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JJOD 1249 1–8

                                                    journal of dentistry xxx (2008) xxx–xxx



                                                       available at www.sciencedirect.com




                                     journal homepage: www.intl.elsevierhealth.com/journals/jden

1




                                                                                                        F
2
3    Evaporating solvents with a warm air-stream: Effects on
     adhesive layer properties and resin–dentin bond strengths




                                                                                               OO
4



5    Celso Afonso Klein Jr.a, Christiana Zander-Grande b, Roberto Amaral b,
6    Rodrigo Stanislawczuk b, Eugenio Jose Garcia b, Ricardo Baumhardt-Neto c,
                                   ˆ       ´
     Marcia Margarete Meier , Alessandro Dourado Loguercio e,f, Alessandra Reis e,f,*
       ´                       d




                                                                                       PR
7
     a
 8     School of Dentistry, Department of Dentistry, University Luterana do Brasil, Cachoeira do Sul, Rio Grande do Sul, Brazil
     b
 9                                                                                                                           ´
       School of Dentistry, Department of Restorative Dentistry, University Estadual de Ponta Grossa, Ponta Grossa, Parana, Brazil
     c
10     School of Chemistry, Department of Chemistry and Materials Science, University Federal do Rio Grande do Sul,
11   Porto Alegre, Rio Grande do Sul, Brazil
     d
12     FGM Dental Products, Department of Research and Development, Joinville, Santa Catarina, Brazil
13
14
     e

     Brazil
                                                                             ED
       School of Dentistry, Department of Dental Materials and Operative Dentistry, University of Oeste de Santa Catarina, Joacaba, Santa Catarina,
                                                                                                                               ¸

     f
15                                                                ´
       University Estadual de Ponta Grossa, Ponta Grossa, Parana, Brazil


     article info                                     summary
                                                                     CT

     Article history:                                 Objectives: This study evaluated the effect of a warm or cold air-dry stream for solvent
     Received 27 November 2007                        evaporation on the microtensile resin–dentin bond strength (mTBS), nanoleakage pattern
     Received in revised form                         (SEM), degree of conversion (DC) and solvent evaporation rates of an ethanol/water- (Adper
     6 April 2008                                     Single Bond, [SB] 3MESPE) and an acetone-based (Prime & Bond 2.1, [PB] Dentsply), two-step
                                                            E


     Accepted 20 April 2008                           etch-and-rinse adhesive system.
                                                      Materials and methods: Adhesives were applied on demineralized dentin surfaces. For SE, a
                                                      warm or cold air-dry stream (10 s) was applied prior to light-activation (10 s). Bonded sticks
                                                         RR



     Keywords:                                        (0.8 mm2) were tested in tension (0.5 mm/min). Two bonded sticks from each tooth were
     Adhesive systems                                 immersed in a 50% (w/v) solution of silver nitrate (24 h), photodeveloped (8 h) and analyzed
     Bond strength                                    by SEM. The DC and solvent evaporation rate of the adhesives were evaluated under FTIR
     Solvent                                          and analytical balance, respectively. Data were analyzed by two-way ANOVA and Tukey test
     Evaporation                                      (a = 0.05).
                                                CO




     Degree of conversion                             Results: Higher mTBS and lower nanoleakage were observed when the SE step was per-
     Dentin                                           formed with warm air-dry stream. However, the DC of the adhesives was not altered by the
                                                      use of a warm air-dry.
                                                      Conclusions: The use of a warm air-dry stream seems to be a clinical tool to improve the bond
                                                      strength and the quality of the hybrid layer (less nanoleakage infiltration), since it might
                                                      reduce the number of pores within the adhesive layer.
                                        UN




18
16                                                                                                          # 2008 Elsevier Ltd. All rights reserved.
17


19
20
21


22


      * Corresponding author at: Universidade do Oeste de Santa Catarina, Curso de Odontologia, Rua Getulio Vargas, 2125 Bairro Flor da Serra,
                                                                                                       ´
     CEP 89600-000, Joacaba, SC, Brazil. Tel.: +55 49 3554 4452; fax: +55 49 3551 2004.
                         ¸
        E-mail address: reis_ale@hotmail.com (A. Reis).
     0300-5712/$ – see front matter # 2008 Elsevier Ltd. All rights reserved.
     doi:10.1016/j.jdent.2008.04.014


         Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties
         and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
JJOD 1249 1–8

     2                                                   journal of dentistry xxx (2008) xxx–xxx


21
     1.          Introduction                                                            Bond, [SB] 3M ESPE) and an acetone-based (Prime & Bond 2.1,                   65
                                                                                         [PB] Dentsply) two-step etch-and-rinse adhesive systems. The                  66
22   Etch-and-rinse adhesives require a separate step of etching,                        degree of conversion and solvent evaporation rates of the                     67
23   which is usually performed with 30–40% phosphoric acid. In                          adhesives after solvent evaporation with both protocols was                   68
24   their original configuration they were released to be applied in                     also investigated.                                                            69
25   a three-step procedure, in which after etching, the surfaces
26   were primed and then bonded with a flow, non-solvated                                                                                                              70
27   bonding resin.1                                                                     2.        Materials and methods
28      In an attempt to reduce clinical steps and save time




                                                                                                                    F
                                                                                                                                                                       71
29   manufacturers produced simplified etch-and-rinse adhesives                           2.1.      Microtensile testing
30   by joining the components of the primer and the bonding resin




                                                                                                          OO
31   into a single solution. If on one hand, this modification allowed                    Twenty extracted, caries-free human third molars were used.                   72
32   the accomplishment of the bonding protocol in two steps,1 on                        The teeth were collected after obtaining the patient’s informed               73
33   the other hand, the hydrophilic features of these simplified                         consent under a protocol approved by the University of Oeste                  74
34   adhesives were increased as the primer/bond solution should                         of Santa Catarina Institutional Review Board. The teeth were                  75
35   be compatible to the intrinsically moist, acid-etched dentin.                       disinfected in 0.5% chloramine, stored in distilled water and                 76
36   Consequently, the adhesive solutions became more perme-                             used within 6 months after extraction. A flat dentin surface                   77




                                                                                                 PR
37   able to water from the oral environment and from the                                was exposed after wet grinding the occlusal enamel on a # 180                 78
38   underlying bonded dentin,2–4 leading to incompatibility                             grit SiC paper. The exposed dentin surfaces were further                      79
39   issues5–7 and faster degradation of resin–dentin bonds                              polished on wet #600-grit silicon-carbide paper for 60 s to                   80
40   comparatively to their three-step version.8–10                                      standardize the smear layer.                                                  81
41      This is somewhat true, that a recent systematic review of                            Two solvent-based, etch-and-rinse adhesive systems were                   82
42   current clinical trials has reported that in general, the two-step                  tested: Adper Single Bond (SB-3M ESPE, St. Paul, MN, USA), an                 83
43
44
     etch-and-rinse adhesives perform clinically less favorable
     than the conventional three-step etch-and-rinse adhesives.11
                                                                                      ED ethanol/water-based and Prime & Bond 2.1 (PB–Dentsply De
                                                                                         Trey, Konstanz, Germany) an acetone-based system. The
                                                                                                                                                                       84
                                                                                                                                                                       85
45   While 79% of the two-step etch-and-rinse adhesives fulfilled                         composition, application mode and batch number are                            86
46   the provisional acceptance ADA guidelines, only 51% fulfilled                        described in Table 1.                                                         87
47   the full acceptance ADA guidelines.11                                                   After acid etching with the respective etchants of each                   88
                                                                             CT
48      Resin–dentin bond strength and their durability seem to                          adhesive system, the surfaces were rinsed with distilled water                89
49   rely on the quality of the hybrid layer,12 i.e. on the proper                       for 15 s and air-dried for 15 s. The surfaces were, then,                     90
50   impregnation of the dentin substrate and on the formation of a                      rewetted with water.20 Two coats of adhesive were slightly                    91
51   high cross-linking polymer inside the collagen mesh. As a                           applied for 10 s. After each coat, the solvent evaporation was                92
52   result, different clinical approaches have been proposed to                         performed either with a warm (60 Æ 2 8C) or cold air (20 Æ 1 8C)              93
                                                                   E


53   achieve this goal, such as increased application times of                           for 10 s at a distance of 20 cm. In both cases, the air stream was            94
54   bonding agents,13 multiple adhesive coating,13 delayed poly-                        generated by a commercially hair-dresser (SC831, Black &                      95
55   merization,15,16 adhesive rubbing17,18 and longer exposure                          Decker, Uberaba, MG, Brazil). The speed of the air was 5.50 m/s               96
                                                                RR



56   times of bonding systems.19                                                         and the air flow 0.0138 m3/s. The air emitted by the hair-                     97
57      Most of these approaches favors solvent evaporation and                          dresser in the cold condition was the same of the room                        98
58   contributes to the formation of a strong polymer. The use of a                      temperature.                                                                  99
59   warm air-stream for solvent evaporation could theoretically                             The adhesives were light-cured for the respective recom-                  100
60   improve solvent evaporation, but this approach has not been                         mended time using a quartz-tungsten halogen light set at                      101
                                                                                         600 mW/cm2 (VIP, Bisco, Schaumburg, IL, USA) (Table 1). Resin
                                                      CO




61   addressed yet. Therefore, the aim of this study was to compare                                                                                                    102
62   the effects of the air stream temperature for solvent evapora-                      composite build-ups (Filtek Z250, shade A2, 3M ESPE, St. Paul,                103
63   tion on the microtensile resin–dentin bond strength (mTBS)                          MN, USA) were constructed on the bonded surfaces in 3                         104
64   and nanoleakage pattern of an ethanol/water- (Adper Single                          increments of 1 mm each that were individually light-cured                    105
                                            UN




         Table 1 – Adhesive systems: composition, application mode and batch number
         Adhesive systems                                              Composition                                      Application mode            Batch number

         Single Bond (3M ESPE)             1. Scotchbond etchant–35% phosphoric acid
                                           2. Adhesive–Bis-GMA, HEMA, dimethacrylates,                                  a, b, c, d, e, f, e, f, g       5FE
                                           polyalkenoic acid copolymer, initiators, water and ethanol
         Prime Bond 2.1 (Dentsply)         1. 32% phosphoric acid
                                           2. Adhesive–UDMA, PENTA, Bis-GMA, butylated hydroxytoluene,                  a, b, c, d, e, f, e, f, g       707608
                                           4-ethyl dimethyl aminobenzoate, cetylamine hydrofluoride,
                                           initiator and acetone
         (a) Acid-etching (15 s); (b) rinsing (15 s); (c) air-drying (30 s); (d) dentin rewetted with water; (e) one coat of adhesive; (f) air-dry for 10 s at 20 cm
         for solvent evaporation; (g) light-curing (10 s–600 mW/cm2). BPDM: biphenyl dimethacrylate or 4,40-dimethacryloyloxyethyloxycarbonylbi-
         phenyl-3,30-dicarboxylic acid; HEMA: 2-hydroxyethyl methacrylate; Bis-GMA: bisphenol A diglycidyl methacrylate; UDMA: urethane
         dimethacrylate; PENTA: dipentaerythritol pentaacrylate monophosphate.



         Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties
         and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
JJOD 1249 1–8

                                                  journal of dentistry xxx (2008) xxx–xxx                                                             3


106   for 30 s with the same light intensity. All the bonding                  intensities of aliphatic C C (peak height at 1640 cmÀ1) against            164
107   procedures were carried out by a single operator at a room               internal standard before and after curing of the specimen. The             165
108   temperature of 20 8C and constant relative humidity. Five                aromatic carbon–carbon bond (peak height at 1610 cmÀ1)                     166
109   teeth were used for each combination of adhesive system and              absorbance was used as an internal standard. The degree of                 167
110   air temperature.                                                         conversion (DC) was determined by subtracting the % C C                    168
111       After storage of the restored teeth in distilled water at 37 8C      from 100%. Three specimens were tested for each group.                     169
112   for 24 h, they were longitudinally sectioned in both a mesio-to-         Degree of conversion results were evaluated statistically using            170
113   distal and buccal-to-lingual directions across the bonded                two-way ANOVA and Tukey’s test at a pre-set significance                    171
114   interface with a diamond saw in a Labcut 1010 machine (Extec             level of 0.05.                                                             172




                                                                                                      F
115   Corp., Enfield, CT, USA) to obtain approximately 25 bonded
116   sticks per tooth, each with a cross-sectional area of approxi-           2.3.     Solvent evaporation rate                                          173




                                                                                             OO
117   mately 0.8 mm2. The number of premature debonded sticks
118   (D) per tooth during specimen preparation was recorded.                  Approximately 10 mL of each of the products, which corre-                  174
119   Specimens originated from the areas immediately above the                sponds to approximately one coat with saturated microbrush,                175
120   pulp chamber had their remaining dentin thickness (RDT)                  was obtained with a micropipette (Pipetman, Gilson, NY, USA)               176
121   measured with a digital caliper and recorded (Absolute                   from the original container and transferred to small light-                177
122   Digimatic, Mitutoyo, Tokyo, Japan). The cross-sectional area             proof glass containers of known weight. They were immedi-                  178




                                                                                      PR
123   of each stick was measured with the digital caliper to the               ately placed in an analytical balance (Mettler, type H6;                   179
124   nearest 0.01 mm for calculation of the actual bond strength              Columbus, OH, USA; capacity to 160 g) and the baseline mass                180
125   values (BS).                                                             was recorded to the nearest 0.0001 mg. After 20 s, 1, 2, 3, 4 and          181
126       Only half of the specimens, from each tooth, were tested in          5 min, the mass was recorded again. No stopper that could                  182
127   this study and they were randomly selected. Each bonded stick            prevent evaporation was used.                                              183
128   was attached to a modified device for microtensile testing with              The same procedure was repeated; however instead of                     184
129
130
      cyanoacrylate resin (Zapit, Dental Ventures of North America,
      Corona, CA, USA) and subjected to a tensile force in a universal
                                                                            ED leaving the adhesive undisturbed, a warm or cold air-stream
                                                                               was applied for 10 s before placing the adhesive into the
                                                                                                                                                          185
                                                                                                                                                          186
131                               ˜      ´
      testing machine (EMIC, Sao Jose dos Pinhais, PR, Brazil) at a            analytical balance. The mass was measured after 20 s, 1, 2, 3, 4           187
132   crosshead speed of 0.5 mm/min. The failure modes were                    and 5 min.                                                                 188
133   evaluated at 400Â (HMV-2, Shimadzu, Tokyo, Japan) and                       Room temperature was set at 20 8C and the relative                      189
                                                                   CT
134   classified as cohesive (failure exclusive within dentin or resin          humidity approximately at 50%. Protection from light radia-                190
135   composite, C), adhesive (failure at resin/dentin interface–A), or        tion was assured by covering the analytical balance with                   191
136   adhesive/mixed (failure at resin/dentin interface that included          appropriate light filters. Five samples of each adhesive, in each           192
137   cohesive failure of the neighboring substrates, A/M).                    experimental condition, were used.                                         193
138       The mean bond strength of all sticks from the same tooth                The percentage of loss of mass, based on the mean baseline              194
                                                          E


139   was averaged for statistical purposes. The prematurely                   recording, was calculated for each experimental condition.                 195
140   debonded specimens were included in the tooth mean. The                  The data was subjected to a two-way ANOVA and Tukey’s test                 196
141   average value attributed to specimens that failed prematurely            at a pre-set significance level of 0.05.                                    197
                                                       RR



142   during preparation was arbitrary and corresponded to
143   approximately half of the minimum bond strength value that               2.4.    Scanning electron microscopy for nanoleakage                       198
144   could be measured in this study (ca. 4.3 MPa).20 The BS mean             evaluation                                                                 199
145   for every testing group was expressed as the average of the five
146   teeth used per group. The microtensile bond strength data was            Approximately three or four sticks from each tooth were used               200
                                              CO




147   subjected to a two-way analysis of variance (adhesive/air                for nanoleakage evaluation. Bonded sticks were coated with                 201
148   temperature) and a post hoc test Tukey’s test at a = 0.05 for            two layers of nail varnish applied up to within 1 mm of the                202
149   pair-wise comparisons.                                                   bonded interfaces. The specimens were re-hydrated in                       203
                                                                               distilled water for 10 min prior to immersion in the tracer                204
150   2.2.    Degree of conversion                                             solution. Ammoniacal silver nitrate was prepared according to              205
                                                                               the protocol previously described by Tay et al.21 The sticks               206
                                      UN




151   One drop of each adhesive solution was placed between                    were placed in the ammoniacal silver nitrate in darkness for               207
152   acetate strips to achieve a thin film 8 mm in diameter. Before            24 h, rinsed thoroughly in distilled water, and immersed in                208
153   covering the adhesive with the upper acetate strip, they were            photo developing solution for 8 h under a fluorescent light to              209
154   gently air-dried either with a warm or dry stream (10 s) to              reduce silver ions into metallic silver grains within voids along          210
155   allow for solvent evaporation. A FTIR spectrum of the uncured            the bonded interface.                                                      211
156   material was recorded and then, the specimens were photo-                   All sticks were wet-polished with 600-grit SiC paper to                 212
157   activated for 10 s. Each specimen was carefully removed with             remove the nail varnish. Then, the specimens were placed                   213
158   a narrow surgical knife and stored for 24 h in a dark, dry               inside an acrylic ring, which was attached to a double-sided               214
159   environment until the FTIR analysis of the degree of conver-             adhesive tape, and embedded in epoxy resin. After the epoxy                215
160   sion (FTIR-8300, Shimadzu, Tokyo, Japan). The spectrum was               resin set, the thickness of the embedded specimens was                     216
161   obtained with 32 scans at 1 cmÀ1 resolution in transmission              reduced to approximately half by grinding with silicon carbide             217
162   method. The percentage of unreacted carbon–carbon double                 papers under running water. Specimens were polished with a                 218
163   bonds (% C C) was determined from the ratio of absorbance                600-, 1000-, and 2000-grit SiC paper and 6, 3, 1 and 0.25 mm               219


       Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties
       and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
JJOD 1249 1–8

      4                                              journal of dentistry xxx (2008) xxx–xxx



220   diamond paste (Buehler Ltd., Lake Bluff, IL, USA) using a polish              Table 3 – Overall degree of conversion (%) and the
221   cloth. They were ultrasonically cleaned, air dried, mounted on                respective standard deviations (MPa) obtained in each
222   stubs, and coated with carbon-gold (MED 010, Balzers Union,                   experimental conditiona
223   Balzers, Liechtenstein). Resin–dentin interfaces were analyzed                Adhesive                                Air temperature
224   in a field-emission scanning electron microscope operated in                                                   Cold                        Warm
225   the backscattered electron mode (JSM 6060, JEOL, Tokyo,
226   Japan).                                                                       SB                           47.8 Æ 3.5 a                  50.3 Æ 5.4 a
                                                                                    PB                           36.2 Æ 5.2 b                  39.3 Æ 6.3 b
                                                                                    a




                                                                                                              F
227                                                                                     The same letters indicate statistically similar means ( p > 0.05).
      3.         Results
228




                                                                                                       OO
      3.1.       Microtensile bond strength

229   Approximately 21–26 sticks could be obtained per tooth
230   including those with premature debonding. The mean
231   cross-sectional area ranged from 0.82 to 0.98 mm2 and no
232   difference among groups was detected ( p > 0.05). The percen-




                                                                                           PR
233   tage of specimens with premature debonding and the
234   frequency of each fracture pattern mode are shown in Table 2.
235       Table 2 also depicts the overall means and the respective
236   standard deviations of the resin–dentin bond strengths for all
237   experimental groups. Neither the interaction adhesive vs. air
238   temperature nor the main factor Adhesive was statistically
239
240
      significant ( p > 0.05). Only the main factor air temperature was
      statistically significant ( p = 0.001). Higher bond strength values
                                                                               ED
241   were observed for both adhesives when the solvent evaporation
242   step was performed with a warm air-stream. However, the
243   means were only statistically significant for the SB system.
                                                                        CT

