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JPOR 603 No. of Pages 6

journal of prosthodontic research xxx (2019) xxx–xxx

Contents lists available at ScienceDirect

Journal of Prosthodontic Research


journal homepage: www.elsevier.com/locate/jpor

Original article

Surface treatments of a glass-fiber reinforced composite:


Effect on the adhesion to a composite resin
Ana C. Cadore-Rodriguesa , Luís F. Guilardia , Vinicius F. Wandscherb ,
Gabriel K.R. Pereirac , Luiz F. Valandroa,* , Marília P. Rippea
a
Post-Graduate Program in Oral Science, Division of Prosthetic Dentistry, Federal University of Santa Maria, Marechal Floriano Peixoto Street 1184, 97015-372
Santa Maria, Rio Grande do Sul State, Brazil
b
Faculty of Odontology, Prosthodontics Unit, Franciscan University, Silva Jardim Street 1175, 97010-491 Santa Maria, Rio Grande do Sul State, Brazil
c
Post-Graduate Program in Dentistry, School of Dentistry, Meridional Faculty – IMED, Senador Pinheiro Street 304, 99070-220 Passo Fundo, Rio Grande do
Sul State, Brazil

A R T I C L E I N F O A B S T R A C T

Article history: Purpose: To compare the effect of different surface treatments (pre-treatments and bonding agents) on
Received 29 January 2019 the bond strength between glass-fiber post and composite resin, and the topographic alterations of the
Received in revised form 7 July 2019 treated post surface.
Accepted 3 September 2019
Methods: Thirty-six glass-fiber blocks (12 mm  10 mm  8 mm) were specifically manufactured for this
Available online xxx
study and randomly assigned into 12 groups considering two factors: ‘pre-treatments’ (–cleaning with
70% alcohol; air-abrasion with silica-coated aluminum oxide particles; 35% hydrogen peroxide) and type
Keywords:
of ‘bonding agent’ (no bonding agent; application of Monobond Plus; RelyX Ceramic Primer; Single Bond
Airborne-particle abrasion
Chemical interaction
Universal). After that, 6 cylindrical templates ( 1mm high  1 mm Ø) were fixed on each block, filled with
Microshear bond test composite resin (n = 18) and light-cured. Specimens were stored under 37  C for 24 h and microshear tests
Pre-fabricated intraradicular posts (wire loop Ø = 0.2 mm) were performed. Topographic, roughness and failure analyses were also
Surface pre-treatment performed.
Results: Different surface pre-treatments led to different topographic and roughness alterations; a higher
surface alteration was noted after silica particles air-abrasion, while a slight surface alteration in the
hydrogen peroxide group and a smooth pattern were observed in the cleaning group. The factors ‘pre-
treatments’ (p < 0.05), ‘bonding agent’ (p < 0.05) and their interaction (p < 0.05) influenced the bond
strength. Silica coating, apart from bonding agent application, or Single Bond Universal application
without pre-treatment promoted the highest bond values. The main failure type was adhesive at the
resin-post interface.
Conclusions: In terms of pre-treatments, silica coating promotes the best bonding performance, but pre-
treatments can be dispensable when applying Single Bond Universal.
© 2019 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

1. Introduction
root canal and also present increased aesthetic properties in
Glass-fiber posts are widely used in restorative rehabilitation of comparison to the metal-based intraradicular posts [2].
endodontically treated teeth that present extensive loss of coronal A major concern that is raised with the increased use of
structure [1] due to the similar Young modulus to tooth dentin. It prefabricated glass-fiber post is to achieve proper adhesion to the
provides a more homogeneous stress distribution along the intraradicular dentin, since its most frequent failure mode is
debonding [2]. Several surface treatments have been studied to
improve the bond between resin cements and glass-fiber posts [3].
* Corresponding author at: Luiz Felipe Valandro, D.D.S., M.Sci.D., Ph.D., Associate
These treatments can be performed through a physical mechanism
Professor, Federal University of Santa Maria, Faculty of Odontology, Graduate (e.g., air-abrasion, acid etching) by increasing the surface
Program in Oral Science, Prosthodontics Unit, 1000 Roraima Av. T Street, Building roughness of the glass-fiber posts and by removing a superficial
26F, Room, 2386, 97105-900, Santa Maria, Rio Grande do Sul State, Brazil. layer of resin matrix, exposing the silica present in the reinforce-
E-mail addresses: anacadorerodrigues@gmail.com (A.C. Cadore-Rodrigues),
ment fibers; or a chemical mechanism, by using primers which
luisfguilardi@hotmail.com (L.F. Guilardi), viniwan@hotmail.com (V.F. Wandscher),
gabrielkrpereira@hotmail.com (G.K.R. Pereira), valandrolf@gmail.com chemically interact with the post surface; or an association of both
(L.F. Valandro), mariliarippe@mail.ufsm.br (M.P. Rippe). mechanisms [3].

