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A Comparison of the Tensile Bond Strengths of Composite Resins to Longitudinal

and Transverse Sections of Enamel Prisms in Human Teeth


T. MUNECHIKA, K. SUZUKI*, M. NISHIYAMA, M. OHASHI, and K. HORIEt
Department of Dental Materials, Nihon University School of Dentistry, 1-8-13, Surugadai, Chiyodaku, Tokyo; *Okayama University School of
Dentistry, 2-5-1, Shikatacho, Okayamashi, Okayama; and tNihon University School of Dentistry at Matsudo, 870-1, Sakaecho, Nishi-2,
Matsudoshi, Chiba, Japan
The tensile bond strengths of composite resins to transverse and prisms, the buccal surface was ground flat on a polishing
longitudinal sections of enamel prisms etched with phosphoric machine under a continuous flow of water. Both types of
acid were examined. The tensile bond strengths were 18-19 MPa to surfaces were given a final polish with JIS # 1000 sandpaper.
the transverse and 10-11 MPa to the longitudinal sections and thus These polished surfaces were dried with compressed air
were influenced by the nature of the enamel crystal planes. These immediately before use, etched with 40% phosphoric acid
facts suggest that composite resin restorations will have a longer solution for from ten to 180 sec, and then washed in run-
life span if the enamel walls are given marginal forms to produce
transverse rather than longitudinal sections of enamel prisms. ning water and dried with compressed air. Oblong areas
measuring 1.2 x 3.0 mm on the etched enamel surface were
J Dent Res 63(8):1079-1082, August, 1984 masked off with PVC self-adhesive tape, and the experi-
mental cavity for filling was then made by placing a poly-
Introduction. ethylene ring on that. To one exposed surface was applied
the mixed bonding agent of Clearfil Bond System-F §
In previous studies, composite materials showed fairly high according to the manufacturer's recommendations, and the
bond strengths to etched human enamel (Rock, 1974; mixed composite resin was immediately placed on it. To
Munechika et al., 1980; Beech and Jalaly, 198 1; Munechika another exposed surface was applied the bonding agent for
et al., 198 1; Munechika, 1983) and to human dentin when ultraviolet light-polymerized resins composed of N,O-
used in combination with bonding agents or coupling dimethacryloxy tyrosine (DMTY) (Suzuki et al., 1979)
agents of several kinds of functional methacrylate mono- and 2-hydroxy ethyl methacrylate (HEMA).¶ I nmediately
mers (Suzuki et al., 1979; Suzuki et al., 1980; Bowen et al., afterward, the composite resin [Bis-GMA (Bowen, 1962;
1982; Munechika, 1983; Munechika et al., 1983). However, Suzuki et al., 1979) monomer, diluted by triethylene glycol
composite restorations presently require the acid etch dimethacrylate° containing approximately 65% silica glass
technique with phosphoric acid to provide adequate bond particulate filler], of the ultraviolet light-polymerized type,
strength to enamel. was placed on it. Following this, the resin was exposed to
In vitro, the concentrations of phosphoric acid solution, ultraviolet light for polymerization with Duralux UV-300 '
etching time, etched surface structure (Silverstone, 1974; for 120 sec (Munechika, 1983). After polymerization, the
Munechika et al., 1980; Munechika et al., 1981), and bond polyethylene ring was removed from the specimens, and
strengths of the composite materials (Rock, 1974; Mun- they were stored in 370C water for 24 hr and then tested.
echika et al., 1980; Beech and Jalaly, 1981; Munechika Measurement of tensile bond strengths. -On the speci-
et al., 1981) have been investigated on transverse sections mens, a brass cap attachment was fixed on top of the com-
of enamel prisms, but in vivo, longitudinal sections of posite resin, according to the method employed by Suzuki
enamel prisms are usually exposed when the cavity walls et al. (1979). Tensile bond strengths were measured with an
are filled with composite materials. Instron Universal Tensile Machine equipped with the
Although resin tag formation (Crawford and Whittaker, tensile adhesive test apparatus using a tensile speed of 2.0
1977) has been studied, the bond strengths of composite mm/min.
materials with the etched longitudinal sections of enamel For each measurement a minimum of 12 specimens was
have not been investigated. A comparison of bond strengths tested.
of composite materials to the longitudinal and transverse
sections of enamel prisms is necessary to determine the Results.
influence of polymerization shrinkage forces on composite
materials in a cavity (Bowen et al., 1983) and the effects The tensile bond strengths of Clearfil Bond System-F to
of the marginal form of the cavity (Buonocore et al., different sections of enamel prisms are shown in Fig. 1. The
1973; Galan et al., 1976). tensile bond strengths to the enamel prisms sectioned trans-
In this study, the tensile bond strengths of composite versely (a) increased as the etching time was lengthened, to
materials to longitudinal and transverse sections of enamel a maximum of approximately 19 MPa, with an etching time
prisms etched with phosphoric acid were investigated. of 60 sec, but decreased with further etching time.
The tensile bond strengths to the enamel prisms sec-
tioned longitudinally (b) increased slightly as the etching
Materials and methods. time was lengthened, to a maximum of 11 MPa, with an
Preparation of test specimens. - Freshly extracted, etching time of 60 sec, but decreased slightly with further
sound, human pre-molars were used. For the longitudinal etching time.
sections of enamel prisms, the crown was cut in a bucco-
lingual direction, and for the transverse sections of enamel
§ Kuraray Co., Ltd., Okayama, Japan
¶ Tokyo Kasei Kogyo Co., Ltd., Tokyo, Japan
"Sin-Nakamura Chemical Co., Ltd., Wakayama, Japan
Received for publication January 18, 1984 oKulzer Co., Ltd., Bad Hamburg, West Germany
Accepted for publication April 4, 1984 *Minebea Co., Ltd., Tokyo, Japan
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1080 MUNECHIKA ETAL. J Dent Res August 1984

