Shear Bond Strength of Calcium Enriched Mixture Cement and Mineral Trioxide Aggregate to Composite Resin with Two Different Adhesive Systems

Objective: Immediate restoration after vital pulp therapy is essential in order to create and maintain effective coronal seal. Purpose of Study: The aim of this study was to evaluate the shear bond strength of re- cently used pulp capping materials: white mineral trioxide aggregate (MTA), and cal- cium enriched mixture cement (CEM) to composite resin with the use of etch-and- rinse and self-etch adhesive systems and compare them with the bond strength of commonly used resin modified glass ionomer (RMGI) cement. Materials and Methods: Forty specimens from each test material were fabricated, measuring 4 mm in diameter and 2 mm in depth. The specimens of each material were divided into 2 groups of 20 specimens according to the adhesive system (Single Bond vs. Clearfil SE Bond) used for bonding of resin composite. The shear bond strength values were measured at a crosshead speed of 1.0 mm/min and fractured surfaces were examined. Data were analyzed using two-way ANOVA and a post hoc Tukey’s test (P<0.05). Results: Analysis of data showed a significantly higher bond strength for RMGI compared to MTA and CEM (P<0.001); however, no significant differences were ob- served in the bond strength values of MTA and CEM (P=0.9). Furthermore, there were no significant differences in relation to the type of the adhesive system irrespec- tive of the type of the material used (P=0.95) All the failures were of cohesive type in RMGI, MTA and CEM. Conclusion: Bond strength of RMGI cement to composite resin was higher than that of MTA or CEM cement irrespective of the type of the adhesive system.