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The effect of diabetes mellitus on the shear bond strength of composite resin to dentin and enamel

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Abstract

Diabetes mellitus might be linked to the deterioration of certain physical properties of dentin and enamel. This study aimed to determine the effect of two types of diabetes on the shear bond strength of enamel and dentin, by using the single bond universal bonding system. Sixty specimens [from 15 teeth; 5 from each group—non-diabetic (ND), Diabetic type I (D1), and Diabetic type II (D2)], were prepared with equal amounts of dentin (n = 5) and enamel (n = 5). Enamel specimens (E20) were etched with 37% phosphoric acid, for 20 s, and dentin specimens (D15) were etched for 15 s. A standard shear bond strength test was performed on all specimens. Their failure modes were also studied under a scanning electron microscope, and the data were analyzed by using ANOVA and Post Hoc Tukey’s test (a = 0.050). For the enamel groups, significant differences were only noticed between the ND and D1 (P < 0.050) groups, and between the ND and D2 (P < 0.050) groups. In the dentin groups, there was a significant difference only between the ND and D1 (P < 0.050) groups. The micrographs showed that the ND group had the highest number of specimens with cohesive failure and D1 had the highest number of specimens with adhesive failure. It can be concluded that both types of diabetes reduce the shear bond strength of composite resin on dentin and enamel. However, it seems that the negative effect of diabetes on shear bond strength of dental composite resin is more drastic in individuals with type I diabetes as compared with type II.

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Acknowledgements

MAS is a recipient of the New Jersey Health Foundation Innovation Award. This publication is dedicated to the memory of Dr. H. Afsar Lajevardi [45], a legendry pediatrician (1953–2015). The views expressed in this paper are those of the authors and do not necessarily reflect the views or policies of the affiliated organization. The authors hereby announce that they have had active cooperation in this scientific study and preparation of the present manuscript. The authors confirm that they have no financial involvement with any commercial company or organization with direct financial interest regarding the materials used in this study. Special thanks to Dr. Kasra Karamifar and Dr. Amir Fakrzadeh for their invaluable comments. The authors also greatly appreciate and would like to thank Dr. Saied Amini for reviewing the methodology and providing guidance for the statistical analysis.

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  1. Rutgers School of Dental Medicine, Newark, USA

    Mohammad Ali Saghiri, Ali Obeidi, Devyani Nath & Steven M. Morgano

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  1. Mohammad Ali Saghiri
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Correspondence to Mohammad Ali Saghiri.

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Saghiri, M.A., Obeidi, A., Nath, D. et al. The effect of diabetes mellitus on the shear bond strength of composite resin to dentin and enamel. Odontology 110, 92–98 (2022). https://doi.org/10.1007/s10266-021-00641-0

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