Impact of a Novel Pretreatment on Bond Strength of Universal Adhesive to Conventional and CAD/CAM Resin Composites: In Vitro Study

Novel dentin bonding pretreatment using copper sulfate (CuSO<sub>4</sub>) and dipotassium hydrogen phosphate (K<sub>2</sub>HPO<sub>4</sub>) may create a more hydrophobic environment for dentin bonding. Thus, this study aims to investigate the impact of a CuSO<s...

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Main Authors: Ali A. Elkaffas, Abdullah Alshehri, Feras Alhalabi, Rania Bayoumi, Abdullah Ali Alqahtani, Abdulellah Almudahi, Abdulaziz Fahd Alsubaie, Abdulaziz Fahd Alharbi
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Journal of Functional Biomaterials
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Online Access:https://www.mdpi.com/2079-4983/16/6/197
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author Ali A. Elkaffas
Abdullah Alshehri
Feras Alhalabi
Rania Bayoumi
Abdullah Ali Alqahtani
Abdulellah Almudahi
Abdulaziz Fahd Alsubaie
Abdulaziz Fahd Alharbi
author_facet Ali A. Elkaffas
Abdullah Alshehri
Feras Alhalabi
Rania Bayoumi
Abdullah Ali Alqahtani
Abdulellah Almudahi
Abdulaziz Fahd Alsubaie
Abdulaziz Fahd Alharbi
author_sort Ali A. Elkaffas
collection DOAJ
description Novel dentin bonding pretreatment using copper sulfate (CuSO<sub>4</sub>) and dipotassium hydrogen phosphate (K<sub>2</sub>HPO<sub>4</sub>) may create a more hydrophobic environment for dentin bonding. Thus, this study aims to investigate the impact of a CuSO<sub>4</sub> + K<sub>2</sub>HPO<sub>4</sub> pretreatment on dentin μTBS when bonded with a universal adhesive to conventional and CAD/CAM resin composites. Eighty recently extracted human molars (n = 80) were chosen and placed in transparent acrylic blocks to expose the crowns entirely. Nano-filled resin composite and CAD/CAM resin blocks were selected. Based on the dentin pretreatment, type of resin composite, and adhesion strategy, the teeth were randomly allocated into eight equal groups (n = 10). The microtensile bond strength (μTBS) and fracture mode were determined. A three-way analysis of variance (ANOVA) was used to analyze the μTBS data, followed by Tukey’s post hoc test. The μTBS values were not significantly affected by either the resin composite type (<i>p</i> > 0.05) or the adhesive strategy (<i>p</i> > 0.05) according to the three-way ANOVA results. Conversely, significant differences were detected between no dentin pretreatment (24.20 ± 4.54 MPa) and CuSO<sub>4</sub> + K<sub>2</sub>HPO<sub>4</sub> pretreatment (33.66 ± 5.22 MPa) using an etch-and-rinse adhesive strategy for nano-filled composites (<i>p</i> < 0.001). Additionally, significant differences were detected between no dentin pretreatment (24.71 ± 4.33 MPa) and CuSO<sub>4</sub> + K<sub>2</sub>HPO<sub>4</sub> pretreatment (32.49 ± 4.92 MPa) using an etch-and-rinse adhesive strategy for CAD/CAM resin blocks (<i>p</i> < 0.001). Moreover, significant differences were detected between no dentin pretreatment (21.20 ± 3.40 MPa) and CuSO<sub>4</sub> + K<sub>2</sub>HPO<sub>4</sub> pretreatment (30.31 ± 3.87 MPa) using a self-etching adhesive strategy for nano-filled composites (<i>p</i> < 0.001). Also, significant differences were detected between no dentin pretreatment (23.89 ± 3.89 MPa) and CuSO<sub>4</sub> + K<sub>2</sub>HPO<sub>4</sub> pretreatment (31.22 ± 4.71 MPa) using a self-etching adhesive strategy for CAD/CAM resin blocks (<i>p</i> < 0.001). In conclusion, dentin μTBS was enhanced by a copper-based treatment when used with nano-filled and CAD/CAM resin blocks.
