Effect of low-shrinking composite on the bonding effectiveness of two adhesives in occlusal Class-I cavities

Dent Mater J. 2012;31(3):418-26. doi: 10.4012/dmj.2011-261. Epub 2012 May 14.

Abstract

The purpose of this study was to evaluate if a low-shrinking composite can improve the bonding effectiveness of adhesives in highly constrained conditions. A low-shrinking composite ('els-extra low shrinkage', Saremco) was bonded in standardized occlusal Class-I cavities using a three-step ('cmf', Saremco) and a two-step etch-and-rinse adhesive ('XP Bond', Dentsply). Both adhesives were also combined with a conventional composite ('Z100', 3M ESPE). Half of the restored cavities were exposed to 20,000 thermo-cycles. 3-way ANOVA revealed a significant effect for the factors 'adhesive' and 'composite' (both p<0.0001), but not for 'thermo-cycling' (p=0.994). Significantly higher bond strengths were recorded for the low-shrinking composite than for the control composite, using either of the adhesives. The low-shrinking composite in combination with the three-step etch-and-rinse adhesive performed best in the high C-factor Class-I cavity. The two-step etch-and-rinse adhesive suffered strongly from polymerization-shrinkage stress, which could be partially restored by using the low-shrinking composite.

MeSH terms

  • Analysis of Variance
  • Composite Resins / chemistry*
  • Dental Bonding*
  • Dental Restoration Failure*
  • Dental Restoration, Permanent / classification*
  • Dental Stress Analysis
  • Dentin-Bonding Agents
  • Humans
  • Materials Testing
  • Polymerization
  • Polymethyl Methacrylate
  • Regression Analysis
  • Resin Cements*
  • Shear Strength
  • Survival Analysis
  • Tensile Strength

Substances

  • Composite Resins
  • Dentin-Bonding Agents
  • Resin Cements
  • XP-Bond
  • CMW cement
  • Polymethyl Methacrylate