Objectives: Evaluate effect of five photoinitiator systems on DC and resin/composite-dentin shear bond strength (SBS).
Methods: DCs of hydrophilic (PMGDM/HEMA) and hydrophobic (BisGMA/TEGDMA) resins containing 5 photoinitiator systems; BAPO, BAPO/benzoyl peroxide (BAPO/BPO), camphorquinone/ethyl-4-dimethylaminobenzoate (CQ/4E), CQ/BAPO, and CQ/BPO were measured at 24-hour by FTIR using Near-infrared (NIR; 1.8mm-thick resins) for both resins and Mid-infrared (Mid-IR;25 micron-thick resins) for BisGMA/TEGDMA (n=5). 50 sound molars were randomly divided into 5 groups by photoinitiator system. All teeth were flattened and ground with #320-grit SiC papers to completely remove coronal enamel before application of a 3-step etch-and-water rinse, primer and bonding resin adhesive (35% phosphoric acid etchant, PMGDM/HEMA/50%acetone primers, and BisGMA/TEGDMA bonding resins) and a commercial resin-based composite (TPH3, Dentsply). SBS (knife-edge chisel-on-iris) was evaluated at 24-hour followed by fracture mode evaluation under a light microscope.
Results:
Photoinitiators | DC at 24h (%) by NIR | Mean SBS at 24h (MPa) | |
Bis-GMA/TEGDMA7:3 by mass | PMGDM/HEMA 3.3:1 by mass. | ||
BAPO (1%) | 81.37(±0.52)A,a | 76.58(±0.46)B,b | 35.31(±6.87)A |
BAPO (1%) BPO (1%) | 81.97(±0.78)A,a | 79.20(±0.53)A,b | 35.58(±7.56)A |
CQ (0.25%) 4E (1%) | 76.61(±1.08)B,a | 67.53(±0.55)C,b | 27.22(±9.04)B |
CQ (0.25%) BAPO (1%) | 80.06(±1.84)A,a | 76.70(±1.61)B,b | 21.17(±5.92)B |
CQ (0.25%) BPO (1%) | 74.35(±0.72)C,a | 58.68(±0.78)D,b | 14.28(±2.35)C |
Groups with same upper case letters within columns and same lower case letters within rows are not significantly different (p > 0.05). | |||
NIR measured significantly higher DC of BisGMA/TEGDMA resin at 24-hour compared to Mid-IR; BAPO=59(±1.6)%, BAPO/BPO=61(±1.6)%, CQ/4E=54(±1.5)%, CQ/BAPO=62(±1.6)%, CQ/BPO=59(±0.5)%. No cohesive failures were observed. Groups with lower SBS had a higher percentage of joint failures; while groups with higher SBS had a higher percentage of mixed failure. Conclusion: The use of BAPO alone and in combination with BPO and CQ increased DC of both hydrophobic and hydrophilic resins over resins containing CQ/4E. Only BAPO and BAPO/BPO demonstrated significantly higher SBS over resins containing CQ/4E. Supported by NIST, NIDCR Interagency agreement (Y1-DE-7005), ADAF PRC, and University of Iowa.