https://doi.org/10.1016/j.jpor.2019.09.001
1883-1958/ © 2019 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

Please cite this article in press as: A.C. Cadore-Rodrigues, et al., Surface treatments of a glass-fiber reinforced composite: Effect on the adhesion
to a composite resin, J Prosthodont Res (2019), https://doi.org/10.1016/j.jpor.2019.09.001
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Table 1. List of materials used: commercial names, manufacturers, batch numbers and composition based on the manufacturer’s information.

Material (commercial name) Manufacturer Lot number Composition


Glass-fiber block FGM Produtos – Glass fiber, epoxy resin, inorganic filler, silane, polymerization promoters
Odontologicos
Hydrogen peroxide (Whiteness HP FGM Produtos 170815 After mixture of the phases: hydrogen peroxide at 30%–35%, thickeners, dye
Maxx) Odontologicos mixture,
glycol, inorganic load and deionized water
CojetTM System 3M Espe AG 407592 Aluminum trioxide (30 mm), amorphous silica
Monobond Plus Ivoclar Vivadent Inc. U25466 Alcohol solution of silane methacrylate, phosphoric acid methacrylate and sulphide
methacrylate
Relyx Ceramic Primer 3M Espe AG N561569 Pre-hydrolyzed, single-phase silane, ethanol (70%–80%), water (20%–30%)
Single Bond Universal 3M Espe AG 1316100849 MDP phosphate monomer, dimethacrylate resins, HEMA, methacrylat emodified
polyalkenoic acid copolymer, filler, ethanol, water, initiators, silane
Composite Resin FGM Produtos 80172310008 Bis (GMA), Bis (EMA), UDMA, TEGDMA, barium–aluminum, silanized silicate and
(Opallis, shade A2) Odontologicos nanoparticles of silicon dioxide, camphoroquinone, accelerators, stabilizers and
pigments

