ObjectiveThe aims of this study were to evaluate the tensile bond strengths between
indirect composites and dentin of 3 recently developed self-adhesive resin cements
and to determine mode of failure by SEM. Material and MethodsExposed dentin surfaces of 70 mandibular third molars were used. Teeth were
randomly divided into 7 groups: Group 1 (control group): direct composite resin
restoration (Alert) with etch-and-rinse adhesive system (Bond 1 primer/adhesive),
Group 2: indirect composite restoration (Estenia) luted with a resin cement
(Cement-It) combined with the same etch-and-rinse adhesive, Group 3: direct
composite resin restoration with self-etch adhesive system (Nano-Bond), Group 4:
indirect composite restoration luted with the resin cement combined with the same
self-etch adhesive, Groups 5-7: indirect composite restoration luted with
self-adhesive resin cements (RelyX Unicem, Maxcem, and Embrace WetBond,
respectively) onto the non-pretreated dentin surfaces. Tensile bond strengths of
groups were tested with a universal testing machine at a constant speed of 1
mm/min using a 50 kgf load cell. Results were statistically analyzed by the
Student's t-test. The failure modes of all groups were also evaluated. ResultsThe indirect composite restorations luted with the self-adhesive resin cements
(groups 5-7) showed better results compared to the other groups (p<0.05). Group
4 showed the weakest bond strength (p>0.05). The surfaces of all debonded
specimens showed evidence of both adhesive and cohesive failure. ConclusionThe new universal self-adhesive resins may be considered an alternative for luting
indirect composite restorations onto non-pretreated dentin surfaces.