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BMC Oral Health
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Open Access 01-12-2024 | Research

Comparative evaluation of desensitizing agents on shear bond strength of zirconia to dentin

Authors: İrem Çötert, Merve Aytuğ, H. Serdar Çötert

Published in: BMC Oral Health | Issue 1/2024

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Abstract

Background

The purpose of the study is to evaluate the effect of 7 different desensitizing agents on the shear bond strength (SBS) of zirconia restorations to dentin with a self-adhesive resin cement and determine the failure modes.

Methods

Eighty molars’ occlusal surfaces were ground to expose dentin and were randomly divided into 8 groups (n = 10): 1. Gluma (HEMA/Glutaraldehyde) 2. Bifluoride (Sodium Fluoride/Calcium Fluoride) 3. Admira (Bis-GMA/HEMA) 4. Smart Protect (Glutaraldehyde) 5. Teethmate (Tetracalcium phosphate, Dicalcium phosphate) 6. Clinpro White (Sodium fluoride) 7. BisBlock (Oxalic acid) and 8. Control (No-treatment). After applying the agent, a self-adhesive resin cement (Rely-X U200) was used to lute zirconia discs (4 mm height and 4 mm diameter) to dentin. After stored in distilled water at 37 °C for 24 h, all groups were thermocycled for 2500 cycles between 5 ± 2 °C and 55 ± 2 °C. Specimens were submitted to SBS test with a universal testing machine at a crosshead speed of 0.5 mm/min until failure. SBS values were compared with ANOVA. Post-hoc multiple comparisons were performed with Dunnett T3. The failure modes of specimens were examined with stereomicroscope at a magnification of 20X and the distribution of the failure modes were evaluated with Pearson Chi-Square test.

Results

Regarding mean SBS values in MPa’s; Admira (10.70 ± 3.99), Smart Protect (9.62 ± 3.93), and Gluma (8.90 ± 3.76) treatments showed higher SBS values compared to control group (p < .05) according to ANOVA. The SBS values of Teethmate (5.31 ± 2.37) and Clinpro White (4.32 ± 2.44) were higher than control group but the difference was not found significant (p > .05). BisBlock (2.33 ± 1.94) and Bifluouride (1.60 ± 1.47) groups showed the lowest SBS values but their difference between control group was not found statistically significant (p > .05). Most specimens showed adhesive failure but no statistically significant difference was found in the distributions of failure modes according to Chi-square test.

