Professional Documents
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Adhesive Temperature:
Effects on Adhesive
Properties and Resin-
Dentin Bond Strength
AD Loguercio D Salvalaggio AE Piva
CA Klein-Júnior M de LR Accorinte MM Meier
RHM Grande A Reis
Clinical Relevance
Preheating ethanol/water-based adhesive systems could be useful to improve the hybrid
layer quality.
compared to the 378C and 508C groups. The more complete polymerization reaction and greater
higher temperatures (378C or 508C) reduced the crosslinking. This increase in polymerization may
number of pores within the adhesive layer of lead to improved mechanical properties.14–16
both adhesive systems. To the extent of our knowledge, the effects of
Conclusions: It could be useful to use an temperature have been evaluated mainly for com-
ethanol/water-based adhesive at 378C or 508C posites and self-etch adhesives.6,7,17,18 Therefore, the
and an acetone-based adhesive at 378C to aim of this in vitro study was to evaluate the effect of
improve adhesive performance. different temperatures on resin-dentin bond
strength and nanoleakage of two-step etch-and-rinse
INTRODUCTION adhesive systems. In addition, the degree of conver-
sion and adhesive layer thickness were also evalu-
The temperature of adhesive systems can alter some
ated.
of the properties of monomer solutions, such as
viscosity and degree of conversion, which are
MATERIALS AND METHODS
important bond effectiveness parameters.1,2 The
spreading velocity of etch-and-rinse adhesive sys- Forty extracted, caries-free human third molars
tems,3 as well as the vapor pressures of solvent,4 can were used. The teeth were collected after obtaining
be influenced by temperature. Therefore, the adhe- the patients’ informed consent. The University
sive temperature might play a role in the adhesive Review Board approved this study. Teeth were
performance. disinfected in 1% thymol, stored in distilled water,
and used within 6 months after extraction. A flat and
Although most manufacturers currently recom-
superficial dentin surface was exposed on each tooth
mend storing adhesive materials at room tempera-
by wet grinding the occlusal enamel with number
ture, many dentists still use the traditional practice
180-grit silicon-carbide paper. The enamel-free,
of refrigerating materials to extend their shelf life.5
exposed dentin surfaces were further polished with
It has been shown that when materials are taken
wet number 600-grit silicon-carbide paper for 60
from the refrigerator and used immediately, without
seconds to standardize the smear layer. Teeth were
allowing time for them to reach room temperature,
then rinsed with tap water before the bonding
their efficacy is reduced.6,7 In this refrigerated
protocol.
condition, the overall conversion of monomers is
lowered 8,9 and the adhesive viscosity increased,2
Bonding and Restorative Procedure
which might reduce the penetration of adhesives into
acid-etched dentin, resulting in a decrease in resin- Two etch-and-rinse adhesive systems having differ-
dentin bond strength. Refrigeration might have ent solvents were tested: Adper Single Bond (SB; 3M
further consequences, as it also affects solvent vapor ESPE, St. Paul, MN, USA), an ethanol/water-based
pressure inhibiting the evaporation of the solvents system, and Prime&Bond 2.1 (PB; Dentsply De Trey,
from the adhesive layer.10 Konztanz, Germany), an acetone-based system (Ta-
ble 1). Forty teeth were divided into eight groups
As opposed to this, temperatures around 408C can
according to the temperature to be tested. One bottle
be reached in places close to ovens, when exposed to
of each adhesive was stored in the refrigerator at
direct sunlight or even in warm areas or seasons.7
58C, and the others were kept in the oven (incubator)
Several studies have demonstrated lower resin-
at 208C, 378C, or 508C for 2 hours before starting the
dentin bond strength when ambient temperatures
adhesive procedure. One bottle of each adhesive
were increased to a level simulating intraoral
system from the same batch number was used for
conditions.11,12 However, one cannot rule out the
each temperature. The temperature of the bottles of
