine, Istanbul University. She was elected Senator
as a representative of the Faculty, and appointed as the Director of the Clinical
Division. She founded the Turkish Association of Restorative Dentistry, and worked as
president starting in 1990. She was elected President of IADR/ Continental European
Division in 2003-2004 and EFCD European Federation of Conservative Dentistry in 2011-
2012.
notes
SPEAKERS 23
INTERFACIAL ADHESION BETWEEN ADHESIVE
RESIN AND ROOT CANAL DENTIN
Presentation abstract: Endodontically treated teeth, even in
severe cases resulting from a large amount of tooth destruction,
can be treated by post and core buildups prior to the definitive
crown and bridge restoration. There are two different buildup
techniques, namely the indirect cast metal post and core
restoration and the direct prefabricated post and resin core
restoration. Currently, the resin core buildup method using a DR. HIROFUMI YATANI
fiber-reinforced post with resin core materials is increasingly used
for the restoration of endodontically treated teeth because of its lower risk of root
fractures and higher esthetics of prostheses at gingival margins. In addition, adhesive
resin with a high degree of clinical reliability regarding adhesion to root dentin is
considered effective in improving the long-term success of cores and prostheses for
endodontically treated teeth. However, in many long-term follow-up studies regarding
resin core restorations the most commonly reported cause of failure is dislodgment,
suggesting that the technique of resin core buildups needs to be still improved. Most
failures occur at the interface between dentin and resin core materials. However, a
detailed observation of the interface between dentin and adhesives inside the root
canal has been scarcely performed. The purpose of this presentation is to evaluate the
interface adhesion of resin to root canal dentin in a direct resin core build-up method
in terms of microtensile bond strengths, SEM, TEM, EDX, μCT images, optical coherence
tomography, and video tape recordings of the root canal, and to seek an appropriate
resin core buildup method based on the evaluation.
Speaker Bio: Hirofumi Yatani, DDS, PhD, is Professor and Chair, Department of Fixed
Prosthodontics, Osaka University Graduate School of Dentistry. He holds a DDS from
Osaka University School of Dentistry (1980) and a PhD from Hiroshima University
Graduate School of Dentistry (1985). His teaching and research appointments include:
1984-1985, Research Assistant, Hiroshima University School of Dentistry; 1985-1986,
Assistant Professor, Okayama University School of Dentistry; 1987-1999, Associate
Professor, Okayama University School of Dentistry; 1995-1997, Fellow of Orofacial Pain
Center, University of Kentucky College of Dentistry; 2000, Professor and Chair, Okayama
University School of Dentistry; and 2003-present, Professor and Chair, Osaka University
Graduate School of Dentistry. Dr. Yatani is Fellow, President, Japan Prosthodontic
Society; Fellow, Japan Society for Adhesive Dentistry; Fellow, Japanese Society for
Temporomandibular Joint; Member, International College of Prosthodontists; Member,
International Association for Dental Research (IADR); Member, International Association
for the Study of Pain; Country Representative Asian Academy of Craniomandibular
Disorders; and Vice President, Asian Academy of Prosthodontics.
notes
24 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY
Session IV –The Resin Bond to Dental Materials
BONDING OF FIBER POST: THE
CHALLENGES AND SOLUTIONS
Presentation abstract: Outcome of endodontic treatment
has become much more predictable as a result of improved
instrument, equipment, and technique. Different post and core
materials have been used to restore the endodontically treated
teeth that, in many cases, are badly broken down. The use of fiber
post has become popular over recent years. The clinician must
take careful steps in the clinical procedure to ensure successful
DR. WILLIAM CHEUNG
bonding of the fiber post in the root canal.
