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Adhesive Layer Properties as a Determinant of Dentin Bond

Strength
Ji-Hyun Bae,1 Byeong-Hoon Cho,1–3 Jong-Soon Kim,1 Min-Soo Kim,1 In-Bog Lee,1,2 Ho-Hyun Son,1,2
Chung-Moon Um,1,2 Chang-Keun Kim,4 Oh-Young Kim5
1
Department of Conservative Dentistry, College of Dentistry, Seoul National University, Seoul, Korea

2
Dental Research Institute, Seoul National University, Seoul, Korea

3
Intellectual Biointerface Engineering Center, Seoul National University, Seoul, Korea

4
Department of Chemical Engineering, Choongang University, Seoul, Korea

5
Department of Chemical Engineering, Dankook University, Seoul, Korea

Received 6 October 2004; revised 3 January 2005; accepted 7 February 2005


Published online 30 June 2005 in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jbm.b.30320

Abstract: The goal of this study is to evaluate the hypothesis that the properties of the resin
adhesive might affect the microtensile bond strength (MTBS) of multibottle dental adhesive
system. In order to alter the properties, the experimental resin adhesives containing 2,2-bis
(4-2-hydroxy-3-methacryloyloxypropoxyphenyl)propane (Bis-GMA) and triethylene glycol
dimethacrylate (TEGDMA) at various ratios were prepared. Degree of conversion immedi-
ately after curing (DC-immed), degree of conversion at 48 h after curing (DC-48h) of a thin
coat of the experimental adhesives, the flexural strength (FS) of the bulk specimens made of
the experimental adhesives, pH, viscosity at shear rate of 1 Sⴚ1, and the microtensile bond
strength (MTBS) values of the adhesives to dentin were investigated. The maximum MTBS
and FS values of the resin adhesives were observed when the ratio of Bis-GMA/TEGDMA was
60/40. However, pH and viscosity values increased with increasing Bis-GMA content in the
adhesives. When Bis-GMA content was more than 60 wt %, the viscosity increased exponen-
tially and restricted the DC and FS, and accordingly decreased the bond strength. The
stronger the resin adhesives were, the higher the bond strength to dentin could be obtained.
© 2005 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 74B: 822– 828, 2005

Keywords: viscosity; adhesion; polymer; properties of adhesive layer; microtensile bond


strength

INTRODUCTION the complexity of dentin substrate and the technique sensi-


tivity of bonding systems, there have been controversies
Micromechanical retention through the formation of resin- about the effect of each variable on the bond strength.
reinforced hybrid layer has been widely accepted as the As the component overlying the hybrid layer, the adhesive
primary source of bond strength of the adhesive resins to layer may assist to preserve the integrity of the hybridized
dentin.1 Several variables such as the quality,2,3 thickness4 – 6 dentin, protect it from polymerization shrinkage stresses,16
and elastic modulus of the hybrid layer7 and the chemical act as a stress absorbing layer,7 and contribute to improving
bonds8 between the collagen and the adhesive within the and maintaining bond strength.11 When the thickness of the
layer have been suggested as the mechanism of the adhesion adhesive layer was increased by applying additional coats of
through the hybrid layer. Other possible variables such as adhesive, the early marginal leakage was reduced signifi-
intimate contact into dentinal tubules and lateral branches,9,10 cantly by relieving the contraction stress of polymerizing
and the thickness11,12 and mechanical properties13–15 of the composite resin through low-stiffness adhesive.17 However,
adhesive layer have also been studied. However, because of as a physical variable of the adhesive layer, the effect of its
thickness on the bond strength still remains controver-
sial.11,12,18,19 On the other hand, because the elastic modulus
Correspondence to: Byeong-Hoon Cho (e-mail: chobh@plaza.snu.ac.kr)
Contract grant sponsor: Basic Research Program of the Korea Science and Engi- of the adhesive layer is the lowest among the components of
neering Foundation; contract grant number R01-2003-000-10216-0 the bonded assembly including the hybrid layer, the adhesive
© 2005 Wiley Periodicals, Inc. layer was regarded as the weakest link.7,20 The bond strength,
822
ADHESIVE LAYER AND BOND STRENGTH 823

TABLE I. Materials Used for Preparation of Experimental Resin Adhesivesa

Compound Acronym Supplier Batch No.