25
(a) (b)
~20

t15

"0T
0 J

0 £ f. . IL . . A.

10 30 60 90 120 180 10 30 60 90 126 180


etching time (sec.)
Fig. 1 - Effects of etching time with 40% phosphoric acid on tensile bond strengths of composite resins to (a) transverse and (b) longitudinal
sections of enamel prisms. The standard deviation: H-.
*to convert MPa to kilograms of force per square centimeter, kg/cm2, divide by 0.098044.

The tensile bond strengths of Clearfil Bond System-F enamel surface is composed of transverse sections of
and of a UV-polymerized composite resin, using trial enamel prisms and produces a honeycombed structure with
bonding agent DMTY-HEMA, to different sections of acid-etching (Munechika et al., 1980; Munechika et al.,
enamel prisms are shown in Fig. 2. The tensile bond strengths 1981).
were approximately 18 MPa to the transverse sections Recently, it has been reported that the honeycombed
and approximately 11 MPa to the longitudinal sections structure varies with type and concentration of acid and
etched with 40% phosphoric acid for 60 sec. By Stu- with etching time, and that these influence the bond
dent's t test, statistically significant differences in bond strengths of the composite resins (Silverstone, 1 974;
strengths at the 95% confidence level were found between Munechika et al., 1980; Munechika et al., 1981). The
the transverse and longitudinal sections (Figs. 1 and 2), tensile bond strengths of 18-19 MPa between composite
but not between the two types of bonding agents (Fig. 2). resin and transversely sectioned, etched enamel surfaces
SEM photographs of fractured enamel and composite exceeded the cohesion of the composite resin, and, as a
surfaces after measurement of tensile bond strengths are result, the composite resins fractured cohesively. Tensile
shown in Figs. 3 and 4. SEM views obtained indicated that, bond strengths to longitudinal sections of etched enamel
in the transverse sections (Fig. 3), the composite resins were unrelated to the length of etching time or the type
used with either of the bonding agents (Clearfil or DMTY- of bonding agent used. The values of 10-11 MPa were lower
HEMA) fractured cohesively, and pieces of composite resin than those with the transverse sections, but the enamel
were left on the enamel. In the longitudinal sections (Fig. still fractured cohesively. The values for tensile bond
4), the enamel, with both bonding agents, fractured co- strength are similar to the tensile strength of enamel itself
hesively, and pieces of enamel were left on the composite (10.3 MPa) (Bowen and Rodriguez, 1962). The poly-
resin. merization shrinkage forces (5.2-7.6 MPa) (Bowen et aL.,
1983) in a composite resin bonded to longitudinally sec-
tioned enamel may affect the enamel walls. This poly-
Discussion. merization shrinkage force accounts for from 60-80% of the
For investigations of acid-etching of enamel, the labial tensile bond strength of composite resins to longitudinal
surfaces of upper central incisors are mostly used. The sections of enamel.
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Vol. 63 No, 8 TENSILE BOND STRENGTHS OF COMPOSITE RESINS 1 081

