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This review aimed to characterize the effect of direct restorative material types and adhesive protocols on marginal adaptation and the bond strength of the interface between the material and the proximal dentin/cementum. An electronic search of 3 databases (the National Library of Medicine [MEDLINE/PubMed], Scopus, and ScienceDirect) was conducted. Studies were included if they evaluated marginal adaptation or bond strength tests for proximal restorations under the cementoenamel junction. Only 16 studies met the inclusion criteria and were included in this review. These studies presented a high degree of heterogeneity in terms of the materials used and the methodologies and evaluation criteria of each test; therefore, only a descriptive analysis could be conducted. The included studies were individually evaluated for the risk of bias following predetermined criteria. To summarize the results of the included studies, the type of restorative material affected the test results, whereas the use of different adhesive protocols had an insignificant effect on the results. It could be concluded that various categories of resin-based composites could be a suitable choice for clinicians to elevate proximal dentin/cementum margins, rather than the open sandwich technique with resin-modified glass ionomers. Despite challenges in bonding to proximal dentin/cementum margins, different adhesive protocols provided comparable outcomes.

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Dental erosion is frequently overlooked in clinical practice. The management of erosion-induced damage to the dentition is often delayed, such that extensive occlusal rehabilitation is required. These cases can be diagnosed by a careful clinical examination and a thorough review of the patient's medical history and/or lifestyle habits. This case report presents the diagnosis, categorization, and management of a case of gastro-esophageal reflux disease-induced palatal erosion of the maxillary teeth. The early management of such cases is of utmost importance to delay or prevent the progression of damage both to the dentition and to occlusal stability. Non-invasive adhesively bonded restorations aid in achieving this goal.

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Closure of interdental spaces using proximal build-ups with resin composite is considered to be practical and conservative. However, a comprehensive approach combining two or more treatment modalities may be needed to improve esthetics. This case report describes the management of a patient with multiple diastemas, a peg-shaped lateral incisor and midline deviation in the maxillary anterior area. Direct resin bonding along with orthodontic movement of teeth allows space closure and midline correction, consequently, creating a better esthetic result.

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• Gingival Conditioning with Provisional Composite Veneer Prior to Final Dental Restoration: Three-year Follow-up
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• ÜST ANTERİOR DİŞLERDE BULUNAN ÇÜRÜKLERİN VE ESKİ RESTORASYONLARIN KOMPOZİT REZİNLER İLE ESTETİĞİNİN SAĞLANMASI: BİR VAKA SUNUMU
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• ANTERİOR DİASTEMALARIN DİREKT KOMPOZİT REZİN RESTORASYONLARLA ESTETİK REHABİLİTASYONU: 5 OLGU SUNUMU
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• VAKUMLA ŞEKİLLENDİRİLEN ORTODONTİK PEKİŞTİRME APAREYLERİNİN KOMPOZİT RESTORASYONLARIN KLİNİK BAŞARISINA ETKİSİ
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The limited durability of resin-dentin bonds severely compromises the longevity of composite resin restorations. Resin-dentin bond degradation might occur via degradation of water-rich and resin sparse collagen matrices by host-derived matrix metalloproteinases (MMPs). This review article provides overview of current knowledge of the role of MMPs in dentin matrix degradation and four experimental strategies for extending the longevity of resin-dentin bonds. They include: (1) the use of broad-spectrum inhibitors of MMPs, (2) the use of cross-linking agents for silencing the activities of MMPs, (3) ethanol wet-bonding with hydrophobic resin, (4) biomimetic remineralization of water-filled collagen matrix. A combination of these strategies will be able to overcome the limitations in resin-dentin adhesion.

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• Remineralization Effects of Silver Fluoride, Silver Diamine Fluoride, and Sodium Fluoride Varnish
  Jihyeon Lee, Hwalim Lee, Jongsoo Kim, Joonhaeng Lee, Jongbin Kim, Jisun Shin, Miran Han
  International Journal of Clinical Preventive Dentistry.2024; 20(1): 19.     CrossRef

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• Effect of Acid or Laser Treatment on Degradation of Dentin Matrix
  Aslihan Usumez, Tugrul Sari, Roda Seseogullari Dirihan, Mehmet Esad Guven, Serra Oguz Ahmet, Norbert Gutknecht, Arzu Tezvergil Mutluay
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• Microtensile bond strength of silorane-based composite specific adhesive system using different bonding strategies
  Laura Alves Bastos, Ana Beatriz Silva Sousa, Brahim Drubi-Filho, Fernanda de Carvalho Panzeri Pires-de-Souza, Lucas da Fonseca Roberti Garcia
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• Experimental study on the formability of aluminum pouch for lithium polymer battery by manufacturing processes
  Minsook Yu, Munyong Song, Minha Kim, Dongsoo Kim
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During a composite resin restoration, an anticipating contraction gap is usually tried to seal with low-viscosity resin after successive polishing, etching, rinsing and drying steps, which as a whole is called rebonding procedure. However, the gap might already have been filled with water or debris before applying the sealing resin. We hypothesized that microleakage would decrease if the rebonding agent was applied before the polishing step, i.e., immediately after curing composite resin. On the buccal and lingual surfaces of 35 extracted human molar teeth, class V cavities were prepared withthe occlusal margin in enamel and the gingival margin in dentin. They were restored with a hybrid composite resin Z250 (3M ESPE, USA) using an adhesive AdperTM Single Bond 2 (3M ESPE). As rebonding agents, BisCover LV (Bisco, USA), ScotchBond Multi-Purpose adhesive (3M ESPE) and an experimental adhesive were applied on the restoration margins before polishing step or after successive polishing and etching steps. The infiltration depth of 2% methylene blue into the margin was measured using an optical stereomicroscope. The correlation between viscosity of rebonding agents and mciroleakage was also evaluated. There were no statistically significant differences in the microleakage within the rebonding procedures, within the rebonding agents, and within the margins. However, when the restorations were not rebonded, the microleakage at gingival margin was significantly higher than those groups rebonded with 3 agents (p < 0.05). The difference was not observed at the occlusal margin. No significant correlation was found between viscosity of rebonding agents and microleakage, except very weak correlation in case of rebonding after polishing and etching at gingival margin (r = -0.326, p = 0.041).

