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Effect of Smear Layer Thickness on Bond

Strength Mediated by Three All-in-One


Self-etching Priming Adhesives
Chihiro Tania/Werner J. Fingerb

Purpose: The aim of this study was to investigate the effect of dentin smear-layer thickness on the bond
strength of three all-in-one adhesives of different acidity.
Materials and Methods: Peripheral dentin was prepared by wet grinding on SiC papers (80-, 180-, 240-,
320-, 400-, 600-, 4000-grit), and by turbine cutting with supercoarse, coarse, medium, fine, or extrafine
diamond burs. The smear layer thickness (SLT) was measured microscopically. The relationship between
SLT and average grain size of the abrasives used to prepare the dentin surface was described by regres-
sion analysis. Shear bond strength (SBS) was determined for the following adhesives: AC Bond, pH 2.1
(experimental, Heraeus); AQ Bond, pH 2.5 (Sun Medical); and Prompt L-Pop, pH 1.1 (3M-Espe). Six spec-
imens were tested for each adhesive on dentin ground with each of the seven SiC grit sizes. The mode
of failure was inspected by SEM. SBS data were analyzed by one-way ANOVA and Fisher’s PLSD test at
p < 0.05.
Results: A logarithmic relationship between SLT and grain size of the abrasives was established. The
coefficient of determination R2 for the regression line was 0.803. Shear bond strengths for the individual
adhesives did not differ significantly by SiC grit size. SBS of AC Bond (18.3 MPa) was greater than the
SBS of AQ Bond and Prompt L-Pop (16.9 MPa). Cohesive failures were consistently found in resin com-
posite or adhesive.
Conclusion: Smear layer thickness increased with decreasing SiC grit numbers and increasing diamond
bur roughness. In spite of the widely differing acidity, all three adhesives tested were equally effective
over the range of SLT from 2.6 µm through 0.9 µm.

J Adhes Dent 2002; 4: 283–289. Submitted for publication: 24.05.02; accepted for publication: 26.08.02.

entin smear layers are produced during me- efficiency of moderately acidic self-etching primer
D chanical cavity preparation. It has been report-
ed that thick smear layers could compromise the
adhesives, since early neutralization of the adhe-
sive by dissolution of the smear layer might hamper
superficial demineralization of solid dentin, which
is required for collagen exposure and thus effective
hybridization upon penetration and polymerization
of the adhesive resin.1 Smear layers of differing
a Instructor, Department of Operative Dentistry, Showa University, thickness result from dentin preparation with abra-
School of Dentistry, Tokyo, Japan.
b
sive papers of differing roughness.2,7 Koibuchi et
Professor, Dental Materials and Technology, School of Dental Med-
icine, Department of Preclinical Dentistry, University of Cologne, al2 found that the smear layer thickness decreased
Cologne, Germany. with decreasing particle size of the abrasive paper.
Watanabe et al7 investigated the effect of the
smear layer thickness prepared with abrasive pa-
Reprint requests: Prof. Dr. Werner J. Finger, Department of Preclinical per of different grit numbers on dentin bonding with
Dentistry, School of Dental Medicine, University of Cologne, Kerpen-
erstr. 32, D-50931 Cologne, Germany. Tel: +49-2133-514996, Fax: an experimental self-etching dentin primer, an
+49-2133-513410. e-mail: wjfinger@aol.com aqueous solution of 20% 2-methacryloxyethyl phe-

