Significant shear bond strength improvements of a resin-modified glass ionomer cement with a resin coating.

Previous evidence has suggested that resin-modified glass ionomer cements (RMGICs) may be sensitive to temperature and moisture changes for the first 24 hours after photopolymerization. To test the hypothesis that a resin coating placed over the surface of an RMGIC restoration would decrease the susceptibility to moisture and temperature conditions, 44 RMGIC samples were prepared in inverted-cone recesses drilled in epoxy resin plates. After abrasion of all samples with 800-grit silicon carbide paper to simulate a diamond bur finish on the surface, a coat of highly filled resin was applied to the experimental group (n = 22) and cured according to the manufacturer's instructions. The plates were thermocycled 500 times between 5°C and 55°C and then maintained at 37°C with 95% humidity. The thermocycled samples were bonded to a second epoxy resin plate filled with RMGIC and subjected to shear bond strength testing. The resin-coated group had a significantly greater mean shear bond strength than the control group (P < 0.05). The resin coating also appeared to affect the mode of failure by significantly increasing the number of mixed failures (P < 0.05). The results suggest that a resin coating protects RMGIC from moisture- and temperature-induced damage and increases shear bond strength.