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  • Title: Effect of different pretreatment methods on dentin bond strength of a one-step self-etch adhesive.
    Author: Yazici AR, Karaman E, Ertan A, Ozgunaltay G, Dayangac B.
    Journal: J Contemp Dent Pract; 2009 Jan 01; 10(1):41-8. PubMed ID: 19142255.
    Abstract:
    AIM: The aim of this in vitro study was to evaluate the shear bond strength of a one-step self-etch adhesive to dentin pretreated with phosphoric acid, air abrasion, or laser. METHODS AND MATERIALS: Fifty-six extracted non-carious human mandibular molars were mounted and the occlusal surfaces ground with a mechanical grinder to obtain flat occlusal dentin surfaces. The teeth were randomly divided into four groups of 14 teeth according to the different dentin surface pretreatment methods: Group I--acid, Group II--laser, Group III--air abrasion, Group IV (control)--no surface treatment. After applying a one-step self-etch adhesive system, Futura Bond NR, cylinders of Z250 composite resin were bonded to the dentin surfaces by transparent gelatin capsules (2.5 mm diameter; 3 mm high) and then polymerized. All specimens were stored in distilled water at 37 masculineC for 24 hours. Shear bond testing was carried out using an Universal testing machine with a crosshead speed of 0.5 mm/sec. Data were analyzed using the Kruskal Wallis and Mann-Whitney tests at a significance level of 0.05. RESULTS: The bond strength of air abrasion (Group III) and the control group (Group IV) were statistically higher than both the acid (Group I) and laser (Group II) pretreatments (p < 0.05). No statistically significant differences were found in shear bond strength between surfaces treated with air abrasion and the control group (p > 0.05). Surfaces pretreated with laser (Group II) resulted in the lowest bond strength which was not statistically different from those pretreated with acid (Group I) (p > 0.05). CONCLUSION: Surfaces pretreated with acid and laser adversely affected the bond strength of a one-step self-etch adhesive, Futura Bond NR, while pretreatment with air abrasion had no effect on bond strength. CLINICAL SIGNIFICANCE: The pretreatment of dentin surfaces prior to self-etch adhesive seems to be unnecessary and defeats the original purpose of these systems.
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