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The Effect of Demineralization and Remineralization Cycles on the Bond Strength of Resin Composite to Enamel

Patel, D; Sambrook, R; Eder, A; (2021) The Effect of Demineralization and Remineralization Cycles on the Bond Strength of Resin Composite to Enamel. European Journal of Prosthodontics and Restorative Dentistry , 29 (2) pp. 93-101. 10.1922/EJPRD_2198Patel09. Green open access

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Abstract

Toothwear is a growing concern, particularly in young adults. Prevention strategies remain of utmost importance and may involve the use of remineralising agents. If restorative treatment is indicated, adhesive techniques are recommended. It is unknown whether remineralising agents affect adhesion. METHOD: 77 bovine incisors were subjected to simulated toothwear by erosion (0.3% citric acid) and abrasion (oscillating toothbrush). Samples were randomly arranged into 5 test and 2 control groups (n=11). Each test group had a remineralising agent applied. Subsequently, composite was bonded to each sample and subjected to shear bond testing. Shear bond strength, mode of failure and enamel surface changes were analysed. RESULTS: There was no statistically significant difference for bond strength between groups (p=0.262). Mode of failure was statistically significant between groups (p⟨0.0001). Qualitative analysis showed a surface layer on samples remineralised by calcium silicate and stannous fluoride. Both groups had more adhesive failures. CONCLUSION: Within the limitations of this study, it can be concluded that the remineralising agents tested do not affect shear bond strength though surface layers created on the enamel influence the mode of failure. These 'sacrificial' surface layers have the potential to protect the underlying enamel structure.

Type: Article
Title: The Effect of Demineralization and Remineralization Cycles on the Bond Strength of Resin Composite to Enamel
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1922/EJPRD_2198Patel09
Publisher version: https://www.ejprd.org/download.php?op=view_article...
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Demineralisation, Enamel, Erosion, Remineralising Agent, Shear Bond Testing, Toothwear, Animals, Cattle, Composite Resins, Dental Bonding, Dental Cements, Dental Enamel, Dental Stress Analysis, Materials Testing, Resin Cements, Shear Strength, Tooth Demineralization
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute > EDI Continuing Professional Develop.
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10133907
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