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Purpose: To investigate the infiltration potential of different self-etch adhesives into natural non-cavitated proximal lesions and the effect of dehydration protocol on the infiltration of a self-etch adhesive., Methods: 29 extracted molars and premolars with natural proximal lesions (ICDAS 1-2) were sectioned through the lesion providing two samples from each lesion. To compare the different adhesives, three groups of eight lesions were abraded with fine metallic strips and then etched with 37% H3PO4 acid for 120 seconds. All teeth were stained with rhodamine isothiocyanate. After drying with compressed air and ethanol application, lesions were infiltrated with Scotchbond Universal, Clearfil SE Protect or OneCoat 7 Universal for 180 seconds and then coated with a thin layer of flowable composite (Tetric Flow). To compare the effect of dehydration protocol on infiltration, two groups of nine paired lesions were pretreated as described above. One group was dried using compressed air alone and the second group was dried using compressed air and ethanol, both groups were then infiltrated with Scotchbond Universal then coated with a thin film of flowable composite. After light curing, un-encapsulated dye was bleached by immersion in hydrogen peroxide. Remaining lesion pores were stained with sodium fluorescein solution. Thin cuts of the teeth were observed with confocal microscopy and computer image analysis was performed (ImageJ)., Results: ANOVA and Duncan post-hoc tests showed no significant differences of the infiltrated area between the three adhesives (P= 0.835), no significant difference was found between the group dried with air compared to the one dried with air and ethanol. It can be concluded that the tested adhesives may be used for infiltration of natural lesions following the described pretreatment., Clinical Significance: Enamel pretreatment with metallic strip and 37% H3PO4 acid promotes the infiltration of different adhesives into natural non-cavitated caries lesions., Competing Interests: The authors declared no conflict of interest., (Copyright©American Journal of Dentistry.)

Purpose: To compare a new technique of non-invasive proximal adhesive restoration (NIPAR) to the infiltration concept technique (ICON)., Methods: Extracted human posterior teeth with non-cavitated proximal carious lesions (ICDAS code 1-2) were cut vertically to obtain two symmetrical lesions. Group 1 (NIPAR):Half of the paired lesions surfaces (n=13) were abraded with metallic strips and etched with 37% H3PO4 for 120 seconds. Group 2 (ICON):The other half of the paired lesions' surfaces (n=13) were etched with 15% HCl gel for 120 seconds. All samples were then stained with rhodamine isothiocyanate (RITC). After ethanol drying and isolation of the cut surface, Group 1 samples were infiltrated with Scotchbond Universal for 180 seconds and coated with a thin film of Tetric flow. Group 2 samples were infiltrated with ICON infiltrant following manufacturer's instructions. After light curing, unbound rhodamine was bleached by immersion in 30% hydrogen peroxide for 12 hours. Remaining lesion pores were stained with sodium fluorescein solution. Samples were observed with confocal microscopy (CLSM) and the percentage of infiltration (area of resin infiltration/area of total demineralization ×100) was calculated using ImageJ., Results: 11 samples out of 13 showed larger infiltrated area of the lesions in Group 1 (NIPAR) compared to Group 2 (ICON). Statistical analysis revealed a significant difference between the two groups (P< 0.05). Within the limitations of this study, NIPAR allowed for better infiltration of non-cavitated proximal carious lesions when compared to ICON., Clinical Significance: The combination of infiltration and sealing using non-invasive proximal adhesive restoration (NIPAR) offers a suitable non-invasive treatment option for non-cavitated proximal lesions combining the advantages of sealing and infiltration., Competing Interests: The authors declared no conflict of interest., (Copyright©American Journal of Dentistry.)