244   3.2.       Degree of conversion
                                                                                  Fig. 1 – Loss of mass (%) in function of different solvent
                                                                                  evaporation methods during 300 s in: (a) Prime & Bond 2.1;
245   The means and standard deviations of the degree of conver-
                                                                                  (b) Single Bond.
246   sion for both adhesives under the experimental conditions of
                                                              E


247   this study are shown in Table 3. The degree of conversion of
248   the adhesives was not affected by the air temperature                       one can observe the percentage of mass of both adhesives                    258
249   ( p = 0.36). Only the main factor adhesive was statistically                after 20 s was significantly improved by the application of an               259
                                                           RR



250   significant ( p = 0.005).                                                    air-dry stream. The use of a cold or warm air-dry was not                   260
                                                                                  significant for PB. However, the application of a warm air-dry               261
251   3.3.       Solvent evaporation rate                                         significantly favored the evaporation rate of SB compared to                 262
                                                                                  the use of a cold air-stream. Nonetheless, in none of the                   263
252   In Fig. 1A and B it can be see the mean percentages values of               conditions, the evaporation rate of SB was similar to PB.                   264
                                                  CO




253   loss of mass for both adhesives during 5 min. Table 4 depicts
254   the mean percentages values of loss of mass for both                        3.4.        Scanning electron microscopy                                    265
255   adhesives 20 s after being dispensed. The interaction adhesive
256   vs. air temperature was statistically significant as well as the             Representative SEM images at the resin–dentin interfaces for                266
257   main factors Adhesive and Air Temperature ( p < 0.0001). As                 the experimental conditions are depicted in Fig. 2. Single Bond,            267
                                          UN




          Table 2 – Number of specimens and their respective percentages (%) distributed according to the fracture pattern mode as
          well as the percentage of premature debonded specimens for each experimental condition as well as the overall
          microtensile bond strength values and the respective standard deviations (MPa) obtained in each experimental conditiona
          Adhesive               Air temperature                   A/Mb                        C                   Debonded                     mTBS

          SB                           Cold                       39 (79.6)                 6 (12.2)                 4 (8.2)                  34.9 Æ 8.5 b
                                       Warm                       31 (66)                   9 (19.1)                 7 (14.9)                 48.7 Æ 6.3 a

          PB                           Cold                       32 (80)                   3 (7.5)                  5 (12.5)                 37.3 Æ 5.7 ab
                                       Warm                       27 (65.9)                 5 (12.1)                 9 (22)                   44.7 Æ 5.2 ab
       a
           Statistically similar means are represented by the same letters ( p > 0.05).
       b
           A/M: adhesive/mixed fracture mode; C: dentin or resin cohesive fracture mode.



          Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties
          and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
JJOD 1249 1–8

                                                      journal of dentistry xxx (2008) xxx–xxx                                                         5


       Table 4 – Mean percentages of mass (%) and the                            nation can still be observed in base of the hybrid layer (Fig. 2b)       275
       respective standard deviations obtained in each experi-                   the magnitude of the silver nitrate penetration was not as               276
       mental condition after dispensea                                          evident as in Fig. 1a. Similarly, Prime & Bond 2.1 showed a very         277
       Adhesive          Without air                Air temperature              dense deposition of silver nitrate when the solvent was                  278
                                                 Cold              Warm          evaporated with a cold air-dry (Fig. 2c). However, contrary to           279
                                                                                 Single Bond, this intense deposition did not occur in the entire         280
       SB                 95.4 Æ 1.5 a        90.0 Æ 2.2 b        69.4 Æ 2.0 c   thickness of the adhesive layer but only at the hybrid layer.            281
       PB                 87.0 Æ 2.1 b        33.6 Æ 2.3 d        32.2 Æ 3.0 d
                                                                                 This deposition was significantly reduced when the solvent                282
       a
                                                                                 evaporation of PB was performed with a warm air-stream                   283




                                                                                                       F
           The same letters indicate statistically similar means ( p > 0.05).
                                                                                 (Fig. 2d).                                                               284




                                                                                              OO
268   after solvent evaporation with a cold air-dry stream showed a                                                                                       285
269   poor seal, as many dentinal tubules were filled with silver                 4.      Discussion
270   (Fig. 2a). Besides that, the entire thickness of the hybrid and
271   adhesive layers, formed under this condition, was throughout               Current adhesive systems are generally formulated with                   286
272   impregnated with silver nitrate. This situation was not                    hydrophilic and hydrophobic resin monomers dissolved in                  287
273   observed in the adhesive layer formed by Single Bond air-                  acetone, ethanol and water or in solvent combinations.22                 288




                                                                                      PR
274   dried with a warm stream (Fig. 2b). Although silver impreg-                Solvents act as a transport medium and lower resin viscosity.            289




                                                                                 ED
                                                                E        CT
                                                             RR
                                                  CO
                                         UN




      Fig. 2 – Representative backscattered SEM images of the interface bonded with Single Bond (a and b) and Prime & Bond 2.1 (c
      and d) to demineralized dentin. In (a and c), the solvent was evaporated with a cold air-dry stream, while in (b and d), a
      warm air-dry stream was employed. (a) Silver deposition occurred almost throughout the entire thickness of the hybrid
      layer. Intense penetration of silver nitrate can also bee seen into the tubules. (b) It can be seen that the amount of silver
      penetration was lower and practically occurred at the base of the hybrid layer. Only few dentin tubules were infiltrated by
      silver nitrate. (c) A higher amount of silver penetration can be observed at the base of the hybrid for PB. (d) The amount of
      silver nitrate penetration seems to be quite low and it was restricted to the base of the hybrid layer.


       Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties
       and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
JJOD 1249 1–8

      6                                              journal of dentistry xxx (2008) xxx–xxx



290   This allows greater penetration of resins into the micropor-                system (PB). Different molecules differ in the amount of               350
291   osites of the prepared tooth surface23 as well as enhances the              attraction that exists between them. For instance, the mutual          351
292   mobility of radicals and growing polymer chains.24 The resin                attraction between water molecules and ethanol molecules               352
293   surface wetting capabilities are also improved and help to                  are stronger than that of acetone, because it involves hydrogen        353
294   displace surface moisture without collapsing the deminer-                   bonding forces. As a result, the boiling temperature and the           354
295   alized collagen network.22                                                  vapor pressure of ethanol and water are higher than that of            355
296       On the other hand, the presence of residual solvent might               acetone, which turns their evaporation more difficult. A recent         356
297   have an adverse effect on the performance of the resin–dentin               study that examined the effect of organic solvent and water            357
298   bonds. It was already demonstrated that high solvent                        retention in comonomer blends with different hydrophilicity            358




                                                                                                           F
299   concentration within the adhesive polymer prior to light-                   demonstrated that significantly more solvent and water were             359
300   curing prevents the attainment of a high cross-linking                      retained in ethanol-based adhesives when compared to                   360




                                                                                                 OO
301   polymer inside the hybrid layer25,26 and leads to pores and                 acetone-based mixtures.30 This could be the reason of why              361
302   interfacial layers,27 affecting the overall performance of resin–           the acetone-based system (PB) was less affected by the                 362
303   dentin bonds.28                                                             increase in the air temperature.                                       363
304       Ideally, solvents and water (from the moist demineralized                   Interestingly, the increase in bond strengths was not              364
305   dentin) should be completely eliminated from the dentin                     accompanied by an increase in the degree of conversion of              365
306   surface before light-curing. On this basis, there is often an air-          the adhesive system as observed in the present study.                  366




                                                                                         PR
307   drying process recommended as part of the clinical regimen                  Previous studies evaluating the effect of solvent concentration        367
308   for dentin bonding while using adhesives that contain                       on the degree of conversion of adhesive films have observed             368
309   solvents. However, the removal of solvents with a simple                    that increasing amounts of solvents led to a reduction of their        369
310   air-drying stream is not an easy task to be accomplished under              degree of conversion.27,28 However, one may consider that a            370
311   clinical application. As water/solvent evaporates from the                  wide range of solvent concentration was investigated being             371
312   adhesive, the monomer density is found to increase sharply,                 them not representative of the amount of solvent presented in          372
313
314
      creating a monomer concentration gradient which acts as a
      barrier for further solvent evaporation and thus, reduces the
                                                                               ED the adhesive layer before and after application of a cold or
                                                                                  warm air-drying procedures.
                                                                                                                                                         373
                                                                                                                                                         374
315   ability of water and solvents to evaporate from the adhesive.29                 There is a solvent concentration at which maximum                  375
316   This situation is even worse for simplified adhesives such as                conversion is reached; more or less solvent than this amount           376
317   the two-step etch-and-rinse adhesives evaluated in the                      would decrease monomer conversion,24 and this seems to be              377
                                                                                  related to the viscosity of the adhesive film.28 It is likely that
                                                                        CT
318   present investigation, since the extent of solvent and water                                                                                       378
319   retention in polymer networks seems to be directly correlated               non-solvated versions of adhesive systems might present a              379
320   with the hydrophilicity of the resin blends.30 In addition to               lower degree of conversion due to the increased viscosity of           380
321   that, the recommended clinical time for solvent evaporation is              the solution. An increased viscosity restricts the mobility of         381
322   rather short as some studies have demonstrated that only                    reactive components during polymerization.28 On the other              382
                                                              E


323   periods of time longer than 12–20 min can ensure an almost                  extreme, excess of solvents would cause a dilution of the              383
324   complete solvent evaporation.15,31                                          components preventing the collision of reactive components.            384
325       In face of that some alternative methods to maximize                    Unfortunately, no attempt was made in the present investiga-           385
                                                           RR



326   solvent evaporation should be investigated, such as the one                 tion to determine the amount of residual solvent in the                386
327   evaluated in the present study. One way to accelerate solvent               adhesive films after using the two different modes of air-              387
328   evaporation, at least for water/ethanol-based systems is the                drying and this deserves further investigations.                       388
329   use of a warm dry set at approximately 60 8C. Although a                        Based on the results of the present investigation we cannot        389
330   previous study has not observed any beneficial effect of warm                assume that the increase in resin–dentin bond strength is due          390
                                                  CO




