versão impressa ISSN 1678-7757
versão On-line ISSN 1678-7765
J. Appl. Oral Sci. v.12 n.1 Bauru jan./mar. 2004
Efeito dos tratamentos de superfície de resinas compostas de laboratório na resistência a microtração de um agente de fixação resinoso
Carlos José Soares, DDS, MS, PhDI; Marcelo Giannini, DDS, MS, PhDII; Marcelo Tavares de Oliveira, DDS, MSIII; Luis Alexandre Maffei Sartini Paulillo, DDS, MS, PhDII; Luis Roberto Marcondes Martins, DDS, MS, PhDIV
IAssistant Professor, Department of Restorative Dentistry, Dental School - Federal University of Uberlandia, Brazil
IIAssistant Professor, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Brazil
IIIGraduate Student (Master Degree), Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Brazil
IVProfessor, Department of Restorative Dentistry, Piracicaba Dental School - University of Campinas, Brazil
The purpose of this study was to evaluate the influence of different surface treatments on composite resin on the microtensile bond strength to a luting resin cement. Two laboratory composites for indirect restorations, Solidex and Targis, and a conventional composite, Filtek Z250, were tested. Forty-eight composite resin blocks (5.0 x 5.0 x 5.0mm) were incrementally manufactured, which were randomly divided into six groups, according to the surface treatments: 1- control, 600-grit SiC paper (C); 2 silane priming (SI); 3 sandblasting with 50 mm Al2O3 for 10s (SA); 4- etching with 10% hydrofluoric acid for 60 s (HF); 5 HF + SI; 6 SA + SI. Composite blocks submitted to similar surface treatments were bonded together with the resin adhesive Single Bond and Rely X luting composite. A 500-g load was applied for 5 minutes and the samples were light-cured for 40s. The bonded blocks were serially sectioned into 3 slabs with 0.9mm of thickness perpendicularly to the bonded interface (n = 12). Slabs were trimmed to a dumbbell shape and tested in tension at 0.5mm/min. For all composites tested, the application of a silane primer after sandblasting provided the highest bond strength means.
Uniterms: Composite resins; Silane; Sandblasting; Hydrofluoric acid; Microtensile test.
O objetivo deste estudo foi avaliar a influência de diferentes tratamentos de superfície na resistência de união de resinas compostas a um agente de fixação resinoso. Dois compósitos de laboratório, Solidex e Targis, e um compósito convencional, Filtek Z250, foram testados. Quarenta e oito blocos de resina composta (5.0 x 5.0 x 5.0mm) foram confeccionados através da técnica incremental, para cada compósito testado, e foram aleatoriamente divididos em 6 grupos. Os blocos foram submetidos a seis tratamentos de superfície: 1 - Controle, Lixa 600-SiC (C); 2 Silanização (SI); 3 Jateamento com Al2O3 50µm por 10 segundos (SA); 4 Condicionamento com ácido fluorídrico por 60 segundos (HF); 5 HF + SI; 6 SA + SI. Blocos submetidos ao mesmo tratamento foram unidos com o agente de fixação resinoso Rely X. Uma carga de 500g foi aplicada por 5 minutos e as amostras foram fotoativadas por 40 segundos. Os blocos unidos foram seccionados em fatias de 0.9mm de espessura perpendicularmente à interface de união (n = 12). Foram realizadas constrições limitando a interface de união a 1mm e as amostras foram levadas para o ensaio de tração. As maiores médias de união foram obtidas para as amostras submetidas à aplicação do silano após o jateamento com Al2O3.
Unitermos: Compósito; Silano; Jateamento; Ácido fluorídrico; Microtração.
Adhesive dentistry associates the physical properties of the restorative materials to dental substrates by means of bonding, providing esthetics and function to previously damaged teeth. Indirect techniques are used in an attempt to overcome some shortcomings of direct composite resin restorations, such as polymerization shrinkage and conversion degree. Material manipulation out of the mouth allows better proximal contacts, morphology and adjustment of the occlusal surface3, 9, 22, 23. Moreover, extraoral polymerization allows higher conversion rate, influencing the composite mechanical properties21, 24.
Clinical indications for indirect restorations are based on the evaluation of the remaining tooth structure, intraoral conditions and cost. Commercially available laboratory-fabricated composite resins have been introduced for the rehabilitation of anterior and posterior teeth, with improved esthetic and handling properties. These materials present high percentage of inorganic fillers by volume, which improves the mechanical and physical properties22, 23.
