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2006:
Van Landuyt K L; Peumans M; De Munck J; Lambrechts P; Van Meerbeek B
Extension of a one-step self-etch adhesive into a multi-step adhesive.
Dental materials : official publication of the Academy of Dental Materials 2006;
22(
6):.
One-step self-etch adhesives are undoubtedly the most user-friendly adhesives, but have been associated with lower bonding effectiveness as compared to two-step and three-step adhesives. Conversion of a one-step self-etch system into a two-step self-etch adhesive by adding a bonding step, or into a three-step etch&rinse adhesive by adding a beforehand etching step and a bonding step might be tempting in order to improve bond strength. OBJECTIVES: The objective of this study was to investigate whether adding application steps influences the bond strength of a one-step self-etch adhesive. METHODS: In this study, the bonding effectiveness of two experimental one-step self-etch adhesives and three different commercial adhesives to enamel and dentin was determined using a micro-tensile bond-strength protocol. This procedure was repeated for the experimental adhesives transformed into two-step self-etch and three-step etch&rinse adhesives. In addition, their interaction with tooth tissue was investigated using TEM and Feg-SEM. RESULTS: Transforming a one-step into a two-step self-etch adhesive did improve the bond strength to enamel and dentin, though not significantly. By adding a preceding etching step, the bond strength to enamel was significantly improved, but that to dentin was decreased considerably. The latter must be attributed to hampered resin infiltration of the one-step self-etch adhesive within the relatively deeply exposed collagen fibril network. SIGNIFICANCE: Additional application of a hydrophobic bonding agent slightly improved bonding effectiveness. Adding a preceding etching step is beneficial for enamel but should be avoided for dentin as this will decrease bond strengths, and may even jeopardize the bonding durability.
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