PURPOSE: The objective of this project was to compare the microtensile bond strengths (microTBS) of five "all-in-one" adhesives using two 2-step adhesives as controls. MATERIALS AND METHODS:Eighty-four extracted human molars were randomly assigned to one of three substrates: dentin, unground enamel, or ground enamel. For each substrate, specimens were randomly assigned to one of five all-in-one adhesives: (1) Adper Prompt L-Pop (AP, 3M ESPE); (2) Clearfil S3 Bond (S3, Kuraray); (3) G-Bond (GB, GC America) (4) iBond (iB, Heraeus Kulzer); (5) Xeno IV (XE, Dentsply Caulk). Adper Single Bond Plus (SB, 3M ESPE) was used as a two-step etch-and-rinse control, while Clearfil SE Bond (SE, Kuraray) was used as a two-step self-etching control. Crowns were built with Filtek Z250 (3M ESPE) and sectioned in x and y directions. The resulting sticks were fractured in tension at a crosshead speed of 1 mm/min. Statistical analysis was computed for each substrate with one-way ANOVA and Duncan's post-hoc test at p < 0.05. RESULTS:Means+/-SD are given in MPa; pretesting failures are shown in brackets. Dentin--SE: 79.1+/-20.5, [0/85]; SB: 76.3+/-19.3, [0/82]; AP: 51.6+/-21.9, [0/90]; XE: 40.5+/-22.9, [7/81]; S3: 27.8+/-13.2, [7/91]; iB: 17.4+/-15.6, [25/91]; GB: 11.7+/-7.4, [5/92]. Unground enamel--SB: 33.1+/-10.5, [0/69]; AP: 27.6+/-7.5, [0/66]; S3: 24.6 +/-12.0, [0/70]; SE: 16.8+/-11.7, [3/60]; XE 15.4+/-14.1, [16/63]; iB: 11.2+/-11.5, [18/64]; GB: 9.5+/-12.4, [31/63]. Ground enamel--SB: 33.7+/-9.1, [0/69]; AP: 33.2+/-7.9, [0/77]; SE: 26.4+/-9.5, [0/67]; S3: 25.5+/-8.9; [0/56]; XE: 21.0 +/-8.9, [3/68]; GB: 18.2+/-10.3, [4/68]; iB: 12.3+/-8.9, [11/52]. For dentin, the Duncan's test ranked the means in 6 statistical subsets: GB <iB <S3 <XE < AP < SB = SE. For unground enamel, means were ranked in 4 statistical subsets: GB = iB < XE = SE < S3 = AP < SB. For ground enamel, the means were also ranked in 4 statistical subsets: iB < GB = XE < S3 = SE< AP = SB. CONCLUSION: The bonding ability of the newest all-in-one adhesives depends on their specific composition. In light of the low in vitro bond strengths and high rate of spontaneous failures of some all-in-one adhesives compared to those of the two-step adhesives, the newest adhesives should be screened more strictly before they are recommended for clinical use.
RCT Entities:
PURPOSE: The objective of this project was to compare the microtensile bond strengths (microTBS) of five "all-in-one" adhesives using two 2-step adhesives as controls. MATERIALS AND METHODS: Eighty-four extracted human molars were randomly assigned to one of three substrates: dentin, unground enamel, or ground enamel. For each substrate, specimens were randomly assigned to one of five all-in-one adhesives: (1) Adper Prompt L-Pop (AP, 3M ESPE); (2) Clearfil S3 Bond (S3, Kuraray); (3) G-Bond (GB, GC America) (4) iBond (iB, Heraeus Kulzer); (5) Xeno IV (XE, Dentsply Caulk). Adper Single Bond Plus (SB, 3M ESPE) was used as a two-step etch-and-rinse control, while Clearfil SE Bond (SE, Kuraray) was used as a two-step self-etching control. Crowns were built with Filtek Z250 (3M ESPE) and sectioned in x and y directions. The resulting sticks were fractured in tension at a crosshead speed of 1 mm/min. Statistical analysis was computed for each substrate with one-way ANOVA and Duncan's post-hoc test at p < 0.05. RESULTS: Means+/-SD are given in MPa; pretesting failures are shown in brackets. Dentin--SE: 79.1+/-20.5, [0/85]; SB: 76.3+/-19.3, [0/82]; AP: 51.6+/-21.9, [0/90]; XE: 40.5+/-22.9, [7/81]; S3: 27.8+/-13.2, [7/91]; iB: 17.4+/-15.6, [25/91]; GB: 11.7+/-7.4, [5/92]. Unground enamel--SB: 33.1+/-10.5, [0/69]; AP: 27.6+/-7.5, [0/66]; S3: 24.6 +/-12.0, [0/70]; SE: 16.8+/-11.7, [3/60]; XE 15.4+/-14.1, [16/63]; iB: 11.2+/-11.5, [18/64]; GB: 9.5+/-12.4, [31/63]. Ground enamel--SB: 33.7+/-9.1, [0/69]; AP: 33.2+/-7.9, [0/77]; SE: 26.4+/-9.5, [0/67]; S3: 25.5+/-8.9; [0/56]; XE: 21.0 +/-8.9, [3/68]; GB: 18.2+/-10.3, [4/68]; iB: 12.3+/-8.9, [11/52]. For dentin, the Duncan's test ranked the means in 6 statistical subsets: GB <iB <S3 <XE < AP < SB = SE. For unground enamel, means were ranked in 4 statistical subsets: GB = iB < XE = SE < S3 = AP < SB. For ground enamel, the means were also ranked in 4 statistical subsets: iB < GB = XE < S3 = SE< AP = SB. CONCLUSION: The bonding ability of the newest all-in-one adhesives depends on their specific composition. In light of the low in vitro bond strengths and high rate of spontaneous failures of some all-in-one adhesives compared to those of the two-step adhesives, the newest adhesives should be screened more strictly before they are recommended for clinical use.
Authors: R Banu Ermis; Kirsten L Van Landuyt; Marcio Vivan Cardoso; Jan De Munck; Bart Van Meerbeek; Marleen Peumans Journal: Clin Oral Investig Date: 2011-05-21 Impact factor: 3.573
Authors: Bruno Baracco; M Victoria Fuentes; Miguel A Garrido; Santiago González-López; Laura Ceballos Journal: Odontology Date: 2012-07-13 Impact factor: 2.634