Effect of Replacing a Component of a Self-Etch Adhesive by Chlorhexidine on Bonding to Dentin (original) (raw)
Related papers
International Journal of Applied Pharmaceutics, 2018
Objective: The purpose of this study was to analyze the effect of 2% chlorhexidine gluconate (CHX) on the degradation of composite resin–dentin bond strength when using self-etch adhesive systems.Methods: CHX (2%) was applied before application of two-step self-etch (TSC) and one-step self-etch (OSC) adhesive. Resin composite was applied incrementally. Specimens from the degradation treatment group were immersed in 10% NaOCl for 1 h. Shear bond strength was tested with a universal testing machine and analyzed using one-way ANOVA and Dunnett’s T3 post-hoc test. The composite resin–dentin bonds were observed using scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDS).Results: In the treatment group without 10% NaOCl, shear bond strength values were higher in the 2% CHX-treated group (TSC 11.67±1.76 MPa and OSC 10.19±1.44 MPa) than in the untreated group (TSC 10.93±1.31MPa and OSC 9.97±1.41 MPa), although this difference was not statistically significant. In sampl...
Journal of Pharmacy And Bioallied Sciences, 2019
Aim: To evaluate the shear bond strength and failure mode of total-etch and self-etch bonding agents on human dentin with and without application of 2% chlorhexidine gluconate (CHX). Materials and Methods: Eighty extracted premolars were chosen and stored in 10% formalin until use. Samples were mounted in cold cure acrylic resin and the occlusal enamel perpendicular to long axis of each tooth was removed using a low-speed diamond saw under water coolant. The prepared teeth were randomly divided into four groups of 20 samples each according to the adhesive system used. Groups 1 and 2 were the control group in which total-etch and self-etch adhesives were applied as per manufacturer’s instructions, Groups 3 and 4 were the experimental groups in which 2% CHX was applied and blot dried prior to the application of total-etch and self-etch adhesives. A custom-designed rig was fabricated to place composite on samples. The customized rig comprised a cylindrical mold with height of 3mm and internal diameter of 2.5mm. Resin was placed in increments of 1mm and was cured after each increments. After the composite placements, samples were placed in distilled water at 37°C for 24h. The samples were then thermocycled between 5°C and 55°C in water with a dwell time of 30s in each temperature to a total of 10,000 cycles. The shear test was performed using universal testing machine and fracture modes were evaluated using stereomicroscope. Results: Both the experimental total-etch and self-etch groups showed better shear bond strength than the control groups, which was statistically significant, and also the least mode of failure at the adhesive interface was observed in both the experimental groups. Conclusion: 2% Chlorhexidine gluconate effectively improved the shear bond strength and helped maintaining the durability of adhesive interface in both total-etch and self-etch adhesives.
Brazilian oral research
This study evaluated the effect of a 2% chlorhexidine-based disinfectant (CHX) on the short-term resin-dentin bond strength of a self-etch adhesive system to human dentin with different mineral contents. Dentinal mineralization was tested at 4 levels (sound, and after 2, 4, or 8 days of demineralization-remineralization cycles) and disinfectant at 2 levels [deionized water (DW, negative control) and CHX]. Dentin demineralization induced by pH-cycling was characterized by cross-sectional hardness (CSH). Each dentin surface was divided into halves, one treated with DW and the other with CHX (5 minutes). Each surface was bonded with a self-etch adhesive system and restored. The specimens were sectioned and subjected to microtensile bond testing. CSH and microtensile bond strength (µTBS) data were analyzed by regression analysis and ANOVA-Tukey tests (α = 5%), respectively. The groups treated with CHX resulted in mean µTBS similar to those found for the groups in which the dentin was ex...
