Objective: Hydrophilic resins bond very well to wet dentin but tend to absorb water and weaken dentin bonds over-time. If hydrophobic resins could be coaxed into acid-etched dentin using dentin wet with ethanol instead of water, resin-dentin bonds may be more durable. Purpose: To measure microtensile bond strengths (MTBS) of five experimental resins of increasing hydrophilicity bonded to human third molar dentin. Methods: All five resins (see Ito et al., Biomaterials, 2005;26:6449-59 for composition) were solvated in 50 vol% ethanol and applied to dentin etched with 37% PA for 15 sec. There were 3 different surfaces: Group 1-dentin wet with water; Group 2-dentin wet with ethanol; Group 3-dentin dried for 30 sec. After bonding, composite buildups were created and then the teeth were placed in water at 37°C for 24 hr. They were then cut longitudinally into slabs and the slabs trimmed into hour-glass shapes 0.7 mm thick and 0.7 mm wide. Results: Microtensile bond strengths (MPa) were:
Group/δh Condition | Resin 1 6.4(J/cm3)½ | Resin 2 8.4(J/cm3)½ | Resin 3 9.9(J/cm3)½ | Resin 4 10.6(J/cm3)½ | Resin 5 10.7(J/cm3)½ |
1-wet H2O | 5.4±2.9(6)a | 5.4±2.7(10)a | 24.6±6.0(16)b | 15.7±7.1(16)b | 46.7±17.4(16)c |
2-wet EtOH | 16.6±4.6(11)b | 24.8±6.4(16)b | 35.6±8.9(16)c | 35.8±5.2(19)c | 47.9±12.3(16)c |
3-dry 30 s | 2.6±1.2(4)a | 1.9±0.8(4)a | 13.4±7.4(11)b | 11.9±5.6(16)b | 13.6±6.9(9)b |
Values are mean ± SD (n) MPa. Hydrophilicity ranked by Hoy's δh(J/cm3)½.
Regression analysis of microtensile bond strength vs. δh values revealed highly significant correlations (Group 1, R2=0.71, p<0.005; Group 2, R2=0.94, p<0.01; Group 3, R2=0.77, p=0.05). The next challenge is to see how durable the bonds are over-time. Conclusions: Wet bonding with ethanol improved bond strength of all experimental resins solvated in ethanol, compared to wet bonding with water or dry bonding. Phase changes were seen in resins 1 and 2 when bonding to dentin wet with water but not wet with ethanol. Supported by R01 DE014911 from the NIDCR (P.I. D.Pashley).