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.

This study evaluated the clinical performance of five single-step self-etch adhesive systems over a one-year follow-up period in 98 restorations. Independent evaluations were performed at baseline (one week), after three months, six months, and one year, by two trained examiners using the modified US Public Health Service rating criteria. Color match, marginal integrity, anatomical form, surface roughness, marginal or interfacial staining, postoperative sensitivity, and secondary caries were evaluated. Results were analyzed using the Kruskal-Wallis test at a significance level of p<0.05. After one year, the restorations were re-evaluated and 100％ retention rate was recorded. No caries were detected in association with any of the restorations. Marginal adaptation was the only measure that showed a slight deterioration over time, and there were no significant differences in this factor among the adhesive systems tested (p=0.464).

The purpose of this study was to examine the microtensile bond strength of a single-step selfetch adhesive system (Clearfil tri-S Bond and One-Up Bond F Plus) to bovine dentin. Adhesive was applied to a flat dentin surface, and resin composite was bonded according to the manufacturers' instructions. After 24 h storage in distilled water at 37°C, hourglassshaped specimens were produced. These were subjected to microtensile bond strength testing at a cross-head speed of 1.0 mm/min. The results were analyzed using Student's t-test at a significance level of 0.05. Fieldemission scanning electron microscopy (FE-SEM) observations of the fractured specimens and the adhesive-treated dentin surfaces were also conducted. The bond strength of Clearfil tri-S Bond was not significantly different from that of One-Up Bond F Plus, 41.1 ± 10.1 versus 42.3 ± 6.0 MPa. Mode of failure analysis for Clearfil tri-S Bond revealed an equal distribution between the three types of failure, and the predominant mode of failure was adhesive 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. (J. Oral Sci. 49, [183][184][185][186][187][188][189] 2007)