The effect of surface treatments application on dentin permeability and shear bond strength of resin cement under simulated pulpal pressure condition

Main Article Content

Napatsorn Dusadeedumkoeng
Pattaranat Banthitkhunanon
Sitthichai Wanachantararak


The objective was to evaluate the permeability reduction and bond strength after treated dentin with two surface treatment agents, Teethmate® (TDA) and Portland cement.

Sixty extracted teeth were divided equally into six groups; control, TDA and Portland cement groups with and without simulated 15 cmH2O pulpal pressure. Each surface treatment was randomly applied to dentin surface. Dentin permeability was evaluated for simulated pulpal pressure groups by recorded fluid droplets on dentin surface using replica technique. The replica was examined under SEM. The specimen was re-polished and re-applied same surface treatment. The composite rod was bonded to dentin with self-etched resin cement. The shear bond strength of bonding interface was tested with universal testing machine. Two-way ANOVA was tested for comparing treatment groups and pulpal pressure conditions with Tukey’s multiple comparisons.

Specimens with simulated pulpal pressure had significantly lower shear bond strength than without pulpal pressure (P<0.01). Surface treatment groups, TDA and Portland cement, showed significantly higher shear bond strength than control under simulated pulpal pressure condition (P<0.05). While no significant difference was seen in non-simulated pulpal pressure groups. SEM micrograph shown that both surface treatment groups had significant less permeability of dentin as smaller fluid droplets were recorded.

Dentin surface treatments had effectiveness on reduced dentin permeability and increased shear bond strength of dental adhesive in simulated pulpal pressure condition. But there had no advantage over a control group for non-simulated pulpal pressure condition.


Download data is not yet available.

Article Details

How to Cite
Dusadeedumkoeng, N., Banthitkhunanon, P., & Wanachantararak, S. (2021). The effect of surface treatments application on dentin permeability and shear bond strength of resin cement under simulated pulpal pressure condition. Chiang Mai Dental Journal, 42(3), 49–56. Retrieved from
Original article