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• Antibacterial effect of self-etching adhesive systems onStreptococcus mutans
  Seung-Ryong Kim, Dong-Hoon Shin
  Restorative Dentistry & Endodontics.2014; 39(1): 32.     CrossRef

The purpose of this study was to evaluate the effect of film thickness of various resin cements on bonding efficiency in indirect composite restoration by measurement of microtensile bond strength, polymerization shrinkage, flexural strength and modulus, fractographic FE-SEM analysis. Experimental groups were divided according to film thickness (< 50 µm-control, 50 µm-T50, 100 µm-T100, 150 µm-T150) using composite-based resin cements (Variolink II, Duo-Link) and adhesive-based resin cements (Panavia F, Rely X Unicem). The data was analyzed using ANOVA and Duncan's multiple comparison test (p < 0.05).

The results were as follows;

Variolink II showed higher microtensile bond strength than that of adhesive-based resin cements in all film thickness (p < 0.05) but Duo-Link did not show significant difference except control group (p < 0.05).

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  José C. de la Macorra, Beatriz Romero
  Dental Materials.2022; 38(4): e69.     CrossRef

This study evaluated the influence of the type of restoration and the amount of interdental spacing on the stress distribution in maxillary central incisors restored by means of porcelain laminate veneers and direct composite resin restorations.

Three-dimensional finite element models were fabricated to represent different types of restorations. Four clinical situations were considered. Type I, closing diastema using composite resin. Labial border of composite resin was extended just enough to cover the interdental space; Type II, closing diastema using composite resin without reduction of labial surface. Labial border of composite resin was extended distally to cover the half of the total labial surface; Type III, closing diastema using composite resin with reduction of labial surface. Labial border of the preparation and restored composite resin was extended distally two-thirds of the total labial surface; Type IV, closing diastema using porcelain laminate veneer with a feathered-edge preparation technique. Four different interdental spaces (1.0, 2.0, 3.0, 4.0 mm) were applied for each type of restorations.

For all types of restoration, adding the width of free extension of the porcelain laminate veneer and composite resin increased the stress occurred at the bonding layer. The maximum stress values observed at the bonding layer of Type IV were higher than that of Type I, II and III. However, the increasing rate of maximum stress value of Type IV was lower than that of Type I, II and III.

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• Revamping the Peg Smile: An Art of Rehabilitation of Peg Laterals with Ceramic Veneers and Composite Restorations—A Case Report
  Mahendran Kavitha, Ramdhas Annapurani, Pasupathy Shakunthala, Jayavel Nandhakumar
  Journal of Operative Dentistry & Endodontics.2022; 6(2): 69.     CrossRef
• Minimally Invasive Diastema Restoration with Prefabricated Sectional Veneers
  Claudio Novelli, Andrea Scribante
  Dentistry Journal.2020; 8(2): 60.     CrossRef

The aim of this study was to measure the dentinal tubular fluid flow (DFF) during and after amalgam and composite restorations. A newly designed fluid flow measurement instrument was made. A third molar cut at 3 mm apical from the CEJ was connected to the flow measuring device under a hydrostatic pressure of 15 cmH₂O. Class I cavity was prepared and restored with either amalgam (Copalite varnish and Bestaloy) or composite (Z-250 with ScotchBond MultiPurpose: MP, Single Bond 2: SB, Clearfil SE Bond: CE and Easy Bond: EB as bonding systems). The DFF was measured from the intact tooth state through restoration procedures to 30 minutes after restoration, and re-measured at 3 and 7days after restoration.

Inward fluid flow (IF) during cavity preparation was followed by outward flow (OF) after preparation. In amalgam restoration, the OF changed to IF during amalgam filling and slight OF followed after finishing.

In composite restoration, application CE and EB showed a continuous OF and air-dry increased rapidly the OF until light-curing, whereas in MP and SB, rinse and dry caused IF and OF, respectively. Application of hydrophobic bonding resin in MP and CE caused a decrease in flow rate or even slight IF. Light-curing of adhesive and composite showed an abrupt IF. There was no statistically significant difference in the reduction of DFF among the materials at 30 min, 3 and 7 days after restoration (P > 0.05).

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• Real-time measurement of dentinal fluid flow during desensitizing agent application
  Sun-Young Kim, Eun-Joo Kim, In-Bog Lee
  Journal of Korean Academy of Conservative Dentistry.2010; 35(5): 313.     CrossRef

The aim of this study was to examine that thick dentin bonding agent application or low modulus composite restoration could reduce stresses on dentin bonding agent layer.

A mandibular first premolar with abfraction lesion was modeled by finite element method. The lesion was restored by different composite resins with variable dentin bonding agent thickness (50µm, 100µm, 150µm). 170N of occlusal loading was applied buccally or lingually. Von Mises stress on dentin bonding agent layer were measured.

When thickness of dentin bonding agent was increased von Mises stresses at dentin bonding agent were decreased in both composites. Lower elastic modulus composite restoration showed decreased von Mises stresses. On root dentin margin more stresses were generated than enamel margin.

For occlusal stress relief at dentin boning agent layer to applicate thick dentin bonding agent or to choose low elastic modulus composite is recommended.