Speaker Bio: William Cheung, DMD, FAGD, FADI, FICD, received his dental degree
and a Certificate in General Practice Residency from the University of Pennsylvania
School of Dental Medicine, USA. He is Fellow of the Academy of General Dentistry,
the Academy of Dentistry International, and the International College of Dentists. He
maintains a multi-specialty practice in Hong Kong. He is Honorary Professor, West
China School of Stomatology, Sichuan University in China; Honorary Associate Professor
at the University of Hong Kong Faculty of Dentistry; and Adjunct Associate Professor
at the University of Pennsylvania School of Dental Medicine. He is also the Continuing
Education Programme Director in Asia Pacific for the FDI World Dental Federation. Dr.
Cheung has lectured internationally. He serves on the International Editorial Board of
the Journal of the American Dental Association (JADA), Associate Editor of JADA Chinese
Edition, and Associate Editor of Hong Kong Dental Journal.
ADHESION TO CERAMICS: TECHNICAL
AND CLINICAL PARAMETERS
Presentation abstract: Durable adhesion of glassy matrix or
oxide-based ceramics is crucial especially for minimally invasive
reconstructions. This lecture will highlight the fundamental
principles of adhesion to different ceramics, cover current
knowledge and the clinical protocols regarding to surface
conditioning methods and adhesion promoters to be used in
conjunction with different resin-based materials. DR. MUTLU OZCAN
Speaker Bio: Mutlu Ozcan, DDS, PhD, is Professor and Head
of Dental Materials Unit (University of Zurich, Dental School, Zurich, Switzerland),
2009-present. Her credentials and other appointments include: Licentiate in Dentistry
(DDS, Marmara University, Istanbul), 1993; Dr.med.dent. (Medical and Dental School
of Cologne, Germany), 1999; Invited Visiting Researcher (University of Turku, Dental
School, Department of Prosthetic Dentistry and Biomaterials Research, Turku, Finland),
2001-2002; PhD (University of Groningen, Department of Dentistry and Dental Hygiene
The Netherlands), 2003; Professor of Clinical Dental Biomaterials (University Medical
Center Groningen, Department of Dentistry and Dental Hygiene, The Netherlands),
2007- present. She has authored more than 200 scientific articles in peer-reviewed
journals, has given over 401 presentations at international scientific meetings.
notes
SPEAKERS 25
PAST << FUTURE – A CHALLENGE TO NATURAL TEETH
Presentation abstract: In today’s prosthetic restorative procedure,
it would not be an understatement to say that it is no longer
acceptable to have a final product that is not esthetically
pleasing. Regardless of the situation of the restorative procedure,
esthetic treatment should be the first factor and is now an
absolute necessity. Our work is just a mere part of the treatment
procedure, but I believe the responsibility is nonetheless a great
one. Today, there are many esthetic treatment options available
NAOKI HAYASHI
in the market. In any given clinical case, if we can select the
optimal treatment, I am confident that the final outcome will be more pleasing.
However, in reality, patients may not ask for the most ideal treatment. Therefore,
we technicians must provide the highest quality work possible within the treatment
selection that the patient agreed upon. In order to carry this out, the important factors
are mutual communication between dentists, technicians, and patients, and proper
material selection by keeping up with the numerous new-age technologies and
materials. Ideal esthetic treatment would be something that looks esthetically pleasing
in the patient’s mouth without any excessive standout statements. It may reside in the
patient’s mouth rather subtly from a third person’s point of view, but I believe that a
beautiful restoration would nonetheless have a dramatic impact on the patient. In my
lecture, I will go over the details on how to properly communicate between patient,
dentist, and technician and aim for the same goal through the clinical diagnosis to the
completion of the final restoration seating.
Speaker Bio: Naoki Hayashi, RDT, graduated from Japan Osaka Dental University in
1992. Soon after graduation he worked in the National Dental Laboratory in Japan.
He works currently as a master ceramist and Vice President of Ultimate Styles Dental
Laboratory in Irvine, CA. Mr. Hayashi lectures all over the world about current trends in
dental technology and treatment planning. He has lectured in QDT Symposium in 5th
& 6th World Dental meeting in Japan, 4th International Congress of Dental Technology
in Japan, Spectrum Dialogue Techno Clinical Day in Chicago, AACD Boston, AAED
Florida, 5th International Symposium on Ceramics, and many more. He is also an
instructor for Waseda Ceramic training center & Noritake dental supply company. Mr.