1. Vongsavan N, Matthews B. Fluid flow through cat dentine in vivo. Arch Oral Biol 1992;37 3:175-85.
2. Hashimoto M, Ito S, Tay F, Svizero Nd, Sano H, Kaga M, et al. Fluid Movement across the Resin-Dentin Interface during and after Bonding. J Dent Res 2004;83:843-8.
3. Shafiei F, Memarpour M, Doozandeh M. Effect of oxalate desensitizer on the bonding durability of adhesive resin cements to dentin. J Prosthodont Res 2012;56(3):187-93.
4. de Alexandre R, Santana V, Kasaz A, Arrais C, Rodrigues J, Reis AF. Effect of Long-term Simulated Pulpal Pressure on the Bond Strength and Nanoleakage of Resin-Luting Agents With Different Bonding Strategies. Oper Dent 2014;39(5):508-20.
5. Tao L, Pashley DH. The relationship between dentin bond strengths and dentin permeability. Dent Mater 1989;5(2):133-9.
6. Geiger S, Matalon S, Blasbalg J, Tung M, Eichmiller FC. The clinical effect of amorphous calcium phosphate (ACP) on root surface hypersensitivity. Oper Dent 2003;28(5):496-500.
7. Richardson D, Tao L, Pashley DH. Dentin permeability: effects of crown preparation. Int J Prosthodont 1991;4(3):219-25.
8. Gandolfi MG, Silvia F, H PD, Gasparotto G, Carlo P. Calcium silicate coating derived from Portland cement as treatment for hypersensitive dentine. J Dent 2008;36(8):565-78.
9. Lukomsky EH. Fluorine Therapy for Exposed Dentin and Alveolar Atrophy'. J Dent Res 1941;20(6):649-59.
10. Hoyt WH, Bibby BG. Use of Sodium Fluoride for Desensitizing Dentin. J Am Dent Assoc 1943;30(17):1372-6.
11. Thanatvarakorn O, Nakashima S, Sadr A, Prasansuttiporn T, Ikeda M, Tagami J. In vitro evaluation of dentinal hydraulic conductance and tubule sealing by a novel calcium-phosphate desensitizer. J Biomed Mater Res B Appl Biomater 2013;101(2):303-9.
12. Dong Z, Chang J, Deng Y, Joiner A. Tricalcium silicate induced mineralization for occlusion of dentinal tubules. Aust Dent J 2011;56(2):175-80.
13. Gandolfi MG, Iacono F, Pirani C, Prati C. The use of calcium-silicate cements to reduce dentine permeability. Arch Oral Biol 2012;57(8):1054-61.
14. Bharali LA, Burgess SA, Lisney SJ, Pearson D. Reinnervation of sweat glands in the rat hind paw following peripheral nerve injury. J Auton Nerv Syst 1988;23(2):125-9.
15. Kerdvongbundit V, Thiradilok S, Vongsavan N, Matthews B. The use of the replica technique to record fluid emerging from exposed dentine. Arch Oral Biol 2004;49:613-9.
16. Rangcharoen M, Sirimaharaj V, Wanachantararak S, Vongsavan N, Matthews B. Observations on fluid flow from exposed dentine in primary teeth: An in vitro study. Arch Oral Biol 2017;83:312-6.
17. Sauro S, Pashley DH, Montanari M, Chersoni S, Carvalho RM, Toledano M, et al. Effect of simulated pulpal pressure on dentin permeability and adhesion of self-etch adhesives. Dent Mater 2007;23(6):705-13.
18. Sahin C, Cehreli Z, Yenigul M, Dayangac B. In vitro permeability of etch-and-rinse and self-etch adhesives used for immediate dentin sealing. Dent Mater J 2012;31:401-8.
19. Boening KW, Walter MH, Schuette U. Clinical significance of surface activation of silicone impression materials. J Dent 1998;26(5):447-52.
20. Ishihata H, Kanehira M, Finger W, Takahashi H, Tomita M, Sasaki K. Effect of two desensitizing agents on dentin permeability in vitro. J Appl Oral Sci 2017;25:34-41.
21. Mazzitelli C, Monticelli F, Osorio R, Casucci A, Toledano M, Ferrari M. Effect of simulated pulpal pressure on self-adhesive cements bonding to dentin. Dent Mater 2008;24:1156-63.
22. Bacchi A, Abuna G, Babbar A, Sinhoreti M, Feitosa V. Influence of 3-month Simulated Pulpal Pressure on the Microtensile Bond Strength of Simplified Resin Luting Systems. J Adhes Dent 2015;17(3):265-71.
23. Mak Y-F, Lai SCN, Cheung GSP, Chan AWK, Tay FR, Pashley DH. Micro-tensile bond testing of resin cements to dentin and an indirect resin composite. Dent Mater 2002;18(8):609-21.
24. Cardoso M, Moretto S, Carvalho R, Russo E. Influence of intrapulpal pressure simulation on the bond strength of adhesive systems to dentin. Braz Oral Res 2008;22:170-5.
25. Pashley DH. In vitro simulations of in vivo bonding conditions. Am J Dent 1991;4(5):237-40.
26. Hiraishi N, Nishiyama N, Ikemura K, Yau J, King N, Tagami J, et al. Water Concentration in Self-etching Primers Affects their Aggressiveness and Bonding Efficacy to Dentin. J Dent Res 2005;84:653-8.
27. Uğur M, Altıntaş SH. Evaluation of different desensitizing agents effect on shear bond strength of adhesive resin cement to dentin. J Adhes Sci Technol 2019;33(15):1695-704.
28. Atay A, Kara O, Kara H, Cal E, Usumez A. Influence of desensitizing procedures on adhesion of resin cements to dentin. J Adhes Sci Technol 2016;31:1-10.
29. Garcia R, Giannini M, Takagaki T, Sato T, Matsui N, Nikaido T, et al. Effect of dentin desensitizers on resin cement bond strengths. RSBO 2016;12(1):14-22.
30. Thanatvarakorn O, Nakashima S, Sadr A, Prasansuttiporn T, Thitthaweerat S, Tagami J. Effect of a calcium-phosphate based desensitizer on dentin surface characteristics. Dent Mater J 2013;32(4):615-21.
31. Chow LC. Next generation calcium phosphate-based biomaterials. Dent Mater J 2009;28(1):1-10.
32. Santana V, de Alexandre R, Rodriques JA, Ely C, Reis A. Effects of Immediate Dentin Sealing and Pulpal Pressure on Resin Cement Bond Strength and Nanoleakage. Oper Dent 2015;41(2):189-99.
33. Vachiramon V, Vargas M, Pashley D, Tay F, Geraldeli S, Qian F, et al. Effects of oxalate on dentin bond after 3-month simulated pulpal pressure. J Dent 2008;36:178-85.
34. Komabayashi T, Spångberg LSW. Particle Size and Shape Analysis of MTA Finer Fractions Using Portland Cement. J Endod 2008;34(6):709-11.
35. Lenzi TL, Guglielmi Cde A, Arana-Chavez VE, Raggio DP. Tubule density and diameter in coronal dentin from primary and permanent human teeth. Microsc Microanal 2013;19(6):1445-9.
36. Schilke R, Lisson JA, Bauß O, Geurtsen W. Comparison of the number and diameter of dentinal tubules in human and bovine dentine by scanning electron microscopic investigation. Arch Oral Biol 2000;45(5):355-61.

Most read articles by the same author(s)