Interfacial Bond Strength of CAD/CAM Resin Composites on Dentin vs. Composite Substrates: Influence of Dual-Cure and Self-Adhesive Resin Cements
Abstract
1. Introduction
2. Materials and Methods
2.1. Ethical Standards
2.2. Preparation of Dentin Substrates
2.3. Composite Substrate Preparation
2.4. Indirect Composite Specimens
2.5. Cementation Procedures
2.5.1. Self-Adhesive Cement (RU200)
2.5.2. Dual-Cure Adhesive Cement (RU)
2.6. Experimental Design
2.7. Shear Bond Strength Testing
2.8. Failure Mode Analysis
2.9. SEM Characterization
2.10. Statistical Analysis
3. Results
3.1. Comparison Between Dentin and Composite Substrates
3.2. Comparison Among Restorative Materials
3.3. Comparison Between Resin Cements
3.4. Failure Mode Distribution
3.5. SEM Observations
4. Discussion
5. Conclusions
- The dual-cure adhesive resin cement (RelyX Ultimate), used in combination with an etch-and-rinse adhesive strategy, produced significantly higher shear bond strength values than the self-adhesive resin cement (RelyX U200), particularly when bonded to dentin substrates. This finding underscores the importance of effective surface conditioning and hybrid-layer formation for achieving reliable adhesion to hydrated dentin.
- Bonding to composite substrates resulted in significantly higher shear bond strength values than bonding to dentin, regardless of the resin cement used. This outcome highlights favorable polymer–polymer interactions at composite resin interfaces and supports the use of composite substrates in restorative scenarios such as deep margin elevation.
- Among the indirect CAD/CAM resin composites evaluated, Tescera ATL exhibited the highest bond strength values, likely due to its high filler content and multi-stage polymerization protocol involving light, heat, and pressure, which enhance polymer network homogeneity and interfacial compatibility.
- Lava Ultimate consistently demonstrated the lowest bond strength values across substrates and cement systems. Its highly prepolymerized resin matrix and high nanoceramic filler fraction may limit chain mobility and reduce chemical interaction with resin cements, thereby compromising interfacial bonding effectiveness.
- Failure mode and SEM analyses corroborate the mechanical findings, revealing predominantly adhesive failures on dentin substrates and a higher incidence of mixed and cohesive failures on composite substrates, indicative of stronger and more continuous adhesive interfaces.
Author Contributions
Funding
Institutional Review Board Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| CAD/CAM | Computer-Aided Design/Computer-Aided Manufacturing |
| SBS | Shear Bond Strength |
| RU | RelyX Ultimate |
| RU200 | RelyX U200 |
| TA | Tescera ATL |
| Ce | Ceramage |
| GP | Gradia Plus |
| LA | Lava Ultimate |
| SEM | Scanning Electron Microscopy |
| MS | Composite Substrate |
| DS | Dentin Substrate |
| Bis-GMA | Bisphenol A-Glycidyl Methacrylate |
| UDMA | Urethane Dimethacrylate |
| Bis-EMA | Ethoxylated Bisphenol A Dimethacrylate |
| TEGDMA | Triethylene Glycol Dimethacrylate |
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| Composite Resins | Main Matrix Monomers | Components | Manufacturer |
|---|---|---|---|
| Gradia Plus | 1–5% Bis-GMA, 5–10% TEGDMA, 1–5% UDMA | Ceramic particles | GC Corp., Tokyo, Japan |
| Ceramage | 5–10% UDMA | Zirconium silicate, 73% | Shofu Inc., Kyoto, Japan |
| Tescera ATL | TEGDMA, Bis-GMA | Amorphous silica, 85% | Bisco Inc., Schaumburg, IL, USA |
| LAVA Ultimate | 80% nanoceramic composite Bis-GMA/TEGDMA | Silica and zirconia fillers | 3M ESPE, St. Paul, MN, USA |
| Scotchbond Universal Etchant | Phosphoric acid | 35% phosphoric acid | 3M ESPE, St. Paul, MN, USA |
