Influence of the activation mode on long-term bond strength and endogenous enzymatic activity of dual-cure resin cements

Clin Oral Investig. 2022 Feb;26(2):1683-1694. doi: 10.1007/s00784-021-04141-x. Epub 2021 Sep 2.

Abstract

Objective: To investigate the long-term microtensile bond strength (µTBS), interfacial nanoleakage expression (NL), and adhesive stability of dual-cure resin cements with/out light activation to dentin.

Materials and methods: Composite overlays (N = 20) were luted to deep dentin surfaces with RelyX Ultimate (RXU, 3M) or Variolink EstheticDC (VAR, Ivoclar-Vivadent). A universal adhesive was used for bonding procedures (iBond universal, Heraeus Kulzer). The resin cements were either self-cured (SC; 1 h at 37 °C) or dual-cured (DC; 20s light-cure followed by 15 min self-cure at 37 °C). Specimens were submitted to µTBS immediately (T0) or after 1 year of laboratory storage (T12). The fracture pattern was evaluated using scanning electron microscopy (SEM). Data were statistically analyzed with two-way ANOVA/Tukey test. Further, the NL was quantified and analyzed (chi-square test) and in situ zymography was performed to evaluate the endogenous enzymatic activity within the hybrid layer (HL) at T0 and T12 (Mann-Whitney test). The significance level for all statistical tests was set at p = 0.05.

Results: DC resulted in higher bond strength and decreased fluorescence at the adhesive interface, irrespective of the material and the storage period (p < 0.05). Significantly lower bonding performances (p < 0.05) and higher endogenous enzymatic activity (p < 0.05) were observed within the HL at T12 compared to T0 in all tested groups.

Conclusions: Light-curing the dual-cure resin cements, more than the cement materials, accounted for good bonding performances and higher HL stability over time when used with a universal adhesive. Clinical significance The curing condition influences the bonding performances of dual-cure resin cements to dentin when used with a universal adhesive.

Keywords: Curing mode; Dual-cure; In situ zymography; In vitro aging; MMPs; Microtensile bond strength; Resin cement; SEM.

MeSH terms

  • Composite Resins
  • Dental Bonding*
  • Dental Cements
  • Dental Stress Analysis
  • Dentin
  • Dentin-Bonding Agents
  • Materials Testing
  • Resin Cements*
  • Tensile Strength

Substances

  • Composite Resins
  • Dental Cements
  • Dentin-Bonding Agents
  • Resin Cements