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• Influence of application methods of one-step self-etching adhesives on microtensile bond strength
  Chul-Kyu Choi, Sung-Ae Son, Jin-Hee Ha, Bock Hur, Hyeon-Cheol Kim, Yong-Hun Kwon, Jeong-Kil Park
  Journal of Korean Academy of Conservative Dentistry.2011; 36(3): 203.     CrossRef

This study compared the effect of an activator, intermediate bonding resin and low-viscosity flowable resin on the microtensile bond strength of a self-curing composite resin used with two-step total etching adhesives. Twenty extracted permanent molars were used. The teeth were assigned randomly to nine groups (n=10) according to the adhesive system and application of additional methods (activator, intermediate adhesive, flowable resin). The bonding agents and additional applications of each group were applied to the dentin surfaces. Self-curing composite resin buildups were made for each tooth to form a core, 5mm in height. The restored teeth were then stored in distilled water at room temperature for 24h before sectioning. The microtensile bond strength of all specimens was examined. The data was analyzed statistically by one-way ANOVA and a Scheffe's test. The application of an intermediate bonding resin (Optibond FL adhesive) and low-viscosity flowable resin (Tetric N-flow) produced higher bond strength than that with the activator in all groups. Regardless of the method selected, Optibond solo plus produced the lowest µTBS to dentin. The failure modes of the tested dentin bonding agents were mostly adhesive failure but there were some cases showed cohesive failure in the resin.

Bond strength depends on characteristics of bonding surface and restorative technique. The majority of studies dealing with dentin bond strength were carried out on flat bonding surface, therefore, difference of bond strength between axial wall and pulpal wall is not clear yet. This study evaluated bonding difference between cavity walls in class I composite resin restoration with different filling techniques.

Twenty extracted caries-free human third molars were used. Cavities were prepared in 6 × 4 × 3 mm box-type and divided into four groups according to filling technique and bonding surface: Group I; bulk filling - pulpal wall, Group II; bulk filling - axial wall, Group III; incremental filling - pulpal wall, Group IV; incremental filling - axial wall.

Cavities were filled with Filtek Z250®(3M/ESPE., USA) and Clearfill SE bond®(Kuraray, Japan). After 24 hour-storage in 37℃ water, the resin bonded teeth were sectioned bucco-lingualy at the center of cavity.

Specimens were vertically sectioned into 1.0 × 1.0 mm thick serial sticks perpendicular to the bond surface using a low-speed diamond saw (Accutom 50, Struers, Copenhagen, Denmark) under water cooling. The trimmed specimens were then attached to the testing device and in turn, was placed in a universal testing machine (EZ test, Shimadzu Co., Kyoto, Japan) for micro-tensile testing at a cross-head speed of 1 mm/min. The results obtained were statistically analyzed using 2-way ANOVA and t-test at a significance level of 95%.

The results were as follows:

1. There was no significant difference between bulk filling and incremental filling.

2. There was no significant difference between pulpal wall and axial wall, either.

Within the limit of this study, it was concluded that microtensile bond strength was not affected by the filling technique and the site of cavity walls.

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• The effect of the strength and wetting characteristics of Bis-GMA/TEGDMA-based adhesives on the bond strength to dentin
  Eun-Sook Park, Chang-Keun Kim, Ji-Hyun Bae, Byeong-Hoon Cho
  Journal of Korean Academy of Conservative Dentistry.2011; 36(2): 139.     CrossRef

The purpose of this study was to compare the effect of various dentin bonding systems on microtensile bond strength of immediate dentin sealing (IDS) and delayed dentin sealing (DDS). Eighteen extracted permanent molars were used in this study. The teeth for DDS group were restored with a provisional restorations, and immersed in saline solution for 1 week, and divided into 3 subgroups according to various dentin bonding adhesives; SB subgroup (3 step total-etch adhesive), SE subgroup (2 step self-etch adhesive), XE subgroup (1 step self-etch adhesive). In IDS group, the teeth were divided into 3 subgroups, and applied with bonding adhesives as in DDS group. The teeth were restored with provisional restorations, and immersed in saline solution for 1 week. Indirect composite disc was cemented with resin cement, and all specimens were subjected to microtensile bond strength. The data were statistically analyzed with one-way ANOVA and Student t-test.

The results were as follows:

The IDS group showed significantly higher µTBS than DDS group in 3 step total-etch and 2 step self-etch adhesive (p < 0.05).

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• The effect of Er,Cr:YSGG irradiation on microtensile bond strength of composite resin restoration
  Jeong-Hye Son, Hyeon-Cheol Kim, Bock Hur, Jeong-Kil Park
  Journal of Korean Academy of Conservative Dentistry.2010; 35(2): 134.     CrossRef

This study was conducted to evaluate the influence of the C-factor on the bond strength of a 6th generation self-etching system by measuring the microtensile bond strength of four types of restorations classified by different C-factors with an identical depth of dentin.

Eighty human molars were divided into four experimental groups, each of which had a C-factor of 0.25, 2, 3 or 4. Each group was then further divided into four subgroups based on the adhesive and composite resin used. The adhesives used for this study were AQ Bond Plus (Sun Medical, Japan) and Xeno III (DENTSPLY, Germany). And composite resins used were Fantasista (Sun Medical, Japan) and Ceram-X mono (DENTSPLY, Germany).

The results were then analyzed using one-way ANOVA, a Tukey's test, and a Pearson's correlation test and were as follows.

There was no significant difference among C-factor groups with the exception of groups of Xeno III and Ceram-X mono (p < 0.05).

It was concluded that the C-factor of cavities does not have a significant effect on the microtensile bond strength of the restorations when cavities of the same depth of dentin are restored using composite resin in conjunction with the 6th generation self-etching system.

Citations

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• Effect of different chlorhexidine application times on microtensile bond strength to dentin in Class I cavities
  Hyun-Jung Kang, Ho-Jin Moon, Dong-Hoon Shin
  Restorative Dentistry & Endodontics.2012; 37(1): 9.     CrossRef
• Effect of Er:YAG lasing on the dentin bonding strength of two-step adhesives
  Byeong-Choon Song, Young-Gon Cho, Myung-Seon Lee
  Journal of Korean Academy of Conservative Dentistry.2011; 36(5): 409.     CrossRef
• Effect of Chlorhexidine Application Methods on Microtensile Bond Strength to Dentin in Class I Cavities
  Y-E. Chang, D-H. Shin
  Operative Dentistry.2010; 35(6): 618.     CrossRef
• Difference in bond strength according to filling techniques and cavity walls in box-type occlusal composite resin restoration
  Eun-Joo Ko, Dong-Hoon Shin
  Journal of Korean Academy of Conservative Dentistry.2009; 34(4): 350.     CrossRef

This study analyzed the influence of dental adhesive/primer on the bond strength between indirect resin composite and the resin cement.