benefits of increased temperature on both radical adhesive was checked with a thermometer before the
and monomer mobility, resulting in higher overall restorative procedure. The surfaces were acid etched
monomer conversion8,9 and lower viscosity.13 with the respective etchants of each adhesive system
Several studies have observed that composite (Table 1) and rinsed off, and the dentin was left
prewarming to around 54–608C enhanced the max- slightly moist before adhesive application. The
imal polymerization rate and overall monomer adhesives Prime&Bond 2.1 (PB) and Adper Single
conversion of resin composites.13-15 With increased Bond (SB) were removed from the oven or refriger-
temperature, free radicals and propagating polymer ator and immediately applied according to the
chains become more flexible as a result of decreased manufacturer’s instructions. In all these groups,
viscosity and react to a greater extent, resulting in a adhesives were light polymerized (VIP, Bisco,
Loguercio & Others: Effects of Adhesive Temperature 295
Prime&Bond 2.1 (Dentsply 1. Caulk Tooth Conditioner Gel 34% phosphoric acid 58C a, b, c, d1, e, f, g
De Trey), batch no. 2. Adhesive—UDMA, Bis-GMA, PENTA, butylated
139207B hydroxytoluene, 4-ethyl dimethyl aminobenzoate,
208C
cetilamine hydrofluoride, initiator, and acetone
378C
508C
Adper Single Bond (3M 1. Scotchbond Etchant: 37% phosphoric acid 58C a, b, c, d2, e, f, g
ESPE), batch no. 2GM 2. Adhesive—Bis-GMA, HEMA, dimethacrylates,
polyalkenoic acid copolymer, initiators, water, and
208C
ethanol
378C
508C
Abbreviations: UDMA, urethane dimethacrylate; Bis-GMA, bisphenol A diglycidyl methacrylate; PENTA, dipentaerythritol pentacrylate monophosphate; HEMA, 2-
hydroxyethyl methacrylate.
a
a, acid-etch (15 s); b, rinse (15 s); c, air-dry (30 s); d1, dentin rewetted with water (3.5 lL for PB), 60 s; d2, dentin rewetted with water (1.5 lL for SB), 60 s; e, one coat
of adhesive; f, air-dry for 10 s at 20 cm; g, light polymerization (10 s, 600 mW/cm2).
Schaumburg, IL, USA; 600 mW/cm2) for the respec- mm and recorded for subsequent calculation of the
tive recommended time (10 seconds). Resin compos- microtensile bond strength (lTBS) (Absolute Digi-
ite buildups (Opallis, shade A3.5; Batch number matic, Mitutoyo, Tokyo, Japan). Approximately half
090609; FGM, Joinville, SC, Brazil) were placed on the bonded sticks originating from the same teeth
the bonded surfaces (three increments of 1.5 mm were randomly selected (Excel 2003, Microsoft Office
each) and were individually light activated for 40 software, Redmond, WA, USA) and used for micro-
seconds each. All bonding procedures were carried tensile testing. Another three sticks from each tooth
out by a single operator at 248C and 50% relative were used for nanoleakage evaluation.
humidity. Five teeth were used for each experimen-
tal group. The adhesive bottles were removed from Microtensile Bond Strength Test (lTBS)
the oven or refrigerator only for as long as it took to Each bonded stick was attached to a lTBS testing
remove two drops of the adhesive for application on device with cyanoacrylate resin (Zapit, Dental
the surface of each tooth. After this, the bottle was Ventures of North America, Corona, CA, USA) and
immediately put back into the oven/refrigerator. subjected to a tensile force in a universal test
machine (Emic, São José dos Pinhais, PR, Brazil)
Storage Time and Sticks Preparation at a speed of 0.5 mm/min. The failure modes were
After storing the bonded teeth in distilled water at evaluated at 4003 magnification (HMV-2, Shimadzu,
378C for 24 hours, they were longitudinally sectioned Tokyo, Japan) and classified as cohesive (failure
in both ‘‘x’’ and ‘‘y’’ directions across the bonded exclusive within dentin or composite, C), adhesive
interface with a diamond saw in a Labcut 1010 (failure at the resin/dentin interface, A), or adhesive/
machine (Extec Corp, Enfield, CT, USA), under mixed (failure at the resin/dentin interface, which
water cooling at 300 rpm to obtain bonded sticks included cohesive failure of the neighboring sub-
with a cross-sectional area of approximately 0.8 strates, A/M).
