Professional Documents
Culture Documents
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-
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
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
80 200
180 76
240 58
SiC papers 320 46
400 35
600 26
4000 5
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
CONCLUSION
REFERENCES