Heliyon, 2020
Objectives: This study evaluated the influence of thermo-mechanical cycling (TMC) on the bond strength (BS) of a universal adhesive system (UAS - Adper Single Bond Universal, 3M ESPE) to dentin treated or not with 0.2% chlorhexidine (CHX). Methods: Eighty human molars were flattened until reach the dentin and separated into 4 groups according to the bonding protocol: ENR Group: 37% phosphoric acid þ 3-step etch-and-rinse adhesive system (ENR); UAS Group: UAS in self-etch mode; ENR þ CHX Group: 37% phosphoric acid þ CHX þ ENR; UAS þ CHX Group: CHX þ UAS in self-etch mode. After treatments, teeth were restored (Filtek Z350, 3M ESPE). Samples (n 1⁄4 10) were submitted to aging process: stored in distilled water at 37C/30 days or TMC (ERIOS - 98N/1.6Hz þ thermal cycling 5/37/ 55 C - 1,200,000 cycles). Specimens were sectioned into sticks (1.0 mm2) and submitted to the microtensile test (Mechanical Test Machine - 0.5 mm/min). Fracture patterns and hybrid layer integrity were analyzed under Stereomicroscope and Scanning Electron Microscopy (SEM). Results: The BS results (3-way ANOVA, Bonferroni's test, α 1⁄4 5%) showed that groups treated with CHX presented higher BS values than control groups; significant in all cases (p < .05), except for ENR submitted to TMC (p > .05). When CHX was applied and samples were cycled, UAS revealed higher BS (p < .05) than ENR. After TMC, cohesive fractures increased for UAS, regardless of CHX application. SEM analysis demonstrated different hy- bridization patterns for the adhesive systems tested. Conclusion: The performance of the universal adhesive system used in self-etch mode was better than that of the 3- step etch-and-rinse adhesive system. Clinical significance: Universal adhesive systems have been developed in order to simplify the dentin hybridization protocol. It is important to determine the longevity of the adhesive interface using these bonding materials after chewing.
Effect of replacing a self-etch adhesive's component with chlorhexidine
Dental Materials, 2011
The purpose of this study was to evaluate the effect of replacing a component of the self-etch adhesive Adper Scotchbond SE (liquid A + liquid B) by 2% chlorhexidine (CHX) on bond strength to dentin after 1 day, 3 months or 6 months of water storage. Eight human teeth were sectioned to expose a flat dentin surface and were then randomly assigned to 2 groups. In the control group, the dentin surfaces were treated with the adhesive according to the manufacturer's instructions. In the experimental group, liquid A was replaced by 2% CHX. Next, a 6-mm-high resin composite block was incrementally built on the bonded surfaces. The restored teeth were then sectioned to produce stickshaped specimens (cross-sectional area-0.8 mm 2). The microtensile bond strength (μTBS) was recorded, and the failure modes were assessed. Data were analyzed by two-way repeated measures ANOVA (α=0.05). Four additional teeth were processed in order to conduct a micromorphological analysis of the resin-dentin interface. The μTBS values did not significantly decrease after water storage in either the control or the experimental group, whose values did not differ significantly irrespective of storage time. The morphological aspect of the bonding interface appears not to have been affected by CHX. A higher incidence of cohesive failures within the adhesive and mixed failures (cohesive within adhesive and resin composite) was observed for both groups. It may be concluded that dentin pre-treatment with 2% CHX did not influence significantly the bonding performance of the evaluated adhesive.
European Journal of Oral Sciences, 2009
Although it is known that chlorhexidine application may preserve resin–dentin bonds from degradation, the lowest optimal concentration and application time have yet to be established. This study evaluated the effects of different concentrations of chlorhexidine digluconate and different application times on the preservation of resin–dentin bonds formed using two etch‐and‐rinse adhesives. In experiment 1, after acid etching, the occlusal demineralized dentin was rewetted either with water or with 0.002, 0.02, 0.2, 2, or 4% chlorhexidine for 60 s. In experiment 2, the surfaces were rewetted with water, or with 0.002% or 2% chlorhexidine for 15 or 60 s. After this, both adhesives and composite resin were applied and light‐cured. Bonded sticks (0.8 mm2) were tested under tension (0.5 mm min−1) immediately or after 6 months of storage in water. Two bonded sticks from each tooth were immersed in silver nitrate and analyzed quantitatively using scanning electron microscopy. Reductions in m...
International Journal of Adhesion and Adhesives, 2014
Since degradation of the adhesive interface plays an important role on dental restoration failure overtime, bonding protocols containing metalloproteinase synthetic inhibitors could be a valuable approach to preserve the bond strength of indirect restorations. A flat dentin surface was created on 40 recently extracted non-carious human third molars (n ¼10). Resin-composite blocks were randomly cemented using two resin cements: a self-adhesive and a conventional. A buffer-free 2% chlorhexidine digluconate solution was used as dentin pretreatment on experimental groups. Microtensile bond strength test was performed immediately and after specimen aging for two-years in artificial saliva. Fracture patterns were determined by SEM. Even after significant reduction in bonding effectiveness with aging, dentin bond strength values of the conventional resin cement remained higher compared to those of the self-adhesive resin cement especially when chlorhexidine pretreatment was performed. No statistical differences were observed between immediate and aged specimens luted with the selfadhesive resin cement. Chlorhexidine was effective to preserve dentin bond strength of indirect restorations when the conventional resin cement was used.
