Restor Dent Endod.  2020 Feb;45(1):e10. 10.5395/rde.2020.45.e10.

Comparative evaluation of the bond strength of self-adhering and bulk-fill flowable composites to MTA Plus, Dycal, Biodentine, and TheraCal: an in vitro study

• Raina A
• Sawhny A
• Paul S
• Nandamuri

• KMID: 2470345
• DOI: http://doi.org/10.5395/rde.2020.45.e10

Abstract

OBJECTIVES
This study aimed to compare the shear bond strength (SBS) of a self-adhering flowable composite (Dyad Flow) and a bulk-fill flowable composite (Smart Dentin Replacement [SDR]) to several pulp-capping materials, including MTA Plus, Dycal, Biodentine, and TheraCal.
MATERIALS AND METHODS
Eighty acrylic blocks with 2-mm-deep central holes that were 4 mm in diameter were prepared and divided into 2 groups (n = 40 each) according to the composite used (Dyad Flow or SDR). They were further divided into 4 sub-groups (n = 10 each) according to the pulp-capping agent used. SBS was tested using a universal testing machine at a crosshead speed of 1 mm/min. Data were analyzed using 2-way analysis of variance. A p value of < 0.05 was considered to indicate statistical significance.
RESULTS
A statistically significant difference (p = 0.040) was found between Dyad Flow and SDR in terms of bond strength to MTA Plus, Dycal, Biodentine, and TheraCal.
CONCLUSIONS
Among the 8 sub-groups, the combination of TheraCal and SDR exhibited the highest SBS.

Keyword

Biodentine; Bulk-fill composite; Dyad Flow; Mineral trioxide aggregate; SDR; TheraCal

MeSH Terms

Dentin
In Vitro Techniques*
Pemetrexed*
Pemetrexed

Figure

• 

  Figure 1. Scanning electron micrographs of bond failure modes. (A) Representative image of adhesive failure; the specimen was from the Dycal + Dyad Flow group. (B) Representative image of cohesive failure; the specimen was from the TheraCal + Smart Dentin Replacement (SDR) group. (C) Representative image of mixed failure; the specimen was from the Biodentine + SDR group.

Reference

References

1. Ghoddusi J, Forghani M, Parisay I. New approaches in vital pulp therapy in permanent teeth. Iran Endod J. 2014; 9:15–22.

2. Gandolfi MG, Siboni F, Botero T, Bossù M, Riccitiello F, Prati C. Calcium silicate and calcium hydroxide materials for pulp capping: biointeractivity, porosity, solubility and bioactivity of current formulations. J Appl Biomater Funct Mater. 2015; 13:43–60.

3. Gandolfi MG, Siboni F, Primus CM, Prati C. Ion release, porosity, solubility, and bioactivity of MTA Plus tricalcium silicate. J Endod. 2014; 40:1632–1637.

4. Altunsoy M, Tanrıver M, Ok E, Kucukyilmaz E. Shear bond strength of a self-adhering flowable composite and a flowable base composite to mineral trioxide aggregate, calcium-enriched mixture cement, and Biodentine. J Endod. 2015; 41:1691–1695.

5. Arandi NZ, Rabi T. TheraCal LC: from biochemical and bioactive properties to clinical applications. Int J Dent. 2018; 2018:3484653.

6. Cantekin K, Avci S. Evaluation of shear bond strength of two resin-based composites and glass ionomer cement to pure tricalcium silicate-based cement (Biodentine^®). J Appl Oral Sci. 2014; 22:302–306.

7. Czasch P, Ilie N. In vitro comparison of mechanical properties and degree of cure of bulk fill composites. Clin Oral Investig. 2013; 17:227–235.

8. Serin BA, Dogan MC, Yoldas HO. Comparison of the shear bond strength of silorane-based composite resin and methacrylate based composite resin to MTA. J Dent Res Dent Clin Dent Prospect. 2018; 12:1–5.