Bisphenol-A-glycidyl dimethacrylate Bis-GMA Shin-Nakamura Chemical Co., Inc. 1030M
Triethyeneglycol dimethacrylate TEGDMA Shin-Nakamura Chemical Co., Inc. 1118P
Camphoroquinone CQ Aldrich Chemical Co., Inc. 00703MN
Ethyl 4-dimethylaminobenzoate 4E Aldrich Chemical Co., Inc. 11920PA
a
Other ingredients, such as inhibitors or stabilizers, were not added to the experimental resin adhesives.

when it is measured in a universal testing machine (UTM) or (DC), flexural strength (FS), pH, and viscosity (V) of the
at which the bond fails in a clinical situation, may be deter- resin adhesives was also evaluated.
mined by the mechanical properties, such as the strength or
elastic modulus, of the adhesive layer itself.15
In this study, as a potential determinant, it was hypothe- MATERIALS AND METHODS
sized that improving the mechanical properties of the resin
adhesive itself by changing the ratio of base monomers would Preparing Experimental Adhesives
increase the microtensile bond strength (MTBS) of the adhe-
The experimental resin adhesives were prepared with the use
sive to dentin. 2,2-bis(4-2-hydroxy-3-methacryloxypropoxy-
of the compounds listed in Table I. Seven experimental
phenyl)propane (Bis-GMA) is used as a base monomer in
adhesives formulated with various Bis-GMA/TEGDMA ra-
most current dental composite resins and adhesives, and its
tios were prepared, and their compositions are shown in
rigid bisphenol-A backbone leads to a rigid polymer with
Table II. The ratios of Bis-GMA/TEGDMA were 20/80
high mechanical properties and low polymerization shrink-
(B20), 30/70 (B30), 40/60 (B40), 50/50 (B50), 60/40 (B60),
age. However, because of its high viscosity, Bis-GMA has to
70/30 (B70), and 80/20 (B80) by weight. 1.0 wt % of cam-
be used with a diluent, triethyleneglycol dimethacrylate
phoroquinone and 1.0 wt % of ethyl 4-dimethylaminobenzo-
(TEGDMA), for adjusting handling properties. When the
ate were added to each mixture. Except for the diluent mono-
ratios of Bis-GMA/TEGDMA are altered, the properties of
mer TEGDMA, no other solvent, such as acetone, ethanol, or
the mixtures, such as the viscosity, strength, elastic modulus,
water, was used. The resin adhesive (bonding resin) of
and hardness, were also changed.21,22 In order to evaluate the
Scotchbond Multi-Purpose adhesive system (SBMP, 3M
net effect of the properties of the adhesive resin itself on bond
ESPE Dental Products, St. Paul, MN) was used as a control
strength, the hybrid layers having the same quality in all the
material.
experimental groups were obtained by treating dentin sur-
faces with the same etchant and primer of a commercial
Measuring the Degree of Conversion
adhesive system, and then the assigned experimental adhe-
with FTIR Spectroscopy
sives containing various ratios of Bis-GMA/TEGDMA were
applied. The MTBS of the experimental adhesives to dentin After collecting a background spectrum with a press-molded
was measured as a function of various Bis-GMA/TEGDMA potassium bromide (KBr) disk, the spectrum of uncured ad-
ratio and its interdependence on the degree of conversion hesive was obtained from the resin adhesive painted on the

TABLE II. The Compositions of the Experimental Adhesives Used in this Study, Degree of Conversion Immediately
After Curing and at 48 h After Curing (DC, n ⴝ 3), Flexural Strength (FS, n ⴝ 17–20), viscosity (V), pH (n ⴝ 3),
and microtensile bond strength to dentin (MTBS, n ⴝ 20 – 24)

