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Sains Malaysiana 53(8)(2024): 1993-2002
http://doi.org/10.17576/jsm-2024-5308-21
Shear Bond
Strength of Different Adhesive Systems to Silver Diamine Fluoride - Treated
Carious Dentine
(Kekuatan Ikatan Ricih Sistem Pelekat Berbeza kepada Fluorida Perak Diamine - Dentin Karies yang Dirawat)
AIMI AMALINA AHMAD1,*, NOOR AZLIN
YAHYA2, YEOH OON TAKE2 & YAP ADRIAN U-JIN3,4,5,6
1Department of Conservative Dentistry and Prosthodontics, Faculty of
Dentistry, Universiti Sains Islam Malaysia, USIM Pandan Indah, 55100 Kuala Lumpur, Malaysia
2Department of Restorative Dentistry, Faculty of Dentistry, Universiti Malaya, 50603 Kuala Lumpur, Malaysia
3Department of Dentistry, Ng Teng Fong General Hospital, 609606, Singapore 4Department of Dentistry, Faculty of Dentistry, National University Health System, 119228 NUH, Singapore 5National Dental Research Institute Singapore and National Dental Centre, 168938, Singapore 6Duke-NUS Medical School, Singapore Health Services, 169857, Singapore
Received: 27 January 2024/Accepted: 26 June 2024
Abstract
This study investigated the shear bond strength (SBS) of resin composite
to silver diamine fluoride (SDF)-treated carious dentine using different
adhesive systems and established their failure modes. A total of 75 sound
premolars were randomly assigned as follows (n=15); sound dentine with
universal adhesive (UA) and etchant (Group A), SDF-treated carious dentine with
UA and etchant (Group B), UA without etchant (Group C), glass ionomer (Group D)
and alloy (Group E) adhesive systems. Groups B, C, D, and E were subjected to pH cycling to form artificial caries. Resin composite
cylinders were bonded to the occlusal surfaces of the treated teeth. The SBS
was established using a universal testing machine with shear load of 500N and
crosshead speed of 0.5 mm/min. Data for SBS and failure modes were analysed
using One-way ANOVA and Pearson Chi-square test, respectively. For SDF-treated
carious dentine, Group C presented the highest SBS, followed by Groups B, E,
and D. The SBS of Group D and E were significantly lower than Groups A, B, and
C. No significant difference in SBS was found between Groups A, B and C. While
Group B had significantly fewer adhesive failures, the proportion of mixed
failures was statistically insignificant among the different groups. Resin composite
cohesive failures were only observed in Group B. In conclusion, UA without
etchant is preferred when bonding resin composite to SDF-treated carious
dentine. Failure modes were related to the type of adhesive system utilized.
Keywords: Bonding; dental adhesive; resin
composite; silver diamine fluoride
Abstrak
Tujuan kajian adalah untuk menilai kekuatan ikatan ricih (KIR) menggunakan sistem pelekatan berbeza pada permukaan dentin berkaries yang telah dirawat dengan silver diamine
fluoride (SDF) serta mengenal pasti mod kegagalan bagi setiap sistem pelekatan tersebut. 75 pramolar dibahagikan kepada lima kumpulan seperti berikut (n=15); dentin sihat dirawat dengan pelekat universal menggunakan etsa asid (Kumpulan A),
dentin berkaries dirawat dengan SDF dan sistem pelekat universal menggunakan etsa asid (Kumpulan B), sistem pelekat universal tanpa etsa asid (Kumpulan C), sistem pelekat simen ionomer kaca (GIC)
(Kumpulan D) dan sistem pelekat aloi (Kumpulan E). Kitaran pH dilaksanakan pada Kumpulan B, C, D dan E untuk menghasilkan karies tiruan. Silinder resin komposit dilekatkan pada permukaan dentin yang telah dirawat. KIR dikaji menggunakan universal testing machine dengan beban ricih 500N dan kelajuan crosshead 0.5 mm/min. Analisis data KIR menggunakan ANOVA satu hala dan Pearson khi kuasa dua digunakan untuk menganalisis mod kegagalan. Bagi kumpulan dentin berkaries yang telah dirawat oleh SDF, Kumpulan C mempunyai KIR paling tinggi, diikuti Kumpulan B, E dan D. KIR Kumpulan D dan E jauh lebih rendah daripada Kumpulan A, B dan C. Tiada perbezaan KIR antara Kumpulan A, B dan C.
Kumpulan B mempunyai kegagalan pelekat jauh lebih rendah berbanding dengan kumpulan lain dan tiada perbezaan kegagalan campuran antara semua kumpulan. Kegagalan perpaduan dalam resin komposit hanya terdapat di dalam Kumpulan B. Kesimpulannya, pelekat universal tanpa etsa asid lebih diutamakan untuk mengikat resin komposit pada dentin berkaries yang telah dirawat SDF. Terdapat kaitan antara jenis kegagalan dan sistem pelekatan yang digunakan.
Kata kunci: Ikatan; resin komposit; silver diamine fluoride; sistem pelekat
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