331   air-dry on solvent evaporation rate, the temperature of the air             to an increase in the degree of conversion of the adhesives. It is     391
332   was half of that employed in the present investigation.32                   likely that the increase in the resin–dentin bonds is due to an        392
333       The use of a warm air-stream allowed an increase of 20 and              increase in the mechanical properties of the adhesive layer            393
334   40% in the resin–dentin bonds for PB and SB, respectively. This             due to more solvent evaporation rates. An earlier study                394
335   could be attributed to the fact that when heat is delivered to a            observed that although the solvent content did not affect the          395
336   substance, energy comes in. That energy can be used either to               degree of conversion of bulk adhesive specimens, the flexural           396
                                          UN




337   increase the kinetic energy of the molecules, which causes an               strength of these specimens, which is a mechanical property            397
338   increase in temperature or that heat can be used to increase                of the adhesive layer, were significantly reduced, since                398
339   the potential energy of the molecules causing a change in the               residual solvent might leave more pores in the specimens.27            399
340   state.33 One could hypothesize that under the conditions of                 This correlation between mechanical properties and resin–              400
341   the study the heat delivered by the warm air-dry could have                 dentin bonds was also observed in other studies. For instance,         401
342   altered the manner molecules bond to one another. Conse-                    a significant and positive correlation was observed between             402
343   quently, this increased the evaporation rate of solvents from               resin–dentin bond strength values and the ultimate strength            403
344   bonding interface allowing the achievement of higher resin–                 of the adhesives.34,35                                                 404
345   dentin bonds, as observed in the present investigation.                         The presence of solvent-rich pores can be reinforced by the        405
346       However, the adhesives did not respond homogeneously to                 FE-SEM findings of the present study. The amount of silver              406
347   the delivered heat. Although a numerical increase in the resin–             nitrate penetration was significantly higher in the specimens           407
348   dentin bond strengths was observed for both adhesives, this                 that were cold air-dried, as this caused a higher amount of            408
349   increase was not statistically significant for the acetone-based             water/solvent retention within the adhesive layer. It is               409


          Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties
          and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
JJOD 1249 1–8

                                                    journal of dentistry xxx (2008) xxx–xxx                                                             7


410     accepted that one of the sources of nanoleakage expression                     and dentin: current status and future challenges. Operative               457
411     within adhesive interfaces are the remnant water/solvent and                   Dentistry 2003;28:215–35.                                                 458
                                                                                  2.   Tay FR, Pashley DH. Dentin adhesives: have they become                    459
412     the water flux from the underlying dentin.7 They represent
                                                                                       too hydrophilic? Journal of Canadian Dental Association                   460
413     areas within the adhesive layer in which water or solvent are
                                                                                       2003;69:724–31.                                                           461
414     incompletely removed resulting in regions of incomplete                   3.   Tay FR, Pashley DH. Water treeing—a potential mechanism                   462
415     polymerization and/or hydrogel formation.7,36 They are there-                  for degradation of dentin adhesives. American Journal of                  463
416     fore highly prone for deposition of silver nitrate as can be seen              Dentistry 2003;16:6–12.                                                   464
417     in the micrographs of the present investigation.                          4.   Tay FR, Frankenberger R, Krejci I, Bouillaguet S, Pashley DH,             465
418        One important issue that should be mentioned is the                         Carvalho RM, et al. Single-bottle adhesives behave as                     466




                                                                                                         F
                                                                                       permeable membranes after polymerization. I. In vivo                      467
419     potential effects of high temperature in the W-air dry group on
                                                                                       evidence. Journal of Dentistry 2004;32:611–21.                            468
420     pulp as well as on dentinal fluid flow. The most widely                     5.   Tay FR, Suh BI, Pashley DH, Prati C, Chuang SF, Li F. Factors             469




                                                                                                OO
421     accepted mechanism of dentin hypersensitivity is the hydro-                    contributing to the incompatibility between simplified-step                470
422     dynamic theory proposed by Brannstrom et al.,37 whereby
                                            ¨      ¨                                   adhesives and self-cured or dual-cured composites. Part II.               471
423     fluid flow within dentinal tubules is altered (increased or                      Single-bottle, total-etch adhesive. Journal of Adhesive                   472
424     changed directionally) by thermal, tactile or chemical stimuli                 Dentistry 2003;5:91–105.                                                  473
                                                                                  6.   Suh BI, Feng L, Pashley DH, Tay FR. Factors contributing to               474
425     near the exposed surface of the tubules. This alteration would
                                                                                       the incompatibility between simplified-step adhesives and                  475
426     lead to stimulation of the A-d fibres surrounding the




                                                                                        PR
                                                                                       chemically-cured or dual-cured composites. Part III. Effect               476
427     odontoblasts. Therefore, the use of the warm temperature                       of acidic resin monomers. Journal of Adhesive Dentistry                   477
428     either in superficial, medium and deep cavities should be                       2003;5:267–82.                                                            478
429     matter of further investigation to determine the clinical                 7.   Tay FR, Pashley DH, Suh BI, Hiraishi N, Yiu CHY. Water                    479
430     viability of the studied clinical approach.                                                                                ´ ˜
                                                                                       treeing in simplified dentin adhesives–deja vu? Operative                  480
431        The use of a warm air-stream seems to be a useful tool to                   Dentistry 2005;30:561–79.                                                 481
                                                                                  8.   De Munck J, Van Meerbeek B, Yoshida Y, Inoue S, Vargas M,                 482
432     help clinicians to improve the quality of the resin–dentin
                                                                             ED        Suzuki K, et al. Four-year water degradation of total-etch                483
433     bonds. However, further studies are still required in order to
                                                                                       adhesives bonded to dentin. Journal of Dental Research                    484
434     elucidate some of the hypothesis raised in this study and                      2003;82:136–40.                                                           485
435     evaluate the effects of a warm air-dry stream in the long-term            9.   Frankenberger R, Strobel WO, Lohbauer U, Kramer N,                        486
436     resin–dentin bonds.                                                            Petschelt A. The effect of six years of water storage on resin            487
                                                                                       composite bonding to human dentin. Journal of Biomedical                  488
                                                                                       Materials Research B Applied Biomaterials 2004;69:25–32.                  489
                                                                     CT
437                                                                              10.   Gamborgi GP, Loguercio AD, Reis A. Influence of enamel                     490
        5.      Conclusions
                                                                                       border and regional variability on durability of resin–dentin             491
                                                                                       bonds. Journal of Dentistry 2007;35:371–6.                                492
438     The resin–dentin bond strength and the quality of the hybrid             11.   Peumans M, Kanumilli P, De Munck J, Van Landuyt K,                        493
439     layer (less nanoleakage infiltration) of adhesives can be                       Lambrechts P, Van Meerbeek B. Clinical effectiveness of                   494
                                                                                       contemporary adhesives: a systematic review of current
                                                            E


440     improved by the use of a warm air-stream for solvent                                                                                                     495
441     evaporation, mainly for water/ethanol-based systems. This                      clinical trials. Dental Materials 2005;21:864–81.                         496
                                                                                 12.   De Munck J, Van Landuyt K, Peumans M, Poitevin A,                         497
442     seems to be mainly attributed to more solvent evaporation
                                                         RR



                                                                                       Lambrechts P, Braem M, et al. A critical review of the                    498
443     rather than improvement in the degree of conversion of the
                                                                                       durability of adhesion to tooth tissue: methods and results.              499
444     adhesive layer.                                                                Journal of Dental Research 2005;84:118–32.                                500
                                                                                 13.   El-Din AKN, Abd El-Mohsen MM. Effect of changing                          501
445                                                                                    application times on adhesive systems bond strengths.                     502
      Q1 Uncited   reference                                                           American Journal of Dentistry 2002;15:321–4.                              503
                                                                                 14.   Hashimoto M, De Munck J, Ito S, Sano H, Kaga M, Oguchi H,                 504
                                                CO




        14                                                                             et al. In vitro effect of nanoleakage expression on resin–                505
446      .
                                                                                       dentin bond strengths analyzed by microtensile bond test,                 506
                                                                                       SEM/EDX and TEM. Biomaterials 2004;25:5565–74.                            507
                                                                                 15.   Cardoso PC, Loguercio AD, Vieira LC, Baratieri LN, Reis A.                508
447     Acknowledgements                                                               Effect of prolonged application times on resin–dentin bond                509
                                                                                       strengths. Journal of Adhesive Dentistry 2005;7:143–9.                    510
                                        UN




448     We would like to thank the help provided by the under-                   16.   Reis A, Pellizzaro A, Dal-Bianco K, Gomes OM, Patzlaff R,                 511
449                                          ´
        graduate students Rafael Santos and Atila Panta (School of                     Loguercio AD. Impact of adhesive application on wet and                   512
                                                                                       dry long-term resin–dentin bond strengths. Operative                      513
450     Dentistry, University Luterana do Brasil, Porto Alegre, RS,
                                                                                       Dentistry 2007;32:380–7.                                                  514
451     Brazil) and the engineer Endrigo Dourado Loguercio. This                 17.   Dal-Bianco K, Pellizzaro A, Patzlaft R, de Oliveira Bauer JR,             515
452     study was partially supported by CNPq grants 473101/2006-8                     Loguercio AD, Reis A. Effects of moisture degree and rubbing              516
453     and 305870/2004-1 and FAPERGS.                                                 action on the immediate resin–dentin bond strength. Dental                517
                                                                                       Materials 2006;22:1150–6.                                                 518
                                                                                 18.   Reis A, Cardoso PC, Vieira LC, Baratieri LN, Grande RH,                   519
454     references                                                                     Loguercio AD. Effect of prolonged application times on the           Q2   520
                                                                                       durability of resin–dentin bonds. Dental Materials, in press.             521
                                                                                 19.   Cadenaro M, Antoniolli F, Sauro S, Tay FR, Di Lenarda R,                  522
                                                                                       Prati C, et al. Degree of conversion and permeability of                  523
455     1. Van Meerbeek B, De Munck J, Yoshida Y, Inoue S, Vargas M,
                                                                                       dental adhesives. European Journal of Oral Sciences                       524
456        Vijay P. Buonocore memorial lecture. Adhesion to enamel
                                                                                       2005;113:525–30.                                                          525


         Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties
         and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
JJOD 1249 1–8

      8                                              journal of dentistry xxx (2008) xxx–xxx



526   20. Reis A, Loguercio AD, Azevedo CLN, Carvalho RM, Singer JM,                    strength. Journal of Biomedical Materials Research Part B–Applied   558
527       Grande RHM. Moisture spectrum of demineralized dentin                         Biomaterials 2005;74:822–8.                                         559
528       for different solvent-based adhesive system. Journal of                 29.   Pashley EL, Zhang Y, Lockwood PE, Rueggeberg FA, Pashley            560
529       Adhesive Dentistry 2003;5:183–92.                                             DH. Effects of HEMA on water evaporation from water–                561
530   21. Tay FR, King NM, Chan KM, Pashley DH. How can                                 HEMA mixtures. Dental Materials 1998;14:6–10.                       562
531       nanoleakage occur in self-etching adhesive systems that                 30.   Yiu CKY, Pashley EL, Hiraishi N, King NM, Goracci C, Ferrari        563
532       demineralize and infiltrate simultaneously? Journal of                         M, et al. Solvent and water retention in dental adhesives           564
533       Adhesive Dentistry 2002;4:255–69.                                             blends after evaporation. Biomaterials 2005;26:6863–72.             565
534   22. Van Landuyt KL, Snauwaert J, De Munck J, Peumans M,                     31.   Reis AF, Oliveira MT, Giannini M, De Goes MF, Rueggeberg            566
535       Yoshida Y, Poitevin A, et al. Systematic review of the                        FA. The effect of organic solvents on one-bottle adhesives’         567




                                                                                                            F
536       chemical composition of contemporary dental adhesives.                        bond strength to enamel and dentin. Operative Dentistry             568
537       Biomaterials 2007;28:3757–85.                                                 2003;28:700–6.                                                      569
538   23. Wang Y, Spencer P, Yao X, Brenda B. Effect of solvent                   32.   Nunes TG, Garcia FC, Osorio R, Carvalho R, Toledano M.              570




                                                                                                   OO
539       content on resin hybridization in wet dentin bonding.                         Polymerization efficacy of simplified adhesive systems                571
540       Journal of Biomedical Materials Research A 2007;82:975–83.                    studied by NMR and MRI techniques. Dental Materials                 572
541   24. Holmes RG, Rueggeberg FA, Callan RS, Caughman F, Chan                         2006;22:963–72.                                                     573
542       DCN, Pashley DH, et al. Effect of solvent type and content on           33.   Callister WD. Materials science and engineering. An                 574
543       monomer conversion of a model resin system as a thin film.                     introduction. 4th ed. New York: Wiley Interscience; 2000.           575
544       Dental Materials, in press.                                             34.   Takahashi A, Sato Y, Uno S, Pereira PNR, Sano H. Effects of         576




                                                                                           PR
545   25. Paul SJ, Leach M, Rueggeberg FA, Pashley DH. Effect of water                  mechanical properties of adhesives on bond strength to              577
546       content on the physical properties of model dentine primer                    dentin. Dental Materials 2002;18:263–8.                             578
547       and bonding resins. Journal of Dentistry 1999;27:209–14.                35.   Reis A, Grandi V, Carlotto L, Bortoli G, Patzlaff R, Accorinte      579
548   26. Cho B-H, Dickens SH. Effects of the acetone content of single                 ML, et al. Effect of smear layer thickness and acidity of self-     580
549       solution dentin bonding agents on the adhesive layer                          etching solution on early and long-term bond strength to            581
550       thickness and the microtensile bond strength. Dental                          dentin. Journal of Dentistry 2005;33:549–59.                        582
551       Materials 2004;20:107–15.                                               36.   Tay FR, Pashley DH, Yoshiyama M. Two modes of                       583
552   27. Dickens SH, Cho BH. Interpretation of bond failure through           ED       nanoleakage expression in single-step adhesives. Journal of         584
553       conversion and residual solvent measurements and Weibull                      Dental Research 2002;81:472–6.                                      585
554       analyses of flexural and microtensile bond strength of                   37.   Brannstrom M. A hydrodynamic mechanism in the
                                                                                           ¨      ¨                                                         586
555       bonding agents. Dental Materials 2005;21:354–64.                              transmission of the pain producing stimuli through the              587
556   28. Bae JH, Cho BH, Kim JS, Kim MS, Lee IB, Son HH, et al.                        dentin. In: Anderson DJ, editor. Sensory mechanisms in              588
557       Adhesive layer properties as a determinant of dentin bond                     dentine. Oxford: Pergamon Press; 1963. p. 73–9.                     589
                                                                        CT
                                                                                                                                                            590
                                                              E
                                                           RR
                                                  CO
                                          UN




          Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties
          and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014

