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H S Delgado A, Belmar Da Costa M, Polido MC, Mano Azul A, Sauro S. Collagen-depletion strategies in dentin as alternatives to the hybrid layer concept and their effect on bond strength: a systematic review. Sci Rep 2022; 12:13028. [PMID: 35906302 PMCID: PMC9338246 DOI: 10.1038/s41598-022-17371-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Accepted: 07/25/2022] [Indexed: 01/01/2023] Open
Abstract
Strategies aiming to improve the longevity of resin-dentin adhesive interface developed so far have only been able to retard the problem. Different approaches are thus needed. The objective of this review was to determine whether the use of collagen-depletion strategies after acid-etching procedures may improve the bond strength of resin-based materials to dentin. A systematic review was planned following 2021 PRISMA statement guidelines, with a search strategy performed in five electronic databases: PubMed/Medline, Scopus, EMBASE, SciELO and IADR Abstract Archive (last search: 17/01/2022). Inclusion criteria encompassed studies which evaluated a collagen-depletion strategy in acid-etched human dentin and tensile/shear bond strength tests. Risk of bias assessment was carried out by two reviewers, working independently on an adapted five-domain risk of bias (RoB) checklist for laboratory studies. Results were synthesized qualitatively, as a meta-analysis was not possible due to limited number of studies and their RoB. A total of eight studies were eligible for inclusion in the systematic review after inclusion/exclusion criteria application. Out of these, two evaluated the effect of using NaOCl followed by an antioxidant, and the remaining six evaluated different enzymatic treatments (bromelain, chondroitinase ABC, papain, and trypsin). None of the studies reported a decrease of bond strength when a collagen-depletion strategy was used, in comparison to traditional hybrid layers (control). All enzymatic treatment studies which respected the inclusion criteria improved the bond strength to dentin. Some specific collagen-depletion strategies seem to play a favorable role in improving immediate bond strengths to dentin. Further research with sound methodology is required to consolidate these findings, since limitations in RoB and a low number of studies were found. The assessment of further proteolytic agents and long-term outcomes is also required.
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Affiliation(s)
- António H S Delgado
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz (IUEM), Campus Universitário, Quinta da Granja, Monte de Caparica, 2829-511, Almada, Portugal. .,Division of Biomaterials and Tissue Engineering, UCL Eastman Dental Institute, University College London, London, UK.
| | - Madalena Belmar Da Costa
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz (IUEM), Campus Universitário, Quinta da Granja, Monte de Caparica, 2829-511, Almada, Portugal
| | - Mário Cruz Polido
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz (IUEM), Campus Universitário, Quinta da Granja, Monte de Caparica, 2829-511, Almada, Portugal
| | - Ana Mano Azul
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz (IUEM), Campus Universitário, Quinta da Granja, Monte de Caparica, 2829-511, Almada, Portugal
| | - Salvatore Sauro
- Dental Biomaterials and Minimally Invasive Dentistry, Department of Dentistry, Cardenal Herrera-CEU University, CEU Universities, Valencia, Spain
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Effect of Cavity Disinfectants on Dentin Bond Strength and Clinical Success of Composite Restorations-A Systematic Review of In Vitro, In Situ and Clinical Studies. Int J Mol Sci 2020; 22:ijms22010353. [PMID: 33396354 PMCID: PMC7794949 DOI: 10.3390/ijms22010353] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Revised: 12/26/2020] [Accepted: 12/27/2020] [Indexed: 12/26/2022] Open
Abstract
Cavity disinfection becomes an important step before a dental restorative procedure. The disinfection can be obtained cleaning the dental cavity with antimicrobial agents before the use of adhesive systems. The aim of this study was to conduct a systematic review on the effect of different cavity disinfectants on restorations’ adhesion and clinical success. A search was carried out through the Cochrane Library, PubMed, and Web of Science. In vitro and in situ studies reporting results on dentin bond strength tests, and clinical studies published until August 2020, in English, Spanish and Portuguese were included. The methodological quality assessment of the clinical studies was carried out using the Revised Cochrane risk-of-bias tool. Chlorhexidine could preserve adhesion to dentin. EDTA and ethanol had positive results that should be further confirmed. Given the significant lack of scientific evidence, the use of lasers, fluoridated agents, sodium hypochlorite, or other products as cavity disinfectants should be avoided. Chlorhexidine is a safe option for cavity disinfection with adequate preservation of adhesion to dentin. Moreover, future researches should be focused on the efficacy of these disinfectants against cariogenic bacteria and their best application methods.