| Z250 | Organic matrix: Bis-GMA, UDMA, Bis-EMA | Zirconia/silica filler (0.01–3.5 μm, 82% wt-60% vol) | 3M ESPE, St. Paul, MN, USA |
| Single Bond Universal | 10MDP, phosphate monomers, dimethacrylate resins, HEMA, methacrylate-modified, polyalkenoic acid copolymer, filler, ethanol, water, initiator, silane | 3M ESPE, St. Paul, MN, USA | |
| RelyX Ultimate Universal adhesive cement | Methacrylate monomers, silanized fillers, initiators, stabilizers, dual-cure activators | 3M ESPE, St. Paul, MN, USA | |
| RelyX U200 Self-adhesive resin cement | Matrix: hydroxyethylmethacrylate (HEMA), Bis-GMA; fillers: fluoro alumino silicate glass, zirconium silica | 3M ESPE, St. Paul, MN, USA | |
| Single Bond Universal | Universal adhesive; 10-MDP, HEMA, dimethacrylate resins, silane, ethanol, water | 3M ESPE, St. Paul, MN, USA | |
| Scotchbond Universal Etchant | 35% phosphoric acid etchant | 3M ESPE, St. Paul, MN, USA | |
| Thymol solution (0.1%) | Storage medium for extracted teeth | Sigma-Aldrich, St. Louis, MO, USA | |
| Autopolymerizing acrylic resin | Specimen embedding material | Vertex Dental, Zeist, The Netherlands | |
| Silicone molds | Specimen fabrication molds | Zhermack, Badia Polesine, Italy | |
| Polyester strip | Oxygen inhibition control during curing | GC Corp., Tokyo, Japan | |
| Glycerin gel (Liquid Strip) | Oxygen inhibition barrier during cementation | Ivoclar Vivadent, Schaan, Liechtenstein | |
| Groups | RU | RU200 | ||
|---|---|---|---|---|
| DS | MS | DS | MS | |
| LA | 3.02 ± 1.34 d (0.85–4.35) [3.51] | 4.67 ± 1.04 cd (2.15–7.20) [5.5] | 5.69 ± 2.69 cd (3.19–13.99) [3.51] | 5.47 ± 1.59 cd (3.03–7.76) [5.44] |
| TA | 4.81 ± 1.63 c (1.88–7.47) [5.35] | 12.59 ± 1.14 a (10.04–15.74) [12.15] | 8.05 ± 3.68 b (1.57–15.28) [8.05] | 13.17 ± 2.45 a (9.52–16.53) [12.93] |
| Ce | 3.30 ± 1.35 d (2.16–6.34) [2.98] | 8.21 ± 1.37 b (5.43–13.44) [9.66] | 6.98 ± 2.33 bc (5.35–12.45) [8.12] | 8.63 ± 1.93 ab (8.01–14.85) [10.45] |
| GP | 3.62 ± 1.23 d (1.30–5.79) [4.7] | 9.71 ± 2.97 b (6.12–10.90) [7.85] | 8.63 ± 2.13 b (3.66–12.39) [6.77] | 10.88 ± 2.12 ab (8.21–13.37) [8.94] |
| Substrate | Adhesive n (%) | Mixed n (%) | Cohesive n (%) |
|---|---|---|---|
| DS | 16 (66.7%) | 6 (25.0%) | 2 (8.3%) |
| MS | 5 (20.8%) | 9 (37.5%) | 10 (41.7%) |
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Share and Cite
Batgerel, O.-E.; Yazıcıoğlu, O.; Kıtın, E.; Gençel, B.İ.; Yamak, F.; Bozdağ, S.E.; Sasany, R. Interfacial Bond Strength of CAD/CAM Resin Composites on Dentin vs. Composite Substrates: Influence of Dual-Cure and Self-Adhesive Resin Cements. Polymers 2026, 18, 224. https://doi.org/10.3390/polym18020224
Batgerel O-E, Yazıcıoğlu O, Kıtın E, Gençel Bİ, Yamak F, Bozdağ SE, Sasany R. Interfacial Bond Strength of CAD/CAM Resin Composites on Dentin vs. Composite Substrates: Influence of Dual-Cure and Self-Adhesive Resin Cements. Polymers. 2026; 18(2):224. https://doi.org/10.3390/polym18020224
Chicago/Turabian StyleBatgerel, Oyun-Erdene, Oktay Yazıcıoğlu, Emine Kıtın, Burç İhsan Gençel, Fatih Yamak, Süreyya Ergün Bozdağ, and Rafat Sasany. 2026. "Interfacial Bond Strength of CAD/CAM Resin Composites on Dentin vs. Composite Substrates: Influence of Dual-Cure and Self-Adhesive Resin Cements" Polymers 18, no. 2: 224. https://doi.org/10.3390/polym18020224
APA StyleBatgerel, O.-E., Yazıcıoğlu, O., Kıtın, E., Gençel, B. İ., Yamak, F., Bozdağ, S. E., & Sasany, R. (2026). Interfacial Bond Strength of CAD/CAM Resin Composites on Dentin vs. Composite Substrates: Influence of Dual-Cure and Self-Adhesive Resin Cements. Polymers, 18(2), 224. https://doi.org/10.3390/polym18020224