DC (%) DC (%) at
Groups (Bis- Immediately 48 h After V MTBS
GMA/TEGDMA) After Curing Curing FS (MPa)* (Pa 䡠 s) pH (MPa)*
B20 (20/80) 51.2 (3.6)**,c 55.8 (3.0)d,e 69.9 (8.7)e 0.028 3.38 (0.04)e 23.1 (8.2)d
B30 (30/70) 56.1 (2.1)a,b,c 67.4 (7.4)a,b,c 76.1 (6.3)c,d 0.039 5.55 (0.02)d 25.1 (10.1)d
B40 (40/60) 57.8 (2.1)a,b 69.9 (2.3)a,b 76.9 (8.0)b,c,d 0.071 6.03 (0.01)c 32.8 (9.2)a,b,c
B50 (50/50) 59.9 (1.9)a 72.3 (2.3)a 79.0 (9.2)a,b,c 0.16 6.05 (0.01)c 35.6 (14.1)a,b
B60 (60/40) 54.5 (3.2)b,c 68.8 (1.5)a,b,c 83.3 (9.9)a 0.45 6.20 (0.04)b 38.9 (11.5)a
B70 (70/30) 51.9 (3.0)c 62.7 (1.3)b,c,d 79.6 (7.7)a,b 1.32 6.24 (0.02)b 36.8 (10.7)a,b
B80 (80/20) 49.4 (3.6)c,d 51.7 (6.2)c 64.6 (8.9)e 5.24 6.55 (0.05)a 28.1 (11.2)c,d
SBMP† adhesive 52.6 (3.8) 70.0 (2.5) 83.3 (6.1) 0.38 7.4§ 33.6 (10.4)
* The FS and MTBS were measured at 48 h after curing.

SBMP: Scotchbond Multi-Purpose Plus adhesive system (3M ESPE, USA).
§
Reference: http://www.cranews.com/newsletter/highlights/2000/00-11/pH meth
** The numbers in parentheses are standard deviations. Mean values with the same superscript are not significantly different (P ⬎ 0.05).
824 BAE ET AL.

