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Oral Health and Preventive Dentistry



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Oral Health Prev Dent 18 (2020), Open Access     12. Feb. 2020
Oral Health Prev Dent 18 (2020), Open Access  (12.02.2020)

Open Access ORAL MEDICINE, Online Article, Page 747-756, doi:10.3290/j.ohpd.a45078, PubMed:32895658

Online Article: Efficacy of Polyacrylic Acid as a Conditioning Agent on the Bond Strength of Self-adhesive Resin Cements to Dental Enamel
Chrisostomo, Daniela Alvim / Strazzi-Sahyon, Henrico Badaoui / Briso, André Luiz Fraga / dos Santos, Paulo Henrique
Purpose: This in vitro study evaluated the effectiveness of polyacrylic acid as an acid etchant similar to phosphoric acid and its effect on the microtensile bond strength of self-adhesive resin cement to enamel.
Materials and Methods: Ninety Te-Econom Plus resin blocks (11 x 4 mm) were cemented onto bovine enamel and distributed into 10 groups according to the surface treatments (no surface treatment; etching with 37% phosphoric acid; etching with 20% polyacrylic acid; etching with 37% phosphoric acid + dental adhesive, and etching with 20% polyacrylic acid + dental adhesive) and the self-adhesive resin cements used (RelyX U200 and MaxCem Elite) (n = 9). After bonding, the specimens were sectioned into sticks, subjected to thermocycling (5760 cycles, 5°C and 55°C) and microtensile bond strength testing (n = 6). Images of representative specimens were obtained using a scanning electron microscope. Enamel penetration evaluation of different surface treatments was analysed by confocal laser scanning microscopy (n = 3). Data on bond strength were subjected to 2-way ANOVA and Tukey's least significant difference test (α = 0.05).
Results: Both 37% phosphoric acid and 20% polyacrylic acid yielded the same microtensile bond strength between self-adhesive resin cement and enamel, independent of the application of dental adhesives (p > 0.05). MaxCem Elite showed higher bond strength values than RelyX U200 just for the 20% polyacrylic acid group (p = 0.001).
Conclusion: Acid pre-conditioning of dental enamel may influence the bond strength of self-adhesive resin cement to enamel, and 20% polyacrylic acid showed efficacy similar to that of 37% phosphoric acid.

Keywords: adhesives, dental enamel, microscopy, microtensile bond strength test, resin cements