Hayashi authored, A Diary Through the Lens, published by Quintessence publishing, and
Past <<Future –Envision 77 Heart Beats, published by Ishiyaku Publishing Inc. In addition,
he also has published over 30 articles and several of his articles are translated in nine
languages.
notes
26 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY
Poster Presentations
Poster presentations of the following studies will be displayed throughout the Congress.
BONDING TO TOOTH STRUCTURES
001 Effect of Cathepsins’ Inhibitor E-64 on Dentin-resin Bonding. Yang W.X.*, Zhang W.H., Zheng K.B., Li Y.
002 Proteoglycans Effects on Monomer Infiltration in Dentin Bonding. Zhao S.J.*, Lu S., Gao Y., Li X.J.,
Chen J.H.
003 Riboflavin-Modified Experimental Two-Step Etch-and-Rinse Dentin Adhesive: An in Vitro Study. Fawzy
A.S.*, Daood U., Chan S.H., Neo J.
004 Effects of Dentin Treatments on Bond Strength of Etch-and-Rinse Adhesives. Campos E.A.*, Saraiva J.A.,
Piccioni M.A., Neves T.P.C., Tonetto M.R., Kuga M.C.
005 Incorporation of Proanthocyanidin into a Two-step Self-etch Adhesive. Fang M.*, Dou Q., Liu R.R., Tang
C.F., Chen J.H.
006 Antimicrobial Activity and Dentin Bond Strength of Adhesive Systems. Andre C.B., Gomes B.P.F.A.,
Mageste T., Stipp R.N., Chan D.C.N., Giannini M.*
007 Microleakage-free Restorations to Dentin: our Goal in Adhesive Dentistry. Nakabayashi N.
008 Bond Strengths of Self-etch Adhesives to Acid-exposed Dentin. Rikuta A.*, Yoshida F., Furuichi T.,
Yokokawa M., Miyazaki M.
009 Effects of Phosphoric Acid Etching on Fatigue of Self-etch Adhesives. Takamizawa T.*, Barkmeier W.W.,
Tsujimoto A., Tsubota K., Latta M.A., Miyazaki M.
010 Shear Bond-strength of Modern Self-etched Adhesives to Tooth. Irie M.*, Tanaka J., Matsumoto T., Maruo
Y., Nishigawa G., Yoshiyama M.
011 An All-in-one Adhesive for Dry and Moist Tooth Conditions. Uno S.*, Abo T., Suyama Y., Morigami M.,
Sugizaki J., Yamada T.
012 Bond Strength of Newly Developed One-step Adhesive System. Hanabusa M.*, Akimoto N., Momoi Y.
013 Comparison of a Universal Adhesive with Contemporary Adhesives. Byun C.H.*, Jang J.H., Kim D.S.
014 Bond Strengths and Microleakage of Composites Bonded with Novel Adhesives. Siso S.H., Bayrak I.*,
Donmez N.
015 Shear Bond Strengths of Two New Self-etch Adhesives Containing MDP. Yesilyurt C.*, Alp C.K., Akdag
M.S., Yildirim T.
016 The Role of MDP in Two-step Self-etching Bonding Agent. Matsui N.*, Takagaki T., Nikaido T., Ichinose S.,
Ikeda M., Tagami J.
017 Bond Strengths of Two Adhesives with Added Bioglass to Dentin. Bauer J.R.O.*, Carneiro K.K., Carvalho
C.N., Meier M.M., Loguercio A.D., Martinelli J.R., Manso A.P., Carvalho R.M.
018 Bonding of a Nb-P Glass-containing Adhesive to Dentin. Carvalho R.M.*, Carvalho C.N., Meier M.M.,
Loguercio A.D., Martinelli J.R., Manso A.P., Bauer J.R.O.
