Milk and milk products, such as cheese, have been shown to exhibit anticariogenic properties in human and animal models. CPP-ACP shows an anti-caries effect by suppressing demineralization, enhancing remineralization, or possibly a combination of both. The purpose of this study was to evaluate the effect of CPP-ACP paste on demineralization by observing the treated tooth surface using an FE-SEM. The specimens were prepared by cutting enamel and dentin of bovine teeth into blocks. A few specimens were stored in 0.1 M lactic acid buffer solution for 10 min and then in artificial saliva (negative control). The remaining specimens were stored in a 10 times-diluted solution of CPP-ACP paste or a placebo paste containing no CPP-ACP for 10 min, followed by 10 min immersion in a demineralizing solution (pH = 4.75, Ca) twice a day before storage in artificial saliva. After treatment of the specimens for 3, 7, 21 and 28 days, they were fixed in 2.5% glutaraldehyde in cacodylate buffer solution, dehydrated in ascending grades of tert-butyl alcohol, and then transferred to a critical-point dryer. The surfaces were coated with a thin film of Au in a vacuum evaporator, and were observed under field emission-scanning electron microscopy (FE-SEM). The SEM observations revealed different morphological features brought about by the various storage conditions. Demineralization of the enamel and dentin surfaces was more pronounced with the longer test period in the control and negative control specimens. On the other hand, enamel and dentin specimens treated with CPP-ACP paste revealed slight changes in their morphological features. From the morphological observations of the enamel and dentin surfaces, it could be considered that the CPP-ACP paste might prevent demineralization of the tooth structure.

No abstract

Single-step self-etch systems are capable of producing a predictable bond to primary dentin, although the bond strength was found to be lower than permanent dentin. SUMMARYCurrently, there is little information regarding the bonding efficacy of single-step self-etch systems to primary tooth dentin. This study examined the microtensile bond strength of single-step self-etch systems (Clearfil tri-S Bond and One-Up Bond F Plus) to sound primary and permanent tooth dentin. Adhesives were applied to flat samples of primary and permanent tooth dentin, and resin composites were bonded according to the manufacturers' instructions. After 24 hours of storage in distilled water at 37°C, hour glass-shaped specimens were produced. They were subjected to microtensile testing at a crosshead speed of 1.0 mm/minute. The results were analyzed using 2-way analysis of variance (ANOVA) followed by the Tukey HSD post-hoc test (α α=0.05). Field-emission scanning electron microscopy (FE-SEM) observations of the adhesive-treated dentin surfaces and the resin/dentin interface were also conducted. The bond strengths of primary tooth dentin were significantly lower than that of permanent tooth dentin for both self-etch systems: 44.7 ± 10.4 versus 54.3 ± 9.0 MPa for Clearfil tri-S Bond and 40.6 ± 9.9 versus 50.0 ± 8.7 MPa for One-Up Bond F Plus (p<0.001). There was no statistically significant interaction between the type of adhesive system and the dentin substrate (p=0.957). Although there was no statistically significant difference in the mean values among the different adhesive systems (p=0.094), there was a statistically significant difference in mean values among the different dentin substrates (p<0.001), which were lower for primary tooth dentin than for permanent tooth Operative Dentistry dentin. The failure modes were also independent of the type of dentin but dependent on the adhesive systems, an equal distribution among the 3 types of failure for Clearfil tri-S Bond and cohesive failures in adhesives for One-Up Bond F Plus. FE-SEM observations of dentin to which adhesive had been applied revealed that the smear layer had been removed and the collagen fibers exposed. Though the bond strengths to primary tooth dentin were lower than to permanent tooth dentin, excellent adaptation of the single-step selfetch systems to both dentin substrates was observed by FE-SEM. Further studies are required to determine the long-term clinical performance of these adhesive systems when applied to primary tooth dentin.

No abstract

This study examined the effect of air-drying time of adhesives on the dentin bond strength of several single-application self-etch adhesive systems. The adhesive/resin composite combinations used were: Adper Prompt L-Pop/Filtek Z250 (AP), Clearfil Tri-S Bond/Clearfil AP-X (CT), Fluoro Bond Shake One/Beautifil (FB), G-Bond/Gradia Direct (GB) and One-Up Bond F Plus/Palfique Estelite (OF). Bovine mandibular incisors were mounted in self-curing resin and wet ground with #600 SiC to expose labial dentin. Adhesives were applied according to each manufacturer's instructions followed by air-drying time for 0 (without air-drying), 5 and 10 seconds. After light irradiation of the adhesives, the resin composites were condensed into a mold (phi4x2 mm) and polymerized. Ten samples per test group were stored in 37 degrees C distilled water for 24 hours; they were then shear tested at a crosshead speed of 1.0 mm/minute. One-way ANOVA followed by Tukey's HSD tests (alpha = 0.05) were done. FE-SEM observations of the resin/dentin interface were also conducted. Dentin bond strength varied with the different air drying times and ranged from 5.8 +/- 2.4 to 13.9 +/- 2.8 MPa for AP, 4.9 +/- 1.5 to 17.1 +/- 2.3 MPa for CT, 7.9 +/- 2.8 to 13.8 +/- 2.4 MPa for FB, 3.7 +/- 1.4 to 13.4 +/- 1.2 MPa for GB and 4.6 +/- 2.1 to 13.7 +/- 2.6 MPa for OF. With longer air drying of adhesives, no significant changes in bond strengths were found for the systems used except for OF. Significantly lower bond strengths were obtained for the 10-second air-drying group for OF. From FE-SEM observations, gaps between the cured adhesive and resin composites were observed for the specimens without the air drying of adhesives except for OF. The data suggests that, with four of the single-application self-etch adhesive systems, air drying is essential to obtain adequate dentin bond strengths, but increased drying time does not significantly influence bond strength. For the other system studied, the bond strength of the non-air dried group was not significantly different from the five second drying time, but prolonged drying was very detrimental to bond strength. For all five of the systems studied, a five-second air-drying time appeared to be appropriate.