In vitro evaluation of adhesive characteristics of 4-META/MMA-TBB resin with organic filler.

Objectives: A commercial restorative material, BondfillSB (BF), is a modification of 4-META/MMA-TBB resin cement. BF uses a self-etching primer and added pre-polymerized organic fillers. We compared BF with another self-etching system, EasyBond (EB), in shear bond strength, bonded interface characteristics to human dentin and contraction gap when used in bulk-filling.

Methods: Shear bond strength of BF and EB + Z100 (Z), bonded by different experience-level operators, was evaluated. Bonded interfaces were characterized by SEM, AFM, and AFM based nano-indentation. Contraction gaps (CG) at 0h and 24h after polymerization were evaluated for BF or EB bulk filled class I cavities. To meet the clinical recommendation, BF's powder was replaced by experimental radioopaque powder (BFO) for the CG study. EB was used with Z (EBZ) or with a resin marketed for bulk-fill base (SureFil-SDR-flow (EBSF)).

Results: Shear bond strengths (Mean ± Standard Deviation (S.D.)) of BF (37.4 ± 2.6 MPa; n=36) were higher and less variable than EBZ (18.2 ± 7.6 MPa; n=36) (p<0.0001, One-way ANOVA). Weibull characteristic strength (η) differed significantly between materials (p<0.0001) but not between operators (p=0.90). EBZ often had non-uniform interfaces and a wider band of reduced elastic modulus (E) of greater than 20 μm across the interface. BF had uniform interfaces and a smaller width of affected dentin under the interface (∼1 μm). There was a difference in dentin-E between EBZ and BF up to 9 μm from the interface (mixed-effects model; P=0.03). A stratified linear regression model used for CG. EBSF and BFO showed significantly smaller CG than EBZ at time 0. None of three combinations showed any significant change between 0h-CG and 24h-CG.

Significance: BF possessed bonding characteristics required to serve as a restorative.