Effects of chlorhexidine-containing adhesives on the durability of resin–dentine interfaces
Journal of Dentistry, 2014
Objectives: This study evaluated the effect of addition of diacetate CHX in different concentrations into two simplified etch-and-rinse (ER) adhesive systems (XP Bond [XP] and Ambar {AM}) on the ultimate tensile strength (UTS), degree of conversion (DC), 60-day cumulative water sorption (WS), solubility (SO) and CHX release (CR) as well as the immediate (IM) and 1-year (1Y) resin-dentine bond strength (mTBS) and nanoleakage (NL). Methods: Ten experimental adhesive systems were formulated according to the addition of CHX diacetate (0 [control], 0.01, 0.05, 0.1 and 0.2%) in the two ER. For UTS and DC, specimens were constructed and tested after 24 h. For WS, SO and CR, after specimens build-up, they were stored in water and the properties measured after 60 days. The occlusal enamel of fifty molars was removed and the adhesives were applied in dentine surface after 37% phosphoric acid etching. After composite resin build-ups, specimens were longitudinally sectioned to obtain resin-dentine bonded sticks (0.8 mm 2). Specimens were tested in tension at 0.5 mm/min in the IM or 1Y. For NL, 2 bonded sticks from each tooth were prepared and analyzed under SEM. The data were submitted to appropriate statistical analysis (a = 0.05). Results: The addition of CHX did not influence UTS, DC, WS and SO (p < 0.05). Higher CR was observed in adhesives with higher concentration of CHX (p < 0.05). After 1Y, significant reductions of mTBS and increases of NL were observed in the control groups (p < 0.05). Reductions of mTBS and increase of NL over time were not observed (AM) for CHX-containing adhesives or it was less pronounced than the control (XP) regardless of the CHX concentration. Conclusions: The addition of CHX diacetate in concentrations until 0.2% in the simplified ER adhesive systems may be an alternative to increase the long-term stability of resin-dentine interfaces, without jeopardizing the adhesives' mechanical properties evaluated.
Brazilian Dental Journal, 2015
The aim of this study was to evaluate the effect of 2% chlorhexidine (CHX) application during the bonding protocol on microshear bond strength of two adhesive systems, after storage in different media. Seventy-two human molars had their crowns cut in half and embedded in PVC cylinders with acrylic resin. The specimens were randomly divided into experimental groups (n=12) according to the adhesive system (Ambar and Single Bond 2), use of CHX in the bonding protocol, and time interval (24 h and 15 days) in the storage media (distilled water, mineral oil and 1% sodium hypochlorite - NaOCl). Adhesive systems were applied in accordance to manufacturers' recommendations, with or without the use of CHX, and resin composite (Z350 XT) cylinders were placed on the hybridized dentin. After photoactivation, the specimens were stored in distilled water, mineral oil and 1% NaOCl for 24 h and 15 days. Microshear bond strength was determined at a crosshead speed of 0.5 mm/min until fracture. Th...
Effect of 2% chlorhexidine on microtensile bond strength of composite to dentin
The journal of adhesive dentistry, 2003
To evaluate the effect of 2% chlorhexidine on the microtensile bond strength of composite resin to dentin treated with three dentin bonding systems. Flat dentinal surfaces were prepared in 24 extracted human third molars. Teeth were randomly divided into 8 distinct experimental groups according to the adhesive applied (Prime & Bond NT, Single Bond and Clearfil SE Bond), the application (yes/no) of chlorhexidine, and the time point at which it was applied (before or after acid etching the dentin). Composite resin blocks were built up over treated surfaces, and teeth were then stored in water at 37 degrees C for 24 h. Samples were thermocycled, stored under the same conditions, and then vertically sectioned, thus obtaining specimens with 1.0 +/- 0.1 mm2 cross-sectional area. Specimens were stressed in tension at 0.5 mm/min crosshead speed. Bond strength results were evaluated using a one-way ANOVA (p < 0.05). The modes of failures were verified using optical microscopy. Dentin disk...