Effects of silver diammine fluoride on bond strength of adhesives to sound dentin

This study evaluated bonding of adhesives to dentin treated with silver diammine fluoride (SDF). Micro-shear bond strength (MSBS) to sound human dentin was investigated for 3 adhesive systems: Clearfil SE bond 2 (CSE), and Scotchbond Universal in self-etching (SBU) and phosphoric acid-etching (SBT) modes, following 4 different SDF application protocols (n=10); Control: treated with deionized water. P1: SDF applied for 10-s, no rinse. P2: SDF applied for 10-s, rinsed off after 1-min. P3: superficial dentin polished off after 24-h following P1. MSBS data were obtained after 24-h water storage at 37 degrees C. SDF significantly affected MSBS to dentin depending on the SDF protocol and adhesive system. Rinsing SDF off improved bond strength but superficial refreshing of SDF treated dentin prior to bonding showed the highest bond strength. The two-step self-etch adhesive (CSE) and the universal adhesive in acid-etching mode (SBT) showed better performance than universal adhesive (SBU) alone on SDF treated dentin.