019 Adhesion of HEMA-free Adhesives Systems to Dentin. Bacelar-Sa R.*, Bedran-Russo A.K., Nikaido T.,
Tagami J, Ambrosano G.M.B., Giannini M.
020 Dentin Bonding Efficacy of HEMA-containing and HEMA-free Self-etch Adhesives. Wang X.Y.*, Nakajima
M., Mamanee T., Hosaka K., Tagami J.
021 Elemental Analysis of the Resin-dentin Interface Using TOF-SIMS. Kirihara M.*, Inoue G., Nikaido T., Tagami
J., Momoi Y.
022 Monomers Interaction to Collagen Studied by Saturation Transfer Difference NMR. Hiraishi N.*, Otsuki M.,
Tagami J.
023 Remineralization Assessment of Adhesive with Simulated Pulpal Fluid Using Micro-CT. Joves G.J.*, Inoue
G., Hamba H., Nikaido T., Tagami J.
024 Comparison of Bond Strengths of Self-adhesive Composite and Self-etch Adhesives. Joo S.H.*, Son H.H.,
Choi K.K., Kim D.S.
025 Polymerization Shrinkage and Bond Strength of Low-shrink Dental Composites. Sun X.*, Li Y.C., Xiong J.,
Chen J.H.
POSTER PRESENTATIONS 27
026 Retention of Flowable and Universal Composites in Cervical Restorations. Maruyama S.*, Maseki T.,
Nara Y.
027 Bonding of Flowable Composites to Cavity-floor Dentin after Thermomechanical Aging. Ozer F.,
Yaman B., Bashllari A.*, Blatz M.B.
028 Influence of Irradiation Distance on Dentin Bond Strength. Yoshikawa K.*, Matsuda T., Iwata N.,
Yamamoto K.
029 Dentin Bond Strength of an Experimental Composite Core. Kadowaki Y.*, Kawano S., Fu J., Hoshika S.,
Ikeda T., Sano H.
030 A New Ion-releasing Core Build-up Material Containing S-PRG Filler. Kimoto K.*, Shioi H., Shinno K.,
Nagafuji A., Jogetsu Y., Tateishi S., Nakatsuka T.
031 Influence of Oxygen-inhibited Layer on Bond Strength of Chemical-cured Resin. Kurokawa H.*, Yamaji
A., Tsujimoto A., Miyazaki M.
032 Resin-dentin Bond Strength of an Experimental Resin Cement. Kawano S.*, Kadowaki Y., Fu J., Hoshika S.,
Nakaoki Y., Sano H.
033 Dentin Bonding Durability of Resin Cements in Self-curing Mode. Tokui H.*, Fusejima F., Kumagai T.
034 Bonding Performance of Self-adhesive Resin Cement on Contaminated Dentin Surfaces. Yaman B.C.*,
Ozer F., Tiryaki M., Irmak O., Blatz M.B.
035 Influence of Chlorhexidine on Resin Cement Bond Strength Overtime. Quagliatto P.S.*, Stape T.H.S.,
Menezes M.S., Aguiar F.H.B., Soares C.J., Martins L.R.M.
036 Effect of Dentin Desensitizers on Resin Cement Bond Strengths. Garcia R.N.*, Takagaki T., Sato T., Matsui
N., Nikaido T., Tagami J.
037 Effect of Storage Conditions on Dentin Bond Strength of Resin Cements. Suh B.I.*, Duray S.J., Chen L.
038  icroleakage and Bond Strength of Three Glass Ionomer Restoratives. Tarçın B.*, Öveçoglu H.S., Iriboz E.,
M
Arıcan B.
039 Bonding of Ceramic-Cement, Cement-Tooth & Ceramic-Cement-Tooth. Chen L.*, Shen H., Suh B.I.
040 Effect of Cyclic Load on Bonding-reliability of Metal-free Onlay Restorations. Yamada T.*, Maseki T.,
Nara Y.