The association of surface treatment and silanization (silane strength of composite resin to the glass-fiber reinforced
coupling agent application) is able to improve the retention into composite blocks.
root canals compared to silanization alone [3]. The use of air-
abrasion (silica-coated aluminum oxide particles) generates 2. Materials and methods
micro-retentions, which increase the roughness and the total
surface area, and leads to a localized increase of temperature The materials used in this study and their respective composi-
resulting in silica fusion and its encrustation on the surface from tion are shown in Table 1.
the collision of particles to the substrate, thus combining chemical
and micromechanical retention [4–6]. This protocol associated 2.1. Glass-fiber block preparation
with silanization can increase the bond strength between cement
and dentin [4–6]. Moreover, air-abrasion with aluminum oxide Glass-fiber reinforced composite (FRC) blocks were specially
particles modified by silica result in higher bond strength between designed and manufactured by FGM (FGM Dental, Joinville,
quartz fiber posts and resin cement compared to phosphoric acid Brazil) for this study using the same manufacturing methodol-
(32%) and hydrofluoric acid (10%) [7]. ogy (preparing, mixing components and machining) of their
Hydrogen peroxide application is another alternative treatment commercially available glass-fiber posts (Whitepost DC, FGM
that seems to increase the bond strength between the post and the Dental). Thus, these blocks presented the same composition,
composite resin core [8]. It removes a superficial layer of epoxy fiber content, and fiber direction of the commercial glass-fiber
resin creating micromechanical retention for the composite resin posts, but had a different shape, i.e. a rectangular shape
and leaves the glass-fibers free for chemical bonding to silane (12 mm  10 mm  8 mm) which made the microshear bond test
agents, without damaging the post surface [2,4]. In addition, possible (Fig. 1).
different concentrations of hydrogen peroxide (24% and 50%) are The blocks were embedded in plastic rings with self-curing
able to partially dissolve the epoxy resin and expose the glass- acrylic resin (Vipi Produtos Odontologicos, Pirassununga,
fibers [9]. São Paulo, Brazil), keeping the bond surface free from
Some studies which only considered chemical interactions of contamination and perpendicular to the vertical axis. Then,
primers to the fiber post surface have also presented interesting the blocks were randomly assigned into 12 groups (n = 18)
possibilities. The use of different primers (use of only silane or considering two factors: pre-treatment and type of bonding
its association with different adhesive systems) on the bond agent (Table 2). The experimental unit was the ‘composite
strength to fiber posts noticed no statistically significant resin cylinder’.
difference among groups [10]. In contrast, Goracci et al. showed
that the use of silanization increases the bond strength between 2.2. Surface treatments of the glass-fiber reinforced composite
two systems of pre-fabricated posts and two flowable composite
resins [11]. Silane coupling agents increase the surface energy of Prior to surface treatments, the specimens were cleaned under
the post resulting in better wetting for bonding agents, and friction with gauze soaked in 70% alcohol.
creates a siloxane linkage between the organic substrate of resin
and the inorganic phase of the post, improving the bond 2.2.1. Pre-treatments
strength [12].
As aforementioned, achieving a strong adhesion between fiber 2.2.1.1. Cleaning (baseline group). Cleaning under friction with
posts and composite resin is mandatory for the predictability of gauze soaked in 70% alcohol, followed by gentle air-drying.
such restorative assembly. The existence of many in vitro studies
using different systems and approaches aiming to clarify this topic 2.2.1.2. Hydrogen peroxide. The 35% hydrogen peroxide
have been clearly observed in literature [3]. (Whiteness HP Maxx, FGM) was applied on the FRC surface with
In this context, the aim of this study was to compare the microbrush for 1 min, followed by washing and rinsing with
effect of different surface treatments (pre-treatments and distilled water and gentle air-drying.
bonding agents) on the bond strength of a composite resin to
glass-fiber post, and describe the surface topography alterations 2.2.1.3. Silica coating. The air-abrasion with 30 mm silica-coated
created by the different pre-treatments. The study assumed the aluminum oxide particles (CojetTM System, 3M Espe AG, Seefeld,
null hypothesis that the use of different surface pre-treatments Bavaria, Germany) was executed for 10 sec at a distance of 10 mm
and chemical bonding agents would not influence the bond from the device tip, with oscillatory movements and at a pressure

Please cite this article in press as: A.C. Cadore-Rodrigues, et al., Surface treatments of a glass-fiber reinforced composite: Effect on the adhesion
to a composite resin, J Prosthodont Res (2019), https://doi.org/10.1016/j.jpor.2019.09.001
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A.C. Cadore-Rodrigues et al. / journal of prosthodontic research xxx (2019) xxx–xxx 3

Figure 1. Digital photography of the block and the fiber-post commercially available (A); and stereomicroscopies (Stereo Discovery V20; Carl Zeiss AG) of the specially
designed block (B, C and D) and of the glass-fiber post commercially available (Whitepost DC3, FGM Dental) (E, F and G) in 35, 60 and 150 of magnification.

Table 2. Experimental groups.

Groups Mechanical treatment Chemical treatment


1 Cleaning – friction with gauze soaked in 70% alcohol No bonding agent
2 followed by gentle air-drying. Monobond Plus – applied actively + 60 sec for solvent evaporation and gentle air-dry
3 Relyx Ceramic Primer – applied actively for 5 sec + allowed to dry for 5 sec
4 Single Bond Universal – applied actively for 20 sec + gentle air-dry for 5 sec
5 Hydrogen peroxide – 35% concentration applied with No bonding agent
6 microbrush for 1 min + wash and rinse + gentle air-drying. Monobond Plus – applied actively + 60 sec for solvent evaporation and gentle air-dry
7 Relyx Ceramic Primer – applied actively for 5 sec + allowed to dry for 5 sec
8 Single Bond Universal – applied actively for 20 sec + gentle air-dry for 5 sec
9 Silica coating - air-abrasion with 30 mm silica-coated aluminum No bonding agent
10 oxide particles, 10 mm distance, for 10 sec at 2.8 bar Monobond Plus – applied actively + 60 sec for solvent evaporation and gentle air-dry
11 Relyx Ceramic Primer – applied actively for 5 sec + allowed to dry for 5 sec
12 Single Bond Universal – applied actively for 20 sec + gentle air-dry for 5 sec

