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THE JOURNAL OF - Dentsply

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Microshear Fatigue Testing of Tooth/Adhesive<br />

Interfaces<br />

Marc Braem a<br />

Purpose: The objective of the present study was to determine the fatigue resistance of several contemporary dentin<br />

adhesives as well as a resin-modified glass-ionomer cement.<br />

Materials and Methods: Cyclic loading of the adhesive interface was achieved by a microshear fatigue setup following<br />

a staircase approach, where the stress level at which 50% of the specimens fail after 10 4 cycles was calculated<br />

as the median microshear fatigue resistance (μSFR).<br />

Results: For all products tested, the μSFR was lower than the microshear strength. A wide spread in μSFR was observed,<br />

ranging from 24% to 76% of the quasi-static microshear strength, irrespective of the type of adhesive used.<br />

Conclusion: The results of this study show that the microshear test setup is a discriminative and reproducible way of<br />

testing tooth/adhesive interfaces, even at relatively low stresses. The results clearly indicate that such interfaces are<br />

vulnerable to progressive damage by cyclic loads. Further, at present there is not one bonding approach, whether<br />

“total etch” or “self-etching”, that consistently yields higher fatigue resistance: the product factor seems to be of primary<br />

importance.<br />

Keywords: fatigue, dental adhesive, dynamic testing.<br />

J Adhes Dent 2007; 9: 249-253. Submitted for publication: 15.12.06; accepted for publication: 5.1.07.<br />

The success of bonding restorative materials to tooth tissue<br />

is generally expressed as a statically or quasi-statically<br />

determined strength value. Under clinical circumstances,<br />

however, tooth-restorative bonds are subjected to<br />

cyclic loads that could well induce failure at stress levels significantly<br />

lower than the ultimate bond strength, a phenomenon<br />

defined as fatigue. 1 In addition, under fatigue conditions,<br />

the influence of imperfections in the adhesive interface<br />

is more clearly revealed. 7 At present, research on<br />

dentin bonding is, among other things, focused on reducing<br />

the number of application steps in the bonding procedure,<br />

thereby assuming a reduction in the risk of defects. In vitro<br />

a Professor, Head of Lab Dental Materials, University of Antwerpen, Antwerpen,<br />

Belgium.<br />

Paper presented at Satellite Symposium on Dental Adhesives, Dublin,<br />

September 13th, 2006.<br />

Reprint requests: Dr. Marc Braem, Lab Dental Materials, Groenenborgerlaan<br />

171, B-2020 Antwerpen, Belgium. Tel: +32-3-265-32-66, Fax: +32-3-265-<br />

36.35. e-mail: marc.braem@ua.ac.be<br />

fatigue testing of these interfaces could therefore better allow<br />

studying these effects.<br />

Hence, the objective of this study was to determine the<br />

fatigue resistance of several contemporary dental adhesives<br />

and a resin-modified glass-ionomer cement bonded to<br />

dentin, using a custom-built microshear fatigue testing device.<br />

MATERIALS AND METHODS<br />

Materials<br />

The materials used are shown in Table 1. All tests were performed<br />

prior to the expiration date mentioned in the table.<br />

The composite restorative used with dentin bonding was<br />

Clearfil AP-X (Universal Shade A3, Lot 1043 BA; Kuraray,<br />

Japan). All applications were performed as per manufacturer’s<br />

instructions.<br />

Dentin Specimen Preparation<br />

Dentin collected after extraction of human third molars was<br />

used. The teeth were stored immediately in chloramine 0.5%<br />

Vol 9, Supplement 2, 2007 249

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