Purpose: The purpose of this study was to investigate and compare microleakage of prefabricated posterior NuSmile® ZR and EZCrowns when cemented with BioCem and Ketac Cem dental cements., Methods: Forty extracted permanent teeth (n equals 10 per group) were fitted for either NuSmile or EZCrowns prefabricated posterior zirconia crowns and cemented with BioCem or Ketac Cem, for a total of four groups. Crowned teeth were placed in Dulbecco's Phosphate Buffered Saline solution at 37 degrees Celsius for 24 hours. Teeth were thermocycled between five degrees Celsius and 55 degrees Celsius for 6,000 cycles, stained with two percent basic fuchsin, sectioned, and visually inspected for microleakage utilizing stereomicroscopy on a four-point scale. Data were statistically analyzed using one-way analysis of variance, SNK (P<.05)., Results: All samples in this study had microleakage. NuSmile® ZR crowns demonstrated significantly less microleakage when cemented with BioCem and compared to Ketac Cem (P=.002). NuSmile® ZR cemented with BioCem had significantly less microleakage compared to EZ-Crowns with Ketac Cem (P=.002)., Conclusions: In this in vitro investigation, BioCem cement had significantly less microleakage in zirconia pre-fabricated crowns compared to Ketac Cem, and NuSmile® ZR crowns cemented with BioCem resulted in significantly less microleakage than EZ-Crowns cemented with Ketac Cem.

Calcium silicate-based cements have superior sealing ability, bioactivity, and marginal adaptation, which make them suitable for different dental treatment applications. However, they exhibit some drawbacks such as long setting time and poor handling characteristics. To overcome these limitations calcium silicates are engineered with various constituents to improve specific characteristics of the base material, and are the focus of this review. An electronic search of the PubMed, MEDLINE, and EMBASE via OVID databases using appropriate terms and keywords related to the use, application, and properties of calcium silicate-based cements was conducted. Two independent reviewers obtained and analyzed the full texts of the selected articles. Although the effects of various constituents and additives to the base Portland cement-like materials have been investigated, there is no one particular ingredient that stands out as being most important. Applying nanotechnology and new synthesis methods for powders most positively affected the cement properties.

Background: Many researchers have tried to enhance materials functions in different aspects of science using nano-modification method, and in many cases the results have been encouraging. To evaluate the histopathological responses of the micro-/nano-size cement-type biomaterials derived from calcium silicate-based composition with addition of nano tricalcium aluminate (3CaO.Al2O3) on bone healing response., Material and Methods: Ninety mature male rabbits were anesthetized and a bone defect was created in the right mandible. The rabbits were divided into three groups, which were in turn subdivided into five subgroups with six animals each based on the defect filled by: white mineral trioxide aggregate (WMTA), Nano-WMTA, WMTA without 3CaO.Al2O3, Nano-WMTA with 2% Nano-3CaO.Al2O3, and empty as control. Twenty, forty and sixty days postoperatively the animals were sacrificed and the right mandibles were removed for histopathological evaluations. Kruskal-Wallis test with post-hoc comparisons based on the LSMeans procedure was used for data analysis., Results: All the experimental materials provoked a moderate to severe inflammatory reaction, which significantly differed from the control group (p< 0.05). Statistical analysis of bone formation and bone regeneration data showed significant differences between groups at 40- and 60- day intervals in all groups. Absence of 3CaO.Al2O3 leads to more inflammation and foreign body reaction than other groups in all time intervals., Conclusions: Both powder nano-modification and addition of 2% Nano-3CaO.Al2O3 to calcium silicate-based cement enhanced the favorable tissue response and osteogenesis properties of WMTA based materials.