Seventy disc specimens of indirect resin composite (Tescera Dentin, Bisco) were fabricated. And bonding area of all specimens were sandblasted and silane treated for one minute. The resin cements were used with or without application of adhesive/primer to bonding area of indirect resin restoration: Variolink-II (Ivoclar-Vivadent): Exite DSC, Panavia-F (Kuraray): ED-Primer, RelyX Unicem (3M ESPE): Single-Bond, Duolink (Bisco): One-step, Mulitlink (Ivoclar-Vivadent): Multilinh Primer.

Shear bond strength was measured by Instron universal testing machine.

Adhesive application improved shear bond strength (p < 0.05). But Variolink II and Panavia-F showed no statistically significant difference according to the adhesive application.

With the above results, when resin inlay is luted by resin cement it seems that application of dental adhesive/primer is necessary in order to improve the bond strength.

Citations

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• Shear bond strength of a self-adhesive resin cement to resin-coated dentin
  Jee-Youn Hong, Cheol-Woo Park, Jeong-Uk Heo, Min-Ki Bang, Jae-Jun Ryu
  The Journal of Korean Academy of Prosthodontics.2013; 51(1): 27.     CrossRef
• Microtensile bond strength of self-etching and self-adhesive resin cements to dentin and indirect composite resin
  Jae-Gu Park, Young-Gon Cho, Il-Sin Kim
  Journal of Korean Academy of Conservative Dentistry.2010; 35(2): 106.     CrossRef
• Effect of a desensitizer on dentinal bond strength in cementation of composite resin inlay
  Sae-Hee Han, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2009; 34(3): 223.     CrossRef
• Effect of curing methods of resin cements on bond strength and adhesive interface of post
  Mun-Hong Kim, Hae-Jung Kim, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2009; 34(2): 103.     CrossRef
• Effect of dentin surface wetness on tensile bond strength of self adhesive resin cements
  Sung-Young Yoon, Se-Hee Park, Jin-Woo Kim, Kyung-Mo Cho
  Journal of Korean Academy of Conservative Dentistry.2009; 34(2): 113.     CrossRef

This study was aimed to investigate whether an oxygen inhibition layer (OIL) is essential for the interfacial bonding between resin composite layers or not.

A composite (Z-250, 3M ESPE) was filled in two layers using two aluminum plate molds with a hole of 3.7 mm diameter. The surface of first layer of cured composite was prepared by one of five methods as followings, thereafter second layer of composite was filled and cured: Group 1 - OIL is allowed to remain on the surface of cured composite; Group 2 - OIL was removed by rubbing with acetone-soaked cotton; Group 3 - formation of the OIL was inhibited using a Mylar strip; Group 4 - OIL was covered with glycerin and light-cured; Group 5 (control) - composite was bulk-filled in a layer. The interfacial shear bond strength between two layers was tested and the fracture modes were observed. To investigate the propagation of polymerization reaction from active area having a photo-initiator to inactive area without the initiator, a flowable composite (Aelite Flow) or an adhesive resin (Adhesive of ScotchBond Multipurpose) was placed over an experimental composite (Exp_Com) which does not include a photoinitiator and light-cured. After sectioning the specimen, the cured thickness of the Exp_Com was measured.

The bond strength of group 2, 3 and 4 did not show statistically significant difference with group 1. Groups 3 and 4 were not statistically significant different with control group 5. The cured thicknesses of Exp_Com under the flowable resin and adhesive resin were 20.95 (0.90) um and 42.13 (2.09), respectively.

Citations

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• Finishing and Polishing of Composite Restoration: Assessment of Knowledge, Attitude and Practice Among Various Dental Professionals in India
  Sankar Vishwanath, Sadasiva Kadandale, Senthil kumar Kumarappan, Anupama Ramachandran, Manu Unnikrishnan, Honap manjiri Nagesh
  Cureus.2022;[Epub]     CrossRef
• Evaluation of Surface Roughness of Composite, Compomer and Carbomer After Curing Through Mylar Strip and Glycerin: A Comparative Study
  Asli Topaloglu-Ak, Dilara Çayırgan, Melisa Uslu
  Journal of Advanced Oral Research.2020; 11(1): 12.     CrossRef
• Effect of glycerin on the surface hardness of composites after curing
  Hyun-Hee Park, In-Bog Lee
  Journal of Korean Academy of Conservative Dentistry.2011; 36(6): 483.     CrossRef

The objective of this study was to compare dentin shear bond strength (DSBS) of dentin bonding agents (DBAs) cured with a plasma arc (PAC) light curing unit (LCU) and those cured with a light emitting diode (LED) LCU. Optical properties were also analyzed for Elipar freelight 2 (3M ESPE); LED LCU, Apollo 95E (DMT Systems); PAC LCU and VIP Junior (Bisco); Halogen LCU. The DBAs used for DSBS test were Scotchbond Multipurpose (3M ESPE), Singlebond 2 (3M ESPE) and Clearfil SE Bond (Kuraray). After DSBS testing, fractured specimens were analyzed for failure modes with SEM.