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  • 1. JJOD 1249 1–8 journal of dentistry xxx (2008) xxx–xxx available at www.sciencedirect.com journal homepage: www.intl.elsevierhealth.com/journals/jden 1 F 2 3 Evaporating solvents with a warm air-stream: Effects on adhesive layer properties and resin–dentin bond strengths OO 4 5 Celso Afonso Klein Jr.a, Christiana Zander-Grande b, Roberto Amaral b, 6 Rodrigo Stanislawczuk b, Eugenio Jose Garcia b, Ricardo Baumhardt-Neto c, ˆ ´ Marcia Margarete Meier , Alessandro Dourado Loguercio e,f, Alessandra Reis e,f,* ´ d PR 7 a 8 School of Dentistry, Department of Dentistry, University Luterana do Brasil, Cachoeira do Sul, Rio Grande do Sul, Brazil b 9 ´ School of Dentistry, Department of Restorative Dentistry, University Estadual de Ponta Grossa, Ponta Grossa, Parana, Brazil c 10 School of Chemistry, Department of Chemistry and Materials Science, University Federal do Rio Grande do Sul, 11 Porto Alegre, Rio Grande do Sul, Brazil d 12 FGM Dental Products, Department of Research and Development, Joinville, Santa Catarina, Brazil 13 14 e Brazil ED School of Dentistry, Department of Dental Materials and Operative Dentistry, University of Oeste de Santa Catarina, Joacaba, Santa Catarina, ¸ f 15 ´ University Estadual de Ponta Grossa, Ponta Grossa, Parana, Brazil article info summary CT Article history: Objectives: This study evaluated the effect of a warm or cold air-dry stream for solvent Received 27 November 2007 evaporation on the microtensile resin–dentin bond strength (mTBS), nanoleakage pattern Received in revised form (SEM), degree of conversion (DC) and solvent evaporation rates of an ethanol/water- (Adper 6 April 2008 Single Bond, [SB] 3MESPE) and an acetone-based (Prime & Bond 2.1, [PB] Dentsply), two-step E Accepted 20 April 2008 etch-and-rinse adhesive system. Materials and methods: Adhesives were applied on demineralized dentin surfaces. For SE, a warm or cold air-dry stream (10 s) was applied prior to light-activation (10 s). Bonded sticks RR Keywords: (0.8 mm2) were tested in tension (0.5 mm/min). Two bonded sticks from each tooth were Adhesive systems immersed in a 50% (w/v) solution of silver nitrate (24 h), photodeveloped (8 h) and analyzed Bond strength by SEM. The DC and solvent evaporation rate of the adhesives were evaluated under FTIR Solvent and analytical balance, respectively. Data were analyzed by two-way ANOVA and Tukey test Evaporation (a = 0.05). CO Degree of conversion Results: Higher mTBS and lower nanoleakage were observed when the SE step was per- Dentin formed with warm air-dry stream. However, the DC of the adhesives was not altered by the use of a warm air-dry. Conclusions: The use of a warm air-dry stream seems to be a clinical tool to improve the bond strength and the quality of the hybrid layer (less nanoleakage infiltration), since it might reduce the number of pores within the adhesive layer. UN 18 16 # 2008 Elsevier Ltd. All rights reserved. 17 19 20 21 22 * Corresponding author at: Universidade do Oeste de Santa Catarina, Curso de Odontologia, Rua Getulio Vargas, 2125 Bairro Flor da Serra, ´ CEP 89600-000, Joacaba, SC, Brazil. Tel.: +55 49 3554 4452; fax: +55 49 3551 2004. ¸ E-mail address: reis_ale@hotmail.com (A. Reis). 0300-5712/$ – see front matter # 2008 Elsevier Ltd. All rights reserved. doi:10.1016/j.jdent.2008.04.014 Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
  • 2. JJOD 1249 1–8 2 journal of dentistry xxx (2008) xxx–xxx 21 1. Introduction Bond, [SB] 3M ESPE) and an acetone-based (Prime & Bond 2.1, 65 [PB] Dentsply) two-step etch-and-rinse adhesive systems. The 66 22 Etch-and-rinse adhesives require a separate step of etching, degree of conversion and solvent evaporation rates of the 67 23 which is usually performed with 30–40% phosphoric acid. In adhesives after solvent evaporation with both protocols was 68 24 their original configuration they were released to be applied in also investigated. 69 25 a three-step procedure, in which after etching, the surfaces 26 were primed and then bonded with a flow, non-solvated 70 27 bonding resin.1 2. Materials and methods 28 In an attempt to reduce clinical steps and save time F 71 29 manufacturers produced simplified etch-and-rinse adhesives 2.1. Microtensile testing 30 by joining the components of the primer and the bonding resin OO 31 into a single solution. If on one hand, this modification allowed Twenty extracted, caries-free human third molars were used. 72 32 the accomplishment of the bonding protocol in two steps,1 on The teeth were collected after obtaining the patient’s informed 73 33 the other hand, the hydrophilic features of these simplified consent under a protocol approved by the University of Oeste 74 34 adhesives were increased as the primer/bond solution should of Santa Catarina Institutional Review Board. The teeth were 75 35 be compatible to the intrinsically moist, acid-etched dentin. disinfected in 0.5% chloramine, stored in distilled water and 76 36 Consequently, the adhesive solutions became more perme- used within 6 months after extraction. A flat dentin surface 77 PR 37 able to water from the oral environment and from the was exposed after wet grinding the occlusal enamel on a # 180 78 38 underlying bonded dentin,2–4 leading to incompatibility grit SiC paper. The exposed dentin surfaces were further 79 39 issues5–7 and faster degradation of resin–dentin bonds polished on wet #600-grit silicon-carbide paper for 60 s to 80 40 comparatively to their three-step version.8–10 standardize the smear layer. 81 41 This is somewhat true, that a recent systematic review of Two solvent-based, etch-and-rinse adhesive systems were 82 42 current clinical trials has reported that in general, the two-step tested: Adper Single Bond (SB-3M ESPE, St. Paul, MN, USA), an 83 43 44 etch-and-rinse adhesives perform clinically less favorable than the conventional three-step etch-and-rinse adhesives.11 ED ethanol/water-based and Prime & Bond 2.1 (PB–Dentsply De Trey, Konstanz, Germany) an acetone-based system. The 84 85 45 While 79% of the two-step etch-and-rinse adhesives fulfilled composition, application mode and batch number are 86 46 the provisional acceptance ADA guidelines, only 51% fulfilled described in Table 1. 87 47 the full acceptance ADA guidelines.11 After acid etching with the respective etchants of each 88 CT 48 Resin–dentin bond strength and their durability seem to adhesive system, the surfaces were rinsed with distilled water 89 49 rely on the quality of the hybrid layer,12 i.e. on the proper for 15 s and air-dried for 15 s. The surfaces were, then, 90 50 impregnation of the dentin substrate and on the formation of a rewetted with water.20 Two coats of adhesive were slightly 91 51 high cross-linking polymer inside the collagen mesh. As a applied for 10 s. After each coat, the solvent evaporation was 92 52 result, different clinical approaches have been proposed to performed either with a warm (60 Æ 2 8C) or cold air (20 Æ 1 8C) 93 E 53 achieve this goal, such as increased application times of for 10 s at a distance of 20 cm. In both cases, the air stream was 94 54 bonding agents,13 multiple adhesive coating,13 delayed poly- generated by a commercially hair-dresser (SC831, Black & 95 55 merization,15,16 adhesive rubbing17,18 and longer exposure Decker, Uberaba, MG, Brazil). The speed of the air was 5.50 m/s 96 RR 56 times of bonding systems.19 and the air flow 0.0138 m3/s. The air emitted by the hair- 97 57 Most of these approaches favors solvent evaporation and dresser in the cold condition was the same of the room 98 58 contributes to the formation of a strong polymer. The use of a temperature. 99 59 warm air-stream for solvent evaporation could theoretically The adhesives were light-cured for the respective recom- 100 60 improve solvent evaporation, but this approach has not been mended time using a quartz-tungsten halogen light set at 101 600 mW/cm2 (VIP, Bisco, Schaumburg, IL, USA) (Table 1). Resin CO 61 addressed yet. Therefore, the aim of this study was to compare 102 62 the effects of the air stream temperature for solvent evapora- composite build-ups (Filtek Z250, shade A2, 3M ESPE, St. Paul, 103 63 tion on the microtensile resin–dentin bond strength (mTBS) MN, USA) were constructed on the bonded surfaces in 3 104 64 and nanoleakage pattern of an ethanol/water- (Adper Single increments of 1 mm each that were individually light-cured 105 UN Table 1 – Adhesive systems: composition, application mode and batch number Adhesive systems Composition Application mode Batch number Single Bond (3M ESPE) 1. Scotchbond etchant–35% phosphoric acid 2. Adhesive–Bis-GMA, HEMA, dimethacrylates, a, b, c, d, e, f, e, f, g 5FE polyalkenoic acid copolymer, initiators, water and ethanol Prime Bond 2.1 (Dentsply) 1. 32% phosphoric acid 2. Adhesive–UDMA, PENTA, Bis-GMA, butylated hydroxytoluene, a, b, c, d, e, f, e, f, g 707608 4-ethyl dimethyl aminobenzoate, cetylamine hydrofluoride, initiator and acetone (a) Acid-etching (15 s); (b) rinsing (15 s); (c) air-drying (30 s); (d) dentin rewetted with water; (e) one coat of adhesive; (f) air-dry for 10 s at 20 cm for solvent evaporation; (g) light-curing (10 s–600 mW/cm2). BPDM: biphenyl dimethacrylate or 4,40-dimethacryloyloxyethyloxycarbonylbi- phenyl-3,30-dicarboxylic acid; HEMA: 2-hydroxyethyl methacrylate; Bis-GMA: bisphenol A diglycidyl methacrylate; UDMA: urethane dimethacrylate; PENTA: dipentaerythritol pentaacrylate monophosphate. Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
  • 3. JJOD 1249 1–8 journal of dentistry xxx (2008) xxx–xxx 3 106 for 30 s with the same light intensity. All the bonding intensities of aliphatic C C (peak height at 1640 cmÀ1) against 164 107 procedures were carried out by a single operator at a room internal standard before and after curing of the specimen. The 165 108 temperature of 20 8C and constant relative humidity. Five aromatic carbon–carbon bond (peak height at 1610 cmÀ1) 166 109 teeth were used for each combination of adhesive system and absorbance was used as an internal standard. The degree of 167 110 air temperature. conversion (DC) was determined by subtracting the % C C 168 111 After storage of the restored teeth in distilled water at 37 8C from 100%. Three specimens were tested for each group. 169 112 for 24 h, they were longitudinally sectioned in both a mesio-to- Degree of conversion results were evaluated statistically using 170 113 distal and buccal-to-lingual directions across the bonded two-way ANOVA and Tukey’s test at a pre-set significance 171 114 interface with a diamond saw in a Labcut 1010 machine (Extec level of 0.05. 172 F 115 Corp., Enfield, CT, USA) to obtain approximately 25 bonded 116 sticks per tooth, each with a cross-sectional area of approxi- 2.3. Solvent evaporation rate 173 OO 117 mately 0.8 mm2. The number of premature debonded sticks 118 (D) per tooth during specimen preparation was recorded. Approximately 10 mL of each of the products, which corre- 174 119 Specimens originated from the areas immediately above the sponds to approximately one coat with saturated microbrush, 175 120 pulp chamber had their remaining dentin thickness (RDT) was obtained with a micropipette (Pipetman, Gilson, NY, USA) 176 121 measured with a digital caliper and recorded (Absolute from the original container and transferred to small light- 177 122 Digimatic, Mitutoyo, Tokyo, Japan). The cross-sectional area proof glass containers of known weight. They were immedi- 178 PR 123 of each stick was measured with the digital caliper to the ately placed in an analytical balance (Mettler, type H6; 179 124 nearest 0.01 mm for calculation of the actual bond strength Columbus, OH, USA; capacity to 160 g) and the baseline mass 180 125 values (BS). was recorded to the nearest 0.0001 mg. After 20 s, 1, 2, 3, 4 and 181 126 Only half of the specimens, from each tooth, were tested in 5 min, the mass was recorded again. No stopper that could 182 127 this study and they were randomly selected. Each bonded stick prevent evaporation was used. 183 128 was attached to a modified device for microtensile testing with The same procedure was repeated; however instead of 184 129 130 cyanoacrylate resin (Zapit, Dental Ventures of North America, Corona, CA, USA) and subjected to a tensile force in a universal ED leaving the adhesive undisturbed, a warm or cold air-stream was applied for 10 s before placing the adhesive into the 185 186 131 ˜ ´ testing machine (EMIC, Sao Jose dos Pinhais, PR, Brazil) at a analytical balance. The mass was measured after 20 s, 1, 2, 3, 4 187 132 crosshead speed of 0.5 mm/min. The failure modes were and 5 min. 188 133 evaluated at 400Â (HMV-2, Shimadzu, Tokyo, Japan) and Room temperature was set at 20 8C and the relative 189 CT 134 classified as cohesive (failure exclusive within dentin or resin humidity approximately at 50%. Protection from light radia- 190 135 composite, C), adhesive (failure at resin/dentin interface–A), or tion was assured by covering the analytical balance with 191 136 adhesive/mixed (failure at resin/dentin interface that included appropriate light filters. Five samples of each adhesive, in each 192 137 cohesive failure of the neighboring substrates, A/M). experimental condition, were used. 193 138 The mean bond strength of all sticks from the same tooth The percentage of loss of mass, based on the mean baseline 194 E 139 was averaged for statistical purposes. The prematurely recording, was calculated for each experimental condition. 