of 2.8 bar. All the specimens were then gentle air-dried to remove tubes with a WHO probe (Golgran, São Caetano do Sul, São Paulo,
any debris. Brasil) and light-cured (Radii-cal LED curing light, SDI, Bayswater,
Australia) for 20 sec.
2.2.2. Bonding agents
2.4. Microshear test
2.2.2.1. No bonding agent. No bonding agent was applied.
Prior to testing, all specimens were stored in distilled water in a
2.2.2.2. Monobond Plus. Monobond Plus was actively applied with steam chamber (Laboratory thermo incubator – FANEM, São Paulo,
a microbrush and kept untouched for 60 sec (solvent evaporation). Brazil) for 24 h at 37  C. Next, the starch tubes were carefully
Then, it was gentle air-dried to remove the excess. removed under a gentle water stream [13] and the microshear test
was performed.
2.2.2.3. RelyX Ceramic Primer. RelyX Ceramic Primer was applied It is important to highlight that the researcher who executed
actively with microbrush and kept untouched for 5 sec (solvent these tests was blinded to the group they were testing. The samples
evaporation). It was then gentle air-dried for 5 sec. were placed in a jig attached to a universal testing machine (EMIC
DL-2000, EMIC, São José dos Pinhais, Brazil). A wire loop (0.20 mm
2.2.2.4. Single Bond Universal (SBU). Single Bond Universal was in diameter) was positioned at the interface between the
actively applied with microbrush for 20 sec, gentle air-dried for composite resin and the glass-fiber block, and an increasing load
5 sec for excess removal, and light-cured for 20 sec. was applied at a crosshead speed of 1.0 mm/min until failure
occurred [13]. Care was taken to keep the composite cylinder in
2.3. Performing the composite resin cylinders line with the center of the load cell and to keep the wire loop
parallel to the load cell’s movement direction and to the bonding
The methodology described by Tedesco et al. was used to interface.
increase manufacturing reproducibility and to standardize the
samples’ dimensions [13]. To do so, starch tubes (Renata, 2.5. Failure analysis
Pastificio Selmi; Londrina, PR, Brazil) with 1 mm high and having
0.96 mm internal diameter served as cylindrical matrices for All fractured specimens were analyzed under a stereomicro-
manufacturing the microshear samples. The tubes were posi- scope (Stereo Discovery V20; Carl Zeiss AG, Oberkochen, Baden-
tioned on the FRC block surface and fixed with wax (Wax Pink Württemberg, Germany) at 40 magnification to categorize the
7 – Lysanda, São Paulo, Brazil). The composite resin (Lot: failure type in adhesive (failure at the resin-FRC interface) or
80172310008, shade A2, Opallis, FGM) was inserted into the cohesive failure (failure of the restoration or the glass-fiber block).

Please cite this article in press as: A.C. Cadore-Rodrigues, et al., Surface treatments of a glass-fiber reinforced composite: Effect on the adhesion
to a composite resin, J Prosthodont Res (2019), https://doi.org/10.1016/j.jpor.2019.09.001
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Table 3. Bond strength data (mean and standard deviation in MPa) obtained on the microshear test and roughness analysis.

Type of bonding agent

FRC pre-treatment No bonding agent Monobond plus Relyx ceramic primer Single bond universal Overall values Roughness

Cleaning 4.4 (1.8) Bb 6.5 (1.4) Bb 5.8 (2.3) Bb 11.1 (3.6) Aa 7.0 B Before treatment After treatment
Hydrogen Peroxide 5.1 (1.3) Bb 5.6 (2.2) Bb 6.9 (2.2) Bab 8.2 (2.3) Ba 6.5 B 3.0 3.1
Silica coating 9.0 (2.5) Aa 9.6 (3.1) Aa 10.6 (3.1) Aa 8.5 (1.5) Ba 9.5 A 3.4 4.3
Overall values 6.2 c 7.3 bc 7.8 b 9.3 a

*Different uppercase letters, considering each column, indicate statistical differences for pre-treatments under the same bonding agent.
**Different lowercase letters, considering each line, indicate statistical difference for bonding agents, keeping the same pre-treatment.

