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1 Am J Dent Ethanol-based EDC solution preparation - Specimen preparation -

2 Microtensile bond strength (TBS) test - Scanning electron microscopy (SEM) observation - Dentin surface treatment & bonding Resistance against enzymatic degradation test -

3 Zhang et al Microtensile bond strength testing - SEM of bonding interfaces - Amount of hydroxyproline release -

4 Dentin surface treatment & bonding

5 212 Zhang et al and 1 M ethanol-based EDC groups than in the untreated group, suggesting that using either 0.3 M or 1.0 M ethanol-based EDC solution for dentin surface pretreatment before bonding procedure can significantly increase the resistance of dentin collagen to biodegradation within a clinically relevant time. Within the limitations of this in vitro study, the results suggest that ethanol-based EDC surface treatment for 60 seconds preserves the resin-dentin bond strength and increases the resistance of dentin collagen to biodegradation. The 0.3 M ethanolbased EDC solution may be an optimal concentration for dentin surface treatment. Further studies are recommended to validate the feasibility of incorporating ethanol-based EDC as a component in etch-and-rinse or self-etch adhesives in order to support its in vivo application. a. Ekar, Shanghai, China. b. Sinopharm Chemical Reagent Co., Ltd, Beijing, China. c. Buehler, Lake Bluff, IL, USA. d. Heraeus-Kulzer Inc, Hanau, Germany. e. 3M ESPE, St. Paul, MN, USA. f. Mitutoyo Co., Ltd, Kanagawa, Japan. g. Henkel Adhesives, Shantou, China. h. Shimadzu Co., Ltd, Kyoto, Japan. i. Tongfang, Shanghai, China. j. SPSS Inc, Chicago, IL, USA. k. Shumei, Kunshan, China. l. Leica Microsystems Inc, Buffalo Grove, IL, USA. m. Hitachi, Tokyo, Japan. n. Sigma, St Louis, MO, USA. o. Eppendorf, Hamburg, Germany. p. R&D Systems, Minneapolis, MN, USA. q. PerkinElmer, Seer Green, UK. Disclosure statement: The authors declared no conflict of interest. Dr. Zhang is a Research Fellow, Dr. Tang is a predoctoral student, Dr. Liu is Professor, Dr. Zhou is Professor and Chair, Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China. Dr. Chung is Professor, Dr. Chan is Professor and Chair, Department of Restorative Dentistry, University of Washington, Seattle, Washington, USA. References 1. Dennison JB, Sarrett DC. Prediction and diagnosis of clinical outcomes affecting restoration margins. J Oral Rehabil 2012;39: Reis AF, Giannini M, Pereira PN. Effects of a peripheral enamel bond on the long-term effectiveness of dentin bonding agents exposed to water in vitro. J Biomed Mater Res B Appl Biomater 2008;85: Breschi L, Mazzoni A, Ruggeri A, Cadenaro M, Di Lenarda R, De Stefano Dorigo E. Dental adhesion review: Aging and stability of the bonded interface. Dent Mater 2008;24: Pashley DH, Tay FR, Breschi L, Tjäderhane L, Carvalho RM, Carrilho M, Tezvergil-Mutluay A. State of the art etch-and-rinse adhesives. Dent Mater 2011; 27: Liu Y, Tjäderhane L, Breschi L, Mazzoni A, Li N, Mao J, Pashley DH, Tay FR. Limitations in bonding to dentin and experimental strategies to prevent bond degradation. J Dent Res 2011;90: Tjäderhane L, Nascimento FD, Breschi L, Mazzoni A, Tersariol IL, Geraldeli S, Tezvergil-Mutluay A, Carrilho MR, Carvalho RM, Tay FR, Pashley DH. Optimizing dentin bond durability: Control of collagen degradation by matrix metalloproteinases and cysteine cathepsins. Dent Mater 2013; 29: Bedran-Russo AK, Vidal CM, Dos Santos PH, Castellan CS. Long-term effect of carbodiimide on dentin matrix and resin-dentin bonds. J Biomed Mater Res B Appl Biomater 2010; 94: Scheffel DL, Hebling J, Scheffel RH, Agee K, Turco G, de Souza Costa CA, Pashley DH. Inactivation of matrix-bound matrix metallopro-teinases by cross-linking agents in acid-etched dentin. Oper Dent 2014;39: Cova A, Breschi L, Nato F, Ruggeri A Jr, Carrilho M, Tjäderhane L, Prati C, Di Lenarda R, Tay FR, Pashley DH, Mazzoni A. Effect of UVAactivated riboflavin on dentin bonding. J Dent Res 2011;90: Dos Santos PH, Karol S, Bedran-Russo AK. Nanomechanical properties of biochemically modified dentin bonded interfaces. J Oral Rehabil 2011;38: Cheung DT, Perelman N, Ko EC, Nimni ME. Mechanism of crosslinking American Journal of Dentistry, Vol. 29, No. 4, August, 2016 of proteins by glutaraldehyde III. Reaction with collagen