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  • Title: Effect of acid etching time on bond strength of an etch-and-rinse adhesive to primary tooth dentine affected by amelogenesis imperfecta.
    Author: Hiraishi N, Yiu CK, King NM.
    Journal: Int J Paediatr Dent; 2008 May; 18(3):224-30. PubMed ID: 18341565.
    Abstract:
    BACKGROUND: Dentine affected by amelogenesis imperfecta (AI) is histologically altered following loss of the hypoplastic enamel and becomes hypermineralized, which would make bonding less predictable. AIM: This study examined the effect of etching time on the microtensile bond strength (microTBS) to AI-affected primary dentine. DESIGN: Flat coronal dentine surface was obtained from extracted AI-affected and noncarious primary molars. Teeth were etched either for 15 or for 30 s using 34% phosphoric acid. Prime & Bond NT (Dentsply De Trey), an etch-and-rinse adhesive, was applied to dentine surfaces, air-dried and light-cured, followed by composite build-ups. The bonded teeth were sectioned into beams of 0.8 mm(2) and stressed to failure under tension. Representative fractured beams from each group were examined under scanning electron microscopy. RESULTS: The extended etching time had an adverse effect on the microTBS for the normal dentine, while no significant difference was found for AI-affected dentine. When the AI-affected dentine was etched for 30 s, the fracture occurred in the demineralized dentine at the base of the hybrid layer. CONCLUSION: Bonding to AI-affected dentine compromised the bonding of the etch-and-rinse adhesive. The bonding could not be improved by increasing etching time.
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