mm2. The number of prematurely debonded sticks
(D) per tooth during specimen preparation was Nanoleakage Test (NL)
recorded. The cross-sectional area of each stick was For each experimental condition, three bonded sticks
measured with the digital caliper to the nearest 0.01 per tooth from a total of five teeth were coated with
296 Operative Dentistry
two layers of nail varnish applied up to within 1 mm Adhesive Layer Thickness Measurement (AL)
of the bonded interfaces. The specimens were Digital images were taken in three distinct regions of
rehydrated in distilled water for 10 minutes prior the same bonded stick used in SNU under the same
to immersion in the tracer solution for 24 hours. 3303 magnification. The adhesive layer thickness
Ammoniacal silver nitrate was prepared according to was measured using the image analysis software
the protocol previously described by Tay and oth- Corel Photo-Paint 8 (Corel Corp Ltd Dublin, Ireland)
ers.19 The sticks were placed in the ammoniacal in three different regions of each picture, and the
silver nitrate in darkness for 24 hours, rinsed values obtained were averaged for statistical pur-
thoroughly in distilled water, and immersed in photo poses.
developing solution for 8 hours under a fluorescent
light to reduce silver ions into metallic silver grains Degree of Conversion (DC)
within voids along the bonded interface.
One drop (10 lL) of adhesive solution at each tested
All sticks were wet polished with 600-grit SiC temperature was individually placed between ace-
paper to remove the nail varnish. After this, the tate strips (8 mm 3 8 mm) to achieve a thin film of
specimens were placed inside an acrylic ring that approximately 8 mm in diameter. Before covering
was attached to a double-sided adhesive tape and the drops of adhesive with the upper acetate strips,
embedded in epoxy resin. After the epoxy resin had they were gently air-dried with a dry stream (10
set, the thickness of the embedded specimens was seconds) to allow the solvent to evaporate. A Fourier
reduced to approximately half by grinding with transformed infrared (FTIR) spectrum of the un-
silicon carbide papers under running water. Speci- polymerized material was recorded, and then the
mens were polished with a 1000-grit SiC paper and specimens were photoactivated for 10 seconds. Each
6, 3, 1, and 0.25 lm diamond paste (Buehler Ltd, specimen was carefully removed with a narrow
Lake Bluff, IL, USA) using a polishing cloth. They surgical knife and stored for 24 hours in a dark,
were ultrasonically cleaned, air dried, mounted on dry environment until the FTIR analysis of the DC
stubs, and gold-carbon coated (MED 010, Balzers (FTIR-8300, Shimadzu) was performed. The spec-
Union, Balzers, Liechtenstein). Resin-dentin inter- trum was obtained with 32 scans at 1 cm1
faces were analyzed by means of a field-emission resolution by a transmission method. The percentage
scanning electron microscope operated in the back- of unreacted carbon–carbon double bonds (%C¼C)
scattered electron mode (LEO 435 VP, LEO Electron was determined from the ratio of absorbance
Microscopy Ltd, Cambridge, UK). The working intensities of aliphatic C¼C (peak height at 1640
distance was 10 mm and the accelerating voltage cm1) against an internal standard before and after
(ACCV) 15 Kv. polymerizing the specimen. The aromatic carbon–
Three pictures were taken of each specimen. The carbon bond (peak height at 1610 cm1) absorbance
first picture was taken in the center of the stick. The was used as an internal standard. The DC was
other two were taken 0.3 mm to the left and right of determined by subtracting the %C¼C from 100%.
the first picture. As three sticks per tooth were Three specimens were tested for each group.
evaluated and a total of five teeth were used for each
experimental condition, 45 images were evaluated for Statistical Analysis
each group. They were all taken by a technician who The mean lTBS of all sticks from the same tooth was
was blinded to the experimental conditions under used for statistical purposes. The prematurely
evaluation. The relative percentage of SNU within debonded specimens were included in the mean
the adhesive and hybrid layer areas was measured in value for the tooth. The mean value attributed to
all pictures using the UTHSCSA ImageTool 3.0 specimens that failed prematurely during prepara-
software (Department of Dental Diagnostic Science tion was arbitrary and corresponded to approximate-
at the University of Texas Health Science Center, San ly half the minimum bond strength value that could
Antonio, TX, USA) by an author blind to the test and be measured in this study (;7.8 MPa).20,21 The lTBS
control samples. First, the total area of the adhesive for every tested group was expressed as the mean of
layer plus the hybrid layer was recorded. Then the the five teeth used per group and expressed in MPa.