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Tani/Finger

nyl hydrogen phosphate (Phenyl-P), and 30% 2-hy- surface facing the bottom of cylindrical rubber
droxyethylmethacrylate (HEMA), covered with a molds and ground flat on wet 80-grit SiC paper until
light-curing bonding agent containing 5% Phenyl-P in peripheral dentin was exposed.
triethyleneglycol dimethacrylate (TEG-DMA). The
tensile bond strength on dentin was high when the
dentin smear layer was produced with SiC papers ≥ Determination of Smear Layer Thickness
grit #600, and significantly lower when dentin was
prepared on SiC paper ≤ grit #400. Following dentin Dentin smear layer thickness produced on wet
preparation on 80- and 180-grit SiC papers, mostly SiC paper
cohesive failures were found in the hybridized Two dentin surfaces each were prepared by wet
smear layer. However, in the 400- and 600-grit grinding on 80-, 180-, 240-, 320-, 400-, 600-, or
groups, mostly cohesive debonding was observed 4000-grit SiC paper (Table 2). The specimens were
in the adhesive layer. Inoue et al1 and Ogata et al3 hand ground (60 strokes for each consecutive grit
investigated the effect of dentin preparation with number) under gentle pressure in one direction
different bur types and coarseness on microtensile only. Following the final grinding step, the dentin
bond strength. Ogata et al3 reported that the bond surfaces were coated with a thin layer of the com-
strengths to diamond bur cut dentin was signifi- mercial hydrophobic resin Gluma Solid Bond S
cantly lower than to dentin prepared either on (Heraeus Kulzer, Hanau, Germany) and light acti-
600-grit SiC paper or with steel burs. The authors vated for 60 s with the tungsten halogen light-cur-
hypothesized that the differences in bond strength ing unit Translux CU (Heraeus Kulzer) at
found were related to differences in smear layer 600 mW/cm2 output. The specimens were then re-
thickness. Diamond bur preparation produced thick placed in the cylindrical rubber molds and covered
smear layers and rough surfaces, whereas dentin with an approximately 5-mm-thick layer of the
prepared with steel burs was smoother and cov- self-curing methylmethacrylate base resin Techno-
ered with a thinner smear layer. They concluded vit 4004 (Heraeus Kulzer). After 15 min curing time
therefore that the ability of self-etching adhesive at ambient temperature, the specimens were re-
monomers to simultaneously demineralize and moved from the rubber mold, sectioned perpendic-
penetrate into the dentin surface was related to the ularly through the flat dentin interface with the
smear layer thickness and the surface roughness. Isomet low-speed diamond saw (Buehler, Lake
Inoue et al1 reported that microtensile bond Bluff, IL, USA) under water cooling, and hand pol-
strength to dentin prepared with superfine diamond ished on wet 4000-grit SiC paper. The thickness of
cutting instruments was higher than with regular the dentin smear layers was measured in an inci-
grit diamond burs. dent light microscope fitted with an ocular screw
The purpose of this study was to investigate the micrometer at 1000X magnification, giving a read-
effect of dentin smear-layer thickness on the bond ing accuracy of 0.096 µm. For each of the SiC grits
strength of three all-in-one adhesives possessing used, two specimens, ie, four sections were in-
different levels of acidity. The null hypothesis to be spected. On each of the sections, the smear layer
tested was: the bonding efficiency of self-etching thickness was determined at seven neighboring
primer adhesives to dentin covered with smear lay- sites approximately 100 µm apart, starting from
ers of different thicknesses is independent of pH the enamel-dentin junction.
variations between 1.1 and 2.5.
Dentin smear layer thickness produced by dia-
mond burs
MATERIALS AND METHODS Following dentin exposure with wet 80-grit SiC pa-
per as above, two specimens were prepared with
Two commercial dentin bonding systems and one each of the five diamond bur types (Table 2) in a tur-
experimental adhesive were used in this study bine handpiece under water cooling. The dentin sur-
(Table 1). Extracted human teeth stored in 1% faces were prepared (30 strokes for each consecu-
chloramine solution for a maximum of 6 months tive grit) under very gentle pressure in one direction
and possessing at least one sound labial or oral only. The final specimen preparation followed the
surface were selected for the study. The teeth were procedure described above. The relationship be-
embedded in slow-curing epoxy resin with the target tween the smear layer thickness and the average

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Table 1 Materials tested

Code Materials pH* Manufacturer Lot No. Composition of adhesive

ACB AC Bond** 2.1 Heraeus Kulzer, VP050901Ge1 UDMA, 4-META, acetone, water
Hanau, Germany

Adhesives AQB AQ Bond 2.5 Sun Medical, EG1 MMA, 4-META, UDMA, HEMA, ace-
Shiga, Japan tone, water, coinitiator impregnated
application pellet

PLP Prompt L-Pop 1.1 3M-ESPE, 110490 Methacrylated phosphoric acid es-
Seefeld, Germany ters, phosphine oxide, stabilizer,
fluoride complex, parabenes, water

Resin Composite – Charisma A2 – Heraeus Kulzer, 100053 –


Hanau, Germany

* Values from manufacturers. ** Experimental adhesive.

