The Effect of Diabetes Mellitus on the Shear Bond Strength of Composite Resin to Dentin and Enamel

Overview

Journal Odontology

Specialty Dentistry

Date 2021 Jul 28

PMID 34318336

Citations 5

Authors

Mohammad Ali Saghiri

Ali Obeidi

Devyani Nath

Steven M Morgano

Affiliations

Soon will be listed here.

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.

Citing Articles

The effect of different bioceramic root canal sealer removal protocols on the bond strength of composite to coronal dentin in diabetic and non-diabetic patients: an ex vivo study.

Sahin Manti A, Alp C BMC Oral Health. 2025; 25(1):170.

PMID: 39891155 PMC: 11786392. DOI: 10.1186/s12903-025-05563-9.

Improving the Push-Out Bond Strength of Fiber Posts in Diabetic Dentin: The Role of Chlorexidine Irrigation and Resin Cements.

Arslandas Dincturk B, Sahin Manti A, Alp C, Altug Yildirim A, Mumcu A J Funct Biomater. 2025; 16(1).

PMID: 39852560 PMC: 11765745. DOI: 10.3390/jfb16010004.

Effect of diabetes and hyperglycaemia on the physical and mechanical properties of dentine: a systematic review.

Hwang K, Choi J, Hussaini H, Cooper P, Friedlander L Clin Oral Investig. 2025; 29(1):55.

PMID: 39792250 PMC: 11723890. DOI: 10.1007/s00784-025-06151-5.

Dental pulp stones and their correlation with metabolic diseases.

Imran Khan M, Khare A, Arif K, Khan S, Nasir A, Lari S J Oral Maxillofac Pathol. 2024; 28(2):192-199.

PMID: 39157846 PMC: 11329071. DOI: 10.4103/jomfp.jomfp_536_23.

Influence of Diabetes Mellitus and Universal Adhesive Application Mode on the Bond Strength of Composite Resin to Dentine.

Attia R, El-Bahrawy E, Shebl E, Rashed A, El-Husseiny F J Clin Exp Dent. 2024; 16(4):e416-e425.

PMID: 38725826 PMC: 11078512. DOI: 10.4317/jced.61328.

References

Wild S, Roglic G, Green A, Sicree R, King H . Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004; 27(5):1047-53. DOI: 10.2337/diacare.27.5.1047. View

Nathan D . Clinical practice. Initial management of glycemia in type 2 diabetes mellitus. N Engl J Med. 2002; 347(17):1342-9. DOI: 10.1056/NEJMcp021106. View

Guggenheimer J, Moore P, Rossie K, Myers D, Mongelluzzo M, BLOCK H . Insulin-dependent diabetes mellitus and oral soft tissue pathologies. I. Prevalence and characteristics of non-candidal lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 89(5):563-9. DOI: 10.1067/moe.2000.104476. View

Sandberg G, Sundberg H, Fjellstrom C, Wikblad K . Type 2 diabetes and oral health: a comparison between diabetic and non-diabetic subjects. Diabetes Res Clin Pract. 2000; 50(1):27-34. DOI: 10.1016/s0168-8227(00)00159-5. View

Fouad A, Burleson J . The effect of diabetes mellitus on endodontic treatment outcome: data from an electronic patient record. J Am Dent Assoc. 2003; 134(1):43-51; quiz 117-8. DOI: 10.14219/jada.archive.2003.0016. View

Saghiri M, Karamifar K, Fakharzadeh A, Conte M, Morgano S . Effect of Diabetes on Tubular Density and Push-out Bond Strength of Mineral Trioxide Aggregate to Dentin. J Endod. 2020; 46(11):1584-1591. DOI: 10.1016/j.joen.2020.07.025. View

Khader Y, Dauod A, El-Qaderi S, Alkafajei A, Batayha W . Periodontal status of diabetics compared with nondiabetics: a meta-analysis. J Diabetes Complications. 2006; 20(1):59-68. DOI: 10.1016/j.jdiacomp.2005.05.006. View

Frantzis T, REEVE C, BROWN Jr A . The ultrastructure of capillary basement membranes in the attached gingiva of diabetic and nondiabetic patients with periodontal disease. J Periodontol. 1971; 42(7):406-11. DOI: 10.1902/jop.1971.42.7.406. View

Rothwell B, Richard E . Diabetes mellitus: medical and dental considerations. Spec Care Dentist. 1984; 4(2):58-65. DOI: 10.1111/j.1754-4505.1984.tb00148.x. View

10.

Saghiri M, Aminsobhani M, Gutmann J, Kawai T, Nath D, Hirschberg C . Effect of Diabetes on Rotary Instrumentation of Dentin. J Endod. 2021; 47(8):1301-1307. DOI: 10.1016/j.joen.2021.03.019. View

11.

Saghiri M, Dadvand S, Abdolmaleki A . The evaluation of physical properties of a polyurethane expandable endodontic sealer: a preliminary study. Aust Endod J. 2021; 47(3):550-558. DOI: 10.1111/aej.12521. View

12.

Seino Y, Ishida H . Diabetic osteopenia: pathophysiology and clinical aspects. Diabetes Metab Rev. 1995; 11(1):21-35. DOI: 10.1002/dmr.5610110103. View

13.

Wu K, Schubeck K, Frost H, Villanueva A . Haversian bone formation rates determined by a new method in a mastodon, and in human diabetes mellitus and osteoporosis. Calcif Tissue Res. 1970; 6(3):204-19. DOI: 10.1007/BF02196201. View

14.

Bouillon R, Bex M, Van Herck E, Laureys J, Dooms L, Lesaffre E . Influence of age, sex, and insulin on osteoblast function: osteoblast dysfunction in diabetes mellitus. J Clin Endocrinol Metab. 1995; 80(4):1194-202. DOI: 10.1210/jcem.80.4.7714089. View

15.

Reddy G, Stehno-Bittel L, Hamade S, Enwemeka C . The biomechanical integrity of bone in experimental diabetes. Diabetes Res Clin Pract. 2001; 54(1):1-8. DOI: 10.1016/s0168-8227(01)00273-x. View

16.

Einhorn T, Boskey A, Gundberg C, Vigorita V, Devlin V, Beyer M . The mineral and mechanical properties of bone in chronic experimental diabetes. J Orthop Res. 1988; 6(3):317-23. DOI: 10.1002/jor.1100060303. View

17.

van Noort R, Noroozi S, Howard I, Cardew G . A critique of bond strength measurements. J Dent. 1989; 17(2):61-7. DOI: 10.1016/0300-5712(89)90131-0. View

18.

Tantbirojn D, Cheng Y, Versluis A, Hodges J, Douglas W . Nominal shear or fracture mechanics in the assessment of composite-dentin adhesion?. J Dent Res. 2000; 79(1):41-8. DOI: 10.1177/00220345000790010601. View

19.

Sirisha K, Rambabu T, Shankar Y, Ravikumar P . Validity of bond strength tests: A critical review: Part I. J Conserv Dent. 2014; 17(4):305-11. PMC: 4127686. DOI: 10.4103/0972-0707.136340. View

20.

Linklater R, Gordon P . An ex vivo study to investigate bond strengths of different tooth types. J Orthod. 2001; 28(1):59-65. DOI: 10.1093/ortho/28.1.59. View