Influence of Dentin Sealing Technique on the Shear Bond Strength between Lithium Disilicate Ceramics and Try-In-Paste-Contaminated Dentin

Abstract

This study aimed to evaluate the effect of try-in paste contamination on the bond strength of lithium disilicate glass–ceramic to dentin treated with immediate (IDS) or delayed (DDS) dentin sealing techniques. Occlusal halves of 33 molars were decapitated and divided into three groups (n = 10). Lithium disilicate discs (3 × 5 mm) were prepared. For Group A, the provisional crown was applied over dentin and was soaked in distilled water. Lithium disilicate discs were cemented following dentin conditioning with a three-step etch and rinse adhesive. In Group B (IDS), the three-step adhesive was applied to dentin. The dentin surfaces were conditioned only in the final cementation for Group C (DDS). The intaglio surfaces of test groups were contaminated with try-in paste. All specimens were thermally cycled 3000 times at 5–55 °C and were subjected to shear tests. An additional three specimens for each group were contaminated with try-in paste and subjected to the same surface cleaning as the test specimens were examined with SEM/EDS. The adhesive surfaces were also examined with SEM/EDS for try-in paste remnants. Group C showed a significant decrease in bond strength values compared to Group B and Group A (5.84 ±1.4 MPa, 11.45 ±2.4 MPa, and 10.29 ±2.5 MPa, respectively). No statistically significant difference was detected between Group B and Group A (p ≥ 0.05). The SEM-EDS analyses revealed obstructions of the dentinal tubules in the try-in-paste-contaminated specimens. Immediate dentin sealing application enhanced the bonding strength of lithium disilicate to the try-in-paste-contaminated dentin. Try-in paste contamination over dentin negatively influenced the bonding process.

Keywords

• bond strength
• delayed dentin sealing
• immediate dentin sealing
• try-in paste
• lithium disilicate