Table 2 Grinding papers and diamond burs used for dentin

Grit # Grain size (µm) ISO No.

80 200
180 76
240 58
SiC papers 320 46
400 35
600 26
4000 5

Diamond burs Super Coarse 150 806314141504014


Coarse 125 806314141514014
Medium 100 806314141524014
Fine 30 806314141534014
Extra Fine 15 806314141544014

SiC paper: Buehler, Lake Bluff, IL, USA; Diamond Bur: Komet, Germany.

grain size of the abrasives was analyzed by least ite cylinder. Dentin smear layers were prepared by
square distance regression analysis. wet grinding on 80-, 180-, 240-, 320-, 400-, 600-,
and 4000-grit SiC paper as described above. The
two commercial dentin bonding systems were ap-
Shear Bond Strength Measurement plied strictly according to the manufacturer’s in-
structions. The experimental adhesive AC Bond
Flat peripheral dentin surfaces were produced by (Heraeus-Kulzer) was dispensed in a mixing well
grinding the embedded teeth on wet 80-grit SiC pa- and applied to the rinsed and gently air-dried dentin
per, until a sufficiently large dentin area was ex- surface with a saturated brush in three consecutive
posed for bonding of a 3.5-mm-wide resin compos- coats. The adhesive was left undisturbed for 30 s

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Tani/Finger

each SBS test was sputter coated with gold to ex-


Table 3 Dentin smear layer thickness amine the failure type with the SEM (Quanta 400,
Fei, Kassel, Germany).
Smear layer thickness
(µm)

SiC papers by 80 2.6 ± 0.6


grit size 180 2.7 ± 0.7 RESULTS
240 2.1 ± 0.8
320 1.9 ± 0.6
400 1.4 ± 0.5
Smear Layer Thickness
600 1.3 ± 0.5
4000 0.9 ± 0.3 The smear layer thicknesses resulting from SiC pa-
per grinding and diamond bur cutting are listed in
Diamond burs Super Coarse 2.8 ± 0.5
Coarse 2.4 ± 0.4 Table 3.
Medium 2.2 ± 0.5
Fine 1.2 ± 0.3 Smear layer thickness on dentin produced by
Extra Fine 1.0 ± 0.3
grinding with SiC paper
n=28 from n=4 specimens, mean ± SD The maximal thickness found was 2.7 ± 0.7 µm
when dentin was ground on 180-grit SiC paper, and
the minimal thickness was 0.9 ± 0.3 µm after grind-
ing with 4000-grit SiC paper.

