Objective: The objective of this review was to evaluate the effect of non-thermal atmospheric plasma (NTAP) on adhesives resin–dentin micro-tensile bond strength (μTBS) in previously published studies. Methods: Electronic search was conducted using the Medline, Cochrane library, and Scopus databases. The included studies were laboratory studies that investigated the effect of NTAP on adhesives μTBS to coronal dentin. Studies that evaluated the effect of NTAP on bond strength to indirect substrates, enamel or root dentin, were excluded. The methodological quality of included studies was assessed. Results: Thirteen studies were included in this systematic review. All the included studies were considered to have a medium risk of bias. NTAP significantly improved μTBS at 24 h or after short-term aging in five studies (38.5%) and both immediate and after long-term aging in 5 studies (38.5%). In two studies (15.4%), NTAP resulted in a short-term material-dependent effect that was not stable after long-term aging. Interestingly, in one study (7.7%), NTAP had a positive effect only in the etch-and-rinse (ER) mode after long-term aging. Conclusion: Within the limitations of this systematic review, NTAP application could enhance resin–dentin μTBS of ER adhesives or universal adhesives (UAs) applied in the ER mode. In the ER mode, the rewetting step after NTAP seems to be unnecessary. Because of the limited information currently available in the literature, further studies are required to evaluate the effect of the NTAP application on self-etch (SE) adhesives or UAs applied in the SE mode.

Aim: This study aims to assess the influence of resin removal treatment regimes on the surface topography and compressive strength of de-bonded ceramic surfaces. Material and methods: Sixty-five lithium disilicate ceramic (LDC) discs were prepared, cleaned, and polished with carbide paper. All samples were etched using 9.6% hydrofluoric acid (HFA). Fifteen samples were taken as positive controls; the remaining 50 samples were subjected to the process of silanization. Resin build-up using dual-cure cement was performed incrementally and light cured. Based on different methods of resin cleaning from de-bonded LDC, the samples were divided into five groups, n=10 each: group 1 (no treatment), group 2 (slow-speed diamond bur), group 3 (1 min heat treatment), Group 4 (6 min heat treatment), and group 5 (sandblasting with Al₂O₃). Following resin removal, LDC samples were tested under compressive failure load in a universal testing machine. Five disc specimens from each group were sputter coated with gold for scanning electron microscopy (SEM). Analysis of variance (ANOVA) and Tukey’s post hoc test was used for descriptive statistics. Level of significance was established at p<0.05. Results: The highest compressive strength with significant difference among all experimental groups was found in group 5 (321.54 ± 13.25 MPa) ( p<0.05). The lowest compressive strength values, presenting significant difference compared with all other groups, were displayed in group 1 (158.57 ± 5.22 MPa) ( p0.05). On SEM, heat-treated specimens confirmed coarser granules, with mild porosities and roughening, whereas sandblasted specimens exhibited consistent evenness with moderate porosity and loss of glazed surface. Conclusion: De-bonded LDC surface, treated with heat treatment and sandblasting procedures, exhibited removal of residual resin and significantly high compressive strength compared with non-cleansed ceramic surface.