KBr disk with Fourier transformation infrared spectroscopy


(FTIR; Spectrum One, Perkin-Elmer Instruments, Shelton,
CT). Then the sample was covered with a sheet of celluloid
strip (GC Co., Tokyo, Japan) and irradiated for 20 s with a
dental light-curing unit (Hilux™ Ultra⫹, Benlioglu Dental
Inc., Ankara, Turkey; power density more than 500 mW/
cm2). After removal of the celluloid strip, the FTIR spectrum
of the cured adhesive immediately after light curing was
collected. Because the MTBS was measured at 48 h after
bonding, the cured sample was stored in a dark plastic con-
tainer for 48 h and the FTIR spectrum of cured adhesive at
48 h after curing was also obtained. All the spectra were
obtained in a transmission mode with 16 scans at a resolution
of 4 cm⫺1. Three measurements were performed for each
experimental adhesive. The intensities of the aliphatic CAC
absorbance peak at 1638 cm⫺1 and the aromatic COC ab-
sorption peak at 1608 cm⫺1 as an internal reference were
measured in an absorbance mode with the use of a standard Figure 1. Specimen preparation for microtensile bond strength test.
baseline technique. After the peak height of aliphatic CAC
absorbance peak was corrected with that of the aromatic
reference peak, DC value was determined from the ratio of standard buffer solution, the probe was rinsed with distilled
corrected absorbance peak obtained before and after poly- water, shaken, blotted of excess water, and put into the test
merization with the following equation.23 tube containing the experimental adhesive. The pH measure-
ment was recorded after 2 min. After each measurement, the
[Abs(C ⫽ C)/Abs(C-C)]monomer probe was rinsed with acetone and distilled water, shaken,
⫺ [Abs(C ⫽ C)/Abs (C-C)]polymer and blotted of excess water in order to remove any traits of
D.C. (%) ⫽ ⫻ 100 previously measured monomer; then calibration was per-
[Abs(C ⫽ C)/Abs(C-C)]monomer
formed.
Measuring the Flexural Strength Measuring the Viscosity
The specimen for FS measurement was made from a rectan- The viscosity of the experimental adhesives was measured
gular bar-shaped stainless-steel mold with a dimension of 2 ⫻ with the use of a rotational rheometer (AR 2000, TA instru-
2 ⫻ 25 mm. It was attached on a glass slide with double-sided ment, New Castle, DE). Because the viscosity of the exper-
adhesive tape, filled with experimental resin adhesive, and imental adhesives ranged from liquid TEGDMA to highly
precisely covered with another glass slide preventing en- viscous Bis-GMA, two geometries were used for steady shear
trapped air, and clamped the entire assembly with spring- test—a cone and plate for the adhesives showing the viscosity
loaded binder clamps. The adhesive resin was cured with higher than 0.1 Pa 䡠 s and a concentric cylinder for those
three overlapping 20 s irradiations with the use of a wide lower than 0.1 Pa 䡠 s. The shear rate range tested was
light-guide tip (11 mm in diameter) of a Hilux light-curing 0.01–100 S⫺1. All the tests were done in a dark room at 25°C.
unit. In the same manner, the specimen was cured from the
opposite side. Then the specimen was removed from the mold Measuring the Microtensile Bond Strength
and stored for 48 h in a dark container with 100% relative
humidity. After the specimen was polished with P500 silicon- Thirty-two freshly extracted noncarious human molars were
carbide (SiC) paper and dimensions of the specimen were cleaned and immersed in a 0.5% chloramine-T solution for a
measured with a digital micrometer, the FS was measured week and then stored in distilled water at 4°C. The tooth was
with the use of a three-point bend test in a UTM (Instron mounted in cubic-shaped steel mold with direct resin (Figure
model 4466, Instron Corp., Canton, MA) at a crosshead speed 1). In order to align the adhesive interface perpendicular to
of 1 mm/min, in accordance with the International Standard the applying tensile load, the occlusal enamel was ground
Organization (ISO) Specification No. 4049. The maximum away perpendicular to the long axis of the tooth with the use
load was obtained by pressing the center of the cured rect- of a low-speed diamond saw (Isomet; Buehler Ltd., Lake
angular bar mounted between supports (20 mm in length) of Bluff, IL) and polished with the use of an automatic polishing
UTM. machine (Rotopol-V, Struers Ltd., Glasgow G60 5EU, UK)
with P500 SiC paper under running water until the last
remnant of enamel was removed. In order to ensure that the
Measuring the pH
hybrid layer has the same quality among the groups, the
After the pH meter was calibrated (Accumet威 Research etching and priming steps were performed with a commercial
AR25, Fisher Scientific, Pittsburgh, PA) with 2.0 and 1.0 dentin bonding system. The exposed flat occlusal dentin
ADHESIVE LAYER AND BOND STRENGTH 825

Figure 2. Degree of conversion immediately after curing (DC-immed) and at 48 h after curing
(DC-48h), flexural strength (FS), viscosity (V), pH, and microtensile bond strength to dentin (MTBS)
with the increase of Bis-GMA content.