Background/aim: Elevation of pH and calcium ion release are of great importance in antibacterial activity and the promotion of dental soft and hard tissue healing process. In this study, we evaluated the effect of particle size on the elevation of pH and the calcium ion release from calcium silicate-based dental cements., Material and Methods: Twelve plastic tubes were divided into three groups, filled with white mineral trioxide aggregate (WMTA), WMTA plus 1% methylcellulose, and nano-modified WMTA (nano-WMTA), and placed inside flasks containing 10 ml of distilled water. The pH values were measured using a pH sensor 3, 24, 72, and 168 h after setting of the cements. The calcium ion release was measured using an atomic absorption spectrophotometer with same sample preparation method. Data were subjected to two-way analysis of variance (anova) followed by post hoc Tukey tests with significance level of P < 0.05., Results: Nano-WMTA showed significant pH elevation only after 24 h (P < 0.05) compared with WMTA, and after 3, 24, and 72 h compared with WMTA plus 1% methylcellulose (P < 0.05). Nano-WMTA showed significantly higher calcium ion release values compared to the other two groups (P < 0.05)., Conclusions: Nano-modification of WMTA remarkably increased the calcium ion release at all time intervals postsetting, which can significantly influence the osteogenic properties of human dental pulp cells and as a consequence enhance mineralized matrix nodule formation to achieve desirable clinical outcomes. However, the increase in pH values mainly occurred during the short time postsetting. Addition of 1% methylcellulose imposed a delay in elevation of pH and calcium ion release by WMTA., (© 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)

This study evaluated the effects of nanoindentation on the surface of white mineral trioxide aggregate (WMTA), Bioaggregate and Nano WMTA cements. Cements were mixed according to the manufacturer directions, condensed inside glass tubes, and randomly divided into three groups (n = 8). Specimens were soaked in synthetic tissue fluid (pH = 7.4) and incubated for 3 days. Cement pellets were subjected to nanoindentation tests and observed by scanning electron microscopy. Then, the images were processed and the number of cracks and total surface area of defects on the surface were calculated and analyzed using ImageJ. Data were submitted to one-way analysis of variance and a post hoc Tukey's test. The lowest number of cracks and total surface of defects were detected in Nano WMTA samples; however, it was not significantly different from WMTA samples (p = 0.588), while the highest values were noticed in Bioaggregate specimens that were significantly different from Nano WMTA and WMTA (p = 0.0001). The surface of WMTA and Nano WMTA showed more resistance after exposure to nano-compressive forces which indicated a better surface tolerance against these forces and crack formation. This suggests these substances are more tolerant cement materials which can predictably withstand loaded situations in a clinical scenario.

Objectives: Recently, it was shown that NanoMTA improved the setting time and promoted a better hydration process which prevents washout and the dislodgment of this novel biomaterial in comparison with WTMA. This study analyzed the compressive strength of ProRoot WMTA (Dentsply), a NanoWMTA (Kamal Asgar Research Center), and Bioaggregate (Innovative Bioceramix) after its exposure to a range of environmental pH conditions during hydration., Study Design: After mixing the cements under aseptic condition and based on the manufacturers` recommendations, the cements were condensed with moderate force using plugger into 9 × 6 mm split molds. Each type of cement was then randomly divided into three groups (n=10). Specimens were exposed to environments with pH values of 4.4, 7.4, or 10.4 for 3 days. Cement pellets were compressed by using an Instron testing machine. Values were recorded and compared. Data were analyzed by using one-way analysis of variance and a post hoc Tukey's test., Results: After 3 days, the samples were solid when probed with an explorer before removing them from the molds. The greatest mean compressive strength 133.19 ± 11.14 MPa was observed after exposure to a pH value of 10.4 for NanoWMTA. The values decreased to 111.41 ± 8.26 MPa after exposure to a pH value of 4.4. Increasing of pH had a significant effect on the compressive strength of the groups (p<0.001). The mean compressive strength for the NanoWMTA was statistically higher than for ProRoot WMTA and Bioaggregate (p<0.001). Moreover, increasing of pH values had a significant effect on compressive strength of the experimental groups (p<0.001)., Conclusion: The compressive strength of NanoWMTA was significantly higher than WMTA and Bioaggregate; the more acidic the environmental pH, the lower was the compressive strength.

