Effect of tooth surface preparation on the bonding of self-etching primer adhesives.

The aim of this study was to determine the bonding effectiveness of four self-etching primer adhesives after various tooth preparation protocols. Enamel/dentin specimens were prepared from 84 permanent molars, divided into three enamel preparation groups (silicon carbide paper [SiC1; erbium, chromium:yttri-um, scandium, gallium, garnet [Er,Cr:YSGG] laser [EL] and diamond bur [DB]) and five dentin preparation groups (SiC, EL, DB, steel[SB], and ceramic burs [CBs]). In each group,specimens were equally divided into four sub-groups and were bonded using Clearfil SEBond (CSE, Kuraray), Xeno IV (XE, Dentsply),Tokuyama Bond Force (TK, Tokuyama) and Filtek Silorane System Adhesive (FS, 3MESPE), as well as a hybrid resin composite(Clearfil Majesty Esthetic, Kuraray) for CSE,XE, and TK, and Filtek Posterior Restorative(3M ESPE) for FS). After 24 hours of water storage at 370C, microshear bond strength(iSBS) testing was carried out. Data were analyzed using analysis of variance (ANOVA)-Tukey test at a=0.05 and bond failure modes assessed. Representative debonded specimens were prepared and examined under the scanning electron microscope (SEM). All adhesives exhibited no significant differences in 1SBS on enamel and dentin under the clinical cavity preparation protocols, except for TK on den-tin. SEM revealed areas of altered subsurface enamel/dentin following EL ablation.