The total irradiance and irradiance between 450 nm and 490 nm of the LCUs were different. LED LCU showed narrow spectral distribution around its peak at 462 nm whereas PAC and Halogen LCU showed a broad spectrum. There were no significant differences in mean shear bond strength among different LCUs (P > 0.05) but were significant differences among different DBAs (P < 0.001)

Citations

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• Temperature changes under demineralized dentin during polymerization of three resin-based restorative materials using QTH and LED units
  Sayed-Mostafa Mousavinasab, Maryam Khoroushi, Mohammadreza Moharreri, Mohammad Atai
  Restorative Dentistry & Endodontics.2014; 39(3): 155.     CrossRef

The purpose of this study is to compare the shear bond strength of repaired composite resin with different bonding agents and evaluate the effect of bonding agents on composite repair strength. Forty composite specimens (Z-250) were prepared and aged for 1week by thermocycling between 5 and 55℃ with a dwell time of 30s. After air abrasion with 50 µm aluminum oxide, following different bonding agents were applied (n = 10); SB group: Scotchbond multipurpose adhesive (3 step Total-Etch system); SE group: Clearfil SE bond (2 step Self-Etch system); XP group: XP bond (2 step Total-Etch system); XE group: XenoIII (1 step Self-Etch system). After bonding procedure was completed, new composite resin (Z-250) was applied to the mold and cured. For control group, 10 specimens were prepared. Seven days after repair, shear bond strength was measured. Data was statistically analyzed using one-way ANOVA and Tukey's test (p < 0.05). The means and standard deviations of shear bond strength (MPa ± S.D.) per group were as follows: SB group: 17.06; SE group: 19.10; XP group: 14.44; XE group: 13.57; Control Group: 19.40. No significant difference found in each group. Within the limit of this study, it was concluded that the different type of bonding system was not affect on the shear bond strength of repaired composite resin.

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• Smart Biomaterials: An Evolving Paradigm in Dentistry
  Harsha P Rathi, Manoj Chandak, Amit Reche, Abhilasha Dass, Swayangprabha Sarangi, Samiksha R Thawri
  Cureus.2023;[Epub]     CrossRef

The purpose of this study was to evaluate the effect of additional etching procedure prior to Maxcem resin cement application in indirect restoration cementation using push-out bonding strength.

One hundred and two extracted human molars were used to make indirect resin restorations of gold inlay and Synfony. These restorations were cemented using Maxcem and Variolink II. Additional etching procedures were done for one group with Maxcem. Three groups have 17 specimens in both restoration types. Push-out bond strength was measured using multi-purpose tester and calculated for bonding strength per sqaure-millimeter area. The mean bonding strength values were compared using SPSS 12.0K program for one-way ANOVA and Scheffe's Test with 95% significance.

Under the condition of this study, the additional etching procedure prior to usage of Maxcem resulted in reduced bond strength for both of restoration types.

Citations

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• Shear bond strength of a self-adhesive resin cement to resin-coated dentin
  Jee-Youn Hong, Cheol-Woo Park, Jeong-Uk Heo, Min-Ki Bang, Jae-Jun Ryu
  The Journal of Korean Academy of Prosthodontics.2013; 51(1): 27.     CrossRef
• Effect of dentin surface wetness on tensile bond strength of self adhesive resin cements
  Sung-Young Yoon, Se-Hee Park, Jin-Woo Kim, Kyung-Mo Cho
  Journal of Korean Academy of Conservative Dentistry.2009; 34(2): 113.     CrossRef

The objective of this study is to evaluate the effect of an additional application of bonding resin on the bond strength of resin luting cements in both the light-cure (LC) and self-cure (SC) modes by means of the µTBS tests.

Three combinations of One-Step Plus with Choice, Single Bond with Rely X ARC, and One-Up Bond F with Bistite II were used. D/E resin and Pre-Bond resin were used for the additional application. Twelve experimental groups were made. Three mandibular 3^rd molars were used in each group. Indirect composite blocks were cemented on the tooth surface. 1 × 1 mm² dentin-composite beam for µTBS testing were made and tested.

When total-etching dentin adhesives were used, an additional application of the bonding resin increased the bond strength (P < 0.05). However, this additional application didn't influence the bond strength of self-etching dentin adhesives (P > 0.05).

In conclusion, the results suggest that an additional application of the bonding resin increases bond strength and enhances quality of bonding when using total-etching dentin adhesives.

Citations

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• Pull-out bond strength of a self-adhesive resin cement to NaOCl-treated root dentin: effect of antioxidizing agents
  Maryam Khoroushi, Marzieh Kachuei
  Restorative Dentistry & Endodontics.2014; 39(2): 95.     CrossRef
• Effects of dentin moisture on the push-out bond strength of a fiber post luted with different self-adhesive resin cements
  Sevinç Aktemur Türker, Emel Uzunoğlu, Zeliha Yılmaz
  Restorative Dentistry & Endodontics.2013; 38(4): 234.     CrossRef
• Microtensile bond strength of self-etching and self-adhesive resin cements to dentin and indirect composite resin
  Jae-Gu Park, Young-Gon Cho, Il-Sin Kim
  Journal of Korean Academy of Conservative Dentistry.2010; 35(2): 106.     CrossRef
• Effect of curing methods of resin cements on bond strength and adhesive interface of post
  Mun-Hong Kim, Hae-Jung Kim, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2009; 34(2): 103.     CrossRef
• Effect of a desensitizer on dentinal bond strength in cementation of composite resin inlay
  Sae-Hee Han, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2009; 34(3): 223.     CrossRef

Present tooth bonding system can be categorized into total etching bonding system (TE) and self-etching boding system (SE) based on their way of smear layer treatment. The purposes of this study were to compare the effectiveness between these two systems and to evaluate the effect of number of themocycling on microleakage of class V composite resin restorations.

Total forty class V cavities were prepared on the single-rooted bovine teeth and were randomly divided into four experimental groups: two kinds of bonding system and another two kinds of thermocycling groups. Half of the cavities were filled with Z250 follwing the use of TE system, Single Bond and another twenty cavities were filled with Metafil and AQ Bond, SE system. All composite restoratives were cured using light curing unit (XL2500, 3M ESPE, St. Paul, MN, USA) for 40 seconds with a light intensity of 600 mW/cm².

Teeth were stored in distilled water for one day at room temperature and were finished and polished with Sof-Lex system. Half of teeth were thermocycled 500 times and the other half were thermocycled 5,000 times between 5℃ and 55℃ for 30 second at each temperature.

