Journal List > Restor Dent Endod > v.45(1) > 1142549

Raina, Sawhny, Paul, and Nandamuri: Comparative evaluation of the bond strength of self-adhering and bulk-fill flowable composites to MTA Plus, Dycal, Biodentine, and TheraCal: an in vitro study

Abstract

Objectives

This study aimed to compare the shear bond strength (SBS) of a self-adhering flowable composite (Dyad Flow) and a bulk-fill flowable composite (Smart Dentin Replacement [SDR]) to several pulp-capping materials, including MTA Plus, Dycal, Biodentine, and TheraCal.

Materials and Methods

Eighty acrylic blocks with 2-mm-deep central holes that were 4 mm in diameter were prepared and divided into 2 groups (n = 40 each) according to the composite used (Dyad Flow or SDR). They were further divided into 4 sub-groups (n = 10 each) according to the pulp-capping agent used. SBS was tested using a universal testing machine at a crosshead speed of 1 mm/min. Data were analyzed using 2-way analysis of variance. A p value of < 0.05 was considered to indicate statistical significance.

Results

A statistically significant difference (p = 0.040) was found between Dyad Flow and SDR in terms of bond strength to MTA Plus, Dycal, Biodentine, and TheraCal.

Conclusions

Among the 8 sub-groups, the combination of TheraCal and SDR exhibited the highest SBS.

References

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Figure 1.
Scanning electron micrographs of bond failure modes. (A) Representative image of adhesive failure; the specimen was from the Dycal + Dyad Flow group. (B) Representative image of cohesive failure; the specimen was from the TheraCal + Smart Dentin Replacement (SDR) group. (C) Representative image of mixed failure; the specimen was from the Biodentine + SDR group.
rde-45-e10f1.tif
Table 1.
Comparison of shear bond strength (MPa) between Dyad Flow and Smart Dentin Replacement (SDR) with different pulp-capping agents
Variables Number Dyad Flow SDR p value*
MTA Plus 10 1.81 ± 1.90 4.05 ± 2.92 0.040
Dycal 10 1.07 ± 0.54 2.68 ± 1.66  
Biodentine 10 2.05 ± 1.11 4.63 ± 1.90  
TheraCal 10 4.70 ± 2.33 9.79 ± 2.52  
Total 40 2.41 ± 2.09 5.29 ± 3.51  

Values are presented as mean ± standard deviation.

* The p value derived from 2-way analysis of variance;

Significant at p < 0.05.

Table 2.
Distribution of bond failure mode between Dyad Flow and Smart Dentin Replacement (SDR) with different pulp-capping agents (n = 10)
Composites Pulp-capping agents AF CF MF
Dyad Flow MTA Plus 1 9 0
  Dycal 6 4 0
  Biodentine 4 2 4
  TheraCal 3 7 0
SDR MTA Plus 0 10 0
  Dycal 1 7 2
  Biodentine 0 7 3
  TheraCal 1 6 3

AF, adhesive failure; CF, cohesive failure; MF, mixed failure.

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