Removal of MTA from dentin by applying 37% hydrochloric acid (HCl) to reduce microhardness and push-out bond strength. Forty dentin slices were filled with WMTA and divided into two groups (n = 20). Ten slices remained untreated while others were exposed to either HCl or phosphate buffer saline (PBS) and all samples were subjected to pushout test. The mode of bond failures was determined by SEM analysis. Later, twenty glass tubes were filled with WMTA and divided into two groups (n = 10). One side of tube was exposed to HCl or PBS while the other side remained untreated and the microhardness was analyzed by testing machine. HCl showed significantly lower pushout strength and microhardness values (P = 0.0001), (P = 0.0001). HCl treated samples showed mixed bond failures dominantly, while PBS samples mostly showed adhesive failures. The results of this study can suggest the 37% HCl as an effective solution to aid the removal of MTA from the dentin surfaces.

To evaluate the effects of thermocycling (500 cycles, 5°C/55°C) on the push-out bond strength of calcium silicate based cements including WMTA, Nano-WMTA, and Bioaggregate to root dentin. Forty-eight dentin slices were prepared and divided into 3 groups (n = 16) and filled with Angelus WMTA, Nano-WMTA, or Bioaggregate. After incubation, half of the samples were thermocycled while the other half remained untreated. Push-out bond strength was calculated, and the modes of the bond failures were determined by SEM. The highest bond strength was seen in nonthermocycled Nano-WMTA samples and the lowest in thermocycled Bioaggregate samples. The significant differences between nonthermocycled and thermocycled samples were only noticed in WMTA and Nano-WMTA groups (P < 0.001). The mode of failure for thermocycled samples of all three cements was mostly cohesive. Thermocycling process can drastically affect the push-out bond strength of calcium silicate based cements. The intrastructural damages occurred due to the thermal stresses, causing cohesive failures in set materials. Sealing property of endodontic cements which have experienced the thermal stresses can be jeopardized due to occlusal forces happening in furcation cites.

Purpose: To determine the self-sealing properties of Ceramir C&B, a new calcium aluminate-based luting material and to compare it to two commercially available cements, using a bacterial model system., Methods: 30 premolars were prepared in a standardized fashion with a total angle of convergence of approximately 10-12 degrees for complete cast restorations. All margins were placed in dentin. Gold copings were fabricated in a Type III alloy using standardized laboratory methods. Thirty teeth were randomly assigned to three groups of 10: Group 1: Ceramir C&B (CM), a calcium aluminate/glass ionomer hybrid (formerly XeraCem), Group 2: Ketac-Cem (KC), a glass-ionomer cement (control) and Group 3: Rely X Luting Plus (RX), a resin-modified glass-ionomer cement. After cementation the samples were allowed to bench set for 10 minutes, after which they were subjected to thermal cycling (x2000, between 5 and 55 degrees C, dwell time 35 seconds) and then stored in sterile phosphate buffer for 7 days at 37 degrees C. Subsequently the occlusal surface was carefully reduced exposing the dentin. Finishing on wet sand paper removed the gold flash from grinding. After sterilization the specimens were subjected to bacterial microleakage in a dual chamber apparatus for a period of 60 days. Turbidity was recorded daily. The data were analyzed using the Kaplan-Meyer survival analysis and the log-rank test (P<0.05)., Results: A statistical analysis demonstrated that the groups cemented with CM and RX showed no significant difference in microleakage patterns (P>0.05), while both recorded significantly lower microleakage scores (P<0.05) than the group cemented with KC.

Purpose: This controlled clinical trial aimed to evaluate IPS Empress inlays and onlays over 12 years. The null hypothesis was that different luting resins would have no influence on clinical outcome., Materials and Methods: In the course of a prospective clinical long-term trial, 96 ceramic inlays and onlays were placed in 34 patients using one adhesive (Syntac) and four different luting composites (Tetric, Variolink Low, Variolink Ultra, Dual Cement). Recalls were carried out by two calibrated investigators using modified USPHS codes and criteria at baseline, 1, 2, 4, 6, 8, and 12 years., Results: Fifteen of the 96 restorations had to be replaced (failure rate 16%; Kaplan-Meier); 12 of them suffered bulk fractures. After twelve years of clinical service, significantly more bulk fractures were found when light-curing composite was used for luting (p < 0.05). Fractures were noticed between 3 and 4 years of clinical service and later after 11 to 12 years; aside from those times, no single fracture occurred. Secondary caries was not observed., Conclusion: IPS Empress inlays and onlays exhibited satisfactory clinical outcomes over a 12-year clinical period. Restorations luted with dual-cured resin composites revealed significantly fewer bulk fractures.

