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CC BY 4.0 · Eur J Dent
DOI: 10.1055/s-0045-1804886
Original Article

Bonding Performance and Interfacial Ultra-Morphology/Nanoleakage of a Modern Self-Curing Bulk-Fill Restorative System: An In Vitro Study

Paula Maciel Pires 
1   Department of Pediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
2   Dental Biomaterials & Minimally Invasive Dentistry, Departamento de Odontologia, CEU Cardenal Herrera University, Valencia, Spain
,
Aline Almeida Neves
1   Department of Pediatric Dentistry and Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
,
Paul Farrar
3   Research & Development, SDI Limited, Bayswater, Australia
,
Álvaro Ferrando Cascales 
4   Department of Biomaterials Engineering, Faculty of Medicine, UCAM, Universidad Católica de Murcia, Campus Los Jerónimos, Murcia, Spain
,
Avijit Banerjee
5   Conservative and Minimally Invasive Dentistry, Centre of Oral Clinical Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, United Kingdom
,
Victor Pinheiro Feitosa
6   Department of Operative Dentistry, University of Iowa College of Dentistry, Iowa City, Iowa, United States
,
Salvatore Sauro 
2   Dental Biomaterials & Minimally Invasive Dentistry, Departamento de Odontologia, CEU Cardenal Herrera University, Valencia, Spain
› Author Affiliations
Funding This study was supported in part by a grant funded by Generalitat Valenciana (CIAICO/2022/198) and from the “Proyectos PUENTE and INDI 2024-2025”, provided by the University CEU Cardenal Herrera, Valencia, Spain. Moreover, Dr. Paula Pires was funded by a pos-doctoral bursal granted by FAPERJ (Brazil).
› Further Information
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Abstract

Objectives The objective of this study was to evaluate the bonding performance and the interfacial ultramorphology of an innovative self-curing restorative system compared with a conventional light-curing resin composite applied on dentin in etch-and-rinse (ER) or self-etch (SE) mode.

Materials and Methods Twenty cavities (class I) were prepared in sound dentin and restored using two materials: (1) CERAM (n = 10; CERAM.X ONE, Dentsply Sirona) in combination with a universal adhesive system (PBU [Prime & Bond Universal]), or (2) STELA (n = 10; Stela Automix, SDI) in combination with its adhesive primer. Half of the specimens from each group were bonded in ER or SE mode. Specimens underwent microtensile bond strength testing after 24 hours of storage in artificial saliva. Failure mode was determined using a stereomicroscope, and fractographic analysis was performed using scanning electron microscopy. The interfacial ultramorphology/nanoleakage of the resin–dentin slabs was analyzed through dye-assisted confocal microscopy.

Statistical Analysis For quantitative analysis, bond strength values (in MPa) were assessed for normality and variance using Kolmogorov–Smirnov and Levene's tests, followed by ANOVA based on restorative material and adhesive bonding protocol, with Fisher's least significant difference post hoc test (α = 5%).

Results SE groups exhibited significantly lower bond strength (17.4 MPa for CERAM; 26.2 MPa for STELA) compared with ER groups (35.8 MPa for CERAM; 33.6 MPa for STELA) (p < 0.05). CERAM applied in SE mode showed significantly lower bond strength compared with STELA applied in SE mode. Furthermore, CERAM applied in SE mode was the only group presenting a pre-test failure rate (27%). The failure mode was predominantly mixed in ER groups and adhesive in SE groups. Nanoleakage was observed clearly in the CERAM groups applied in both ER and SE modes but was less evident in the STELA groups.

Conclusion The new self-curing material (STELA) used in SE or ER may represent a promising clinical option to provide adequate interfacial adaptation and strong bonding to dentin when restoring deep class I cavities. The use of conventional adhesives in deep class I cavities may generate resin-dentin interfaces characterized by gaps and leakages.

Keywords

dentin - self-curing - dental resins - microtensile bond strength - resin–dentin interface - microscopy - confocal


Publication History

Article published online:
25 March 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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