Teeth were isolated with two layers of nail varnish except the restoration surface and 1 mm surrounding margins. Electrical conductivity (µA) was recorded in distilled water by electrochemical method. Microleakage scores were compared and analyzed using two-way ANOVA at 95% level.

From this study, following results were obtained: There was no interaction between variables of bonding system and number of thermocycling (p = 0.485). Microleakage was not affected by the number of thermocycling either (p = 0.814). However, Composite restoration of Metafil and AQ Bond, SE bond system showed less microleakage than composite restoration of Z250 and Single Bond, TE bond system (p = 0.005).

Citations

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• Evaluation of Shear Bond Strength and Microleakage of Bulk-fill Resin Composites
  Hanbyeol Lee, Hyunwoo Seo, Juhyun Lee, Howon Park
  THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY.2015; 42(4): 281.     CrossRef
• Effect of Er:YAG lasing on the dentin bonding strength of two-step adhesives
  Byeong-Choon Song, Young-Gon Cho, Myung-Seon Lee
  Journal of Korean Academy of Conservative Dentistry.2011; 36(5): 409.     CrossRef
• Microleakage of the experimental composite resin with three component photoinitiator systems
  Ji-Hoon Kim, Dong-Hoon Shin
  Journal of Korean Academy of Conservative Dentistry.2009; 34(4): 333.     CrossRef

The objectives of this study was to evaluate the durability of 4 resin cements by means of microtensile bond strength test combined with thermocycling method and fractographic FE-SEM analysis.

Experimental groups were prepared according to thermocycling (0, 1,000, 5,000) and the kind of resin cements, those were Variolink II, Multilink, Panavia F 2.0, Rely X Unicem. Flat dentin surfaces were created on mid-coronal dentin of extracted third molars. Then fresh dentin surface was grounded with 320-grit silicon carbide abrasive papers to create uniform smear layers. Indirect composite block (Tescera, Bisco Inc., Schaumburg, IL, USA) was fabricated (12 × 12 × 6 mm³). It's surface for bonding to tooth was grounded with silicon carbide abrasive papers from 180- to 600-grit serially, then sandblasted with 20 - 50 µm alumina oxide. According to each manufacturer's instruction, dentin surface was treated and indirect composite block was luted on it using each resin cement. For Rely X Unicem, dentin surface was not treated. The bonded tooth-resin block were stored in distilled water at 37℃ for 24 hours. After thermocycling, the bonded tooth-resin block was sectioned occluso-gingivally to 1.0 mm thick serial slabs using an Isomet slow-speed saw (Isomet, Buehler Ltd, Lake Bluff, IL, USA). These sectioned slabs were further sectioned to 1.0 × 1.0 mm² composite-dentin beams. The specimens were tested with universal testing machine (EZ-Test, Shimadzu, Japan) at a crosshead speed of 1.0 mm/min with maximum load of 500 N. The data was analyzed using one-way ANOVA and Duncan's multiple comparison test at p ≤ 0.05 level.

Within the limited results, we conclude as follows;

1. The bond strength of Variolink II was evaluated the highest among experimental groups and was significantly decreased after 1,000 thermocycling (p < 0.05).

2. The bond strength of Multilink was more affected by thermocycling than the other experimental groups and significantly decreased after 1,000 thermocycling (p < 0.05).

3. Panavia F 2.0 and Rely X Unicem showed the gradually decreased tendency of microtensile bond strength according to thermocycling but there was no significant difference (p > 0.05).

4. Adhesive based-resin cements showed lower bond strength with or without thermocycling than composite based-resin cements.

5. Variolink II & Multilink showed high bond strength and mixed failure, which was occurred with a thin layer of luting resin cement before thermocycling and gradually increased adhesive failure along the dentin surface after thermocycling.

The bonding performance of resin cement can be affected by application procedure and chemical composition. Composite based-resin cement showed higher bond strength and durability than adhesive based-resin cement.

Citations

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• Effect of surface treatment of FRC-Post on bonding strength to resin cements
  Chan-Hyun Park, Se-Hee Park, Jin-Woo Kim, Kyung-Mo Cho
  Journal of Korean Academy of Conservative Dentistry.2011; 36(2): 125.     CrossRef
• Physical properties of different self-adhesive resin cements and their shear bond strength on lithium disilicate ceramic and dentin
  Hye-Jin Shin, Chang-Kyu Song, Se-Hee Partk, Jin-Woo Kim, Kyung-Mo Cho
  Journal of Korean Academy of Conservative Dentistry.2009; 34(3): 184.     CrossRef
• Effect of a desensitizer on dentinal bond strength in cementation of composite resin inlay
  Sae-Hee Han, Young-Gon Cho
  Journal of Korean Academy of Conservative Dentistry.2009; 34(3): 223.     CrossRef
• Effect of the additional etching procedure on push-out bond strength of one-step resin cement
  Soon-Il Kang, Jeong-Kil Park, Bock Hur, Hyeon-Cheol Kim
  Journal of Korean Academy of Conservative Dentistry.2008; 33(5): 443.     CrossRef

The fracture toughness test is believed as a clinically relevant method for assessing the fracture resistance of the dentinal restoratives. The objectives of this study were to measure the fracture toughness (K_1C) and microtensile bond strength of dentin-resin composite interface and compare their relationship for their use in evaluation of the integrity of the dentin-resin bond.

A minimum of six short-rod specimens for fracture toughness test and fifteen specimens for microtensile bond strength test was fabricated for each group of materials used. After all specimens storing for 24 hours in distilled water at 37℃, they were tensile-loaded with an EZ tester universal testing machin. Statistical analysis was performed using ANOVA and Tukey's test at the 95% confidence level, Pearson's coefficient was used to verify the correlation between the mean of fracture toughness and microtensile bond strength. FE-SEM was employed on fractured surface to describe the crack propagation.