International Organization for Standardization (ISO 10993 and 7405) guidelines recommends the preclinical screening of dental materials using non-human primates. The literature contains no comparisons of responses to dental materials. To test the accuracy of preclinical screening tests for predicting human clinical responses, 106 class V pulp exposed cavities were prepared in human and non-human primate teeth. Teeth were restored with calcium hydroxide and amalgam, zinc oxide eugenol or resin-modified glass ionomer. Teeth were extracted after 10-163 days and prepared for histological analysis. Pulp cell numbers were compared and their reactionary dentin activity measured in response to cavity preparation. Pulp inflammatory activity was categorized according to ISO standards. There were no statistically significant differences between human and non-human primate teeth in terms of pulp reactions to dental materials. The use of non-human primates for preclinical biocompatibility investigation provided an accurate method of evaluating clinical responses to dental materials., ((c) 2006 Wiley Periodicals, Inc.)

The hardness of a dental material is generally related to its mechanical properties. The purpose of this study was to evaluate the hardness of several resins and cements exposed to an APF Foam (Minute Foam, Oral-B). Four molds 6 x 2 mm were prepared for each experimental condition with each of the following materials: Filtek P 60 (3 M); Silux Plus (3 M); Ariston pHc (Vivadent); F 2000 (3 M); Vitremer Restorative (3 M) and lonofil Molar (Voco). Immediately after prepared, the samples were stored in water or in the APF foam. To evaluate the Barcoll hardness, measurements were made on both sides of the specimens (top--T and bottom--B), immediately, and after 1 min, 24 h and 7 d. The results, expressed as percentages of the loss of hardness of each sample from the baseline readings, were analyzed with an ANOVA and Tukey's test. ANOVA revealed the significant influence of material, time and treatment. The surface analyzed (T or B) had no significance. Among the glass-ionomers tested the loss of hardness was significantly higher (+30%) than for resin-based composites (+/- 15%). Treatment with the APF foam for 7 days produced the greatest loss of hardness (42%) and at 24 h the least (less than 5%). There were no other significant findings. It can be concluded that the effect of the APF foam is material dependent, but is significantly more pronounced with the glass-ionomers than the resins tested. The application time of the foam is the main factor for the loss of hardness.

The purpose of this study was to compare the shear bond strengths and enamel surface morphology after debonding a polycrystalline ceramic bracket (Transcend 2000) bonded with a light-cured resin cement (Transbond) without enamel etching or by etching for 15 seconds with 10% or 37% phosphoric acid and 10% maleic acid. Forty extracted noncarious human premolars were used. The buccal enamel surfaces were used and the teeth randomly divided in to four groups of 10 teeth each: Group 1: No enamel etching; Group 2: Enamel etching for 15 seconds with 10% phosphoric acid; Group 3: Enamel etching for 15 seconds with 37% phosphoric acid; and Group 4: Enamel etching for 15 seconds with 10% maleic acid. The brackets were bonded to the etched enamel surfaces according to manufacturers' instructions except the etching time variations. All specimens were stored in distilled water for 24 hours and then thermocycled for 300 cycles between 5 degrees C and 55 degrees C. The specimens were mounted in dental stone and placed in the Instron at a crosshead speed of 0.5 mm/min using a knife-edged blade. Immediately after debonding, the enamel surface and bracket-enamel interface were evaluated visually and with a stereomicroscope. Representative samples were then examined with the SEM. ANOVA and Student-Newman-Keuls tests were performed. The results (in MPa) were: Group 1:11.83 (+3.9); Group 2: 28.80 (+12.6); Group 3: 26.25 (+5.3); Group 4: 18.06 (+6.9). Groups 2 and 3 were statistically significantly different (p<0.0001) from Groups 1 and 4. Groups 2 vs. 3 or 1 vs. 4 were not statistically different. Debonding occurred mainly at the bracket-resin interface in all groups, except Group 2 which displayed two samples with enamel cohesive failures and two fracturing the bracket. The SEM evaluation revealed that after debonding, the group etched with the 37% phosphoric acid gel had the roughest enamel surface and was the only group to present enamel fractures. Bracket bonding with unetched enamel and enamel etched with 10% phosphoric acid gel should be clinically investigated using the products tested.