041 Bonding Performance of a Resin Cement in Saliva-Contaminated Root Canals. Yaman B.C., Ozer F.,
Karabucak B., Ahmed S.F.*, Blatz M.B.
042 Effects of Application Mode and Cement on FRC Post Bonding. Zhu Z.*, McComb D., Tam L., Prakki A.,
Staudinger L.
043 Influence of Cement Type and Thickness on Polyfiber Post Adhesion. Uzunoglu E.*, Turker S.A., Yilmaz Z.
044 TEM Observation of Acid-base Resistant Zone on Enamel. Li N.*, Nikaido T., Takagaki T., Chen J.H.,
Tagami J.
045 Effect of Two Ethanol Wet-bonding Techniques on Enamel Bonding. Sadri L.*, Khoroushi M., Rafizadeh M.
046 Bonding to Deproteinized Enamel and Dentin of AI Mouse Models. Pugach M.K., Ozer F., Mulmadji R., Li
Y., Kulkarni A.B., Bartlett J.D., Gibson C.W., Lindemeyer R.G.*
047 Efficacy of Antioxidants on Bond Strengths to Bleached Enamel. Senawongse P.*, Vongphan N.,
Leetrakulwanna C.
048 Effect of Antioxidant Following Bleaching on Bond Strength to Enamel. Turkmen C.*, Guleryuz N.
049 Effects of Pre-conditioning and Delay Light-activation on Bonding of RMGIs. Khoroushi M., Soleimani H.,
Farahbod F., Shirazi M.H.*
050 Ultra-high-speed Fracture Observation in Resin-dentin Interface under Microtensile Load. Hosaka K.*,
Takahashi M., Nakajima M., Nishitani Y., Pashley D.H., Tagami J.
28 THE 5TH INTERNATIONAL CONGRESS ON ADHESIVE DENTISTRY POSTER PRESENTATIONS 29

BONDING TO DENTAL MATERIALS DENTAL MATERIALS

051 Evaluation of Surface Roughness of Zirconia Ceramics after Different Treatments. Kirmali O.*, Akin H.,
Kapdan A.
052 Effect of Air-particle Abrasion Protocols on Bond Strength to Zirconia. Ozer F., Sinmazisik G.*, Ovecoglu
H.S., Yaman B., Blatz M.B.
053 Effect of Zirconia Type and Primer on Resin Bond. Xiangfeng M.
054 Evaluation of Preservation Stability for a New Prosthetic Primer. Dodomi A.*, Hirata K., Kimura M.,
Yamamoto H.
055 Adhesive Properties of One-step Self-etch Adhesive to Metal and Zirconia. Bai W., Lin H.*, Zheng G.
081 Evaluation of Aged Dental Composite Resins: Simulating Clinical Failures. Chiang H.K.*, Chumble A.A.,
Dixon S.W., Best A.M., Moon P.C.
082 Different Curing Protocols on Internal Adaptation in Class I Cavities. Tian F.C.*, Wang X.Y., Wang Z.H.,
Gao X.J., Sadr A., Tagami J.
083 Quantitative Microleakage Analysis of Resin Cements through Lipopolysaccharide Penetration Model.
Jang J.H.*, Son H.H., Seo D.G.
084 Non-destructive Non-staining 3D Analysis of Marginal and Internal Microgaps. Sadr A.*, Shimada Y., Bista
B., Bakhsh T.A., Sumi Y., Tagami J.

056 Effects of Pretreatment of Zirconia with Warmed Acids on Bonding. Haifeng X.*, Zhang F.
057 Liner Effect on Veneer/Zirconia Bond Strength Using Slow Cooling Protocol. Martinez G., Bautista A.,
Pacheco L.F.*, Garzon H.