Fracture toughness value of Clearfil SE Bond (SE) was the highest, followed by Adper Single Bond 2 (SB), OptiBond Solo (OB), ONE-STEP PLUS (OS), ScotchBond Multi-purpose (SM) and there was significant difference between SE and other 4 groups (p < 0.05). There were, however, no significant difference among SB, OB, OS, SM (p > 0.05). Microtensile bond strength of SE was the highest, followed by SB, OB, SM, OS and OS only showed significant lower value (p < 0.05). There was no correlation between fracture toughness and microtensile bond strength values. FE-SEM examination revealed that dentin bonding agent showed different film thickness and different failure pattern according to the film thickness.

From the limited results of this study, it was noted that there was statistically no correlation between K1C and µTBS. We can conclude that for obtaining the reliability of bond strength test of dentin bonding agent, we must pay more attention to the test procedure and its profound scrutiny.

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• The study of fractural behavior of repaired composite
  Sang-Soon Park, Wook Nam, Ah-Hyang Eom, Duck-Su Kim, Gi-Woon Choi, Kyoung-Kyu Choi
  Journal of Korean Academy of Conservative Dentistry.2010; 35(6): 461.     CrossRef

The purpose of this study was to investigate the effect of calcium hydroxide on dentin bonding strength of various dentin bonding systems as a function of time in composite resin restoration.

Dentin adhesives used in this study were Scotchbond Multipurpose, Single Bond, SE Bond and Prompt L-Pop. Flat dentin surfaces adjacent to pulp chamber were created, then Ca(OH)₂ and saline were mixed and applied on dentin surface of experimental group, then IRM was used to cover the mixture on dentin surface and the specimens were stored at 36.5℃ for experiment period (7 days, 30 days). After removing IRM and Ca(OH)₂, each dentin adhesives were treated on dentin surfaces.

Composite resin (Z-250, 3M) was placed with 5 mm height and was light-cured for 20 seconds. After stored in distilled water for 24 hours, each dentin-composite bonded spicemen was embedded in epoxy resin and sectioned into 1.0 × 1.0 mm² cross section composite-dentin beams. Specimen was mounted on zig of Universal testing machine and µTBS test was performed. SEM analysis was performed to examine the fractured surfaces.

The results suggested that applying calcium hydroxide did not show significant difference in dentin bonding strength.

The purpose of this study is to evaluate prospectively the effect of different bonding systems and retention grooves on the clinical performance of resin restorations in non-carious cervical lesions (NCCLs). Thirty-nine healthy adults who had at least 2 NCCLs in their premolar areas were included in this study. One hundred and fifty teeth were equally assigned to six groups: (A) Scotchbond Multi-Purpose (SBMP, 3M ESPE, St. Paul, MN, USA, 4th generation bonding system) without retention grooves; (B) SBMP with retention grooves; (C) BC Plus (Vericom Co., Anyang, Gyeonggido, Korea, 5th generation bonding system) without retention grooves; (D) BC Plus with retention grooves; (E) Adper Prompt (3M ESPE, Seefeld, Germany, 6th generation bonding system) without retention grooves; (F) Adper Prompt with retention grooves. All cavities were filled with a hybrid composite resin, Denfil (Vericom Co., Anyang, Gyeonggido, Korea) by one operator. Restorations were evaluated at baseline and at 6-month recall, according to the modified USPHS (United States Public Health Service) criteria. Additionally, clinical photographs were taken and epoxy resin replicas were made for SEM evaluation. At 6-month recall, there were some differences in the number of alpha ratings among the experimental groups. But, despite the differences in the number of alpha ratings, there was no significant difference among the 3 adhesive systems (p > 0.05). There was also no significant difference between the groups with or without mechanical retention (p > 0.05). Follow-ups for longer periods than 6 months are needed to verify the clinical performance of different bonding systems and retention grooves.

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• Comparison of marginal microleakage between low and high flowable resins in class V cavity
  Sang-Bae Bae, Young-Gon Cho, Myeong-Seon Lee
  Journal of Korean Academy of Conservative Dentistry.2009; 34(6): 477.     CrossRef

To evaluate the effect of vital tooth bleaching agent and alcohol pretreatment on dentin bonding, flat dentin windows were produced on the buccal side of the crowns of fifty-five extracted, human premolars. A bleaching gel, Opalescence® with 10% of carbamide peroxide (Ultradent Product, USA) was daily applied on the teeth of three experimental groups for six hours for 10 consecutive days, while teeth of a control group were not bleached. After 6 hours of bleaching gel application, the specimens were washed and stored in saline until the next day application. After application of One-step® dentin bonding agent (Bisco, USA), Z-250® resin (3M-ESPE, USA) was bonded to dentin with a mount jig. Shear bond strength was measured with an Instron machine (Type 4202, Instron Corp., USA) after 24 hours. The results were analyzed using one-way ANOVA and Duncan's multiple range test at p < 0.05.

Immediate bonding group showed significantly lower bond strength than un-bleached control group (p < 0.05).

Ethanol-treated group showed significantly higher bond strength compared to immediate bonding group (p < 0.05). However, the bond strength of the ethanol treatment group was lower than that of the un-bleached control group (p < 0.05).

There were no significant difference in shear bond strength between the 2-week delayed bonding group and the ethanol-treated group (p > 0.05) and between delayed bonding group and un-bleached control group (p > 0.05).

In the condition of the present study, it seems that alcohol pretreatment after bleaching procedure can reduce the adverse effect of vital bleaching agent on dentin bonding.

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• Effect of Applying Malatang Sauce by Type Before and After Expert Whitening Agent Treatment on Bovine Tooth Coloring
  Chi-Yoon Sung, Hee-Jung Lim, Moon-Jin Jeong, Do-Seon Lim
  Journal of Dental Hygiene Science.2025; 25(2): 79.     CrossRef
• Effect of the bleaching light on whitening efficacy
  Jong-Hyun Park, Hye-Jin Shin, Deok-Young Park, Se-Hee Park, Jin-Woo Kim, Kyung-Mo Cho
  Journal of Korean Academy of Conservative Dentistry.2009; 34(2): 95.     CrossRef

The purpose of this study was to evaluate the effect of dual bonding technique by comparing micro-shear bond strength between two different luting methods of resin cement to tooth dentin. Three dentin bonding systems(All-Bond 2, One-Step, Clearfil SE Bond), two temporary cements (Propac, Freegenol) were used in this study.

