In vitro comparison of shear bond strength of a flowable composite resin and a single-component glass-ionomer to three different pulp-capping agents

Abstract

Background Various materials are used for vital pulp capping and the bond strength of restorative materials to these pulp-capping agents significantly affects the success rate of vital pulp therapy. Objectives The aim of this study was to determine the shear bond strength of a flowable composite resin and a single-component glass-ionomer to mineral trioxide aggregate (MTA), calcium-enriched mixture (CEM) cement and Biodentine (TM) as pulp-capping agents. Material and methods. Seventy-two cylindrical acrylic resin blocks, with a central hole 4 mm x 2 mm, were prepared. Mineral trioxide aggregate, CEM cement and Biodentine were placed in the cavities (n = 24 in each group) and incubated for 24 h. The blocks were subdivided into the composite resin and glass-ionomer subgroups. Cylindrical plastic molds, measuring 3 mm in height and diameter, were used to place the restorative materials on the samples. The shear bond strength test was performed at a strain rate of 1 mm/min in a universal testing machine. The samples were evaluated under a stereomicroscope at x25 magnification for fracture modes. The data was analyzed with the one-way analysis of variance (ANOVA) and Tu key tests. Results. The maximum and minimum mean shear bond strength values were recorded in the Biodentine-composite resin (4.77 MPa) and MTA-glass-ionomer (2.20 MPa) groups, respectively. There were significant differences in the mean shear bond strength values of MTA, CEM cement and Biodentine to the composite resin and glass-ionomer (p < 0.001). Conclusions. A composite material may be preferable for definitive filling after pulp capping with Biodentine.