The clinical performance of composite indirect restorations depends on bonding of the luting agent to both the tooth and the restorative material. Thus, the long-term clinical performance is influenced by the surface treatment of the composites. The internal surface of indirect restorations can be treated with sandblasting, hydrofluoric acid or silane coupling agents, and with the combination of these treatments. The air-abrasion technique produces a rough surface5, 8, 18, 19, while silane creates a chemical adhesion between the inorganic fillers and the organic matrix of the bonding agent5, 10, 15, 25. The hydrofluoric acid has been used to etch all-ceramic restorations12, 20; however, its effects on different filler particles of composite resins have not been effective in producing high bond strengths of resin cement bonded to indirect composite restorations8, 18, 19, 20.
Shear and tensile bond conventional tests have been commonly employed to evaluate the bond strength of the resin luting cement to indirect restorative materials2, 5, 8, 12, 19, 20, 25. The microtensile methodology developed by Sano, et al. (1994) allows the evaluation of specimens with small cross-sectional areas, resulting in better and uniform stress distribution at the bonded interface and accurate results16. The purpose of this study was to investigate the effect of mechanical and chemical surface treatments of composite resin restorative materials on the microtensile bond strength to a resin luting cement.
MATERIALS AND METHODS
Two prosthetic composite resins, Targis (TA) (Ivoclar, Schann, Liechtenstein) and Solidex (SO) (Shofu Inc., Kyoto, Japan), and a composite resin for direct restorations, Filtek Z250 (Z250) (3M ESPE, St. Paul, MN, USA) light-cured in the laboratory unit were used in this study. Table 1 shows the composition of the restorative materials tested.
Forty-eight resin blocks were prepared for each restorative material in an acrylic transparent mold with four rectangular cavities (5.0 mm x 5.0 mm x 5.0mm) (Figure 1a). SO and Z250 were polymerized in a laboratory light-curing unit, Edglux (EDG Ltda, São Carlos, SP, Brazil). Each composite was inserted in 1-mm thick increments and each increment was light-cured for 3 minutes. A complementary polymerization was accomplished for 7 minutes. TA blocks were built in 1-mmm thick layers, initially polymerized in the intermediary Targis Quick unit (Ivoclar, Schann, Liechtenstein) for 10 seconds and an additional polymerization was accomplished in the Targis Power unit (Ivoclar, Schann, Liechtenstein) for 25 minutes at 95ºC.
Composite block surfaces to be bonded were wet-ground with 600-grit silicon carbide abrasive paper for 15s. Samples of each composite were divided into 6 groups with 8 blocks each (4 pairs of composite resin blocks). Blocks were submitted to the following composite surface treatments: CO 600-grit SiC paper treatment, SI silanization (3M ESPE, St. Paul, MN, USA) for 30 s, SA sandblasting (Danville Eng. Inc., San Ramon, CA, USA) with 50µm aluminum oxide particles for 10 s, HA- 10% hydrofluoric acid (Dentsply Caulk, Milford, DE, USA) etching for 30s and rinsed with water, HA + SI and SA + SI.
Two similarly treated surfaces (Figure 1b) were bonded together with Single Bond (3M ESPE, St. Paul, MN, USA) adhesive system and a fine layer of Rely X (3M ESPE, St. Paul, MN, USA) resin cement, according to the manufacturer's instructions. This set was submitted to a load of 500g for 5 minutes to standardize the luting agent thickness (Figure 1c). Visible-light activation of each surface of the bonded blocks was performed for 30 seconds, using a XL 3000 light-curing unit (3M ESPE, St. Paul, MN, USA). Specimens were stored in 100% relative humidity at 37ºC for 24 h.
Bonded samples were positioned in a precision cutting machine 1000 Isomet (Buehler Ltd, Lake Bluff, IL, USA) and were serially sectioned perpendicular to the bonded interface to obtain three 0.9-mm thick slabs (Figure 1d) from each bonded samples (n = 12). Each slab was trimmed with a diamond bur to an hourglass shape with a cross-sectional area of approximately 0.8mm2 (Figure 1e). Specimens were attached to the grips of a microtensile testing device and tested in tension in a universal testing machine model number 4411 (Instron Corp., Canton, MA, USA) at a cross-head speed of 0.5mm/min, until failure.
After testing, the cross-sectional areas of the specimen at the site of fracture were measured to the nearest 0.01mm with a digital caliper model number 727-6/150 (Starret, Sao Paulo, SP, Brazil) to calculate the tensile bond strength, expressed in MPa. Differences in tensile bond strengths were evaluated for statistical significance using two-way analysis of variance and Tukey test at the 0.05 level of significance.