Smear layer thickness on dentin produced by di-


amond bur cutting
In the diamond-bur preparation group, the maximal
dwell time, followed by 5 s of gentle air drying to vol- thickness found was 2.8 ± 0.5 µm produced by the
atilize the solvent and light activation for 30 s with supercoarse diamond bur, and the minimal thick-
a tungsten halogen curing unit at 600 mW/cm2 out- ness was 1.0 ± 0.3 µm, produced by the extrafine
put. A split Teflon mold, 3.5 mm in diameter and diamond bur.
2 mm high, mounted on the dentin specimen and Figure 1 illustrates the relationship between the
clamped in a stand, was bulk filled with the hy- average grain size of SiC papers and diamond burs
brid-type resin composite material Charisma A2 used for dentin surface preparation and the result-
(Heraeus Kulzer), covered with a Mylar strip, and ing smear layer thickness. The equation for the
light activated for 60 s with the halogen light curing best fit of the regression line by least square dis-
unit Translux CU (Heraeus Kulzer). The specimens tance is: smear layer thickness = 0.537 ln(grain
were stored in deionized water at 37°C for 24 h prior size) - 0.147; the coefficient of determination R2 is
to shear loading in a universal testing machine 0.803.
(Model 1474, Zwick, Ulm, Germany) with a steel rod
at a crosshead speed of 1 mm/min until rupture oc-
curred. For each bonding system and for each of the Shear Bond Strength
seven dentin preparation modes, six specimens
were produced. Table 4 shows the shear bond strength data for
All specimen preparation, processing, and test- dentin prepared on SiC papers. When tested by
ing was performed at ambient laboratory atmo- ANOVA, the shear bond strengths of the individual
sphere (23 ± 2°C and 50 ± 5% RH). adhesives did not differ significantly by SiC grit
The results were statistically analyzed by one-way (ACB, p = 0.3490; AQB, p = 0.2606; PLP, p =
ANOVA and Fisher’s PLSD test (p < 0.05). 0.4454). Therefore, the individual means by SiC
grit number were pooled for each of the three adhe-
sives. One-way ANOVA showed significant differenc-
Scanning Electron Microscopy es between the adhesives (p = 0.0011). Post-hoc
testing by Fisher’s PLSD (p < 0.05) revealed that
From each of the materials and each dentin prepa- ACB mediated higher shear bond strength than
ration group, one representative specimen from AQB and PLP, which were not significantly different.

286 The Journal of Adhesive Dentistry


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Fig 1 Logarithmic regres-


sion line indicating a likely
relation between the grain
size of the SiC and diamond
abrasives used and the re-
sulting smear layer thick-
ness.

Table 4 Shear bond strength on dentin prepared on different SiC


papers

Grit size ACB AQB PLP

80 16.4 ± 2.4 16.0 ± 2.9 15.6 ± 1.5


180 17.3 ± 2.0 15.7 ± 2.7 17.3 ± 1.3
240 18.8 ± 1.6 16.8 ± 1.1 17.7 ± 2.8
320 18.5 ± 2.2 16.2 ± 1.1 17.1 ± 1.8
400 19.3 ± 2.4 16.6 ± 2.2 17.1 ± 2.4
600 18.6 ± 1.9 18.7 ± 1.6 18.2 ± 1.5
4000 18.7 ± 2.0 16.7 ± 1.9 17.3 ± 1.9

N=6, mean ± SD (MPa)

In a second statistical approach, all shear bond DISCUSSION


strengths from the three adhesives and the seven
SiC grit numbers were compared by one-way ANOVA The quality and thickness of smear layers resulting
(p = 0.262). from mechanical dentin preparation depend on the
cutting instruments used. As a rule, the smear lay-
er thickness will increase with increasing grain size
Scanning Electron Microscopy of the abrasive, independent from the type of abra-
sive (SiC or diamond). This study showed that the
SEM inspection of the 21 samples proved that the smear layer produced using very fine to very coarse
failure site after shear debonding was consistently abrasives was from 0.9 to 2.8 µm thick. Often, in
located in the adhesive resin or in resin composite. vitro studies on the bonding efficiency of dentin ad-
Figure 2 shows representative examples of the co- hesives are performed on dentin prepared on wet
hesive failure morphology found with ACB, prepared 600-grit SiC paper, closely matching the smear
on SiC paper grits 600 and 80, after debonding from thickness produced with a fine-grained diamond
dentin. bur. It is suggested to instead use 180-grit SiC pa-