Figure 2. Representative images of the failure analysis performed in stereomicroscope with 40 magnification. Adhesive failure: exposed glass-fibers (GF) with absence of
resin composite debris; B- Cohesive failure: mainly composite resin (CR) debris.

2.6. Topographic analysis bonding agents, the SBU generated the highest bond strength
values when the pre-treatment was ‘Cleaning’, and it was similar to
A descriptive analysis on a field emission scanning electron the other bonding agents when pre-treated by silica coating
microscope (FE-SEM, Inspect F50, FEI, North America Nano Port, (Table 3).
Hillsboro, Oregon, USA) was performed to determine the All the failures were adhesive between the glass-fiber block and
topographical pattern after each surface pre-treatment. To do so, composite resin interface. Only one specimen from the ‘silica-
the specimens (n = 2 per condition) were coated with a gold- coating + SBU’ condition showed cohesive failure in the composite
palladium alloy and then the images were obtained at 1000 and resin (Fig. 2B).
5000 of magnification. Topographic analysis of the FRC surface after pre-treatments
showed a smooth pattern in the cleaning group, with unaltered
2.7. Roughness analysis glass-fibers and resin matrix; while for the hydrogen peroxide
group, a slight surface alteration can be seen, without great impact
The surface roughness of one specimen from each group was on resin matrix degradation and little impact on roughness
measured using a roughness tester (Mitutoyo SJ-410, Mitutoyo (Table 3); an intense surface alteration can be noted after silica
Corporation, Takatsu-ku, Kawasaki, Kanagawa, Japan). Three particle air-abrasion, with irregularities owing to the impact of
measures were performed in the direction of the post fibers and particles and deposition of silica particles onto the FRC surface,
three in the opposite direction of the post fibers. The analyzes were which probably generated more roughness and more defects for
performed before and after the surface pre-treatment. better micromechanical interlocking (Fig. 3).

2.8. Statistical analysis 4. Discussion

After assuring a parametric (tested by Shapiro Wilk normality Our data support that the silica coating promoted the highest
test) and homogenous (tested by Levene homoscedasticity test) bond strength among the evaluated pre-treatments when execut-
distribution of measurements, the data was submitted to two-way ed solely or in combination with the Monobond Plus and RelyX
ANOVA and Tukey’s post-hoc tests (α = 0.05). Ceramic Primer chemical primers. The Single Bond Universal
without surface pre-treatment promoted the highest bond
3. Results strength among the evaluated bonding agents. Therefore, the null
hypothesis that the surface pre-treatments and the use of chemical
Two-way ANOVA and Tukey’s tests showed that both pre- bonding agents would not influence the bond strength of
treatment (p < 0.05) and bonding agent (p < 0.05) factors affected composite resin to glass-fiber reinforced composite blocks was
the bond strength values. Regarding the pre-treatments, the silica rejected.
coating led to the highest bond strength values for all bonding The air-abrasion with alumina particles coated by silica
agents, except for the SBU bonding agent. In comparing the (CojetTM System) acts through the impact of the particles

Please cite this article in press as: A.C. Cadore-Rodrigues, et al., Surface treatments of a glass-fiber reinforced composite: Effect on the adhesion
to a composite resin, J Prosthodont Res (2019), https://doi.org/10.1016/j.jpor.2019.09.001
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Figure 3. Representative photomicrographs of surface treatments of FRC material at 1000 and 5000 of magnification. An intense surface alteration can be noted after silica
particles air-abrasion due to the impact of particles and deposition of silica particles onto FRC surface (C,F). While after hydrogen peroxide some glass-fibers were exposed (B,
E) and for the cleaning group the glass-fibers and resin matrix remained unaltered (A,D).

