Revista de Odontologia da UNESP
Revista de Odontologia da UNESP
Original Article

Effect of caries-affected dentin on one-step universal and multi-step etch-and-rinse adhesives’ bond strength

Efeito da dentina cariada na resistência adesiva de um sistema adesivo universal e um de condicionamento ácido total

Clecila MÜLLER, Gabriela Cauduro da ROSA, Gabriela Simões TEIXEIRA, Ivo KREJCI, Tissiana BORTOLOTTO, Alexandre Henrique SUSIN

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Objective: To evaluate the influence of caries-affected dentin on bond strength of a universal one-step and a multi-step etch-and-rinse adhesive system. Material and method: Enamel of 60 third human molars with and without caries was removed to expose dentin. The teeth were randomly assigned to six groups: Single Bond Universal (3M ESPE, St. Paul, MN, USA) in etch-and-rinse and in self-etch mode and Prime & Bond NT (Dentsply Co, Konstanz, Germany), all on sound and caries-affected dentin. Smear layer of the 30 sound dentin specimens was standardized by polishing with 600-grit SiC paper under water cooling. Residual infected dentin of the 30 caries-affected specimens was removed with a number 4 CA carbide bur until no caries smooth tissue was detectable by tactile-visual inspection. Cylinders of a light cured composite resin (Filtek Z350 XT, 3M ESPE) were built up using starch tubes and microshear test was performed until failure. The data was analyzed by one-way ANOVA and Tukey’s post hoc test. Result: Significant differences in microshear bond strength (μSBS) were observed for the caries-affected groups, but not for sound dentin. The μSBS of Single Bond Universal were not influenced by the application protocol on sound dentin, however they were lower in the caries-affected group with both application protocols. The μSBS for Prime & Bond NT was not influenced by the dentin conditions. Conclusion: Caries-affected dentin decrease in bond strength of Single Bond Universal in comparison to sound dentin. The bond strength of Prime & Bond NT was not altered by substrate conditions.


Caries-affected dentin; dentinal substrate; multimode adhesive system.


Objetivo: Avaliar a influência da dentina afetada na resistência de união de um sistema adesivo universal e de um adesivo de condicionamento ácido total acetonado. Material e método: As faces oclusais de 60 terceiros molares humanos, hígidos e cariados, foram removidas a fim de expor o substrato dentinário. Os dentes foram divididos aleatoriamente em 6 grupos: Single Bond Universal (3M Dental Products, Seefeld, Germany), nos protocolos de condicionamento total e autocondicionante, e Prime&BondNT (DentsplyDeTrey, Konstanz, Germany), em dentina hígida e afetada. A smearlayer de 30 espécimes de dentina hígida foi padronizada com lixas de granulação 600. A dentina residual infectada de 30 espécimes foi removida com uma broca carbide número 4 até que nada fosse detectável por uma inspeção clínica. Pinos de resina composta (Filtek Z350 XT, 3M ESPE, St. Paul, MN) foram construídos usando tubos de amido como matriz. O teste de microcisalhamento foi realizado em uma máquina universal de testes até que houvesse a fratura. Resultado: Diferenças significantes foram observadas na resistência de união apenas para os espécimes de dentina afetada. A resistência de união do Single Bond Universal não foi influenciada pelo protocolo de aplicação nos espécimes de dentina hígida, mas diminuiu para os espécimes de dentina afetada, enquanto que o desempenho da adesão do Prime&BondNT não foi influenciada pela condição dentinária. Conclusão: A dentina afetada reduziu a resistência de união do Single Bond Universal, em comparação à dentina hígida. A resistência de união do Prime & Bond NT não foi alterada pela condição dos substratos.


Dentina afetada por cárie; substrato dentinário; sistema adesivo multimodo.


1. Nakajima M, Hosaka K, Yamauti M, Foxton RM, Tagami J. Bonding durability of a self-etching primer system to normal and caries-affected dentin under hydrostatic pulpal pressure in vitro. Am J Dent. 2006 Jun;19(3):147-50. PMid:16838477.

2. Hanabusa M, Mine A, Kuboki T, Momoi Y, Van Ende A, Van Meerbeek B, et al. Bonding effectiveness of a new “multi-mode” adhesive to enamel and dentine. J Dent. 2012 Jun;40(6):475-84. PMid:22381614.

3. Perdigão J, Muñoz MA, Sezinando A, Luque-Martinez I, Staichak R, Reis A, et al. Immediate adhesive properties to dentin and enamel of a universal adhesive associated with a hydrophobic resin coat. Oper Dent. 2014 Sep-Oct;39(5):489-99. PMid:24299446.

4. Lenzi TL, Raggio DP, Soares FZ, Rocha RO. Bonding performance of a multimode adhesive to artificially-induced caries affected primary dentin. J Adhes Dent. 2015 Apr;17(2):125-31. PMid:25901300.

5. Ferreira JC, Pires PT, Azevedo AF, Oliveira SA, Melo PR, Silva MJ. Influence of solvents and composition of etch-and-rinse and self-etch adhesive systems on the nanoleakage within the hybrid layer. J Contemp Dent Pract. 2013 Jul;14(4):691-9. PMid:24309350. http://dx.doi. org/10.5005/jp-journals-10024-1386.

