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Adezivi în 3 paşi

1. Gravare acidă

2. Primer

3. Bonding

Generaţia 4
All-Bond 2, Scothbond MP
Adezivi în 2 paşi

1. Gravare acidă
2. Primer
Primer şi bonding într-un
singur recipient
3. Bonding

Generaţia 5
One-Step,Optibond, Prime & Bond, Singlebond
Adezivi în 2 paşi
1. Acid Primer
autogravant
2. Primer
3. Bonding

Generaţia 5
Liner Bond II (V), SE Bond
Adezivi de unică aplicare

1. Acid
H2O
Adezive autodemineralizante
2. Primer A + B (Mix) (L/C)
3. Bonding

Sisteme cu 2 componente
Prompt L-Pop, One-Up Bond F
Grabado
total
Studiu asupra forţei adezive
Sanares et al., Dent Mater 2001; 17:542-556

MPa Bisfil(L/C) Bisfil-2B


One-Step
25 Single Bond
Optibond Solo
Prime & Bond
20 4.6

Adhesion Compatibility
15
pH
10with Self-Cured Composites
3.6
Self-Cured
5
2.8
0 2.6
PB2.1 OptS SB OS
Adezivii auto-demineralizanţi în relaţie cu
răşinile foto sau auto polimerizabile
Tay et al. J Dent 2002; 30:371-382
Adeziv auto- pH
60 demineralizant
Light-Cured Mode Chemical-Cured Mode
Touch & Bond (AQ) 2.6
50
i-Bond 2.4
Micro-TBS (MPa)

40 One-Up Bond 2.3


Prompt L-Pop 1.3
30
Xeno III 1.1
20

10

0
All-Bond
All-Bond 2 2 One-Up
One-Up Etch
Bond F Etch &
& Prime AQ
AQ Bond Prompt
Prompt L-Pop Futura-
Futura-Bond
Control Bond F Prime3.0 3.0 Bond L-Pop Bond
Incompatibilitatea chimică
cu compozitele
autopolimerizabile Strat inhibat O 2d
Aci
Se datorează acidităţii stratului
Acid
superficial al bondnig-ului care nu
polimerizează, fiind inhibat de Bonding
oxigenul atmosferic
Implicaţii clínice

• Reconstructia bonturilor cu răşini auto sau


duale
• Cimentarea punţilor cu cimenturi auto sau
duale
• Cimentarea pivoţilor endodontici cu
cimenturi auto sau duale
Ideal Adhesive

Hydrophilic Hydrophobic
MDP during Poly’n after
BisGMA application polymerization
pH=3.2 (Less permeable)
Resin for Composite Log P Functional Monomers Log P
for Adhesive

Ethoxylated Bis-GMA 6.2 MDP 4.1

Bis-GMA 5.1 BPDM 4.0


UDMA 3.6 PENTA-P 2.60
TriEDMA 1.44 PMDM B I
2.3
S
PTMDMA (AeliteFlo) 4.3 GPDM CO
2.0
PEGDMA (TheraCal) 0.33 HEMA 0.26
Cured Layer of All-Bond Universal is Very
Hydrophobic!

Water Droplet on All-Bond Universal


Water Droplet

Adhesive
Hydrophilic: Hydrophobic:
Uncured All-Bond U Cured All-Bond U
• Good wetting to tooth • more durable bond
• less permeable
• better seal, less chance of sensitivity
• more compatible with s/c or d/c
materials
Phase Separation of SE Adhesives
• All SE adhesives contain water & ethanol
• Water evaporates slower than ethanol*

Water bubble

*Van Meerbeek. State of the art of self-etch adhesives. B2010


I S
CO
ADM
Phase Separation

Optibond AiO Xeno IV AllBond Universal

Initial Azeotropic
Mixture of
Water/Ethanol

5-minute No Phase-separation
evaporation
Clinical Significance
Adhesives w/ no phase separation:
= easier to evaporate solvent & water

• Adhesives w/ Phase Separation:


– Poor curing - weaker adhesive layer
– Hydrophilic adhesive layer
– Premature failures B I S
CO
Permeability Test Test of Hydrophobicity
All-Bond Optibond
Universal Bond Force AIO Easy Bond No Adhesive

Cured composites w/
a.k.a
water-soluble blue dye Dream Bond

Coated with adhesives Blue-dye release (ng/mm2):


3.6±3.3 a 25.4±10.5 18.5±2.6 b 19.9±12.1 151.2±37.1

Immersed in water
for 4 hrs/37ºC Water
Blue-dye release

ALL-BOND U is non-permeable, and has a perfect sealing!