surface was etched with 35 wt % phosphoric acid (the etchant was done at a 5% level of significance. The polynomial
of SBMP; 3M ESPE Dental Products) for 15 s and rinsed regression analysis was performed in order to compare the
with copious amounts of distilled water for 15 s. The primer patterns in the change of the DC, FS, and MTBS values with
of SBMP was applied on the moist dentin surface of the tooth increasing Bis-GMA/TEGDMA ratios. Statistic calculations
and dried with gentle air flow. In order to equalize the were done using SigmaStat (Version 2.03; Jandel Scientific
thickness of the adhesive layer among all the experimental Software, Chicago, IL).
adhesives, 20 ␮L of each experimental adhesive was applied
with a micropipette, spread with the micropipette tip, and
cured for 20 s. Z-250 hybrid composite resin (A3 shade, 3M RESULTS
ESPE Dental Products) was built up in three increments to
approximately 3.5 mm in height. Each layer was light cured
The experimental results of DC immediately after curing
for 20 s according to the manufacturer’s recommendation.
(DC-immed), DC at 48 h after curing (DC-48h) of a thin coat
After storing the sample in distilled water for 24 h, the sample
of the experimental adhesives, the FS of the bulk specimens
was at first trimmed to rectangular shape with the use of a
made of the experimental adhesives, the viscosity at shear
low-speed diamond saw. With a diamond burr fixed in a
rate of 1 S⫺1, pH, and the MTBS values of the adhesives to
low-speed press drill, notches were made along the dentin–
dentin are shown in Table II. One-way ANOVA showed that
adhesive interface line, so that the sample would be an
when the DC, FS, and MTBS were measured at 48 h after
hourglass shape. The narrowest neck of the hourglass-shaped
curing, there were statistically significant differences among
specimen should meet with both ends of the adhesive inter-
the adhesives containing various ratios of Bis-GMA/TEG-
face and be approximately 1 mm wide. Then, the specimen
DMA (p ⬍ 0.05). From the polynomial regression analysis,
was sliced with the low-speed diamond saw into 0.6 mm-
the changes of the DC, FS, and MTBS according to the
thick sections perpendicular to the interface. After measuring
increase of Bis-GMA/TEGDMA ratio fit better for the third-
the thickness and width of the neck of the specimen with a
order cubical relation than the linear or the second-order
digital micrometer, the specimen was attached to a measuring
quadratic relation. Although there were no statistically sig-
apparatus with cyanoacrylate cement (Super Glue Gel, 3M,
nificant differences in the MTBS within the range of 40 –70
St. Paul, MN). The whole assembly was set in a UTM
wt % Bis-GMA content, the MTBS obtained with the exper-
(Instron model 4466) and the strength value at breakage was
imental adhesives increased along with the increase of the
measured at a crosshead speed of 1 mm/min.19
Bis-GMA content in the experimental adhesives, reached the
maximum value when Bis-GMA concentration was 61.5 wt
Statistical Analysis
% from the polynomial regression curve, and then decreased
All the data of the DC, FS, pH, and MTBS were analyzed by (Table II, Figure 2). The polynomial regression curves of the
one-way ANOVA, and as post hoc tests, the Duncan’s test FS, DC-immed and DC-48h also demonstrated a pattern
826 BAE ET AL.

Figure 3. Plotting parameters against the pH and viscosity. (a) When Bis-GMA content in the adhesive
was below 40 wt %, with the increase of Bis-GMA content, the pH increased quickly. When the
Bis-GMA content was over 40 wt %, the pH increased steadily and approached 6.5, but all the
properties (DC, FS, and MTBS) decreased when Bis-GMA was increased to more than 60 wt %. (b)
With the increase of Bis-GMA content in the adhesive up to 60 wt %, the values of DC, FS, and MTBS
increased along with increasing viscosity in a relatively proportionate manner. However, when the
Bis-GMA content was over 60 wt %, the viscosity increased exponentially, which corresponded with
the decrease of the properties. All the properties were plotted against the logarithmic scale of viscosity
values.

