Impact of Various Cross Linking Agents on Dentin Adhesive Systems - an In-vitro Study

Aims and Objectives: The main aim of this study is to compare and evaluate the shear bond strength of composite resin using a total etch adhesive and self-etch adhesive after treatment with different collagen cross-linking agents.

Materials and Methods: Forty freshly extracted human maxillary central incisors were taken. The proximal dentin was exposed, cavities were prepared on mesial and distal of each tooth. The specimens were randomly divided into two groups based on bonding agent applied-Group A and Group B i.e universal bonding agent and all in one bonding agent respectively and are subdivided into four groups based on the surface treatment of dentin. Group I A (n=10) Control-total etch(CTE); Group II A (n=10) Sodium Ascorbate-total etch (STE); Group III A (n=10)- Proanthocyanidin total etch(PTE); Group IV A (n=10)- Chitosan total etch (CHTE); Group I B (n=10) Control-self etch (CSE); Group II B (n=10) Sodium Ascorbate-self etch(SSE); Group III B (n=10)- Proanthocyanidin self-etch (PSE); and Group IV B (n=10) - Chitosan self-etch (CHSE). Shear bond strength of the specimens are tested with universal testing machine, and the data was statistically analysed with one way ANOVA.

Results: Significantly higher shear bond strength to dentin was observed in teeth treated with 6.5% Proanthocyanidin Total etch, 10% Sodium Ascorbate Total etch and 1% Chitosan acetate compared to the control group. No significant difference was seen with self-etch treated groups.

Conclusion: Dentin surface pretreatment with 6.5% Proanthocyanidin, 10% Sodium Ascorbate and 1% Chitosan acetate results in significant enhancement in bond strength of composite resin to deep dentin.