This in-vitro study sought to assess the push-out bond strength of a total-etch and 2 self-etch bonding systems to intracanal dentin of primary anterior teeth (PAT).
Materials and Methods:
Thirty-six primary anterior teeth were randomly divided into 3 groups of 5th generation (Single Bond 2), 6th generation (Clearfil SE), and 7th generation (Single Bond Universal) bonding agents. The canal orifice was restored with composite resin and the push-out test was carried out to assess the bond strength. After applying the push-out load, specimens were evaluated under a light microscope at 40X magnification. One-way ANOVA and log-rank test on Kaplan-Meier curves were applied for the comparison of bond strength among the 3 groups.
The mean± standard deviation (SD) bond strength was 13.6±5.33 MPa for Single Bond 2, 13.85±5.86 MPa for Clearfil SE and 12.28±5.24 MPa for Single Bond Universal. The differences in bond strength among the 3 groups were not statistically significant (P>0.05).
All three bonding agents are recommended for use with composite posts in PAT. However, due to the high technical sensitivity of the Total Etch system, single or two-step self etch systems may be preferred for uncooperative children.