similar to that of the MTBS; that is, the maximum values of dental adhesives, was very low, and suggested as the cause of
the FS, DC-immed, and DC-48h were predicted at 57.2 wt %, the crack development within the adhesive layer when the
42.0 wt %, and 47.0 wt %, respectively. polymerization shrinkage stress was applied.15 Most of the
With an increase of Bis-GMA content in the adhesives, the specimens fractured by nearly pure tension in the microten-
pH and viscosity values were dramatically increased (Table sile test showed fractures within the adhesive layer extending
II, Figure 2). When the mean values of each parameter were toward the interfaces with the hybrid layer or the composite
plotted against the pH or viscosity, the viscosity started to resin or fractures at the top of the hybrid layer.19 This phe-
increase steeply where the values of the DC-48h, FS, and nomenon was consistent with the lowest mechanical proper-
MTBS were going to decrease significantly, but the pH did ties of the adhesive resin layer reported by Van Meerbeek et
not change [Figures 3(a,b)]. When the viscosities of the al.,7 and the concept of the bond quality reported by Versluis,
experimental adhesives were lower than 0.16 Pa 䡠 s, the Tantbirojn, and Douglas,25 describing the properties of bond-
DC-immed and DC-48h increased with increasing Bis-GMA ing layer as boundary condition. Takahashi et al. also re-
content in the adhesives, but until the viscosity approached to ported a significant correlation between the ultimate micro-
0.45 Pa 䡠 s, the FS and MTBS increased continuously [Figure tensile strength of the resins and their microtensile bond
3(b)]. When the viscosity of the adhesives that contained over strength to dentin.14
50 wt % Bis-GMA increased exponentially, the DC-48h Concerning the fracture plane, when bond strength was
stared to decrease. However, FS and MTBS values decreased measured in a shear mode, the fracture modes were classified
a little later when Bis-GMA was added at more than 60 wt %. into three categories, that is, adhesive fracture, cohesive frac-
With the adhesive containing 80 wt % Bis-GMA, the changes ture of dentin, and cohesive fracture of composite resin.
became significant. However, when bond strength was measured with the use of
the MTBS test or the fracture toughness test, the fracture
planes were observed to be wandering between the top of the
DISCUSSION hybrid layer and within the adhesive layer.19,26 –28 Whether
the adhesive system was a one-bottle or a multistep one,
In previous studies on the variables affecting bond strength, during the application of the system, defects or voids may
the authors became interested in the adhesive layer as a remain at the interface between the hybrid layer and the
potential determinant of the bond strength in the UTM test or adhesive layer. If there are any defects at the top of the
at the time when the bond failed in clinical situations. When hybrid, the bond failure may initiate from it and can be
the shrinkage stress of the polymerizing composite resin explained by the crack initiation and the brittle fracture mech-
confined in a Class I cavity was applied on the previously anism. However, if there is no defect, the fracture may occur
cured adhesive layer, a poorly cured adhesive layer failed to within the weakest adhesive layer among the components of
maintain the bond integrity and resulted in gap formation the bonded complex. Therefore, the debonded surfaces after
within the adhesive layer.24 The FS of the adhesive cured for MTBS test were described as a mixed type of fracture with a
only 10 s, which was recommended for curing most current combination of interfacial failure and cohesive failure within
ADHESIVE LAYER AND BOND STRENGTH 827