in tissues. Connect Tissue Res 1985;13: Bedran-Russo AK, Pashley DH, Agee K, Drummond JL, Miescke KJ. Changes in stiffness of demineralized dentin following application of collagen crosslinkers. J Biomed Mater Res B Appl Biomater 2008; 86: Al-Ammar A, Drummond JL, Bedran-Russo AK. The use of collagen cross-linking agents to enhance dentin bond strength. J Biomed Mater Res B Appl Biomater 2009;91: Petite H, Duval JL, Frei V, Abdul-Malak N, Sigot-Luizard MF, Herbage D. Cytocompatibility of calf pericardium treated by glutaraldehyde and by the acyl azide methods in an organotypic culture model. Biomaterials 1995; 16: Bedran-Russo AK, Pereira PN, Duarte WR, Drummond JL, Yamauchi M. Application of crosslinkers to dentin collagen enhances the ultimate tensile strength. J Biomed Mater Res B Appl Biomater 2007;80: Tezvergil-Mutluay A, Mutluay MM, Agee KA, Seseogullari-Dirihan R, Hoshika T, Cadenaro M, Breschi L, Vallittu P, Tay FR, Pashley DH. Carbodiimide cross-linking inactivates soluble and matrix-bound MMPs, in vitro. J Dent Res 2012;91: Mazzoni A, Angeloni V, Apolonio FM, Scotti N, Tjäderhane L, Tezvergil- Mutluay A, Di Lenarda R, Tay FR, Pashley DH, Breschi L. Effect of carbodiimide (EDC) on the bond stability of etch-and-rinse adhesive systems. Dent Mater 2013;29: Ayar MK, Yesilyurt C, Alp CK, Yildirim T. Effect of ethanol-wet-bonding technique on resin-enamel bonds. J Dent Sci 2014;9: Suzuki TY, Godas AG, Guedes AP, Catelan A, Pavan S, Briso AL, Dos Santos PH. Microtensile bond strength of resin cements to caries-affected dentin. J Prosthet Dent 2013;110: Woessner JF Jr. The determination of hydroxyproline in tissue and protein samples containing small proportions of this imino acid. Arch Biochem Biophys 1961;93: Bedran-Russo AK, Pauli GF, Chen SN, McAlpine J, Castellan CS, Phansalkar RS, Aguiar TR, Vidal CM, Napotilano JG, Nam JW, Leme AA. Dentin biomodification: Strategies, renewable resources and clinical applications. Dent Mater 2014;30: Barnard K, Light ND, Sims TJ, Bailey AJ. Chemistry of the collagen crosslinks. Origin and partial characterization of a putative mature cross-link of collagen. Biochem J 1987;244: Ye Q, Wang Y, Spencer P. Nanophase separation of polymers exposed to simulated bonding conditions. J Biomed Mater Res B Appl Biomater 2009; 88: Van Landuyt KL, Snauwaert J, De Munck J, Peumans M, Yoshida Y, Poitevin A, Coutinho E, Suzuki K, Lambrechts P, Van Meerbeek B. Systematic review of the chemical composition of contemporary dental adhesives. Biomaterials 2007;28: Kim J, Gu L, Breschi L, Tjäderhane L, Choi KK, Pashley DH, Tay FR. Implication of ethanol wet bonding in hybrid layer remineralization. J Dent Res 2010;89: Tay FR, Pashley DH, Kapur RR, Carrilho MRO, Hur YB, Garrett LV, Tay KC. Bonding BisGMA to dentin - A proof of concept for hydrophobic dentin bonding. J Dent Res 2007;86: Pashley DH, Tay FR, Carvalho RM, Rueggeberg FA, Agee KA, Carrilho M, Donnelly A, García-Godoy F. From dry bonding to water-wet bonding to ethanol-wet bonding. A review of the interactions between dentin matrix and solvated resins using a macromodel of the hybrid layer. Am J Dent 2007;20: Mazzoni A, Pashley DH, Nishitani Y, Breschi L, Mannello F, Tjäderhane L, Toledano M, Pashley EL, Tay FR. Reactivation of inactivated endogenous proteolytic activities in phosphoric acid-etched dentine by etch-andrinse adhesives. Biomaterials 2006;27: Castellan CS, Pereira PN, Grande RH, Bedran-Russo AK. Mechanical characterization of proanthocyanidin-dentin matrix interaction. Dent Mater 2010;26: Mazzoni A, Apolonio FM, Saboia VP, Santi S, Angeloni V, Checchi V, Curci R, Di Lenarda R, Tay FR, Pashley DH, Breschi L. Carbodiimide inactivation of MMPs and effect on dentin bonding. J Dent Res 2014;93: Perumal S, Antipova O, Orgel JP. Collagen fibril architecture, domain organization, and triple-helical conformation govern its proteolysis. Proc Natl Acad Sci USA 2008;105: Fawzy AS, Nitisusanta LI, Iqbal K, Daood U, Neo J. Riboflavin as a dentin crosslinking agent: Ultraviolet A versus blue light. Dent Mater 2012;28: Scheffel DL, Hebling J, Scheffel RH, Agee KA, Cadenaro M, Turco G, Breschi L, Mazzoni A, Costa CA, Pashley DH. Stabilization of dentin matrix after cross-linking treatments, in vitro. Dent Mater 2014;30:

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