195 140 debonded specimens were included in the tooth mean. The The data was subjected to a two-way ANOVA and Tukey’s test 196 141 average value attributed to specimens that failed prematurely at a pre-set significance level of 0.05. 197 RR 142 during preparation was arbitrary and corresponded to 143 approximately half of the minimum bond strength value that 2.4. Scanning electron microscopy for nanoleakage 198 144 could be measured in this study (ca. 4.3 MPa).20 The BS mean evaluation 199 145 for every testing group was expressed as the average of the five 146 teeth used per group. The microtensile bond strength data was Approximately three or four sticks from each tooth were used 200 CO 147 subjected to a two-way analysis of variance (adhesive/air for nanoleakage evaluation. Bonded sticks were coated with 201 148 temperature) and a post hoc test Tukey’s test at a = 0.05 for two layers of nail varnish applied up to within 1 mm of the 202 149 pair-wise comparisons. bonded interfaces. The specimens were re-hydrated in 203 distilled water for 10 min prior to immersion in the tracer 204 150 2.2. Degree of conversion solution. Ammoniacal silver nitrate was prepared according to 205 the protocol previously described by Tay et al.21 The sticks 206 UN 151 One drop of each adhesive solution was placed between were placed in the ammoniacal silver nitrate in darkness for 207 152 acetate strips to achieve a thin film 8 mm in diameter. Before 24 h, rinsed thoroughly in distilled water, and immersed in 208 153 covering the adhesive with the upper acetate strip, they were photo developing solution for 8 h under a fluorescent light to 209 154 gently air-dried either with a warm or dry stream (10 s) to reduce silver ions into metallic silver grains within voids along 210 155 allow for solvent evaporation. A FTIR spectrum of the uncured the bonded interface. 211 156 material was recorded and then, the specimens were photo- All sticks were wet-polished with 600-grit SiC paper to 212 157 activated for 10 s. Each specimen was carefully removed with remove the nail varnish. Then, the specimens were placed 213 158 a narrow surgical knife and stored for 24 h in a dark, dry inside an acrylic ring, which was attached to a double-sided 214 159 environment until the FTIR analysis of the degree of conver- adhesive tape, and embedded in epoxy resin. After the epoxy 215 160 sion (FTIR-8300, Shimadzu, Tokyo, Japan). The spectrum was resin set, the thickness of the embedded specimens was 216 161 obtained with 32 scans at 1 cmÀ1 resolution in transmission reduced to approximately half by grinding with silicon carbide 217 162 method. The percentage of unreacted carbon–carbon double papers under running water. Specimens were polished with a 218 163 bonds (% C C) was determined from the ratio of absorbance 600-, 1000-, and 2000-grit SiC paper and 6, 3, 1 and 0.25 mm 219 Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
  • 4. JJOD 1249 1–8 4 journal of dentistry xxx (2008) xxx–xxx 220 diamond paste (Buehler Ltd., Lake Bluff, IL, USA) using a polish Table 3 – Overall degree of conversion (%) and the 221 cloth. They were ultrasonically cleaned, air dried, mounted on respective standard deviations (MPa) obtained in each 222 stubs, and coated with carbon-gold (MED 010, Balzers Union, experimental conditiona 223 Balzers, Liechtenstein). Resin–dentin interfaces were analyzed Adhesive Air temperature 224 in a field-emission scanning electron microscope operated in Cold Warm 225 the backscattered electron mode (JSM 6060, JEOL, Tokyo, 226 Japan). SB 47.8 Æ 3.5 a 50.3 Æ 5.4 a PB 36.2 Æ 5.2 b 39.3 Æ 6.3 b a F 227 The same letters indicate statistically similar means ( p > 0.05). 3. Results 228 OO 3.1. Microtensile bond strength 229 Approximately 21–26 sticks could be obtained per tooth 230 including those with premature debonding. The mean 231 cross-sectional area ranged from 0.82 to 0.98 mm2 and no 232 difference among groups was detected ( p > 0.05). The percen- PR 233 tage of specimens with premature debonding and the 234 frequency of each fracture pattern mode are shown in Table 2. 235 Table 2 also depicts the overall means and the respective 236 standard deviations of the resin–dentin bond strengths for all 237 experimental groups. Neither the interaction adhesive vs. air 238 temperature nor the main factor Adhesive was statistically 239 240 significant ( p > 0.05). Only the main factor air temperature was statistically significant ( p = 0.001). Higher bond strength values ED 241 were observed for both adhesives when the solvent evaporation 242 step was performed with a warm air-stream. However, the 243 means were only statistically significant for the SB system. CT 244 3.2. Degree of conversion Fig. 1 – Loss of mass (%) in function of different solvent evaporation methods during 300 s in: (a) Prime & Bond 2.1; 245 The means and standard deviations of the degree of conver- (b) Single Bond. 246 sion for both adhesives under the experimental conditions of E 247 this study are shown in Table 3. The degree of conversion of 248 the adhesives was not affected by the air temperature one can observe the percentage of mass of both adhesives 258 249 ( p = 0.36). Only the main factor adhesive was statistically after 20 s was significantly improved by the application of an 259 RR 250 significant ( p = 0.005). air-dry stream. The use of a cold or warm air-dry was not 260 significant for PB. However, the application of a warm air-dry 261 251 3.3. Solvent evaporation rate significantly favored the evaporation rate of SB compared to 262 the use of a cold air-stream. Nonetheless, in none of the 263 252 In Fig. 1A and B it can be see the mean percentages values of conditions, the evaporation rate of SB was similar to PB. 264 CO 253 loss of mass for both adhesives during 5 min. Table 4 depicts 254 the mean percentages values of loss of mass for both 3.4. Scanning electron microscopy 265 255 adhesives 20 s after being dispensed. The interaction adhesive 256 vs. air temperature was statistically significant as well as the Representative SEM images at the resin–dentin interfaces for 266 257 main factors Adhesive and Air Temperature ( p < 0.0001). As the experimental conditions are depicted in Fig. 2. Single Bond, 267 UN Table 2 – Number of specimens and their respective percentages (%) distributed according to the fracture pattern mode as well as the percentage of premature debonded specimens for each experimental condition as well as the overall microtensile bond strength values and the respective standard deviations (MPa) obtained in each experimental conditiona Adhesive Air temperature A/Mb C Debonded mTBS SB Cold 39 (79.6) 6 (12.2) 4 (8.2) 34.9 Æ 8.5 b Warm 31 (66) 9 (19.1) 7 (14.9) 48.7 Æ 6.3 a PB Cold 32 (80) 3 (7.5) 5 (12.5) 37.3 Æ 5.7 ab Warm 27 (65.9) 5 (12.1) 9 (22) 44.7 Æ 5.2 ab a Statistically similar means are represented by the same letters ( p > 0.05). b A/M: adhesive/mixed fracture mode; C: dentin or resin cohesive fracture mode. Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
  • 5. JJOD 1249 1–8 journal of dentistry xxx (2008) xxx–xxx 5 Table 4 – Mean percentages of mass (%) and the nation can still be observed in base of the hybrid layer (Fig. 2b) 275 respective standard deviations obtained in each experi- the magnitude of the silver nitrate penetration was not as 276 mental condition after dispensea evident as in Fig. 1a. Similarly, Prime & Bond 2.1 showed a very 277 Adhesive Without air Air temperature dense deposition of silver nitrate when the solvent was 278 Cold Warm evaporated with a cold air-dry (Fig. 2c). However, contrary to 279 Single Bond, this intense deposition did not occur in the entire 280 SB 95.4 Æ 1.5 a 90.0 Æ 2.2 b 69.4 Æ 2.0 c thickness of the adhesive layer but only at the hybrid layer. 281 PB 87.0 Æ 2.1 b 33.6 Æ 2.3 d 32.2 Æ 3.0 d This deposition was significantly reduced when the solvent 282 a evaporation of PB was performed with a warm air-stream 283 F The same letters indicate statistically similar means ( p > 0.05). (Fig. 2d). 284 OO 268 after solvent evaporation with a cold air-dry stream showed a 285 269 poor seal, as many dentinal tubules were filled with silver 4. Discussion 270 (Fig. 2a). Besides that, the entire thickness of the hybrid and 271 adhesive layers, formed under this condition, was throughout Current adhesive systems are generally formulated with 286 272 impregnated with silver nitrate. This situation was not hydrophilic and hydrophobic resin monomers dissolved in 287 273 observed in the adhesive layer formed by Single Bond air- acetone, ethanol and water or in solvent combinations.22 288 PR 274 dried with a warm stream (Fig. 2b). Although silver impreg- Solvents act as a transport medium and lower resin viscosity. 289 ED E CT RR CO UN Fig. 2 – Representative backscattered SEM images of the interface bonded with Single Bond (a and b) and Prime & Bond 2.1 (c and d) to demineralized dentin. In (a and c), the solvent was evaporated with a cold air-dry stream, while in (b and d), a warm air-dry stream was employed. (a) Silver deposition occurred almost throughout the entire thickness of the hybrid layer. Intense penetration of silver nitrate can also bee seen into the tubules. (b) It can be seen that the amount of silver penetration was lower and practically occurred at the base of the hybrid layer. Only few dentin tubules were infiltrated by silver nitrate. (c) A higher amount of silver penetration can be observed at the base of the hybrid for PB. (d) The amount of silver nitrate penetration seems to be quite low and it was restricted to the base of the hybrid layer. Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