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Tani/Finger

bonding even when applied on dentin covered with


almost the thickest smear layer possible proves
that such products will be effective under all com-
mon clinical preparation conditions that produce
thinner smear layers.
The rationale for using dentin surfaces prepared
with SiC paper for bond strength evaluation is relat-
ed to the macro shear bond strength test used,
where reasonable testing requires a flat bonding in-
terface. This condition cannot, however, be guaran-
teed by diamond bur cutting.
The dentin smear layer may be considered a nat-
ural barrier to penetration of self-etching adhesives
and for demineralization of the underlying intact
dentin. Superficial dentin demineralization is, how-
ever, an indispensable condition for hybridization
and reliable dentin sealing and bonding.4-6 Tay et al5
investigated the effect of self-etching primers on
resin composite bonding to dentin covered with a
thick smear layer, ie, following grinding on 60- and
80-grit SiC paper. They reported that the smear lay-
er was transformed into a kind of hybridized layer,
and that the thickness of this hybridized smear var-
ied with the smear layer thickness. In contrast, the
thickness of the underlying collagen-adhesive hy-
brid layer remained unaffected. Since these two
types of hybrid layers are supposed to function to-
gether as a unit without separation during the mi-
crotensile bond strength test, the authors suggest-
Fig 2 Scanning electron micrographs showing the mor-
phology of ACB specimens after debonding by shear loading. ed that the bonding efficiency of self-etching primer
The respective dentin bonding surfaces were ground on 80- adhesives would be similar on smear layer-free den-
and 600-grit SiC paper. In both cases, cohesive failure oc- tin and on dentin covered with a thick smear layer.
curred in resin close to the bonding interface. Self-etching primer systems include different
acidic monomers. Most self-etching primers are
moderately acidic, with pH values between 1.8 and
2.5, whereas only a few products on the market
may be classified as strongly acidic with a pH
around 1.0.5 In the present investigation, apart
per, since the smear layer produced is more similar from determining the smear layer thickness, no at-
to medium or coarse diamonds, which are often se- tempt was made to characterize the quality of the
lected as preparation instruments. Under such con- smear produced, which might have an essential ef-
ditions, the smear layer thickness is approximately fect on the penetrability of or dissolution in the ad-
2.6 µm, as found in the present investigation. hesives applied.
When evaluating the efficiency of moderately The thickest smear layer found was 2.8 µm, fol-
acidic self-etching primer adhesives, the potential lowing preparation with a super coarse diamond
of a product can be more relevantly described when bur. This figure is comparable to the smear layer
applied on a thick smear layer. It might be speculat- thickness produced after grinding on 80- to 240-grit
ed that self-etching primer compounds with higher SiC paper or cutting with coarse or medium-grained
pH are less effective in solubilizing a thick smear diamond burs, but thicker than the smear coatings
layer and demineralizing the underlying solid dentin resulting from all other abrasives tested. Neverthe-
surface for hybridization than adhesives with a low less, the shear bond strengths mediated with each
pH. The fact that adhesives produce adequate of the three adhesives did not differ significantly

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over the range of smear layers produced with 80- to


4000-grit SiC paper, proving that, in spite of their
widely differing acidity, the three adhesives are uni-
versally applicable and compatible with any com-
mon preparation method. Scanning electron mi-
croscopy of the dentin sites of debonded speci-
mens showed consistently cohesive failures in res-
in close to the bonding interface. It is therefore as-
sumed that the bonding efficiency is mainly related
to the adhesives’ mechanical characteristics, which
is a function of their individual composition and de-
gree of polymerization.

CONCLUSION

In conclusion, the null hypothesis is accepted,


since the differences in pH of the three adhesives
tested had no effect on the shear bond strengths
mediated to dentin surfaces covered with smear lay-
ers between and 0.9 µm and 2.7 µm in thickness.

REFERENCES

1. Inoue H, Inoue S, Uno S, Takahashi A, Koase K, Sano H. Mi-


crotensile bond strength of two single-step adhesive systems
to bur-prepared dentin. J Adhesive Dent 2001;3:129-136.
2. Koibuchi H, Yasuda N, Nakabayashi N. Bonding to dentin with
a self-etching primer: the effect of smear layers. Dent Mater
2001;17:122-126.
3. Ogata M, Harada N, Yamaguchi S, Nakajima M, Tagami J. Ef-
fect of cutting with different burs on resin-dentin bond
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4. Spencer P, Wang Y, Walker MP, Swafford JR. Molecular struc-
ture of acid-etched dentin smear layers: in situ study. J Dent
Res 2001;80:1802-1807.
5. Tay FR, Carvalho R, Sano H, Pashley DH. Effect of smear lay-
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