25 transverse
It has been conjectured that the enamel walls in cavities
are fractured by thermal stresses (Hassan et al., 1 981 ) or by
_~ longitudinal external forces such as biting forces, resulting in marginal
leakage. Our study indicates that the bond strength be-
tween composite resin and enamel improves when the
enamel walls of the cavities are contoured to give transverse
sections of the enamel prisms.
I In practice, this suggests that cavity margins should be
bevelled and not finished as butt joints.
REFERENCES
BEECH, D.R. and JALALY, T.: Clinical and Laboratory Evaluation
+- of Some Orthodontic Direct Bonding Systems, J Dent Res 60:
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0 BOWEN, R.L.: Dental Filling Material Comprising Vinyl Silane
Treated Fused Silica and a Binder Consisting of the Reaction
(1) Product of Bis Phenol and Glycidyl Acrylate, U. S. Patent
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C0 Modulus of I'lasticity of Tooth Structure and Several Restor-
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BOWEN, R.L.; COBB, E.N.; and RAPSON, J.E.: Adhesive Bonding
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CRAWFORD, P.J.M. and WHITTAKER, D.K.: Etching and Bonding
0 _ _

Patterns in Human Sub-Surface Enamel, Br Dent J 143:261-266,


Clearfil Bond DMTY 1977.
GALAN, J.; MONDELLI, J.; and CORADAZZI, J.L.: Marginal
System- F HEMA Leakage of Two Composite Restorative Systems, J Denit Res
5 5:74-76, 1976.
Fig. 2 - Tensile bond strengths of composite resin to enamel HASSAN, R.; CAPUTO, A.A.; and BUNSHAH, R.1.: Fracture
etched with 407 phosphoric acid for 60 sec using two bonding Toughness of Human Enamel, J Dent Res 60:820-827, 1981.
agents. The standard deviation: [-.

~~~~~~~~~~~~0um5 Opm

Fig. 3 SEM photographs of transversely sectioned enamel after measurement of tensile bond strengths using Clearfil bonding agent (A) or
DMTY-HEMA bonding agent (B). The enamel surfaces were etched with 40% phosphoric acid for 60 sec. The composite resins (a) were frac-
tured cohesively and left on the enamel surfaces (e).
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1082 MUNECHIKA FT AL. J Denit Res Aulgust 1984

Fig. 4 - SEM photographs of longitudinally sectioned enamel after measurement of tensile bond strength using Clearfil bonding agent
(Ac, Ae) or DMTY-HEMA bonding agent (Bc, Be). The enamel surfaces were etched with 40% phosphoric acid for 60 sec. Pieces of cohesively
fractured enamel (e) were left on the composite resin surfaces (Ac, Bc), and the enamel was gouged out on somne surfaces (Ae, Be).

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Substance (Part 2) - Influence of the Concentrations of Phos- Studies on Polymers Having Adhesiveness to Tooth Substance
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J Dent Mat App 37:392403, 1981. 1979.
MUNECHIKA, T.: Studies on the Adhesion Mechanism betw;een SUZUKI, K.; MUNECHIKA, T.; MATSUKAWA, S.; and HORIE, K.:
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J Dent Mat 2:197-231, 1983. (Part 2) Synthesis and Adhesiveness of Methacrylate Monomer
MUNECHIKA, T.; SUZUKI, K.; NISHIYAMA, M.; OHASHI, M.; with a-Amino Acid Used as Skeleton, J Denit Mat App 37:114-
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stance to be Caused by the Concentrations of the Light-Sensitive

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