Tensile bond strength means of composite resin to the luting material as function of the surface treatment are presented in Table 2. Two-way ANOVA showed that there were statistically significant differences for the factor ''composite resin'' (p = 0.00127), for the factor ''surface treatment'' (p = 0.00001) and for the factor ''interactions'' (p = 0.01540). The Tukey test showed significant differences among treatment surfaces with all composite resins tested (p < 0.05). Tensile bond strength to the luting agent was dependent on composite restorative materials and surface treatment (p > 0.05).
In general, higher tensile bond strength means were obtained when composite resin surfaces were treated with 50-µm aluminum oxide followed by application of silane coupling agent. For Targis indirect composite, sandblasting alone presented similar bond strength to the association of sandblasting and silanization, which was similar to the other surface treatments. Composite resins showed similar bond strength means for HA, HA + SI and SA + SI surface treatments.
Extra-orally cured composites produce a high degree of conversion of carbon double into covalent bonds, reducing the amount of residual unreacted metacrylic groups available for bonding1, 5, 8, 18. Thus, this study evaluated various surface treatments in an attempt to improve bonding of a luting composite to indirectly cured composite resin restorative materials. Resin-to-resin specimens were used to avoid bonding to tooth structure, which could interfere with the tensile bond strength values, due to dentin regional variability4, 11, 16.
Sandblasted (air-abraded) and silanated Solidex and Z250 composites presented the highest tensile bond strengths to the resin cement. For Targis composite, sandblasting alone produced similar bond strength to air-abrasion treatment in conjunction with silanization, which was similar to the other surface treatments. Sandblasting was introduced to enhance bonding between resin and metallic alloys. Microabrasion with 50-µm aluminum oxide removes impurities, roughness and increases the surface energy of the inner surface of the metallic restoration. For composites, air abrasion promotes non-selective degradation and also roughness on the composite, creating an irregular surface and strong mechanical attachment of the adhesive resin to sandblasted composite. Moreover, it removes the resin matrix, exposing and maintaining filler particles on the composite surface for silanization5, 8, 19, 20.
Silane is a coupling agent and its bifunctional molecule bonds to both the exposed composite filler particles and the bonding resin10. In its hydrolyzed state, silane contains silanol groups bonding to the filler surface by formation of siloxane bonds (Si-O-Si) with release of water. The resin-active vinyl group is responsible for adhesion to organic resin of bonding agent. This part of the silane molecule contains a double bond, which enables the molecules to react with the metacrylic groups in the bonding agent14, 15. The exposure of filler particles produced by sandblasting with 50-µm aluminum oxide particle abrasion facilitated bonding in the silanization step, because a large area of filler particles was present on the composite surface. Moreover, all composites tested present a high filler content that can improve bonding with the luting agent. Silanization without any surface pre-treatment did not produce high bond strength. Its mean value was similar to the control group, hydrofluoric acid etching, sandblasting and acid etching associated with silanization treatments for all composites tested.
All specimens were abraded with silicon carbide paper and control group specimens were not submitted to any other mechanical or chemical surface preparation. Wet abrasion produces a smear layer of composite resin that can interfere with bond strength. Hydrofluoric acid etching removes the smear layer of composite resin and etches the filler particles on the surface. Composite containing barium and strontium glass fillers are etched by hydrofluoric acid, producing an irregular and retentive surface6, 7, 13. However, thirty seconds might be excessive acid conditioning and might have caused resin softening of the matrix due to total dissolution of the glass fillers on the composite surface.18, 19 Thus, silanization had no effect after hydrofluoric acid etching, because conditioning removed the filler particles, leaving no glass particles available for bonding on the composite surface.
This study indicated that the surface pre-treatment of laboratory-cured composite resins with sandblasting followed by silanization provided the highest tensile bond strength values. Bonding of indirect composite resin restorations to resin cement was dependent on the micro-mechanically retentive surface provided by air-abrasion and on the silane chemical bond with exposed inorganic fillers.
The authors are indebted to the Dental Materials Laboratory for the support with the Universal Testing Machine. This study was partially supported by grants #0578/01 from the FAEP - PRP / UNICAMP, 01/02771-7 from FAPESP and from PICDT - CAPES, Brazil.
