A comprehensive in vitro study on the performance of two different strategies to simplify adhesive bonding

J Esthet Restor Dent. 2022 Jul;34(5):833-842. doi: 10.1111/jerd.12903. Epub 2022 Mar 19.

Abstract

Objective: The purpose of this study is to compare the bonding performance and mechanical properties of two different resin composite cements using simplified adhesive bonding strategies.

Materials and methods: Shear bond strength of two resin composite cements (an adhesive cement: Panavia V5 [PV5] and a self-adhesive cement: RelyX Universal [RUV]) to human enamel, dentin, and a variety of restorative materials (microfilled composite, composite, polymer-infiltrated ceramic, feldspar ceramic, lithium disilicate and zirconia) was measured. Thermocycle aging was performed with selected material combinations.

Results: For both cements, the highest shear bond strength to dentin was achieved when using a primer (PV5: 18.0 ± 4.2 MPa, RUV: 18.2 ± 3.3 MPa). Additional etching of dentin reduced bond strength for RUV (12.5 ± 4.9 MPa). On enamel, PV5 achieved the highest bond strength when the primer was used (18.0 ± 3.1 MPa), while for RUV etching of enamel and priming provided best results (21.2 ± 6.6 MPa). Shear bond strength of RUV to restorative materials was superior to PV5. Bonding to resin-based materials was predominantly observed for RUV.

Conclusions: While use of RUV with the selective-etch technique is slightly more labor intensive than PV5, RUV (with its universal primer) displayed a high-bonding potential to all tested restorative materials, especially to resin.

Clinical significance: For a strong adhesion to the tooth substrate, PV5 (with its tooth primer) is to be preferred because etching with phosphoric acid is not required. However, when using a wide range of varying restorative materials, RUV with its universal primer seems to be an adequate option.

Keywords: MDP; Panavia V5; RelyX universal; ceramic primer; resin composite cement; shear bond strength; thermocycle aging; universal primer.

MeSH terms

  • Ceramics
  • Dental Bonding* / methods
  • Dental Cements
  • Dental Materials
  • Dental Stress Analysis
  • Humans
  • Materials Testing
  • Resin Cements / chemistry
  • Shear Strength
  • Surface Properties

Substances

  • Dental Cements
  • Dental Materials
  • Resin Cements