Shear bond strength of Dyract compomer material to dentin of primary molars

The purpose of this study was to measure and compare the shear bond strength and fracture pattern of Dyract compomer material with and without use of PSA prime/adhesive as well as 35% phosphoric acid etching to the buccal dentin of primary first and second molars. In addition, micromorphology of the restorative surfaces opposing the tooth structure following these different surface treatments was evaluated. For shear bond strength measurement and fracture pattern evaluation, 36 extracted non-restored human primary molars with mild to moderate caries divided into 3 groups of 12 teeth each were used. Dyract with and without use of PSA prime/adhesive as well as 35% phosphoric acid etching for 15 seconds prior to placement of PSA prime/adhesive was applied to the buccal surface of exposed dentin. A standardized tube of Dyract was placed on each dentin surface and polymerized. The tubes were sheared off with a Universal testing machine at a cross head speed of 12.7 mm/min. For evaluation of the restorative surfaces opposing the tooth structure, 9 teeth divided into 3 groups of 3 teeth each were used to prepare the specimens, which were then demineralized in 10% hydrochloric acid for 24 hours. Fitting surfaces of these specimens were prepared and examined using scanning electron microscope. Tukey's multiple range test showed that the shear bond strength of Dyract with PSA prime/adhesive (group 1) was statistically significantly higher than Dyract without PSA prime/adhesive (group 2) and phosphoric acid etching (group 3). The shear bond strength in group 1 averaged 5.89 +/- 1.40 (X + SD MPa) while for groups 2 and averaged 1.49 +/- 0.69 and 3.69 +/- 0.89 respectively. Pretreatment of dentin surface with 35% phosphoric acid increased resin tags formation but it did significantly lower shear bond strength of Dyract with PSA prime/adhesive to dentin of primary molars. Bond failure patterns for all groups were only adhesive and mixed type failures.