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

 

Diserahkan: 27 Januari 2024/Diterima: 26 Jun 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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*Pengarang untuk surat-menyurat; email: aimiamalina@usim.edu.my

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   

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