the adhesive layer.14 As to the variables related to the adhe- From the results, the decrease in the DC and FS of the
sive layer, both the above-mentioned mechanical properties adhesives containing more than 60 wt % of Bis-GMA were in
and the defects working as cracks would be considered to accordance with that of the MTBS of those adhesives. In
affect the bond strength. order to investigate the reason the values of these parameters
In this study, it was hypothesized that, if all the other decreased in the adhesives with higher Bis-GMA content, the
variables could be held steady, the properties of the resin pH and viscosity values were evaluated. The activity of the
adhesive itself would be a potent determinant of the bond- amine accelerator commonly used in the dental polymeric
strength measurements. In order to evaluate the net effect of materials was known to be retarded in an acidic condition.
the properties of the resin adhesive itself on bond strength, Like the connection between the increments in the incremen-
first, the hybrid layers having the same quality in all the tal filling of composite resin,32 the copolymerization between
experimental groups were obtained by treating the dentin the top of the hybrid layer and the adhesive layer or between
surfaces with the same etchant and primer of a commercial the adhesive layer and the composite resin will be mediated
adhesive system, and then the assigned experimental adhe- by the oxygen-inhibited layer of unpolymerized matrix
sives were applied. Second, in order to obtain the adhesive monomers. The acidity of the resin adhesive may obstruct the
layer having same thickness in all the groups, a micropipette acceleration of the polymerization at the interface between
was used to apply the same amount of experimental resin the top of the adhesive layer and the composite resin. But in
adhesives. Because of the difference in the viscosity of the the present research, under weakly acidic conditions (pH ⫽
solvent-free experimental adhesives, the thickness of the ad- 3.38 – 6.55), there was no significant effect of pH on DC, FS,
hesive layer would be affected with conventional brush ap- and MTBS.
plication; that is, the thicker experimental adhesive coated From the viewpoint of the polymerization kinetics, the
with a brush would result in a thicker adhesive layer. There is viscosity might cause the decrease of DC, FS, and MTBS of
still controversy concerning the relationship between the the thick adhesives. Bis-GMA is a very reactive molecule and
thickness of the adhesive layer and bond strength measure- its polymerization reaction is diffusion controlled. On the
ments.11,12,18,19 However, in order to exclude the effect of the other hand, TEGDMA reduces the viscosity of the mixture
thickness on the bond strength, the thickness was controlled and increases the mobility of the reactants that can delay the
with the volume of the bonding agent applied. Although the diffusion-controlled termination.21,22 Within the range of low
viscosities of bonding resins were different, because the teeth viscosity [less than 0.16 Pa 䡠 s of the adhesive containing 50
were randomly divided into eight groups and the resins were wt % of Bis-GMA, Table II and Figure 3(b)], the increase of
spread on the entire surface, it was assumed that the same highly reactive Bis-GMA within a mixture resulted in the
volume divided by the same area make the thickness roughly increase of the DC. With an increase of the DC value of the
the same. Third, the experimental adhesives were formulated system, the high molecular weight (MW) and abundant
as solvent-free ones. Although the phase separation resulting crosslinking of Bis-GMA resulted in the higher FS until the
from the difference in the viscosity of the major monomers Bis-GMA concentration reached 60 wt % within the adhe-
may act as defects or flaws,11,29,30 the adhesive layer made sive, and in turn, contributed partly to the increase of the
from the solvent-free adhesives can be supposed to have MTBS [Figure 3(b)]. However, because the polymerization
minimal even flaws because the drying step was skipped. kinetics of each monomer can be attributed to the mobility
Additionally, because the amine peroxide ratio can also affect and crosslinking density of the reactant, the extreme increase
the properties of the experimental adhesive resins,31 the ratio of Bis-GMA in the mixture increases the viscosity of the
of camphoroquinone and ethyl 4-dimethylaminobenzoate was system, results in autodeceleration of the reaction, and causes
fixed at 1:1 by weight in all the experimental adhesives. lower conversion.21 Even with the high MW and abundant
To increase the mechanical properties of the resin adhe- crosslinking of Bis-GMA, when mixtures had extremely high
sive, in general, the improvement of the base monomers or viscosity, the high viscosity might also decrease the FS and
loading fillers into the adhesive has been adopted. When the MTBS by lowering the DC.
ratios of Bis-GMA/TEGDMA were altered, the properties of
the mixtures, such as the viscosity, conversion, pH, and
shrinkage stress, were also changed.22 Loading fillers in a CONCLUSION
micron scale increased the bond strength.13 In this study,
although there were no statistically significant differences in The bond strength (MTBS) of the experimental dentin adhe-
the MTBS within the range of Bis-GMA content of 40 –70 wt sives increased with increasing mechanical properties (FS) by
%, the MTBS increased significantly with increasing ratios of varying the Bis-GMA/TEGDMA ratios. Therefore, the
Bis-GMA/TEGDMA from 20/80 to 60/40, reached the max- present hypothesis was accepted. Increasing DC as a physical
imum when Bis-GMA content was 60 wt %, and then de- property affected the bond strength indirectly through the
creased dramatically when Bis-GMA content was 80 wt %. increase in FS due to high molecular weight and abundant
The DC and FS with increasing ratios of Bis-GMA/TEG- crosslinking of Bis-GMA. Clinically, stronger resin adhesives
DMA from 20/80 to 80/20 also exhibited a similar pattern. would improve the integrity of the dentin adhesive bond.
This experimental result suggested that the present hypothesis However, extremely increased viscosity of the resin adhe-
might be accepted. sives resulted in decreased DC, because the reactivity of the
828 BAE ET AL.

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creased. contraction stress. J Dent Res 1984;63:1396 –1399.
17. Choi KK, Condon JR, Ferrracane JL. The effects of adhesive
thickness on polymerization contraction stress of composite. J
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