Effect of proanthocyanidin incorporation into dental adhesive on durability of resin–dentin bond

BackgroundProanthocyanidin has shown to have beneficial effects on dentin bonding via its collagen cross-linking and protease inhibitory effects.ObjectiveThis study evaluated the effect of incorporation of 1–3% PA into a dental adhesive on durability of resin–dentin bond.Materials and methodsThe experimental adhesive was first formulated by combining 50 wt% comonomer mixtures with 50 wt% ethanol. PA was then added to the ethanol-solvated adhesive to yield three groups of adhesives at concentrations of 1.0 wt%, 2.0 wt% and 3.0 wt%. The PA-free adhesive served as control. Flat dentin surfaces from forty extracted third molars were etched with 32% phosphoric acid and the specimens were randomly assigned to one of the four adhesive groups. Two layers of experimental adhesives were applied to etched dentin and light-cured for 20 s after solvent evaporation. Composite build-ups were performed using Filtek Z250 (3M ESPE). The bonded teeth were divided into three subgroups for different methods of storage: (1) 24 h indirect water exposure (IE), (2) 6 M IE and (3) 6 M direct water exposure (DE). After the designated period of water storage, the bonded teeth were sectioned into 0.9 mm×0.9 mm beams for bond strength testing. Bond strength data were evaluated by two-way ANOVA and Tukey׳s tests (α=0.05). Interfacial nanoleakage was examined using a field-emission scanning electron microscopy. Two-way ANOVA and Tukey׳s tests were used to examine the effects of PA concentration and water exposure on bond strength and percentage of nanoleakage (α=0.05).ResultsTwo-way ANOVA showed that the factors, water exposure and PA concentration had a significant effect on bond strength (p<0.001). Interaction between the two factors was also significant (p<0.001). Bond strength of all four adhesives decreased with PA concentrations and ageing. Type of water exposure had no effect on the bond strength of PA-incorporated adhesive; while direct water exposure significantly reduced the bond strength of PA-free adhesive. Conversely, the factors, water exposure and PA concentration showed a significant effect on nanoleakage percentage (p<0.001). Interaction between the two factors was not significant (p>0.05).ConclusionIncorporation of proanthocyanidin into a dental adhesive did not prevent resin–dentin bond degradation over time.