Two pre-treatments for bonding to non-carious cervical root dentin.

PURPOSE: To investigate the effect of airborne-particle abrasion or diamond bur preparation as pre-treatment steps of non-carious cervical root dentin regarding substance loss and bond strength. METHODS: 45 dentin specimens-produced from crowns of extracted human incisors by grinding the labial surfaces with silicon carbide papers (control) were treated with one of three adhesive systems (Group 1A-C; A: OptiBond FL, B: Clearfil SE Bond, or C: Scotchbond Universal; n= 15/adhesive system). Another 135 dentin specimens (n = 15/group) produced from the labial, non-carious cervical root part of extracted human incisors were treated with one of the adhesive systems after either no pre-treatment (Group 2A-C), pre-treatment with airborne-particle abrasion (CoJet Prep and 50 microm aluminum oxide powder; Group 3A-C), or pre-treatment with diamond bur preparation (40 microm grit size; Group 4A-C). Substance loss caused by the pre-treatment was measured in Groups 3 and 4. After treatment with the adhesive systems, resin composite was applied and all specimens were stored (37 degrees C, 100% humidity, 24 hours) until measurement of micro-shear bond strength (microSBS). Data were analyzed with a nonparametric ANOVA followed by Kruskal-Wallis and Wilcoxon rank sum tests (level of significance: alpha = 0.05). RESULTS: Overall substance loss was significantly lower in Group 3 (median: 19 microm) than in Group 4 (median: 113 microm; P < 0.0001). There were no significant differences in microSBS between the adhesive systems (A-C) in Group 1, Group 3, and Group 4 (P 0.133). In Group 2, OptiBond FL (Group 2A) and Clearfil SE Bond (Group 2B) yielded significantly higher microSBS than Scotchbond Universal (Group 2C; P </= 0.032). For OptiBond FL and Clearfil SE Bond, there were no significant differences in microSBS between the ground crown dentin and the non-carious cervical root dentin regardless of any pre-treatment of the latter (both P = 0.661). For Scotchbond Universal, the microSBS to non-carious cervical root dentin without pre-treatment was significantly lower than to ground crown dentin and to non-carious cervical root dentin pre-treated with airborne-particle abrasion or diamond bur preparation (P </= 0.014).