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Effect of viscosity and activation mode on the bond strength to dentin, conversion degree and biaxial flexure strength and modulus of dual resin cements

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Author(s):
Marina Di Francescantonio
Total Authors: 1
Document type: Master's Dissertation
Press: Piracicaba, SP.
Institution: Universidade Estadual de Campinas (UNICAMP). Faculdade de Odontologia de Piracicaba
Defense date:
Examining board members:
Marcelo Giannini; Roberto Ruggiero Braga; Mário Alexandre Coelho Sinhoreti
Advisor: Marcelo Giannini
Abstract

The mechanical properties of resin cements may be influenced by the type and monomer composition, type and filler size, mode, and degree of conversion, which are all associated with resin viscosities. The aim of this study was to evaluate the influence of resin cement viscosity (high and low) (Nexus 2/ Kerr, Corp and Variolink II/ Ivoclar-Vivadent) and the curing mode (dual and chemical activation) on the bond strength to dentin, on the degree of conversion and biaxial flexural strength. For microtensile bond strength test, two bonding agents and their respective resin cement, occlusal dentin surfaces of fifty-six human third molars were used for the testing and the resin cements were applied to pre-cured resin composite discs, which were fixed to dentin surfaces, simulating an indirect restoration. The restored teeth were either light-activated or allowed to self-cure, according to experimental groups. After 24 hs, the teeth were sectioned to obtain bonded beams specimens (1.0 mm²). Each specimen was tested in tension at a crosshead speed of 0.5 mm/min (4411/Instron). Data (MPa) was analyzed by 3- way ANOVA and Tukey's Tukey's test (p=0.05). To evaluate the degree of conversion, the resin cements were applied to surface of a horizontal attenuatedtotal- reflectance unit (Nicolet Instrument Corp, Madson, Wisconsin, EUA) and were polymerized using one of two conditions: self-cure (SC) or direct light exposure (600 mW/cm2, XL3000/3M ESPE) and infrared spectra were obtained after 5 minutes and 24 hours. The degree of conversion was calculated using standard techniques of observing changes in aliphatic-to-aromatic peak ratios pre- and postcuring. Data were analyzed by 3-way repeated measure ANOVA and Tukey's test (p=0.05). For the biaxial flexural strength, forty-eight resin cement discs of each product (0.5 mm thick and 6.0 mm in diameter) were created using silicon impression material molds (n=12) and were either light activated or not, according to experimental groups. After 5 days, the specimens were subjected to the biaxial flexure test in a universal testing machine (1.27 mm/min, Instron 5844) and the data ware statistically analyzed by 3-way ANOVA and Tukey's post-hoc test (p=0.05). For bond strength testing, the dual curing mode increased the bond strength for the low viscosity resin cements for both dual resin cement used in this study. For the degree of conversion, the light activation, after 24h, significantly increased the degree of conversion for both resin cements, and the low viscosity version from dual cure or self-cured groups exhibited higher degree of conversion than high viscosity version. Regarding biaxial flexural strength, the light-activation significantly increased flexural strength and modulus, and the high viscosity versions of dual cure groups exhibited higher flexural strength than their low viscosity versions, while the viscosity of resin cements did not influence the modulus. In conclusion, the light-activation of dual resin cements is required in indirect restorations, to provide proper mechanical and chemical properties, and the use of resin cements with different viscosities may change the bonding biomechanical characteristics of indirect restorations. (AU)