area occupied by the silver nitrate deposits was For SNU (%) and AL (lm), the mean SNU and AL of
delineated by a software tool and summed, and the all pictures taken of sticks that originated from the
relative ratio between the total area vs the impreg- same tooth (three sticks per tooth, three pictures for
nated areas was calculated to give the percentage of stick) were averaged for statistical purposes. The
SNU within each specific bonding interface. SNU and AL of every test group were expressed as
Loguercio & Others: Effects of Adhesive Temperature 297
Table 2: Number and percentage of specimens (%) according to fracture pattern mode and the prematurely debonded
specimens from each experimental condition
Abbreviations: A/M, adhesive/mixed fracture mode; C, cohesive fracture mode; PDS, prematurely debonded specimens.
the mean of the five teeth used per group and RESULTS
reported as a percentage.
The mean cross-sectional area ranged from 0.78 to
Before submitting the data to analysis using the 1.02 mm2, and no difference was detected among the
appropriate statistical test, the Kolmogorov–Smir- groups (p.0.05). The percentage of specimens with
nov test was performed to assess whether the data premature debonding specimens (PDS) and the
followed a normal distribution, and the Bartlett test frequency of each fracture pattern mode are shown
for equality of variances was performed to determine in Table 2. The data showed equality of variances
if the assumption of equal variances was valid. After and normality (data not shown).
observing the normality of the data distribution and The overall lTBS and DC values for SB and PB
the equality of the variances, all data were submit- are shown in Tables 3 and 4, respectively. No
ted to appropriate data analysis. statistically significant difference was observed for
The lTBS (MPa), SNU (%), DC (%), and adhesive SB in terms of lTBS or DC (p.0.05). For PB, the
layer thickness (lm) data were subjected to a one- temperature was statistically significant for lTBS
way analysis of variance for each adhesive, and a and DC (p,0.05). Lower lTBS and higher DC values
post hoc test (Tukey test at a¼0.05) was used for were observed for PB at the higher temperature
pairwise comparisons. (508C) (p,0.05). The overall SNU values for SB and
Table 3: Overall microtensile resin-dentin bond strength Table 4: Overall degree of conversion values and
values and the respective standard deviations respective standard deviations (%) obtained
(MPa) obtained under each experimental under each experimental condition, as well as
condition, as well as the statistical significancea the statistical significancea
Prime&Bond 2.1 Adper Single Bond Prime&Bond 2.1 Adper Single Bond
58C 38.5 6 8.9 A 36.8 6 6.2 a 58C 37.9 6 2.4 A,B 46.1 6 3.2 a
208C 39.6 6 9.1 A 39.5 6 3.8 a 208C 30.8 6 4.6 B 45.3 6 2.9 a
378C 43.5 6 7.1 A 42.3 6 4.7 a 378C 37.9 6 2.0 A,B 50.9 6 1.5 a
508C 25.8 6 2.9 B 44.5 6 3.8 a 508C 38.3 6 4.2 A 45.4 6 3.7 a
a a
Groups with same upper- or lowercase letter are not significantly different Groups with same upper- or lowercase letter are not significantly different
(Tukey test, p.0.05). (Tukey test, p . 0.05).
298 Operative Dentistry
Figure 1. Representative backscattered SEM images (2003) of the resin-dentin interfaces bonded with Adper Single Bond (A to D) applied at
different temperatures. The amount of silver penetration in figures A and B was higher, and it occurred throughout the entire thickness of the HL and in
several areas of the adhesive layer. In Figures C and D, lower silver nitrate uptake can be seen in the HL, mainly in the 50 8C group. Observe that the
AL formed at 5 8C and 20 8C is thicker than in the 37 8C and 50 8C groups. Co, composite; AL, adhesive layer; HL, hybrid layer; De, dentin.
sensitive to temperature variations, mainly in the acid-etched demineralized dentin matrix. Interest-
cold range, should be a matter of further investiga- ingly, this does not seem to be the case with the
tion. range of cold temperatures evaluated in the present
Under low temperature conditions (58C-208C), the study, as no significant difference in lTBS values
viscosity of adhesive systems increases consider- and no difference in silver uptake were observed in
ably.1,2,5 It has been shown that the higher the the cold temperature groups (58C and 208C). Another
viscosity of an adhesive, the more difficult is the consequence of using adhesives at low temperatures
substrate wetting29 because the spreading velocity of is that the adhesive layer formed tends to be thicker
the material is rather reduced.3 This theoretically and more variable, as could be observed in the
affects the diffusion of solvated comonomers into the present investigation.
