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Corresponding Author

Amira Yahia Ghonim

Article Type

Original Article

Section/Category

Operative Dentistry

Abstract

Abstract

Objectives: To investigate the effect of three caries removal methods; air abrasion, papain gel, carbide bur, and water storage on microtensile bond strength of universal adhesives to affected dentin.

Materials and methods: Two universal adhesives; glycero-phosphate dimethacrylate (GPDM) containing OptiBond universal (Kerr Medical, USA) and 10-Methacryloyloxydecyl dihydrogen phosphate (10-MDP) containing Prime&Bond universal (Dentsply Sirona, USA) were used in this study according to their manufacturers' instructions. Forty-eight carious human molars were mounted into acrylic blocks then the coronal enamel and dentin were removed exposing a flat surface of affected dentin. Teeth were divided into two groups (n=24) according to the type of universal adhesive. Each group was subdivided into three subgroups (n=8) according to the type of caries removal method. Teeth were tested for μTBS immediately and after six months of storage in distilled water using the Universal Testing Machine (Instron, USA). The extracted data were tabulated for statistical analysis using a three-way analysis of variance P<0.05.

Results: Three-way ANOVA showed that the μTBS was significantly affected by all the variables p < 0.001. One-way ANOVA showed a statistically significant difference between air abrasion and all other methods in group A (P

Conclusions: The conventional caries removal methods resulted in better bond strength to affected dentin than minimally invasive methods. Using 10-MDP containing universal adhesives results in stronger bonds when applied to affected dentin

Keywords

Dental caries, cavity preparation, Selective caries removal technique, Affected dentin, Rotary instruments

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