Shear Bond Strength to Calcium Hydroxide: Does Cavity Conditioning Make a Difference for Glass Ionomer Based Materials?
Abstract
Background and Aim: Calcium hydroxide liners are commonly
used in deep cavities and their mechanical properties may affect the
adhesion of restorative materials. This study evaluated the effect of
cavity conditioner application on the shear bond strength of glass
ionomer–based materials to a calcium hydroxide liner.
Materials and Methods: Sixty acrylic blocks containing standardized
cylindrical cavities were prepared and filled with a calcium hydroxide
liner (Dycal, Dentsply Caulk). The specimens were first divided
according to cavity conditioner application (with or without 20%
polyacrylic acid) and then subdivided based on the restorative material
applied over the liner: a conventional glass ionomer cement (Fuji IX GP
Capsule, GC Dental), a resin-modified glass ionomer cement (Fuji II LC
Capsule, GC Dental), or a bioactive ionic resin liner (Activa BioActive
Liner, Pulpdent) (n=10). Shear bond strength testing and failure mode
analysis were performed. Data were analyzed using two-way analysis
of variance and Bonferroni post hoc tests (α=0.05).
Results: Glass ionomer–based material type significantly affected
shear bond strength (p<0.05), whereas cavity conditioner application
showed no significant effect (p>0.05). Fuji II LC showed the highest
bond strength values (6.48±2.67 and 6.81±3.50 MPa), whereas
Fuji IX GP showed the lowest (3.54±1.98 and 4.13±1.46 MPa).
Activa BioActive Liner showed comparable values (4.99±1.84 and
6.39±2.34 MPa). Adhesive failures predominated in Fuji IX GP groups,
whereas cohesive and mixed failures were more frequent in resin-containing
groups.
Conclusion: Cavity conditioner application did not significantly
improve bond strength to calcium hydroxide. Resin-modified glass
ionomer may provide more favorable interfacial performance than
conventional GIC, whereas the bioactive ionic resin liner demonstrated
comparable performance to both materials.
Keywords
- Bioactive Materials
- Calcium Hydroxide
- cavity conditioner
- Glass Ionomer Cements
- Resin-Modified Glass Ionomer
- Shear Strength
Ethical Statement
Not applicable
References
- 1. Morotomi T, Washio A, Kitamura C. Current and future options for dental pulp therapy. Jpn Dent Sci Rev 2019; 55:5-11.
- 2. Karadas M, Atıcı MG. Bond strength and adaptation of pulp capping materials to dentin. Microsc Res Tech 2020; 83: 514-522.
- 3. Komabayashi T, Zhu Q, Eberhart R, Imai Y. Current status of direct pulp-capping materials for permanent teeth. Dent Mater J 2016; 35: 1-12.
- 4. Mohammadi Z, Dummer PMH. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J 2011; 44: 697-730.
- 5. Arandi NZ, Rabi T. Cavity bases revisited. Clin Cosmet Investig Dent 2020: 305-12.
- 6. Sidhu SK, Nicholson JW. A review of glass-ionomer cements for clinical dentistry. J Funct Biomater. 2016; 7: 16.
- 7. Birant S, Gümüştaş B. The effect of thermal aging on microhardness and SEM/EDS for characterisation bioactive filling materials. BMC Oral Health 2024; 24: 1142.
- 8. Ahmed B, Wafaie RA, Hamama HH, Mahmoud SH. 3-year randomized clinical trial to evaluate the performance of posterior composite restorations lined with ion-releasing materials. Sci Rep 2024; 14: 4942.
Details
Primary Language
English
Subjects
Restorative Dentistry, Dental Materials
Journal Section
Research Article
Publication Date
August 24, 2026
Submission Date
April 9, 2026
Acceptance Date
June 12, 2026
Published in Issue
Year 2026 Volume: 50 Number: 2
APA
Değer, C., Fazlıoglu, L., Özduman, Z. C., Oglakci Ozkoc, B., & Eligüzeloğlu Dalkılıç, E. (2026). Shear Bond Strength to Calcium Hydroxide: Does Cavity Conditioning Make a Difference for Glass Ionomer Based Materials? Clinical Dentistry and Research, 50(2), 171-178. https://doi.org/10.65022/clindentres.1925954
AMA
1.Değer C, Fazlıoglu L, Özduman ZC, Oglakci Ozkoc B, Eligüzeloğlu Dalkılıç E. Shear Bond Strength to Calcium Hydroxide: Does Cavity Conditioning Make a Difference for Glass Ionomer Based Materials? Clin Dent Res. 2026;50(2):171-178. doi:10.65022/clindentres.1925954
Chicago
Değer, Ceren, Leyla Fazlıoglu, Zümrüt Ceren Özduman, Burcu Oglakci Ozkoc, and Evrim Eligüzeloğlu Dalkılıç. 2026. “Shear Bond Strength to Calcium Hydroxide: Does Cavity Conditioning Make a Difference for Glass Ionomer Based Materials?”. Clinical Dentistry and Research 50 (2): 171-78. https://doi.org/10.65022/clindentres.1925954.
EndNote
Değer C, Fazlıoglu L, Özduman ZC, Oglakci Ozkoc B, Eligüzeloğlu Dalkılıç E (August 1, 2026) Shear Bond Strength to Calcium Hydroxide: Does Cavity Conditioning Make a Difference for Glass Ionomer Based Materials? Clinical Dentistry and Research 50 2 171–178.
IEEE
[1]C. Değer, L. Fazlıoglu, Z. C. Özduman, B. Oglakci Ozkoc, and E. Eligüzeloğlu Dalkılıç, “Shear Bond Strength to Calcium Hydroxide: Does Cavity Conditioning Make a Difference for Glass Ionomer Based Materials?”, Clin Dent Res, vol. 50, no. 2, pp. 171–178, Aug. 2026, doi: 10.65022/clindentres.1925954.
ISNAD
Değer, Ceren - Fazlıoglu, Leyla - Özduman, Zümrüt Ceren - Oglakci Ozkoc, Burcu - Eligüzeloğlu Dalkılıç, Evrim. “Shear Bond Strength to Calcium Hydroxide: Does Cavity Conditioning Make a Difference for Glass Ionomer Based Materials?”. Clinical Dentistry and Research 50/2 (August 1, 2026): 171-178. https://doi.org/10.65022/clindentres.1925954.
JAMA
1.Değer C, Fazlıoglu L, Özduman ZC, Oglakci Ozkoc B, Eligüzeloğlu Dalkılıç E. Shear Bond Strength to Calcium Hydroxide: Does Cavity Conditioning Make a Difference for Glass Ionomer Based Materials? Clin Dent Res. 2026;50:171–178.
MLA
Değer, Ceren, et al. “Shear Bond Strength to Calcium Hydroxide: Does Cavity Conditioning Make a Difference for Glass Ionomer Based Materials?”. Clinical Dentistry and Research, vol. 50, no. 2, Aug. 2026, pp. 171-8, doi:10.65022/clindentres.1925954.
Vancouver
1.Ceren Değer, Leyla Fazlıoglu, Zümrüt Ceren Özduman, Burcu Oglakci Ozkoc, Evrim Eligüzeloğlu Dalkılıç. Shear Bond Strength to Calcium Hydroxide: Does Cavity Conditioning Make a Difference for Glass Ionomer Based Materials? Clin Dent Res. 2026 Aug. 1;50(2):171-8. doi:10.65022/clindentres.1925954