Relocation and reinforcement of the adhesive/composite interface with spontaneous amine-peroxide interfacial polymerization.

Dental materials : official publication of the Academy of Dental Materials(2021)

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摘要
OBJECTIVES:This study demonstrates a spontaneous redox polymerization process located at the adhesive-composite interface that precedes photocure of the composite with the intent to improve bonding. METHODS:An aromatic amine and benzoyl peroxide redox initiator system was partitioned between BAPO-photoinitiated BisGMA/HEMA adhesive and BisGMA/TEGDMA resin-composites. The composite was placed on the photocured adhesive layer with a brief delay before photopolymerization of the composite layer. Micro-tensile bond strength between the adhesive and composite was assessed in comparison with the non-redox active control materials. RESULTS:The presence of amine or peroxide in these resins without the redox initiation contribution enhanced both the rate and the final conversion of the BAPO-based photopolymerizations. Control formulations using redox-only initiation showed active polymer formation starting at approximately 30 s when physical mixing of the redox components was involved; however, simply by waiting 60 s between composite placement and photocure provided adequate time for passive interfacial diffusion of benzoyl peroxide from the pre-cured adhesive into the overlaid aromatic amine-containing composite such that a sufficient degree of redox initiated interfacial polymerization occurred prior to the composite photocure. The result was a significant increase in the adhesive to composite micro-tensile bond strength with the failure site moved away from the mainly interfacial failure noted for the control. SIGNIFICANCE:The stress-free autonomous pre-conversion of a redox-initiated thin film of composite that then provides a compositionally homogeneous interface for composite photopolymerization offers a means to enhance at least short-term bond strength between the adhesive and composite phases during restorative placement.
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