Figure 2. Representative backscattered SEM images (2003) of the resin-dentin interfaces bonded with Prime&Bond 2.1 applied at different
temperatures. It can be seen that at low temperatures (Figures A and B), the amount of silver nitrate penetration was higher and occurred in the HL
and in the entire AL thickness. In Figures C and D, lower silver nitrate uptake can be seen in the HL. Observe that the AL formed at 5 8C and 20 8C is
thicker than in the 37 8C and 50 8C groups. Co, composite; AL, adhesive layer; HL, hybrid layer; De, dentin.
300 Operative Dentistry
Figure 3. Representative backscattered SEM images (2003) of the resin-dentin interfaces bonded with Prime&Bond 2.1 applied at 5 8C (A) and
37 8C (B). The thickness of AL is thicker in Figure A (52.1 lm) than in B (14.8). Co, composite; AL, adhesive layer; HL, hybrid layer; De, dentin.
Another reported consequence of refrigerating layer thickness, with this being much more evident
polymer-based materials, such as adhesive systems, in the 508C group. According to Tay and Pashley,31
is that low temperatures may lower the vapor water trees in dentin adhesives, together with
pressure of the solvents present in their composition, nanoleakage within the hybrid layers, represent
inhibiting their evaporation from the adhesive water-rich interfacial regions from which the leach-
layer.4,10 Moreover, the kinetic energy of the mono- ing of hydrophilic resin components may readily
mer molecules is reduced at low temperatures, occur, indicating signs of potential degradation of the
reducing their chances of collision during the interfacial bond in the future. The regions of silver
polymerization reaction. Although these two factors uptake probably represent areas of suboptimal
might theoretically affect the degree of conversion of conversion within the polymer matrix due to incom-
the adhesive layer to a certain extent, the present plete solvent removal.32
study failed to prove this experimentally. No signif-
icant difference in the degree of conversion was These regions of incomplete monomer penetration
observed when the temperatures of 58C, 208C, and result in regions of incomplete polymerization and/or
378C of both adhesives were compared with one hydrogel formation. These regions may permit
another. higher diffusional water fluxes within the hybrid
layers that could accelerate water sorption and the
On the other hand, by comparing the cold
extraction of unpolymerized or degraded mono-
temperature groups with the hot groups, we could
mers.31,33
clearly note that the increase in temperature
reduced the amount of silver deposits in both the By increasing the temperature, the flowability of
hybrid layer (classic nanoleakage30) and the adhe- the polymeric materials is also increased,13 most
sive layer (water trees31) and lowered the adhesive likely causing an improvement in their penetration
Loguercio & Others: Effects of Adhesive Temperature 301
the bond strength values. Thicker adhesive layers 13. Blalock JS, Holmes RG & Rueggeberg FA (2006) Effect of
were observed for both adhesives in cold tempera- temperature on unpolymerized composite film thickness
Journal of Prosthetic Dentistry 96(6) 424-432.
tures (in the 58C and 208C groups). Degree of
conversion was significantly better for acetone-based 14. Daronch M, Rueggeberg FA & De Goes MF (2005)
Monomer conversion of pre-heated composite Journal of
adhesive only at hot temperature (508C).
Dental Research 84(7) 663-667.
15. Daronch M, Rueggeberg FA, De Goes MF & Giudici R
Acknowledgements (2006) Polymerization kinetics of pre-heated composite
This study was partially supported by CNPq grants Journal of Dental Research 85(1) 38-43.
473101/2006-8 and 305870/2004-1 and FAPERGS.
16. Bagis YH & Rueggeberg FA (1997) Effect of post-cure
temperature and heat duration on monomer conversion of
(Accepted 18 November 2010) photo-activated dental resin composite Dental Materials
13(4) 228-232.
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