Universal Adhesive
• Usable for Direct & Indirect (Film Thickness <10 um)
Definition
• No additional resin layer required (1-Layer Adhesive)
• Compatible with LC, SC & DC resin cement/composite
without additional component/step (DC Activator)
• Usable with TE, SE & Select-Etch
1-Step Universal

Self-Etch
Total-Etch
Bonds to Ceramics
For Direct / Indirect
• Apply Adhesive (LC)
B I S
CO
All-Bond Universal
Shear bond strength on dentin with different moisture level, MPa

Technique Desiccated Moist Dentin Over wet


Dentin Dentin
Total-Etch 26.9 (7.1) 33.2(7.8) 48.1 (7.8)
Self-Etch 28.4 (3.0) 31.0 (3.0) 34.2 (7.6)
Shear bond strength was using ultradent jig method, cemented with Duolink-Light-Cured. The cured specimens were stored in 37ºC DI water for
24 hrs before debonding. N = 8.

“Desiccated” indicated that dentin was desiccated by using a strong stream of air for 10 seconds.
“Moist” as stated in the instructions for use
“Over-wet” indicated that dentin was very wet with a pool of water left on dentin.

28
Dentin SBS (MPa) with Direct L/C Composites

Self-Etch Mode
Shear Bond Strength, MPa
Composite (L/C) All-Bond Universal ScotchBond Universal
Aelite APB 36.9(6.7) n=9 34.7 (10.8) n=6
Z100 (3M) 34.1(6.7) n=8 44.9 (4.4) n=6
Filtek Supreme Ulta (3M)
(3M) 30.2 (4.7) n=6 35.6 (5.7) n=6
Empress Direct (Ivoclar) 31.2 (5.3) n=10 35.5 (6.9) n=8
Ultradent Jig Method
SonicFil (Kerr) 32.5 (5.6) n=8 34.5 (4.8) n=6

Core-Blue (u-TBS)
Micro-Tensile
53.7(16.4) n=15
Method
38.6 (13.1) n=11
B I S
CO
Universal Adhesive - ABU vs SBU
Bonding with D/C Resin Luting Cements for Indirect

Shear Bond Strength, MPa

Cement
Curing All-Bond ScotchBond
Substrate Mode Universal Universal /DCA
w/ Duolink with RelyX ARC
Dentin (SE) L/C
L/C, 31.0 (3.0) n=7 33.2(4.7), n=6
Dentin (SE) 4d/80C 22.7 (4.5) n=8 13.6(4.1), n=6
Dentin (SE) S/C 29.4(4.7) n=8 20.3 (6.2) n=6
Dentin (TE) L/C 33.2(7.8) n=8 30.1 (3.2), n=6
S/C Compatibility Incompatible!
Dentin (TE) S/C 33.7 (5.6) n=8 21.5 (5.6), n=6
B I S
CO
Universal Adhesive - ABU vs SBU
Bonding with D/C Resin Luting Cements for Indirect

Shear Bond Strength, MPa

Cement
Curing All-Bond ScotchBond
Substrate Mode Universal Universal /DCA
w/ Duolink with RelyX ARC

Enamel (SE) LC 29.0 (5.5) n=8 20.6(2.8) n=6

Enamel (TE) LC 35.6 (3.6) n=8 25.4 (2.6), n=6


B I S
CO
Universal Adhesive - ABU vs SB
to Ceramics & Metals (Indirect Substrates)

Shear Bond Strength, MPa

Cement
Curing All-Bond ScotchBond
Substrate
28.7 MPa Mode
(Z-Prime)Universal Universal /DCA
w/ Duolink with RelyX ARC
Zirconia L/C 26.9 (5.1) n=8 22.3(6.7) n=7
Alumina L/C 33.7 (8.2) n=8 25.2(7.8)n=6
Stainless Steel L/C 39.8 (6.8), n=8 33.3(5.6)n=6
RexIII L/C 37.8 (6.0) n=8 31.7(9.9)n=6
SureFire A L/C 17.8 (2.3) n=8 15.4(1.8)n=6
B I S
CO
Gold L/C 21.7 (4.6) n=8 25.8 (8.3), n=6
Bond to Zr? “Yes”
Water Contact angle on Sandblasted Zr (n=10)

Primer Name Ave CA


No Primer 15.3 (4.9) d
AZ Primer 56.0 (2.7) c
ZPrime Plus 72.4 (6.9)ab
28.7 MPa (Z-Prime)
Monobond Plus 66.4 (8.4)b
Substrat Curing All-Bond ScotchBond Clearfil Ceramic
e Mode Universal Universal /DCA Primer 73.0 (5.8)ab
Zirconia L/C 26.9 (5.1) n=8 22.3(6.7) n=7

ScotchBond Univ 69.0(14.2)ab


All-Bond Universal 73.0 (2.7)a
B I S
Requires light curing of adhesive CO
Ultimate Adhesives Systems

Mix for Indirect


DC Activator

pH = 3.2 pH = 2.8
Bisco 3M/ESPE
B I S
CO