Effect of Surface Treatments on Repair Bond Strength of Aged Bulk-Fill Resin Composites

This study evaluated the influence of different surface treatments and composite materials on the microtensile bond strength (μTBS) of repaired aged bulk-fill resin composite restorations, aligning with the principles of minimal intervention dentistry. Seventy-two specimens of bulk-fill resin composite (Tetric EvoCeram) were prepared, sectioned into bars (1 × 1 × 5 mm), and subjected to thermocycling to simulate aging. Specimens were randomly allocated into six groups (n = 12) based on surface treatment and repair material: phosphoric acid etching followed by repair with either Tetric EvoCeram (Group 1) or Filtek Z350 XT (Group 2); diamond bur roughening followed by repair with Tetric EvoCeram (Group 3) or Filtek Z350 XT (Group 4); and air abrasion followed by repair with Tetric EvoCeram (Group 5) or Filtek Z350 XT (Group 6). μTBS testing was performed using a universal testing machine, and failure patterns were examined under a stereomicroscope at 40× magnification. The highest bond strength values were observed in Groups 5 and 6 (air abrasion), followed by Group 3 (diamond bur). Groups 1, 2, and 4 showed significantly lower bond strength values (p < 0.05). No significant differences in failure modes were reported across groups. These findings suggest that air abrasion is a superior surface treatment for repairing aged bulk-fill resin composites, as it significantly enhanced μTBS compared to phosphoric acid etching and diamond bur roughening.