On the fatigue behavior of resin-dentin bonds after degradation by biofilm.

The durability of resin-dentin bonds is a growing concern in the placement of composite restorations. Most reported evaluations concerning the mechanical behavior of the bonded interface are conducted using static loading to failure only. They also do not account for the acid production of biofilms, which is one of the most common contributors to interfacial failures in vivo. In this investigation resin-dentin bonded interface specimens were exposed to S. mutans for 14 days and then subjected to quasi-static or cyclic four-point flexure to failure. Control specimens (without biofilm) were evaluated after aging for one and fourteen days. While no significant difference in flexure strength resulted from the duration of water aging (66.2 MPa vs. 56.9 MPa), biofilm exposure caused a significant reduction in strength (29.3 MPa; p ≤ 0.000). After water aging for one and fourteen days the apparent endurance limits were 13.0 MPa and 13.1 MPa, respectively. Biofilm treatment caused a significant (p ≤ 0.001) reduction in fatigue resistance of the interface, and the endurance limit was reduced to 9.9 MPa. Fatigue failure of the control specimens initiated within the resin composite adjacent to the interface, whereas failure of the biofilm treated specimens initiated within the hybrid layer and appeared attributed to the localized demineralization of dentin. Biofilm degradation is an important consideration in assessing the durability of resin-dentin bonds.