Effects of adhesive liner provisional cement on the bond strength of nickel/chrome/beryllium alloy cemented to dentin

Objective: Treating teeth with adhesive agents before placing a provisional restoration can prevent tooth sensitivity. This study evaluated the bond strength of resin cements to dentin treated with 2 adhesive agents and 2 provisional cements. Methods and Materials: Extracted human molars were prepared by exposing dentin and were treated with either Prime & Bond NT or Clearfil SE Bond. After a simulated impression technique, the teeth were provisionalized with either a eugenol or noneugenol temporary cement. Teeth were cleaned for bonding by either mechanical removal of the cement or use of an acid conditioner. Panavia F and Calibra resin cements were used to cement nickel/chrome/beryllium alloy to the tooth surfaces, and the specimens were debonded. Mean shear bond strengths for each group were calculated. Results: Mean shear bond strengths ranged from 26.6 ± 5.8 MPa for Calibra bonded to dentin treated with Prime & Bond NT, a noneugenol cement, and mechanically cleaned, to 10.6 ± 4.4 MPa for Panavia F bonded to unlined (no adhesive) dentin treated with a eugenol cement and mechanically cleaned. Of the 14 groups tested, significant differences were observed related to the adhesives and resin cements. Both temporary cements reduced the bond to dentin not treated with a resin adhesive. Use of an acid conditioner for cleaning the temporary cement also reduced bond strengths in all groups. Conclusions: Placement of a dentin adhesive before provisionalization may prevent the temporary cement from affecting the bond of the final resin cement to the tooth. For the products used in this study, use of phosphoric acid to clean the tooth surface is not recommended. Keywords: adhesive liner, bond strength, provisional cement, resin cement