Effect of cpp-acp on the bond strength of silorane and methacrylate based restorative systems

Abstract

This study evaluated the influence of the previous application of casein phosphopeptide amorphous calcium phosphate (CPP-ACP) on the bond strength of two restorative systems to dentin. Self-etching adhesive systems Clearfil SE Bond (Kuraray) and FiltekTM LS System Adhesive (3M ESPE) were used in combination with two micro-hybrid composites FiltekTM Z250 (3M ESPE) and FiltekTM LS (3M ESPE), respectively. Twenty-eight sound human third molars had the occlusal surface worn until the total exposure of dentin and were randomly divided into 4 groups (n = 7): G1 (Clearfil + Z250), G2 (CPP-ACP + Clearfil + Z250), G3 (LS system) and G4 (CPP-ACP + LS system). The application of the paste containing CPP-ACP was held in the dentin of G2 and G4 prior to adhesive protocol, which followed the manufacturer's recommendations. Two cylinders of a single increment of resin composite were built on each dentin surface using tygon`s matrix with 1.26 mm of diameter x 1 mm high and light-cured with LED Bluephase 16i (Vivadent) apparatus. Microshear bond strength test was conducted in a universal testing machine (EZ Test, Shimadzu) with a speed of 0.5 mm/min. The data were subjected to two-way ANOVA test with a significance of 5%. There was no significant difference on bond strength between restorative systems with or without the previous use of a CPP-ACP paste. It was concluded that the application of CPP-ACP in the dentin prior to adhesive protocol did not influence the bond strength of the restorative systems tested.