against a substrate. This collision generates irregularities and Previous existing literature has already elucidated that the
creates micro-retentions, increasing the surface roughness and presence of MDP monomers in the bond systems enhance
improving the micromechanical interlocking of the composites adhesion to dentin and metal oxides, such as zirconia and alumina
[4,14]. Additionally, the impact energy created during air-abrasion [18]. However, the mechanism of chemical interaction between
leads to an increase in temperature that results in the silica MDP and pre-fabricated glass-fiber posts is still unclear, which
melting and its attachment to the substrate surface. Furthermore, emphasizes the need for well-designed studies with this objective.
when this condition is followed by the silane application it Nevertheless, it is theorized that the action mechanism would be
enhances the surface chemical reactivity, thereby promoting similar to the one observed on metal oxides, which could justify
siloxane bonds between the deposited silica and the composite the improvement in adhesion when this system is solely employed.
resin or resin cement applied for manufacturing/luting of the The MPS (methacryloxypropyltrimethoxysilane) silane does
restoration [14]. According to Zicari et al., air-abrasion with silica not interact well with the epoxy matrix compromising the bond
coated particles modified the surface structure of the glass-fiber strength between the epoxy resin phase of the fiber post and the
post which increased its roughness and significantly improved its methacrylate-based composite resin [4]. The silane coupling is a
bond strength to the resin cement [15]; this is in accordance with technique-sensitive material, and factors such as pH, solvent
the findings by Schmage et al. [16], and also corroborates our content and molecule size can influence its efficacy. Maybe these
findings. factors compromised the performance of the SBU system [19]
In relation to the hydrogen peroxide pre-treatment, Valdivia when combined with other pre-treatments or chemical treatments
et al. found higher values for bond strength between post and resin due to the incompatibility of systems as they would use different
cement when using 24% hydrogen peroxide for 1 min compared to mechanisms for chemical interactions, and which could be the
10% hydrofluoric acid, 37% phosphoric acid and 70% alcohol also for reason for the worse performance when this system (SBU) was
1 min [17]. In contrast, we found similar bond strength results in used combined.
our study between the group pre-treated with 35% hydrogen The silane primers (RelyX Ceramic Primer and Monobond Plus)
peroxide for 1 min and the group without pre-treatment only present bifunctional molecules which react with the glass-fiber
cleaned with 70% alcohol. The glass-fibers are covered with highly post surface (inorganic side) and with the resin matrix (organic
cross-linked, low-reactive epoxy resin, and its exposure allows side), creating a chemical bond [20]. The literature on the use of
more effective formation of siloxane bonds between the silane silane agents to improve the bond strength between glass-fiber
agent and the glass-fibers [4]. The results for 35% hydrogen posts and composite resins is still controversial. According to
peroxide can be explained since it only slightly altered the block Oliveira et al., silane application results in increased bond strength
surface (Fig. 3), limiting both the exposure of glass-fibers and the to pre-fabricated posts when luting with conventional resin
micromechanical interlocking which are responsible for enhancing cements, while its effect for self-adhesive cements seems non-
the bond strength to the composite resin. existent or harmful (i.e. no impact on adhesion or even a
Regarding the evaluated bonding agents, Single Bond Universal decrease in the bond strength) [18]. On the other hand, some
promoted the highest bond strength when used alone (without studies have noticed an undeniable increase in the bond strength
surface pre-treatment). The bond strength values decreased when between glass-fiber post and composite resin after silane
the pre-treatments (Hydrogen Peroxide and Silica Coating) were application [21,22].
combined with SBU. These results may be explained by the Along these lines, Rosatto et al. stated that the effect of silane
composition of SBU, as it contains MDP (10-methacryloyloxydecyl agents is influenced by the wettability of the substrate [22], which
dihydrogen phosphate) [15]. The MDP presents a functional could be the reason why both silane systems evaluated in the
phosphoric acid group in its composition, which may be present study (RelyX Ceramic Primer and Monobond Plus) present
considered a major bond promoter, as it interacts with the statistically similar values, regardless of the pre-treatment used.
hydroxyapatite; it also contains a photo-reactive methacrylate The difference between the silane systems used in this study is that
group which interacts with the resin matrix, and a 10 carbon chain the Monobond Plus presents additional phosphoric and sulfite
(decyl group) which acts in guaranteeing space to separate the methacrylates in its composition; however, the silane methacry-
previously mentioned active groups [15]. late is present in both systems. Thus, it seems that these two

Please cite this article in press as: A.C. Cadore-Rodrigues, et al., Surface treatments of a glass-fiber reinforced composite: Effect on the adhesion
to a composite resin, J Prosthodont Res (2019), https://doi.org/10.1016/j.jpor.2019.09.001
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Acknowledgement
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Please cite this article in press as: A.C. Cadore-Rodrigues, et al., Surface treatments of a glass-fiber reinforced composite: Effect on the adhesion
to a composite resin, J Prosthodont Res (2019), https://doi.org/10.1016/j.jpor.2019.09.001

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