Evaluation of the Effect of Cold Plasma Treatment on the Microshear Bond Strength of Composite Resin Restorations to Dentin using Different Adhesive Systems and the Effect of Thermocycling

The Open Dentistry Journal 31 December 2021 RESEARCH ARTICLE DOI: 10.2174/1874210602115010734



Currently, non-thermal plasma is used to modify the enamel and dentin surfaces to improve the bonding surface to dental composite resins. Non-thermal plasma creates a hydrophilic surface, decreases the contact angle, and improves the bonding quality. The present study aimed to evaluate the microshear bond strength (µSBS) of composite resins to dentin using different adhesive systems.

Materials and Methods:

Bovine incisor teeth were randomly assigned to three groups of G-Premio, Clearfil SE Bond, and Adper Single Bond adhesive groups after preparation. Each group was divided into two subgroups in terms of argon plasma surface preparation, and each subgroup was divided into two groups in terms of thermocycling (n=12). The microshear bond strength of the samples was determined using a universal testing machine. Three-way ANOVA was used to analyze the effect of the adhesive, plasma preparation, and thermocycling. Post hoc Tukey tests were used for two-by-two comparisons of µSBS. Statistical significance was set at P <0.05.


The results of the µSBS test showed that the application of plasma resulted in a significant increase in the mean µSBS in the G-Premio group, with no significant increase in the Clearfil SE bond and Adper Single groups. The effect of thermocycling after plasma application was significant only in the Adper Single group.


The application of plasma might increase the bond strength of composite resins to dentin. However, further studies are necessary.

Keywords: Cold atmospheric plasma, Dentin adhesives, Microshear bond strength, Dental composite, Self-etch bonding, Etch and rinse bonding.
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