Effects of Provisional Cement Cleaning Methods on Resin-Dentin Bond Strength Following Immediate Dentin Sealing with...

This study evaluated the effects of different provisional luting cement removal methods on the shear bond strength (SBS) of resin cement to dentin following immediate dentin sealing (IDS) performed with two adhesive systems. A total of 168 extracted, caries-free human third molars were used, of which 144 were allocated for SBS testing and 24 for scanning electron microscopy (SEM) analysis. Specimens were assigned according to the IDS protocol (no IDS, IDS with OptiBond FL, or IDS with G2-Bond), followed by provisional cementation using an eugenol-free temporary cement. Contaminated surfaces were subsequently cleaned with a hand scaler, aluminum oxide (Al₂O₃) air abrasion, or Katana Cleaner prior to final bonding with a dual-cure resin cement. SBS was measured after 24 h of water storage, and surface morphology was evaluated by SEM at 2500× magnification. IDS significantly increased SBS under uncontaminated conditions, with G2-Bond-based IDS exhibiting higher bond strength values than specimens without IDS. However, provisional cement contamination significantly reduced SBS regardless of the cleaning method applied, and none of the tested protocols fully restored the bond strength observed in uncontaminated IDS-treated dentin. SEM analysis revealed residual cement remnants and surface alterations after cleaning, even in specimens that appeared macroscopically clean. Within the limitations of this in vitro study, IDS enhances resin-dentin bonding when contamination is avoided; however, current mechanical and chemical cleaning methods are insufficient to completely recover bond strength compromised by provisional cement contamination, highlighting the importance of preventing contamination and preserving IDS layer integrity during indirect restorative procedures.