In groups used conventional luting procedure, dentin surfaces were left untreated. In groups used dual bonding technique, three dentin bonding systems were applied to each dentin surface. All specimens were covered with each temporary cement. The temporary cements were removed and each group was treated using one of three different dentin bonding system. A resin cement was applied to the glass cylinder surface and the cylinder was bonded to the dentin surface. Then, micro-shear bond strength test was performed. For the evaluation of the morphology at the resin/dentin interface, SEM examination was also performed.

Conventional luting procedure showed higher micro-shear bond strengths than dual boning technique. However, there were no significant differences.

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• Effect of infection control barrier thickness on light curing units
  Hoon-Sang Chang, Seok-Ryun Lee, Sung-Ok Hong, Hyun-Wook Ryu, Chang-Kyu Song, Kyung-San Min
  Journal of Korean Academy of Conservative Dentistry.2010; 35(5): 368.     CrossRef

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• The effect of concentration and application time of hydrogen peroxide on the microtensile bond strength of resin restorations to the dentin at different depths
  Jeong-Lyong Son, Gye-Young Lee, Yu-Mi Kang, Young-Taek Oh, Kwang-Won Lee, Tae-Gun Kim
  Journal of Korean Academy of Conservative Dentistry.2009; 34(5): 406.     CrossRef
• Effect of vital tooth bleaching agent on dentin bonding
  Na-Young Jeong, Myoung-Uk Jin, Young-kyung Kim, Sung Kyo Kim
  Journal of Korean Academy of Conservative Dentistry.2006; 31(2): 79.     CrossRef

This study compared the dentin shear bond strengths of currently used dentin bonding agents that were irradiated with an LED (Elipar FreeLight, 3M-ESPE) and a halogen light (VIP, BISCO). The optical characteristics of two light curing units were evaluated. Extracted human third molars were prepared to expose the occlusal dentin and the bonding procedures were performed under the irradiation with each light curing unit. The dentin bonding agents used in this study were Scotchbond Multipurpose (3M ESPE), Single Bond (3M ESPE), One-Step (Bisco), Clearfil SE bond (Kuraray), and Adper Prompt (3M ESPE). The shear test was performed by employing the design of a chisel-on-iris supported with a Teflon wall. The fractured dentin surface was observed with SEM to determine the failure mode.

The spectral appearance of the LED light curing unit was different from that of the halogen light curing unit in terms of maximum peak and distribution. The LED LCU (maximum peak in 465 ㎚) shows a narrower spectral distribution than the halogen LCU (maximum peak in 487 ㎚). With the exception of the Clearfil SE bond (P < 0.05), each 4 dentin bonding agents showed no significant difference between the halogen light-cured group and the LED light-cured group in the mean shear bond strength (P > 0.05).

The results can be explained by the strong correlation between the absorption spectrum of cam-phoroquinone and the narrow emission spectrum of LED.

The purpose of this study was to evaluate the penetration pattern of dentin adhesives according to the orientation of dentinal tubules with confocal laser scanning microscopy. Specimens having perpendicular, parallel and oblique surface to dentinal tubules were fabricated. The primer of dentin adhesives (ALL BOND® 2, CLEARFIL™ SE BOND and PQ1) was mixed with fluorescent material, rhodamine B isothiocyanate (Aldrich Chem. CO., Milw., USA). It was applied to the specimens according to the instructions of manufactures. The specimens were covered with composite resin (Estelite, shade A2) and then cut to a thickness of 500 µm with low speed saw (Isomet™, Buehler, USA). The adhesive pattern of dentin adhesives were observed by fluorescence image using confocal laser scanning microscopy.

The results were as follows.

For the groups with tubules perpendicular to bonded surface, funnel shape of resin tag was observed in all specimen. However, resin tags were more prominent in phosphoric acid etching system (ALL BOND® 2 and PQ1) than self etching system (CLEARFIL™ SE BOND).

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• Bonding efficacy of cured or uncured dentin adhesives in indirect resin
  Ji-Hyun Jang, Bin-Na Lee, Hoon-Sang Chang, Yun-Chan Hwang, Won-Mann Oh, In-Nam Hwang
  Journal of Korean Academy of Conservative Dentistry.2011; 36(6): 490.     CrossRef

The objectiveness of this study was to evaluate whether low-viscosity composite can bond effectively to dentin surface without bonding resin. The low-viscosity composites being 50wt% filler content were made by the inclusion of bonding resin of two self-etching systems(Clearfil SE Bond, Unifil Bond) varied with contents as 0, 10, 20, 30, 40, 50wt%.

Exposed dentin surfaces of extracted 3rd molars are used. Dentin bond strengths were measured. The tests were carried out with a micro-shear device placed testing machine at a CHS of 1mm/min after a low-viscosity composite was filled into an iris cut from micro tygon tubing with internal diameter approximately 0.8mm and height of 1.0mm.

Flexural strength and modulus was increased with the addition of bonding resin.

Low viscosity composite including some functional monomer may be used as dentin bonding resin without an intermediary bonding agent. It makes a simplified bonding procedure and foresees the possibility of self-adhesive restorative material.

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• Effect of different air-drying time on the microleakage of single-step self-etch adhesives
  Horieh Moosavi, Maryam Forghani, Esmatsadat Managhebi
  Restorative Dentistry & Endodontics.2013; 38(2): 73.     CrossRef
• Effect of moisture and drying time on the bond strength of the one-step self-etching adhesive system
  Yoon Lee, Jeong-Won Park
  Restorative Dentistry & Endodontics.2012; 37(3): 155.     CrossRef
• Priming time and etching effect on shear bond strength of self-etching adhesive
  In-Joo Kang, Jeong-Won Park
  Journal of Korean Academy of Conservative Dentistry.2004; 29(2): 185.     CrossRef