Influence of the Restorative Strategy on Push-out Bond Strength of the Self-adhesive Composite

JOURNAL TITLE: The Journal of Contemporary Dental Practice

Author
1. Isabelle L de Oliveira
2. Uêdja N Oliveira
3. Marleny EM de Martínez Gerbi
4. Oscar FF de Brito
5. Gabriela QM Monteiro
6. Márcia A Durão
ISSN
DOI
10.5005/jp-journals-10024-2723
Volume
20
Issue
12
Publishing Year
2019
Pages
5
Author Affiliations
    1. Dental School, Universidade de Pernambuco, Camaragibe, Pernambuco, Brazil
    1. Dental School, Universidade de Pernambuco, Camaragibe, Pernambuco, Brazil
    1. Dental School, Universidade de Pernambuco, Camaragibe, Pernambuco, Brazil
    1. Dental School, Universidade de Pernambuco, Camaragibe, Pernambuco, Brazil
    1. Dental School, Universidade de Pernambuco, Camaragibe, Pernambuco, Brazil
    1. Dental School, Universidade de Pernambuco, Camaragibe, Pernambuco, Brazil
  • Article keywords
    Bond strength, Push-out force, Self-adhesive composite

    Abstract

    Aim: This study evaluated the influence of the resin composite and bonding strategy on the push-out bond strength of the self-adhesive, Fusio liquid dentin (FUS) (Pentron Clinical), and of two conventional resin composites of different viscosities, Filtek Z250 (3M ESPE) and tetric flow (Ivoclar Vivadent). Materials and methods: Thirty-two bovine incisors were used after disinfection. The roots were sectioned and the buccal and lingual surfaces were polished until a 2-mm slab was achieved, maintaining enamel at the buccal surface and dentin at the lingual surface. Standardized cavities were then prepared (2.0 × 1.5 mm) and restored according to the following bonding strategies: Fusio liquid dentin with selective etching (FUSSE) in enamel, FUS, Filtek Z250, and tetric flow-total etching (TET). All groups were restored in bulk. After 24 hours of storage in distilled water, finishing and polishing were performed. The push-out test was conducted on a universal testing machine (0.05 mm/minute). Data were analyzed through Kruskal–Wallis and Mann–Whitney tests (p = 0.05). The extruded restorations were evaluated under a stereomicroscope (10×) for failure-mode evaluation. Results: There were no statistically significant differences between the groups TET, Z250, and FUS, with 145.59, 108.91, and 104.12 MPa means, respectively. The FUSSE group (40.92 MPa) showed a statistically significant lower bond strength. The predominant failure mode was a mixed failure for all groups. Conclusion: The self-adhesive resin composite achieved a satisfactory result on bond strength when compared to conventional composites with regular and low viscosities, except when selective enamel etching was done. Clinical significance: This study shows that the clinicians must be aware of the viscosity of the phosphoric acid to avoid dentin contamination whenever performing selective enamel etching. And the self-adhesive resin composite studied presented as another restorative alternative.

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