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Nima G, Cavalli V, Bacelar‐Sá R, Ambrosano GMB, Giannini M. Effects of sodium hypochlorite as dentin deproteinizing agent and aging media on bond strength of two conventional adhesives. Microsc Res Tech 2019; 83:186-195. [DOI: 10.1002/jemt.23401] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Revised: 10/02/2019] [Accepted: 10/17/2019] [Indexed: 11/08/2022]
Affiliation(s)
- Gabriel Nima
- Department of Restorative DentistryPiracicaba Dental School, State University of Campinas Piracicaba São Paulo Brazil
| | - Vanessa Cavalli
- Department of Restorative DentistryPiracicaba Dental School, State University of Campinas Piracicaba São Paulo Brazil
| | - Renata Bacelar‐Sá
- Department of Restorative DentistryPiracicaba Dental School, State University of Campinas Piracicaba São Paulo Brazil
| | - Gláucia M. B. Ambrosano
- Department of Social DentistryPiracicaba Dental School, State University of Campinas Piracicaba São Paulo Brazil
| | - Marcelo Giannini
- Department of Restorative DentistryPiracicaba Dental School, State University of Campinas Piracicaba São Paulo Brazil
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Augusto MG, Torres C, Pucci CR, Schlueter N, Borges AB. Bond Stability of a Universal Adhesive System to Eroded/Abraded Dentin After Deproteinization. Oper Dent 2018; 43:291-300. [PMID: 29676982 DOI: 10.2341/16-173-l] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE Erosive/abrasive challenges can potentially compromise bonding to dentin. Aiming to improve the quality and stability of bonding to this substrate, this study investigated the combined effect of erosion and toothbrush abrasion on the microtensile bond strength (μTBS) stability to dentin using a universal adhesive system in total and self-etching modes, associated or not associated with deproteinization. METHODS Bovine dentin specimens were divided into five groups according to the organic matrix condition (n=20): control (C); erosion (E); erosion + abrasion (EA); erosion + sodium hypochlorite (EH); erosion + abrasion + sodium hypochlorite (EAH). The groups were further divided (n=10) according to the mode of application (total or self-etching) of a universal adhesive. After the bonding procedure, composite blocks were built up, and the samples were cut to obtain sticks for μTBS testing. For each specimen, one-half of the sticks was immediately tested, and the other one-half was tested after artificial aging (5000 thermocycles, 5°C and 55°C). RESULTS Three-way analysis of variance (α=5%) showed a significant difference for the triple interaction ( p=0.0007). Higher μTBS means were obtained for the EH and EAH groups compared with the E and EA groups. The control group showed immediate μTBS values similar to that of the E and EA groups for both bond strategies. CONCLUSIONS Erosion and erosion/abrasion did not significantly influence the immediate μTBS to dentin. Artificial aging reduced μTBS values for the groups C, E, and EA using the total-etching mode. Deproteinization maintained the bond stability to artificially aged eroded and eroded/abraded dentin.
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Bharti N, Chandra A, Tikku AP, Verma P, Bharti R, Shakya VK, Bains R. An ex vivo evaluation of effect of dentin pretreatment with various agents for varying time intervals on the shear bond strength of resin. JOURNAL OF CONSERVATIVE DENTISTRY : JCD 2018; 21:37-41. [PMID: 29628645 PMCID: PMC5852933 DOI: 10.4103/jcd.jcd_227_16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Background: This article highlights the contribution of collagen structure/stability to the bond strength. We hypothesize that induction of cross-linking in dentin collagen fibrils improves dentin collagen stability and thus bond strength with composite also improves. Aims: The aim of the study was to evaluate the effect of collagen cross-linking agents on the shear bond strength of composite resins. Subjects and Methods: One hundred human permanent teeth were randomly divided into three groups: Group I (n = 20) – no dentin pretreatment done, Group II – dentin pretreatment with 10% sodium ascorbate for 5 min (IIa) and 10 min (IIb), and Group III – dentin pretreatment with 6.5% proanthocyanidin (PA) for 5 min (IIIa) and 10 min (IIIb). A composite resin was bonded on prepared surfaces and cured. Thermocycling was done, and shear bond strength of the prepared samples was tested using a universal testing machine. Results: Values of Group I (control) were lowest whereas that of Group II (sodium ascorbate) were highest. The following order of shear bond strength was observed: IIb > IIa > IIIb ~ IIIa > I. Results for sodium ascorbate were found to be time dependent, whereas for PA, differences were nonsignificant. Conclusions: Treatment of dentinal surfaces with collagen cross-linking agent increases the shear bond strengths.
