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Development of a Self-etch Adhesive for Resin-modified Glass Ionomers

E. Coutinho1, K. Van Landuyt1, J. De Munck1, A. Poitevin1, Y. Yoshida2, S. Inoue3, M. Peumans1, K. Suzuki2, P. Lambrechts1, and B. Van Meerbeek1,*

1 Leuven BIOMAT Research Cluster, Department of Conservative Dentistry, School of Dentistry, Oral Pathology and Maxillo-Facial Surgery, Catholic University of Leuven, Kapucijnenvoer 7, B-3000 Leuven, Belgium;
2 Department of Biomaterials, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, Okayama, Japan; and
3 Division for General Dentistry, Hokkaido University Dental Hospital, Sapporo, Japan


Figure 1
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Figure 1. µTBS results for the RMGI adhesive and restorative applied to enamel and dentin by the experimental surface treatments. Numbers above columns indicate mean values and respective standard deviation (between brackets); n stands for total number of specimens and ptf for number of pre-testing failures (to which 0 MPa values were attributed during the statistical analysis). Groups identified by different letters below their respective columns are statistically different (p < 0.05).

 

Figure 2
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Figure 2. Representative TEM photomicrographs and SEM fractographs of the RMGI adhesive applied to dentin by the experimental surface treatments. Important microstructural features have been identified: unaffected dentin (Ud); dentin tubule (T); hybrid layer (Hy); gel-phase (G-P); matrix in RMGI (M); glass particle in RMGI (Gp). (A1,A2) Non-demineralized and unstained specimen of the untreated group revealing a thin, 0.5-µm, hybrid layer and absence of the gel-phase. (A3) Fractured dentin side after µTBS testing, showing a typical adhesive failure pattern characterized by the furrows from a bur-cut smear layer. (B1,B2) Non-demineralized and unstained specimen of the polyalkenoic acid group, revealing an underlying thin, 0.5-µm, hybrid layer covered by the gel-phase, and heterogeneously distributed hydroxyapatite crystals within the hybrid layer. (B3) Fractured dentin side after µTBS testing, showing a typical mixed failure pattern characterized by adhesive debonding on the right side and cohesive failure of the RMGI on the left side. Notice the typical porous appearance of fractured RMGIs. (C1,C2) Non-demineralized and unstained specimen of the exp-SE group, revealing a thin, 0.5-µm, hybrid layer, absence of the gel-phase, and heterogeneously distributed hydroxyapatite crystals within the hybrid layer. (C3) Fractured dentin side after µTBS testing, showing a typical mixed failure pattern. (D1,D2) Non-demineralized and unstained specimen of the phosphoric acid group, unveiling a 5-µm-thick hybrid layer and absence of the gel-phase or hydroxyapatite crystals within the hybrid layer. (D3) Fractured dentin side after µTBS testing, showing a typical cohesive failure in RMGI.

 

Figure 3
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Figure 3. Representative TEM photomicrographs and SEM fractographs of the RMGI restorative applied to dentin. (A1,A2) Non-demineralized and unstained specimens of the exp-SE group revealing a thin, 0.5-µm, hybrid layer, absence of the gel-phase, and heterogeneously distributed hydroxyapatite crystals within the hybrid layer. (A3) Fractured dentin side after µTBS testing, showing cohesive failure in RMGI. (B1,B2) Non-demineralized and unstained specimens of the phosphoric acid group, unveiling a 5-µm-thick hybrid layer and absence of the gel-phase or hydroxyapatite crystals within the hybrid layer. (B3) Fractured dentin side after µTBS testing, showing cohesive failure in RMGI. Unaffected dentin (Ud); dentin tubule (T); hybrid layer (Hy); matrix in RMGI (M); glass particle in RMGI (Gp).

 





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