058 Interfacial Microstructures of Two Veneered All Ceramics. Yi Y.*, Tian J., Wang X., Wang C., Yang D.
059 Bonding between Indirect Composite and Modified Surface of Zirconia. Fushiki R.*, Komine F., Blatz M.B.,
Koizuka M., Taguchi K., Matsumura H.
060 Shear Bond Strengths of Bis-acrylic Materials to Single Bond Plus Aparicio A*., Jayanetti J., Nguyen R.,
Mendez A.
061 Influence of Light on Bonding Performance of Dual-cure Resin Cements. Ozer F.*, Kashyap K., Yaman B.,
Mante F., Blatz M.B.
062 Influence of Cleaning Methods on Bond Strength to Contaminated Zirconia. Yaman B.C., Özer F., Irmak
Ö.*, Kılıçarslan M.A., Mante F.K., Blatz M.B.
063 Removal of Saliva-contamination on Silicate/Metal-oxide Ceramics Before Adhesive Cementation. Bock
T.*, Meier F., Koch S., Salz U., Hirt T.
064 Fracture Resistance of Direct and Indirect Laminate Veneers. Duzyol M.*, Seven N., Akgul N.
065 Water Aging Effects on Cement Bonds to Aesthetic Porcelains. Moon P.C.*, Nascimento R.F., Gomes
A.C.R., Giannini M., Miguel L.C.M., Garcia R.N.
066 Bond Strength of Resin Cement to Lithium Disilicate Glass-ceramic. Wang F.*, Wang D., Yuan K., Chen J.H.
067 Aging Decreases Bond Strength of Composites to CAD/CAM Indirect Composite. Vidotti H.A.*, Carvalho
R.M., Valle A.L., Paula V.G., Bonfante E.A.
068 Effect of Surface Treatments on Composite Repair Strength. Rashidi-Meibodi F., Foroozia M.*, Yousefi-
Jordehi A., Jafari-Horestani M.
069 Fracture Mechanics of Bi-Material Joint Interface: A Composite Repair Model. Kim S.H.*, Mante F.K.
070  ffect of Tribochemical Silica Coating on Resin Adhesion to Titanium. Kiliçarslan M.A.*, Özak S.T., Özkan P.,
E 098 The Effects of Capping Materials on Dental Pulp Stem Cells. Yalcin M.*, Kenar H., Dayi B., Karaoz E.
Mumcu E.
071 Bond Strength of Adhesives to Mineral Trioxide Aggregate. Seo M.S.*, Choi M.L.
072 Bond Strength of a Resin Composite to Glass-Ionomers. Harnirattisai C.*, Chanchalermchai P., Kuphasuk
W., Senawongse P.
073 Effect of Primers on Bond Strength of Polyamide Thermoplastic Resins. Shinpo H.*, Sakurai T., Okayama S.,
Tokue A., Ohkubo C., Tsuchikawa M.
CLINICAL STUDIES
074 Seven-year Clinical Evaluation of Two One-step Self-etch Adhesives. Kubo S.*, Yokota H., Yokota H.,
Hayashi Y.
075 Short-term Follow-up of Anterior Aesthetic Restorations. Kazak M.*, Gunal S.
076 A 16-year Study of 1155 Porcelain Laminate Veneers. Li Y.*, Zheng K.
077 Seven-year Clinical Evaluation of Restorations Repaired by Composite Resin. Ishizaki H.*, Fukushima M.
078 Temporary FRC Treatment Prior to Implant Placement: A Case Report. Saati K., Omrani Y., Toopchi SH.*
079 Preparation of a Lingual Rest Seat Using Adhesive Composite Resin. Ohkubo C.*, Kurihara D., Shimpo H.,
Sakurai T., Nakata T.
080 Clinical Success of Zirconia-based RBFPDs: A Literature Review. Takeichi T.*, Blatz M.B., Ito Y.
085 Efficacy of High-intensity LED Curing-units on Polymerization of Resin Cement. Watanabe H.*, Kazama R.,
Asai T., Ishizaki H., Fukushima M., Okiji T.
