The effects of different surface pretreatments on the microtensile bond strength (µTBS) between a bulk-fill resin-based composite cavity base material (Bulk Base HARD II) and 4-META/MMA-TBB resin (Super-Bond EX), which is often used as a luting agent for indirect dental restorations, were investigated. Six experimental treatments were established: 10% citric acid/3% ferric chloride conditioner (10-3), self-etching primer (Teeth Primer; TP), silane coupling agent (M MC), 10-3+MC, TP+MC, and a control group with no treatment. The µTBS was measured after 1 week (immediate group) and 6 months (aged group) of water storage. There were no significant differences in µTBS among the immediate subgroups. However, the aged 10-3+MC group exhibited the highest bond strength, significantly outperforming the control group. On the other hand, the µTBS of the aged TP group was significantly lower than those of both aged 10-3 and 10-3+MC. MC alone did not enhance bond strength, and its application after TP led to a nonuniform surface morphology, raising concerns about adhesive stability. Failure mode analysis indicated that cohesive failure within the luting cement was predominant, with mixed failures being more frequent in the aged TP group. Overall, MC may not be necessary, and 10-3 conditioning does not adversely affect bond strength. Based on the results of this in vitro study, the most effective clinical practice entails pretreatment of the prepared cavity employing a citric acid/ferric chloride conditioner.
Kohsaka et al. (Sun,) studied this question.