  • 6. JJOD 1249 1–8 6 journal of dentistry xxx (2008) xxx–xxx 290 This allows greater penetration of resins into the micropor- system (PB). Different molecules differ in the amount of 350 291 osites of the prepared tooth surface23 as well as enhances the attraction that exists between them. For instance, the mutual 351 292 mobility of radicals and growing polymer chains.24 The resin attraction between water molecules and ethanol molecules 352 293 surface wetting capabilities are also improved and help to are stronger than that of acetone, because it involves hydrogen 353 294 displace surface moisture without collapsing the deminer- bonding forces. As a result, the boiling temperature and the 354 295 alized collagen network.22 vapor pressure of ethanol and water are higher than that of 355 296 On the other hand, the presence of residual solvent might acetone, which turns their evaporation more difficult. A recent 356 297 have an adverse effect on the performance of the resin–dentin study that examined the effect of organic solvent and water 357 298 bonds. It was already demonstrated that high solvent retention in comonomer blends with different hydrophilicity 358 F 299 concentration within the adhesive polymer prior to light- demonstrated that significantly more solvent and water were 359 300 curing prevents the attainment of a high cross-linking retained in ethanol-based adhesives when compared to 360 OO 301 polymer inside the hybrid layer25,26 and leads to pores and acetone-based mixtures.30 This could be the reason of why 361 302 interfacial layers,27 affecting the overall performance of resin– the acetone-based system (PB) was less affected by the 362 303 dentin bonds.28 increase in the air temperature. 363 304 Ideally, solvents and water (from the moist demineralized Interestingly, the increase in bond strengths was not 364 305 dentin) should be completely eliminated from the dentin accompanied by an increase in the degree of conversion of 365 306 surface before light-curing. On this basis, there is often an air- the adhesive system as observed in the present study. 366 PR 307 drying process recommended as part of the clinical regimen Previous studies evaluating the effect of solvent concentration 367 308 for dentin bonding while using adhesives that contain on the degree of conversion of adhesive films have observed 368 309 solvents. However, the removal of solvents with a simple that increasing amounts of solvents led to a reduction of their 369 310 air-drying stream is not an easy task to be accomplished under degree of conversion.27,28 However, one may consider that a 370 311 clinical application. As water/solvent evaporates from the wide range of solvent concentration was investigated being 371 312 adhesive, the monomer density is found to increase sharply, them not representative of the amount of solvent presented in 372 313 314 creating a monomer concentration gradient which acts as a barrier for further solvent evaporation and thus, reduces the ED the adhesive layer before and after application of a cold or warm air-drying procedures. 373 374 315 ability of water and solvents to evaporate from the adhesive.29 There is a solvent concentration at which maximum 375 316 This situation is even worse for simplified adhesives such as conversion is reached; more or less solvent than this amount 376 317 the two-step etch-and-rinse adhesives evaluated in the would decrease monomer conversion,24 and this seems to be 377 related to the viscosity of the adhesive film.28 It is likely that CT 318 present investigation, since the extent of solvent and water 378 319 retention in polymer networks seems to be directly correlated non-solvated versions of adhesive systems might present a 379 320 with the hydrophilicity of the resin blends.30 In addition to lower degree of conversion due to the increased viscosity of 380 321 that, the recommended clinical time for solvent evaporation is the solution. An increased viscosity restricts the mobility of 381 322 rather short as some studies have demonstrated that only reactive components during polymerization.28 On the other 382 E 323 periods of time longer than 12–20 min can ensure an almost extreme, excess of solvents would cause a dilution of the 383 324 complete solvent evaporation.15,31 components preventing the collision of reactive components. 384 325 In face of that some alternative methods to maximize Unfortunately, no attempt was made in the present investiga- 385 RR 326 solvent evaporation should be investigated, such as the one tion to determine the amount of residual solvent in the 386 327 evaluated in the present study. One way to accelerate solvent adhesive films after using the two different modes of air- 387 328 evaporation, at least for water/ethanol-based systems is the drying and this deserves further investigations. 388 329 use of a warm dry set at approximately 60 8C. Although a Based on the results of the present investigation we cannot 389 330 previous study has not observed any beneficial effect of warm assume that the increase in resin–dentin bond strength is due 390 CO 331 air-dry on solvent evaporation rate, the temperature of the air to an increase in the degree of conversion of the adhesives. It is 391 332 was half of that employed in the present investigation.32 likely that the increase in the resin–dentin bonds is due to an 392 333 The use of a warm air-stream allowed an increase of 20 and increase in the mechanical properties of the adhesive layer 393 334 40% in the resin–dentin bonds for PB and SB, respectively. This due to more solvent evaporation rates. An earlier study 394 335 could be attributed to the fact that when heat is delivered to a observed that although the solvent content did not affect the 395 336 substance, energy comes in. That energy can be used either to degree of conversion of bulk adhesive specimens, the flexural 396 UN 337 increase the kinetic energy of the molecules, which causes an strength of these specimens, which is a mechanical property 397 338 increase in temperature or that heat can be used to increase of the adhesive layer, were significantly reduced, since 398 339 the potential energy of the molecules causing a change in the residual solvent might leave more pores in the specimens.27 399 340 state.33 One could hypothesize that under the conditions of This correlation between mechanical properties and resin– 400 341 the study the heat delivered by the warm air-dry could have dentin bonds was also observed in other studies. For instance, 401 342 altered the manner molecules bond to one another. Conse- a significant and positive correlation was observed between 402 343 quently, this increased the evaporation rate of solvents from resin–dentin bond strength values and the ultimate strength 403 344 bonding interface allowing the achievement of higher resin– of the adhesives.34,35 404 345 dentin bonds, as observed in the present investigation. The presence of solvent-rich pores can be reinforced by the 405 346 However, the adhesives did not respond homogeneously to FE-SEM findings of the present study. The amount of silver 406 347 the delivered heat. Although a numerical increase in the resin– nitrate penetration was significantly higher in the specimens 407 348 dentin bond strengths was observed for both adhesives, this that were cold air-dried, as this caused a higher amount of 408 349 increase was not statistically significant for the acetone-based water/solvent retention within the adhesive layer. It is 409 Please cite this article in press as: Klein Jr CA, et al., Evaporating solvents with a warm air-stream: Effects on adhesive layer properties and resin–dentin bond strengths, Journal of Dentistry (2008), doi:10.1016/j.jdent.2008.04.014
  • 7. JJOD 1249 1–8 journal of dentistry xxx (2008) xxx–xxx 7 410 accepted that one of the sources of nanoleakage expression and dentin: current status and future challenges. Operative 457 411 within adhesive interfaces are the remnant water/solvent and Dentistry 2003;28:215–35. 458 2. Tay FR, Pashley DH. Dentin adhesives: have they become 459 412 the water flux from the underlying dentin.7 They represent too hydrophilic? Journal of Canadian Dental Association 460 413 areas within the adhesive layer in which water or solvent are 2003;69:724–31. 461 414 incompletely removed resulting in regions of incomplete 3. Tay FR, Pashley DH. Water treeing—a potential mechanism 462 415 polymerization and/or hydrogel formation.7,36 They are there- for degradation of dentin adhesives. American Journal of 463 416 fore highly prone for deposition of silver nitrate as can be seen Dentistry 2003;16:6–12. 464 417 in the micrographs of the present investigation. 4. Tay FR, Frankenberger R, Krejci I, Bouillaguet S, Pashley DH, 465 418 One important issue that should be mentioned is the Carvalho RM, et al. Single-bottle adhesives behave as 466 F permeable membranes after polymerization. I. In vivo 467 419 potential effects of high temperature in the W-air dry group on evidence. Journal of Dentistry 2004;32:611–21. 468 420 pulp as well as on dentinal fluid flow. The most widely 5. Tay FR, Suh BI, Pashley DH, Prati C, Chuang SF, Li F. Factors 469 OO 421 accepted mechanism of dentin hypersensitivity is the hydro- contributing to the incompatibility between simplified-step 470 422 dynamic theory proposed by Brannstrom et al.,37 whereby ¨ ¨ adhesives and self-cured or dual-cured composites. Part II. 471 423 fluid flow within dentinal tubules is altered (increased or Single-bottle, total-etch adhesive. Journal of Adhesive 472 424 changed directionally) by thermal, tactile or chemical stimuli Dentistry 2003;5:91–105. 473 6. Suh BI, Feng L, Pashley DH, Tay FR. Factors contributing to 474 425 near the exposed surface of the tubules. This alteration would the incompatibility between simplified-step adhesives and 475 426 lead to stimulation of the A-d fibres surrounding the PR chemically-cured or dual-cured composites. Part III. Effect 476 427 odontoblasts. Therefore, the use of the warm temperature of acidic resin monomers. Journal of Adhesive Dentistry 477 428 either in superficial, medium and deep cavities should be 2003;5:267–82. 478 429 matter of further investigation to determine the clinical 7. Tay FR, Pashley DH, Suh BI, Hiraishi N, Yiu CHY. Water 479 430 viability of the studied clinical approach. ´ ˜ treeing in simplified dentin adhesives–deja vu? Operative 480 431 The use of a warm air-stream seems to be a useful tool to Dentistry 2005;30:561–79. 481 8. De Munck J, Van Meerbeek B, Yoshida Y, Inoue S, Vargas M, 482 432 help clinicians to improve the quality of the resin–dentin ED Suzuki K, et al. Four-year water degradation of total-etch 483 433 bonds. However, further studies are still required in order to adhesives bonded to dentin. Journal of Dental Research 484 434 elucidate some of the hypothesis raised in this study and 2003;82:136–40. 485 435 evaluate the effects of a warm air-dry stream in the long-term 9. Frankenberger R, Strobel WO, Lohbauer U, Kramer N, 486 436 resin–dentin bonds. Petschelt A. The effect of six years of water storage on resin 487 composite bonding to human dentin. Journal of Biomedical 488 Materials Research B Applied Biomaterials 2004;69:25–32. 489 CT 437 10. Gamborgi GP, Loguercio AD, Reis A. Influence of enamel 490 5. Conclusions border and regional variability on durability of resin–dentin 491 bonds. Journal of Dentistry 2007;35:371–6. 492 438 The resin–dentin bond strength and the quality of the hybrid 11. Peumans M, Kanumilli P, De Munck J, Van Landuyt K, 493 439 layer (less nanoleakage infiltration) of adhesives can be Lambrechts P, Van Meerbeek B. Clinical effectiveness of 494 contemporary adhesives: a systematic review of current E 440 improved by the use of a warm air-stream for solvent 495 441 evaporation, mainly for water/ethanol-based systems. This clinical trials. Dental Materials 2005;21:864–81. 496 12. De Munck J, Van Landuyt K, Peumans M, Poitevin A, 497 442 seems to be mainly attributed to more solvent evaporation RR Lambrechts P, Braem M, et al. A critical review of the 498 443 rather than improvement in the degree of conversion of the durability of adhesion to tooth tissue: methods and results. 499 444 adhesive layer. Journal of Dental Research 2005;84:118–32. 500 13. El-Din AKN, Abd El-Mohsen MM. Effect of changing 501 445 application times on adhesive systems bond strengths. 502 Q1 Uncited reference American Journal of Dentistry 2002;15:321–4. 503 14. Hashimoto M, De Munck J, Ito S, Sano H, Kaga M, Oguchi H, 504 CO 14 et al. In vitro effect of nanoleakage expression on resin– 505 446 . dentin bond strengths analyzed by microtensile bond test, 506 SEM/EDX and TEM. Biomaterials 2004;25:5565–74. 507 15. Cardoso PC, Loguercio AD, Vieira LC, Baratieri LN, Reis A. 508 447 Acknowledgements Effect of prolonged application times on resin–dentin bond 509 strengths. Journal of Adhesive Dentistry 2005;7:143–9. 510 UN 448 We would like to thank the help provided by the under- 16. Reis A, Pellizzaro A, Dal-Bianco K, Gomes OM, Patzlaff R, 511 449 ´ graduate students Rafael Santos and Atila Panta (School of Loguercio AD. Impact of adhesive application on wet and 512 dry long-term resin–dentin bond strengths. Operative 513 450 Dentistry, University Luterana do Brasil, Porto Alegre, RS, Dentistry 2007;32:380–7. 514 451 Brazil) and the engineer Endrigo Dourado Loguercio. This 17. 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