Conclusion

Within the limitation of the study; Admira, Smart Protect, and Gluma increased the SBS of the zirconia restorations to dentin and can be recommended to use on prepared dentin surfaces prior to the cementation.
Literature
1.
Stawarczyk B, Hartmann L, Hartmann R, Roos M, Ender A, Ozcan M, Sailer I, Hämmerle CH. Impact of Gluma Desensitizer on the tensile strength of zirconia crowns bonded to dentin: an in vitro study. Clin Oral Investig. 2012;16(1):201–13.PubMedCrossRef
2.
Dewan H, Sayed ME, Alqahtani NM, Alnajai T, Qasir A, Chohan H. The Effect of commercially available desensitizers on bond strength following cementation of Zirconia crowns using Self-Adhesive Resin Cement-An in Vitro Study. Mater (Basel). 2022;15(2):514.CrossRef
3.
Addy M, Embery G, Edgar WM, Orchardson R. Tooth wear and sensitivity: clinical advances in restorative dentistry. London: Martin Dunitz; 2000. pp. 239–48.
4.
Srivastava V, Haldar S, Srivastava V, Meenawat A, Shahab Khan Y, Huidrom E. Comparative evaluation of Er: YAG Laser, Diode Laser, and Novamin Technology for Dentinal Tubule occlusion: an In-Vitro scanning Electron microscope (SEM) and Energy Dispersive X-Ray analysis (EDX) study. Cureus. 2024;16(4):e58806.PubMedPubMedCentral
5.
6.
7.
Hihara H, Izumita K, Kawata T, Akatsuka R, Tagaino R, Kitaoka A, Kayaba C, Ikeda K, Sasaki K. A novel treatment based on powder jet deposition technique for dentin hypersensitivity: a randomized controlled trial. BMC Oral Health. 2023;23(1):695.PubMedPubMedCentralCrossRef
8.
9.
Acharya AB, Chandrashekar A, Thakur S. A short term comparative evaluation of the efficacy of diode laser with desensitizing toothpastes and mouthwashes in the treatment of dentinal hypersensitivity. J Clin Exp Dent. 2022;14(3):e229–34.PubMedPubMedCentralCrossRef
10.
Erdemir U, Yildiz E, Kilic I, Yucel T, Ozel S. The efficacy of three desensitizing agents used to treat dentin hypersensitivity. J Am Dent Assoc. 2010;141(3):285–96.PubMedCrossRef
11.
Al-Sabbagh M, Harrison E, Thomas MW. Patient-applied treatment of dentinal hypersensitivity. Dent Clin North Am. 2009;53(1):61–70.PubMedCrossRef
12.
Shafiei F, Memarpour M. Effect of surface pretreatment with two desensitizer techniques on the microleakage of resin composite restorations. Lasers Med Sci. 2013;28(1):247–51.PubMedCrossRef
13.
Soeno K, Taira Y, Matsumura H, Atsuta M. Effect of desensitizers on bond strength of adhesive luting agents to dentin. J Oral Rehabil. 2001;28(12):1122–8.PubMedCrossRef
14.
Külünk S, Saraç D, Külünk T, Karakaş O. The effects of different desensitizing agents on the shear bond strength of adhesive resin cement to dentin. J Esthet Restor Dent. 2011;23(6):380–7.PubMedCrossRef
15.
Johnson GH, Lepe X, Bales DJ. Crown retention with use of a 5% glutaraldehyde sealer on prepared dentin. J Prosthet Dent. 1998;79(6):671–6.PubMedCrossRef
16.
Yim NH, Rueggeberg FA, Caughman WF, Gardner FM, Pashley DH. Effect of dentin desensitizers and cementing agents on retention of full crowns using standardized crown preparations. J Prosthet Dent. 2000;83(4):459–65.PubMedCrossRef
17.
Baba N, Taira Y, Matsumura H, Atsuta M. Effect of disinfectants containing glutaraldehyde on bonding of a tri-n-butylborane initiated resin to dentine. J Oral Rehabil. 2002;29(5):478–83.PubMedCrossRef
18.
Schaller HG, Wergin I, Bekes K, Gernhardt CR. The influence of desensitizing on bond strength of dentin adhesives. Int Poster J Dent Oral Med. 2005;7(1):Poster259.
19.
Soares CJ, Santos Filho PCF, Barreto BCF, Mota AS. Effect of previous desensitizer and rewetting agent application on shear bond strength of bonding systems to dentin. Cienc Odontol Bras. 2006;9(4):6–11.
20.
Aranha AC, Siqueira Junior Ade S, Cavalcante LM, Pimenta LA, Marchi GM. Microtensile bond strengths of composite to dentin treated with desensitizer products. J Adhes Dent. 2006;8(2):85–90.PubMed
21.
Sailer I, Oendra AE, Stawarczyk B, Hämmerle CH. The effects of desensitizing resin, resin sealing, and provisional cement on the bond strength of dentin luted with self-adhesive and conventional resincements. J Prosthet Dent. 2012;107(4):252–60.PubMedCrossRef
22.
Stawarczyk B, Hartmann R, Hartmann L, Roos M, Ozcan M, Sailer I, Hämmerle CH. The effect of dentin desensitizer on shear bond strength of conventional and self-adhesive resin luting cements after aging. Oper Dent. 2011 Sep-Oct;36(5):492–501.
23.
Acar O, Tuncer D, Yuzugullu B, Celik C. The effect of dentin desensitizers and nd:YAG laser pre-treatment on microtensile bond strength of self-adhesive resin cement to dentin. J Adv Prosthodont. 2014;6(2):88–95.PubMedPubMedCentralCrossRef
24.
Sailer I, Tettamanti S, Stawarczyk B, Fischer J, Hämmerle CH. In vitro study of the influence of dentin desensitizing and sealing on the shear bond strength of two universal resin cements. J Adhes Dent. 2010;12(5):381–92.PubMed
25.
Arrais CA, Chan DC, Giannini M. Effects of desensitizing agents on dentinal tubule occlusion. J Appl Oral Sci. 2004;12(2):144–8.PubMedCrossRef
26.
Dündar M, Cal E, Gökçe B, Türkün M, Ozcan M. Influence of fluoride- or triclosan-based desensitizing agents on adhesion of resin cements to dentin. Clin Oral Investig. 2010;14(5):579–86.PubMedCrossRef
27.