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spelling doaj-art-1b156932a6e64029ae07672f906c4cb72025-06-25T13:59:29ZengMDPI AGJournal of Functional Biomaterials2079-49832025-05-0116619710.3390/jfb16060197Impact of a Novel Pretreatment on Bond Strength of Universal Adhesive to Conventional and CAD/CAM Resin Composites: In Vitro StudyAli A. Elkaffas0Abdullah Alshehri1Feras Alhalabi2Rania Bayoumi3Abdullah Ali Alqahtani4Abdulellah Almudahi5Abdulaziz Fahd Alsubaie6Abdulaziz Fahd Alharbi7Conservative Dental Science Department, College of Dentistry, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaConservative Dental Science Department, College of Dentistry, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaConservative Dental Science Department, College of Dentistry, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaConservative Dental Science Department, College of Dentistry, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaConservative Dental Science Department, College of Dentistry, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaConservative Dental Science Department, College of Dentistry, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaCollege of Dentistry, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaCollege of Dentistry, Prince Sattam bin Abdulaziz University, Al-Kharj 11942, Saudi ArabiaNovel dentin bonding pretreatment using copper sulfate (CuSO<sub>4</sub>) and dipotassium hydrogen phosphate (K<sub>2</sub>HPO<sub>4</sub>) may create a more hydrophobic environment for dentin bonding. Thus, this study aims to investigate the impact of a CuSO<sub>4</sub> + K<sub>2</sub>HPO<sub>4</sub> pretreatment on dentin μTBS when bonded with a universal adhesive to conventional and CAD/CAM resin composites. Eighty recently extracted human molars (n = 80) were chosen and placed in transparent acrylic blocks to expose the crowns entirely. Nano-filled resin composite and CAD/CAM resin blocks were selected. Based on the dentin pretreatment, type of resin composite, and adhesion strategy, the teeth were randomly allocated into eight equal groups (n = 10). The microtensile bond strength (μTBS) and fracture mode were determined. A three-way analysis of variance (ANOVA) was used to analyze the μTBS data, followed by Tukey’s post hoc test. The μTBS values were not significantly affected by either the resin composite type (<i>p</i> > 0.05) or the adhesive strategy (<i>p</i> > 0.05) according to the three-way ANOVA results. Conversely, significant differences were detected between no dentin pretreatment (24.20 ± 4.54 MPa) and CuSO<sub>4</sub> + K<sub>2</sub>HPO<sub>4</sub> pretreatment (33.66 ± 5.22 MPa) using an etch-and-rinse adhesive strategy for nano-filled composites (<i>p</i> < 0.001). Additionally, significant differences were detected between no dentin pretreatment (24.71 ± 4.33 MPa) and CuSO<sub>4</sub> + K<sub>2</sub>HPO<sub>4</sub> pretreatment (32.49 ± 4.92 MPa) using an etch-and-rinse adhesive strategy for CAD/CAM resin blocks (<i>p</i> < 0.001). Moreover, significant differences were detected between no dentin pretreatment (21.20 ± 3.40 MPa) and CuSO<sub>4</sub> + K<sub>2</sub>HPO<sub>4</sub> pretreatment (30.31 ± 3.87 MPa) using a self-etching adhesive strategy for nano-filled composites (<i>p</i> < 0.001). Also, significant differences were detected between no dentin pretreatment (23.89 ± 3.89 MPa) and CuSO<sub>4</sub> + K<sub>2</sub>HPO<sub>4</sub> pretreatment (31.22 ± 4.71 MPa) using a self-etching adhesive strategy for CAD/CAM resin blocks (<i>p</i> < 0.001). In conclusion, dentin μTBS was enhanced by a copper-based treatment when used with nano-filled and CAD/CAM resin blocks.https://www.mdpi.com/2079-4983/16/6/197copper sulfatedipotassium hydrogen phosphateCAD/CAM resin blocksuniversal adhesives
spellingShingle Ali A. Elkaffas
Abdullah Alshehri
Feras Alhalabi
Rania Bayoumi
Abdullah Ali Alqahtani
Abdulellah Almudahi
Abdulaziz Fahd Alsubaie
Abdulaziz Fahd Alharbi
Impact of a Novel Pretreatment on Bond Strength of Universal Adhesive to Conventional and CAD/CAM Resin Composites: In Vitro Study
Journal of Functional Biomaterials
copper sulfate
dipotassium hydrogen phosphate
CAD/CAM resin blocks
universal adhesives
title Impact of a Novel Pretreatment on Bond Strength of Universal Adhesive to Conventional and CAD/CAM Resin Composites: In Vitro Study
title_full Impact of a Novel Pretreatment on Bond Strength of Universal Adhesive to Conventional and CAD/CAM Resin Composites: In Vitro Study
title_fullStr Impact of a Novel Pretreatment on Bond Strength of Universal Adhesive to Conventional and CAD/CAM Resin Composites: In Vitro Study
title_full_unstemmed Impact of a Novel Pretreatment on Bond Strength of Universal Adhesive to Conventional and CAD/CAM Resin Composites: In Vitro Study
title_short Impact of a Novel Pretreatment on Bond Strength of Universal Adhesive to Conventional and CAD/CAM Resin Composites: In Vitro Study
title_sort impact of a novel pretreatment on bond strength of universal adhesive to conventional and cad cam resin composites in vitro study
topic copper sulfate
dipotassium hydrogen phosphate
CAD/CAM resin blocks
universal adhesives
url https://www.mdpi.com/2079-4983/16/6/197
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