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A supplemental appendix to this article is published electronically only at http://jdr.sagepub.com/supplemental.

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The objectives of this investigation were to evaluate the degradation in fatigue strength of dentin by diamond bur preparations and to identify the importance of cutting direction. Three groups of coronal dentin specimens were prepared from unrestored 3rd molars, including a flaw free “control”, and two groups that received a diamond bur cutting treatment performed parallel or perpendicular to the specimen length. The specimens were subjected to static or cyclic flexural loading to failure and the results were compared with data for carbide bur cutting. Under static loading diamond bur cutting resulted in significantly flexure lower strength (p≤0.05) than the control for both cutting directions (from 154 MPa to approx. 124 MPa). However, there was no significant difference in the strength between the control and carbide bur treated specimens. Similarly, the fatigue strength of the diamond bur treated specimens was significantly lower (p≤0.0001) than that of the control for both cutting directions. Cutting in the perpendicular direction resulted in nearly 60% reduction to the endurance limit (from 44 MPa to 19 MPa). Based on the results, diamond bur cutting of cavity preparations causes a reduction in the fatigue strength of dentin, regardless of the cutting direction. To maintain the durability of dentin, cavity preparations introduced using diamond burs must be performed with appropriate cutting direction and followed by a finishing pass.

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