Dentin bonding: SEM comparison of the dentin surface in primary and permanent teeth

The literature suggest differences between primary and permanent teeth regarding the composition and morphology of the dentin. The purpose of this study was to compare the effect of two dentin conditioners on the micromorphology of the dentin surface of primary and permanent teeth. Human extracted and noncarious molars were divided into four groups and conditioned with either 10% phosphoric acid (All-Bond 2) or 10% maleic acid (Scotchbond Multi-Purpose) for different time periods. SEM photomicrographs (1500x) were taken from the conditioned dentin and evaluated blindly by three calibrated examiners. The results indicate that the smear layer was removed more easily from primary teeth than from permanent teeth (P = 0.0001), which suggests greater reactivity to acidic dentin conditioners. We also found that the longer the time of application of dentin conditioner the more smear layer is removed (P = 0.0094). In comparing primary and permanent dentin, the results of this study indicate that less time is required for appropriate acid conditioning of primary dentin surfaces. Such a differentiated protocol for bonding to primary tooth dentin results in surface morphological characteristics similar to those found in conditioned permanent teeth.