9. Tuloglu N, Sen Tunc E, Ozer S, Bayrak S. Shear bond strength of self-adhering flowable composite on dentin with and without application of an adhesive system. J Appl Biomater Funct Mater. 2014; 12:97–101.

10. Bucuta S, Ilie N. Light transmittance and micro-mechanical properties of bulk fill vs. conventional resin based composites. Clin Oral Investig. 2014; 18:1991–2000.

11. Vichi A, Margvelashvili M, Goracci C, Papacchini F, Ferrari M. Bonding and sealing ability of a new self-adhering flowable composite resin in class I restorations. Clin Oral Investig. 2013; 17:1497–1506.

12. Sultana N, Nawal RR, Chaudhry S, Sivakumar M, Talwar S. Effect of acid etching on the micro-shear bond strength of resin composite-calcium silicate interface evaluated over different time intervals of bond aging. J Conserv Dent. 2018; 21:194–197.

13. Tunç EŞ, Sönmez IS, Bayrak S, Eğ ilmez T. The evaluation of bond strength of a composite and a compomer to white mineral trioxide aggregate with two different bonding systems. J Endod. 2008; 34:603–605.

14. Peterson J, Rizk M, Hoch M, Wiegand A. Bonding performance of self-adhesive flowable composites to enamel, dentin and a nano-hybrid composite. Odontology. 2018; 106:171–180.

15. Yesilyurt C, Ceyhanli KT, KedıcıAlp C, Yildirim T, Tasdemır T. In vitro bonding effectiveness of new self-adhering flowable composite to calcium silicate-based material. Dent Mater J. 2014; 33:319–324.

16. Doozaneh M, Koohpeima F, Firouzmandi M, Abbassiyan F. Shear bond strength of self-adhering flowable composite and resin-modified glass ionomer to two pulp capping materials. Iran Endod J. 2017; 12:103–107.

17. Tyagi N, Chaman C, Tyagi SP, Singh UP, Sharma A. The shear bond strength of MTA with three different types of adhesive systems: an in vitro study. J Conserv Dent. 2016; 19:130–133.

18. Shin JH, Jang JH, Park SH, Kim E. Effect of mineral trioxide aggregate surface treatments on morphology and bond strength to composite resin. J Endod. 2014; 40:1210–1216.

19. Tulumbaci F, Almaz ME, Arikan V, Mutluay MS. Shear bond strength of different restorative materials to mineral trioxide aggregate and Biodentine. J Conserv Dent. 2017; 20:292–296.

20. Kaup M, Dammann CH, Schäfer E, Dammaschke T. Shear bond strength of Biodentine, ProRoot MTA, glass ionomer cement and composite resin on human dentine ex vivo. Head Face Med. 2015; 11:14.

21. Jeong H, Lee N, Lee S. Comparison of shear bond strength of different restorative materials to tricalcium silicate-based pulp capping materials. J Korean Acad Pediatr Dent. 2017; 44:200–209.

22. Cantekin K. Bond strength of different restorative materials to light-curable mineral trioxide aggregate. J Clin Pediatr Dent. 2015; 39:143–148.

23. Deepa VL, Dhamaraju B, Bollu IP, Balaji TS. Shear bond strength evaluation of resin composite bonded to three different liners: TheraCal LC, Biodentine, and resin-modified glass ionomer cement using universal adhesive: an in vitro study. J Conserv Dent. 2016; 19:166–170.

24. Alzraikat H, Taha NA, Qasrawi D, Burrow MF. Shear bond strength of a novel light cured calcium silicate based-cement to resin composite using different adhesive systems. Dent Mater J. 2016; 35:881–887.

25. Karadas M, Cantekin K, Gumus H, Ateş SM, Duymuş ZY. Evaluation of the bond strength of different adhesive agents to a resin-modified calcium silicate material (TheraCal LC). Scanning. 2016; 38:403–411.