The purpose of this study was to assess the effect of etching time with Gluma 2000 conditioning agent on, first, the shear bond strength of composite resin to tooth enamel and, secondly, the micromorphology of the enamel. In the first part of the study flat enamel surfaces were prepared with 600-grit silicon carbide paper on 40 primary and 40 permanent teeth. Ten specimens of each group were etched for 15, 30, 60 or 120 seconds before applying bonding resin and restorative composite resin. After 24 hours' storage in water, the shear bond strength of each specimen was tested. Analysis of variance indicated a significant difference between the eight groups. However, the Student-Newman-Keuls test indicated that the only differences that were significant were the greater bond strengths of the 15-second primary tooth specimens compared with the 15- and 30-second permanent tooth specimens. In most cases the debonded specimens showed cohesive failure in resin close to the coupling interface. In the second part of the study the morphology of the enamel etching patterns in 96 other teeth was studied by scanning electron microscopy. The patterns were similar in primary and permanent teeth, and the longer the etching time the more pronounced was the pattern. The patterns produced in ground enamel were more uniform and predictable than those in pumiced enamel. Examination of bonded resin surfaces after dissolution of the teeth showed complete reproduction of the etched enamel surfaces, indicating excellent flow of the resin into the etched enamel.

The purpose of this study was to compare the shear bond strengths and enamel surface structure after debonding a conventional metal bracket and a polycrystalline ceramic bracket bonded with a bipolar zinc oxide-polyvinyl cement (F-21) or a light-cured resin cement (Transbond). Forty extracted human premolars were used. The buccal enamel surfaces were used, and the teeth randomly divided into four groups of 10 teeth each: group 1: conventional metal bracket (Unitek) bonded with Transbond; group 2: metal bracket bonded with F-21; group 3: ceramic bracket (Transcend 2000) bonded with Transbond; and group 4: ceramic bracket bonded with F-21. The brackets were bonded to the etched enamel surfaces according to manufacturer's instructions. All specimens were stored in distilled water for 24 hours and then thermocycled for 300 cycles between 5 degrees C and 55 degrees C. The specimens were mounted in dental stone and placed in the Instron at a crosshead speed of 0.5 mm/min with a knife-edged blade. Immediately after debonding, the enamel surface and bracket-enamel interface were evaluated visually and with a stereomicroscope. Representative samples were then examined with the scanning electron microscope. The analysis of variance and Student-Newman-Keuls tests were performed. The results in megapascals were Group 1: 19,6 (+/- 9,6); group 2: 14,3 (+/- 4,6); group 3: 28,8 (+/- 12,6); and group 4: 18,5 (+/- 7,5). Group 3 was statistically significantly different (P < 0.008) from all other groups. Groups 1, 2, and 4 were not significantly different.(ABSTRACT TRUNCATED AT 250 WORDS)

This study evaluated the effect of four dentin adhesives on sealant shear bond strength. Five groups of 15 human extracted teeth (75 in total) were prepared to receive the following treatments: group 1, sealant only; group 2, sealant plus gluma primer; group 3, sealant plus gluma primer and sealer, group 4, sealant plus C & B Metabond. Each tooth had a bonding site prepared for each material by grinding a flat plane on the enamel with 600 grit. The enamel site was etched for 30 seconds, washed for 20 seconds and dried. Each material was mixed according to the instructions of the manufacturer. The sealant (Concise) was placed in a nylon cylinder, light-cured, stored in distilled water for 24 hours, thermocycled (100 cycles at 5 to 55 degrees C) and shear bond strength determined with a knife-edge blade in an Instron running at a crosshead speed of 0.5 mm/min. The results in MPa were: group 1, 11.8 +/- 4.5; group 2, 12.3 +/- 5.0; group 3, 10.3 +/- 1.9; group 4, 12.5 +/- 8.6; and group 5, 15.8 +/- 5.2. Statistically (ANOVA one way) there was no significant difference in the groups.