086  ore Thickness and Compression Surfaces Effects on Strength of All-ceramic. Sınmazıgık G., Demirbag
C
B.*, Özer F., Gülmez T.
087 Comparative Evaluation of Fracture-resistance and Biomechanics of Post-restored Teeth. Belli S.*, Celik
K., Akbulut B., Guneser B., Eraslan O., Eskitascioglu G.
088 Inhibition of MMP Activity in Acid-Etched Dentin by Gluma Treatment. Sabatini C.*, Scheffel D.L., Agee
K.A., Pashley D.H.
089 Effect of a Polymerizable Cationic Monomer on Dentin MMPs. Li F.*, Liu N., Zhang L., Chen J.H.
090 Non-Protein Thiols Inhibit Dentinal MMPs and HEMA Toxicity. Nassar M.*, Hiraishi N., Shimokawa H.,
Tamura Y., Otsuki M., Ohya K., Tagami J.
091 Assaying Endogenous MMP-8 in Acid-etched Dentinal Cavity Walls. Kang J.*, Izutani N., D’Angelo M.,
Buis W., Imazato S., Blatz M.B., Ozer F.
092 Morphological Assessment of the Effect of Fluoride-containing Solutions onto Dentin. Inoue G.*,
Shinagawa J., Tagami J.
093 Biofilm Inhibition by Composites Containing Bioactive Glass-Ursolic Acid. Kim S.*, Oh M., Kim H., Park J.W.
094 Bacterial Inhibition Evaluation of an Experimental Triclosan Methacrylate-Based Material. Bolzan de
Paula A.*, Mei L., Stipp R.N., Alonso R.C.B., Taparelli J.R., Puppin-Rontani R.M.
095 Bacteriocidal Copper-modified Adhesive Resins. Mennito A.*, Renne W.G., Schmidt M.G., Chumanov G.,
Wolf B.J.
096 Evaluation of Pulpal Microleakage of Four Pulp Capping Agents. Yalcin M., Barutcigil C.*, Sisman R.,
Yavuz T., Orucoglu H.
097 The Cytotoxic Effects of Capping Materials on Pulp Stem Cells. Yalcin M., Aksoy A., Dayi B.*, Barutcigil C.,
Erman G., Karaoz E.
099  haracterization of Three Glass Ionomer Restorative Materials. Öveçoglu M.L.*, Tarçın B., Öveçoglu H.S.,
C
Gökçe H., Sınnmazıgık G., Türkaydın D.
100 A New Ion-releasing Bulk Fill Composite Resin Containing S-PRG Filler. Fujimura H.*, Miyata S., Kasaba H.,
Kobayashi H., Kimoto K., Nakatsuka T.
101  echanical Properties and Radiopacity of Glass Ionomer Restoratives. Öveçoglu H.S.*, Tarçın B., Gümrü
M
B., Öveçoglu M.L.
102  valuation of Radiopacity of Flowable Bulk-Fill Composites Using Digital Radiography. Gümrü B.*, Tarçın
E
B., Peker S., Öveçoglu H.S.
103 Effect of Polymer-based Coating Materials on Root Caries Prevention. Oshima M.*, Hamba H., Nikaido T.,
Tagami J.
104 Efficacy of ICON on Artificial Enamel Carious Lesions. Arslan S.*, Zorba Y.O., Atalay M.A., Ozcan S.,
Demirbuga S., Pala K., Ozer F.
105 QCM-D Analysis of Chemical Adsorption of Functional-monomer with HAp Sensor. Takagaki T.*,
Nikaido T., Matsui N., Sato T., Tagami J.
106 Effect of Polishing Procedures on Color Stability of Composite Resins. Esener E.Z., Can Say E.*
107 The Effect of Whitening Mouthrinses on Color Parameters of Composite. Harorli O.T.*, Barutcigil C.
* Indicates the author presenting the paper.  
beauty and science
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