Scotti N, Bergantin E, Tempesta R, Turco G, Breschi L, Farina E, Pasqualini D, Berutti E. Influence of dentin pretreatment with synthetic hydroxyapatite application on the bond strength of fiber posts luted with 10-methacryloyloxydecyl dihydrogen phosphate-containing luting systems. Eur J Oral Sci. 2016;124(5):504–9.PubMedCrossRef
28.
Bergantin E, Turco G, Cadenaro M, Breschi L, Berutti E, Scotti N. Effect of synthetic hydroxyapatite in improving fiber posts bond strength. Dent Mater. 2014;30(1):80–1.CrossRef
29.
Cuppari M, Chiapello M, Alovisi M, Pasqualini D, Berutti E, Scotti N. Effect of tetracalcium phosphate on bond strength of self-etch adhesives. Dent Mater. 2014;30(1):e80.CrossRef
30.
Iványi I, Balogh AE, Fazekas A, Rosivall L, Nyárasdy I. Comparative analysis of pulpal circulatory reaction to an acetone-containing and an acetone-free bonding agent as measured by vitalmicroscopy. Oper Dent. 2002 Jul-Aug;27(4):367–72.
31.
Iványi I, Balogh AE, Rosivall L, Nyárasdy I. In vivo examination of the Scotchbond Multi-Purpose Dental Adhesive System in rat (vitalmicroscopic study). Oper Dent. 2000 Sep-Oct;25(5):418 – 23.
32.
Pashley DH, Carvalho RM, Pereira JC, Villanueva R, Tay FR. The use of oxalate to reduce dentin permeability under adhesive restorations. Am J Dent. 2001;14(2):89–94.PubMed
33.
De Andrade e Silva SM, Malacarne-Zanon J, Carvalho RM, Alves MC, De Goes MF, Anido-Anido A, Carrilho MR. Effect of oxalate desensitizer on the durability of resin-bonded interfaces. Oper Dent. 2010 Nov-Dec;35(6):610–7.
34.
Retief DH. Standardizing laboratory adhesion tests. Am J Dent. 1991;4(5):231–6.PubMed
35.
Maity S, Priyadharshini V, Basavaraju S. A comparative evaluation of propolis and light-cured ormocer-based desensitizer in reducing dentin hypersensitivity. J Indian Soc Periodontol. 2020 Sep-Oct;24(5):441–6.
36.
Saraç D, Külünk S, Saraç YS, Karakas O. Effect of fluoride-containing desensitizing agents on the bond strength of resin-based cements to dentin. J Appl Oral Sci 2009 Sep-Oct;17(5):495–500.
37.
Van Meerbeek B, Yoshihara K, Yoshida Y, Mine A. State of the art of self-etch adhesives. Dent Mater. 2011;27(1):17–28.PubMedCrossRef
38.
Borges R, Graeff CFO, Marchi J, D’Alpino PHP. Bonding reactions of Dental Self-Adhesive cements with synthetic hydroxyapatite as a function of the polymerization protocol. ScientificWorldJournal. 2021;2021:4572345.PubMedPubMedCentralCrossRef
39.
40.
Cotert HS, Akcay I, Cotert I, Altinova Hepdurgun E. Fracture resistance of Upper Central incisors with different endodontic accesses restored with Lithium Disilicate partial laminate veneers. Clin Cosmet Investig Dent. 2021;13:541–52.PubMedPubMedCentralCrossRef
41.
Shen C, Oh WS, Williams JR. Effect of post-silanization drying on the bond strength of composite to ceramic. J Prosthet Dent. 2004;91(5):453–8.PubMedCrossRef
42.
Abdulkader KF, Kheiralla LS, Elhady Elnaggar G. Effect of thermocycling on shear bond strength of cemented zirconia-reinforced lithium silicate (Celtra Duo). J Oral Res Rev 2021 Jul-Dec 13(2):86–93.
43.
Bekes K, Schmelz M, Schaller HG, Gernhardt CR. The influence of application of different desensitisers on root dentine demineralisation in situ. Int Dent J. 2009;59(3):121–6.PubMed
44.
Qin C, Xu J, Zhang Y. Spectroscopic investigation of the function of aqueous 2-hydroxyethylmethacrylate/glutaraldehyde solution as a dentin desensitizer. Eur J Oral Sci. 2006;114(4):354–9.PubMedCrossRef
45.
46.
Akca T, Yazici AR, Celik C, Ozgünaltay G, Dayangaç B. The effect of desensitizing treatments on the bond strength of resin composite to dentin mediated by a self-etching primer. Oper Dent. 2007 Sep-Oct;32(5):451–6.
47.
Hitz T, Stawarczyk B, Fischer J, Hämmerle CH, Sailer I. Are self-adhesive resin cements a valid alternative to conventional resin cements? A laboratory study of the long-term bond strength. Dent Mater. 2012;28(11):1183–90.PubMedCrossRef
48.
ISO Technical Report 11405 KD. Dental Materials-Guidance on testing of adhesion to tooth structure. 2000.
49.
International Organization for Standardization. ISO/TS 11405 Dentistry. Testing of adhesion to tooth structure. 3rd ed. Geneva: International Organization for Standardization; 2015.
50.
Gale MS, Darvell BW. Thermal cycling procedures for laboratory testing of dental restorations. J Dent. 1999;27(2):89–99.PubMedCrossRef
51.
Bayne SC. Correlation of clinical performance with ‘in vitro tests’ of restorative dental materials that use polymer-based matrices. Dent Mater. 2012;28(1):52–71.PubMedCrossRef
52.
Butera A, Gallo S, Pascadopoli M, Montasser MA, Abd El Latief MH, Modica GG, Scribante A. Home oral care with Biomimetic Hydroxyapatite vs. Conventional Fluoridated Toothpaste for the remineralization and desensitizing of White Spot lesions: Randomized Clinical Trial. Int J Environ Res Public Health. 2022;19(14):8676.PubMedPubMedCentralCrossRef
53.
Desai S, Rao D, Panwar S, Kothari N, Gupta S. An in vitro comparative evaluation of casein phosphopeptide-amorphous calcium phosphate fluoride, tricalcium phosphate and grape seed extract on remineralization of artificial caries lesion in primary enamel. J Clin Pediatr Dent. 2022;46(5):72–80.PubMed
Metadata
Title
Comparative evaluation of desensitizing agents on shear bond strength of zirconia to dentin
Authors
İrem Çötert
Merve Aytuğ
H. Serdar Çötert
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2024
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-024-05106-8

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