6. Muñoz MA, Luque I, Hass V, ReisA, LoguercioAD, Bombarda NH. Immediate bonding properties of universal adhesives to dentine. J Dent. 2013 May;41(5):404-11. PMid:23499568.

7. Perdigão J, Sezinando A, Monteiro PC. Laboratory bonding ability of a multi-purpose dentin adhesive. Am J Dent. 2012 Jun;25(3):153-8. PMid:22988685.

8. Lenzi TL, Calvo AF, Tedesco TK, Ricci HA, Hebling J, Raggio DP. Effect of method of caries induction on aged resin-dentin bond of primary teeth. BMC Oral Health. 2015 Jul;15(1):79. PMid:26163387.

9. Koyuturk AE, Sengun A, Ozer F, Sener Y, Gokalp A. Shear bond strengths of self-etching adhesives to caries-affected dentin on the gingival wall. Dent Mater J. 2006;25(1):59-65. PMid:16706298.

10. Costa AR, Garcia-Godoy F, Correr-Sobrinho L, Naves LZ, Raposo LHA, Carvalho FG, et al. Influence of different dentin substrate (cariesaffected, caries-infected, sound) on long-term μTBS. Braz Dent J. 2017 Jan-Feb;28(1):16-23. PMid:28301013. 6440201700879.

11. Armstrong S, Geraldeli S, Maia R, Raposo LH, Soares CJ, Yamagawa J. Adhesion to tooth structure: a critical review of “micro” bond strength test methods. Dent Mater. 2010 Feb;26(2):e50-62. PMid:20045179.

12. Scherrer SS, Cesar PF, Swain MV. Direct comparison of the bond strength results of the different test methods: a critical literature review. Dent Mater. 2010 Feb;26(2):e78-93. PMid:20060160.

13. Tedesco TK, Montagner AF, Skupien JA, Soares FZ, Susin AH, Rocha RO. Starch tubing: an alternative method to build up microshear bond test specimens. J Adhes Dent. 2013 Aug;15(4):311-5. PMid:23534009.

14. Yoshida Y, Yoshihara K, Nagaoka N, Hayakawa S, Torii Y, Ogawa T, et al. Self-assembled nano-layering at the adhesive interface. J Dent Res. 2012 Apr;91(4):376-81. PMid:22302145.

15. Wang Y, Spencer P, Walker MP. Chemical profile of adhesive/caries-affected dentin interfaces using Raman microspectroscopy. J Biomed Mater Res A. 2007 May;81(2):279-86. PMid:17120213.

16. Fusayama T. Two layers of carious dentin; diagnosis and treatment. Oper Dent. 1979;4(2):63-70. PMid:296808.

17. Arrais CA, Giannini M, Nakajima M, Tagami J. Effects of additional and extended acid etching on bonding to caries-affected dentine. Eur J Oral Sci. 2004 Oct;112(5):458-64. PMid:15458507.

18. Kunawarote S, Nakajima M, Foxton RM, Tagami J. Effect of pretreatment with mildly acidic hypochlorous acid on adhesion to caries-affected dentin using a self-etch adhesive. Eur J Oral Sci. 2011 Feb;119(1):86-92. PMid:21244517.

19. Van Landuyt KL, Peumans M, De Munck J, Lambrechts P, Van Meerbeek B. Extension of a one-step self-etch adhesive into a multi-step adhesive. Dent Mater. 2006 Jun;22(6):533-44. PMid:16300826.

20. Sengün A, Unlü N, Ozer F, OztUrk B. OztUrk B. Bond strength of five current adhesives to caries-affected dentin. J Oral Rehabil. 2002 Aug;29(8):777-81. PMid:12220346.

21. Bail M, Malacarne-Zanon J, Silva SM, Anauate-Netto A, Nascimento FD, Amore R, et al. Effect of air-drying on the solvent evaporation, degree of conversion and water sorption/solubility of dental adhesive models.J Mater Sci Mater Med. 2012 Mar;23(3):629-38. PMid:22210310.

22. Davari A, Mousvinasab M, Kazemi AD, Rouzbeh R. Effect of different evaporation periods on microtensile bond strength of an acetonebased adhesive to dentin. Indian J Dent Res. 2013 May-Jun;24(3):331-5. PMid:24025880.

23. Reis A, Cardoso PC, Vieira LC, Baratieri LN, Grande RH, Loguercio AD. Effect of prolonged application times on the durability of resindentin bonds. Dent Mater. 2008 May;24(5):639-44. PMid:17709133.

24. Elkassas D, Taher HA, Elsahn N, Hafez R, El-Badrawy W. Effect of the number of applications of acetone-based adhesives on microtensile bond strength and the hybrid layer. Oper Dent. 2009 Nov-Dec;34(6):688-96. PMid:19953778.

25. Marshall GW Jr, Marshall SJ, Kinney JH, Balooch M. The dentin substrate: structure and properties related to bonding. J Dent. 1997 Nov;25(6):441-58. PMid:9604576.

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