1- Asmussen E, Peutzfeldt A. The effect of secondary curing of composite resin on the adherence of resin cement. J Adhes Dent 2000; 2:315-8. [ Links ]
2- Bouschlicher MR, Cobb DS, Vargas MA. Effect of two abrasive systems on resin bonding to laboratory-processed indirect composite resin restorations. J Esthet Dent 1999, 11: 185-96. [ Links ]
3- Chalifoux PR. Treatment considerations for posterior laboratory-fabricated composite resin restorations. Practical Periodontics & Aesthetic Dentistry 1988; 10:969-78. [ Links ]
4- Giannini M, Carvalho RM, Martins LRM, Dias CTS, Pashley DH. The influence of tubule density and area of solid dentin on bond strength of adhesive systems to dentin. J Adhes Dent 2001, 3:315-24. [ Links ]
5- Imamura GM, Reinhardt JW, Boyer DB, Swift Jr EJ. Enhancement of resin bonding to heat-cured composite resin. Oper Dent 1996, 21:249-56. [ Links ]
6- Kula K, Nelson S, Thompson V. In vitro effect of APF gel on three composite resins. J Dent Res 1983; 62:846-9 [ Links ]
7- Kula K, Nelson S, Kula T, Thompson V. In vitro effect of acidulated phosphate fluoride gel on the surface of composite with different filler particles. J Prosth Dent 1986; 56:161-9. [ Links ]
8- Latta MA, Barkmeier WW. Bond strength of a resin cement to a cured composite inlay material. J Prosth Dent 1994; 72: 189-93. [ Links ]
9- Leinfelder KF. New developments in resin restorative systems. J Am Dent Ass 1997; 128:573-81. [ Links ]
10- Lin CT, Lee SY, Keh ES, Dong DR, Huang HM, Shih, YH. Influence of silanization and filler fraction on aged dental composites. J Oral Rehabil 2000; 27:919-26. [ Links ]
11- Marshall Jr GW, Marshall SJ, Kinney JH, Balooch M. The dentin substrate: structure and properties related to bonding. J Dent 1997; 25:441-58. [ Links ]
12- Matsumura H, Kato H, Atsuta M. Shear bond strength to feldspathic porcelain of two luting cements in combination with three surface treatments. J Prosth Dent 1997; 78:511-7. [ Links ]
13- Oaten R, Nash R. Indirect techniques for composites. Dental Lab Management Today 1988; 4:35. [ Links ]
14- Ortengren U. On composite resin materials degradation, erosion and possible adverse effects in dentists. Swedish Dent J 1996, 141(Suppl.):1-61. [ Links ]
15- Paffenbarger GC, Swenney WT, Bowen RL. Bonding porcelain teeth to acrylic resin denture bases. J Am Dent Ass 1967; 74:753-4. [ Links ]
16- Pashley DH, Ciucchi B, Sano H, Yoshiyama M, Carvalho RM. Adhesion testing of dentin bonding agent. A review. Dent Mater 1995; 11:117-25. [ Links ]
17- Sano H, Shono T, Sonoda H, Takatsu T, Ciucchi B, Carvalho RM, et al. Relationship between surface area for adhesion and tensile bond strength evaluation of a microtensile bond test. Dent Mater 1994; 10 236-40. [ Links ]
18- Shortall AC, Baylis RL, Wilson HJ. Composite inlay/luting resin bond strength- surface treatment effects. J Dent 1996; 24:129-35. [ Links ]
19- Swift Jr EJ, Brodeur C, Cvitko E, Pires JAF. Treatment of composite surfaces for indirect bonding. Dent Mater 1992; 8:193-6. [ Links ]
20- Tam LE, McComb D. Shear bond strengths of resin luting cement to laboratory-made composite resin venners. J Prosth Dent 1991; 66:314-21. [ Links ]
21- Tanque N, Matsumura H, Atsuta M. Comparative evaluation of secondary heat treatment and a high intensity light source for the improvement of proprieties of prosthetic composite. J Oral Rehabil 2000; 27:288-93. [ Links ]
22- Touati B. The evolution of aesthetic materials for inlays and onlays: a review. Pract Periodont Aesthet Dent 1996; 8: 657-66. [ Links ]
23- Touati B, Aidan N. Second-generation laboratory composite resins for indirect restorations. J Esthet Dent 1997; 9:108-18. [ Links ]
24- Yamaga T, Sato Y, Akagawa Y, Taira M, Wakasa K, Yamaki M. Hardness and fracture toughness of four commercial visible ligth-cured composite resin veneering materials. J Oral Rehabil 1995; 22:857-63. [ Links ]
25- Yoshida K, Greener EH, Lautenschlager EP. Shear bond strengths of two resin luting cements to laboratory-cure prosthetic composite resin. Am J Dent 1993; 6:13-6. [ Links ]
Prof. Dr. Marcelo Giannini
Piracicaba Dental School - University of Campinas.
Department of Restorative Dentistry
Av. Limeira, 901 - Areião Piracicaba - SP - Brazil
Recebido para publicação: 15/07/2003
Enviado para reformulações: 29/08/2003
Pronto para publicação: 16/09/2003