This study evaluated the gingival response and ability of a glass ionomer cement to retain stainless steel crowns in primary molars. A total of 152 crowns were evaluated from 2 to 12 months. None of the crowns were lost or loosened during the evaluation period and no discomfort or adverse gingival response was noted or reported.

This study evaluated the amount of fluoride released from glass ionomer-lined amalgam restorations. 50 human extracted molars were divided into five groups of 10 teeth each. Group 1: No restorations. Group 2: Class V cavities (2 x 2 x 7 mm) were made on the facial and lingual surfaces and restored with Dispersalloy amalgam. Group 3: Same as Group 2 except 1 mm of Ketac-Bond glass ionomer cement (GIC) was placed on the axial wall before amalgam insertion. Group 4: Same as Group 2 except 1 mm of Chelon-Silver glass ionomer cement (GIC) was placed on the axial wall before amalgam insertion. Group 5: Same as Group 2 except 1 mm of Ketac-Silver GIC was used before amalgam insertion. Before any treatment, all samples were placed in polyethylene vials with 4 ml of deionized water and thermocycled (100x) for baseline fluoride release levels. After restoration, each tooth was placed in a vial with 4 ml of fresh deionized water. At weekly intervals, each tooth was removed from its aqueous medium and transferred to another vial containing 4 ml of deionized water. Fluoride release was measured four times at weekly intervals with an Orion #9609 fluoride-ion electrode. At one week, Ketac-Bond released significantly more fluoride than Ketac-Silver (P less than 0.01) which released significantly more fluoride than Chelon-Silver (P less than 0.01). At four weeks, there was no significant difference in fluoride release between Chelon-Silver and Ketac-Silver, but Ketac-Bond released significantly more fluoride than either of the other materials (P less than 0.01).

Background/Aim. The longevity of a dental restoration may be predicted to some degree by its adhesive ability, and this, in turn, can be measured by bond strength testing between restorative materials and tooth structure. The aim of this study was to test an innovative joggle lap shearing jig that integrates the tooth and the entire biomechanical unit into testing, to compare the shear bond strengths of Class I occlusal composite restorations in deep cavity preparations lined with Dycal, Dycal LC, conventional glass ionomer or resin-modified glass ionomer. The mode of failure (adhesive, cohesive, mixed) after debonding was determined by stereomicroscopy. Methods. A total of 150 standardized occlusal cavities were prepared and divided into five groups. The group I cavities (n = 30) were coated with adhesive (ExciTE®F) and filled directly with composite (TetricEvoCeram). The group II and III cavities were lined with Dycal (n = 30) or Dycal LC (n = 30) before placing composite. The groups IV and V specimens were based with Fuji IX (n = 30) or Fuji II LC (n = 30). Shear bond strengths were determined with a universal testing machine and fractured bonding sites were analyzed under stereomicroscope. The mean bond strengths were analyzed using one-way ANOVA test (p < 0.05) and the means between the groups were analyzed with Student’s t-test. Results. The shear bond strength (MPa) of composite restorations in cavities without base (23.91 ± 4.54) was higher than cavities lined with Fuji II LC (17.45 ± 2.74), Fuji IX (8.76 ± 2.57), Dycal LC (13.07 ± 1.84) or Dycal (6.12 ± 1.28). The results using the jogged lap shearing jig were consistent with the literature. Conclusion. The shear bond strength of occlusal composite restorations in deep cavities without liners was greater than cavities lined with Fuji II LC > Fuji IX > Dycal LC > Dycal.