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Affiliation(s)
- Nidhi Bharti
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Anil Chandra
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - A P Tikku
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Promila Verma
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Ramesh Bharti
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Vijay Kumar Shakya
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Rhythm Bains
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
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Siqueira FSF, Cardenas AFM, Gomes GM, Chibinski AC, Gomes OMM, Bandeca MC, Loguercio AD, Gomes JC. Three-Year Effects of Deproteinization on the In Vitro Durability of Resin/Dentin-Eroded Interfaces. Oper Dent 2018; 43:60-70. [DOI: 10.2341/16-308-l] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objective:
To evaluate the effect of sodium hypochlorite on the immediate and three-year bonding properties of a resin-eroded dentin interface produced by one of two adhesive strategies.
Methods and Materials:
Forty-eight molars were randomly assigned to six experimental groups, according to the combination of the adhesive strategy (etch-and-rinse and self-etch) and the dentin surface (control groups without erosion, eroded dentin surface [ED], and eroded dentin surface + NaOCl 5.2% [ED + NaOCl]). After completing restoration, specimens were stored in water (37°C) for 24 hours and then sectioned into resin–dentin beams (0.8 mm2) to be tested under tension (0.5 mm/min) immediately thereafter or after three years of water storage. To assess nanoleakage (NL), specimens were immersed in silver nitrate solution and examined by scanning electron microscopy at both time points. The dentin-etching pattern was examined under a scanning electron microscope. Data were subjected to appropriate statistical analysis (α=0.05)
Results:
In both strategies, a more pronounced and significant reduction of the microtensile bond strength (μTBS) values was observed for the ED groups (p=0.0001) after three years. However, in the ED + NaOCl group, μTBS values were maintained after three years of water storage. Furthermore, application of NaOCl to eroded dentin significantly reduced the immediate NL values and also preserved these values after three years of water storage for both adhesive strategies (p>0.05). When considering the ED group, a superficial removal of the smear layer and enlarged lumen tubules in comparison to control were present. However, for ED + NaOCl, there was a total removal of the smear layer and significant numbers of collagen fibrils were exposed.
Conclusion:
The use of NaOCl may maintain the long-term stability of a resin-eroded dentin interface formed by etch-and-rinse and self-etch adhesives.
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Affiliation(s)
- FSF Siqueira
- Fabiana Suelen Figueredo de Siqueira, DDS, MS, PhD student, Department of Restorative Dentistry, School of Dentistry, Ponta Grossa State University, Ponta Grossa, Brazil
| | - AFM Cardenas
- Andres Felipe Millan Cardenas, DDS, MS, PhD, professor, Department of Postgraduate Program in Dentistry, CEUMA University, São Luis, Brazil
| | - GM Gomes
- Giovana Mongruel Gomes, DDS, MS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, Ponta Grossa State University, Ponta Grossa, Brazil
| | - AC Chibinski
- Ana Claúdia Rodriguez Chibinski, DDS, MS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, Ponta Grossa State University, Ponta Grossa, Brazil
| | - OMM Gomes
- Giovana Mongruel Gomes, DDS, MS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, Ponta Grossa State University, Ponta Grossa, Brazil
| | - MC Bandeca
- Matheus Coelho Bandeca, DDS, MS, PhD, professor, Department of Postgraduate Program in Dentistry, CEUMA University, São Luis, Brazil
| | - AD Loguercio
- Alessandro D. Loguercio, DDS, MS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, Ponta Grossa State University, Ponta Grossa, Brazil
| | - JC Gomes
- Giovana Mongruel Gomes, DDS, MS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, Ponta Grossa State University, Ponta Grossa, Brazil
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Effects of Epigallocatechin-3-gallate (EGCG) on the bond strength of fiber posts to Sodium hypochlorite (NaOCl) treated intraradicular dentin. Sci Rep 2017; 7:4235. [PMID: 28652570 PMCID: PMC5484673 DOI: 10.1038/s41598-017-04107-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2016] [Accepted: 05/10/2017] [Indexed: 11/09/2022] Open
Abstract
This study was to evaluate the effect of Epigallocatechin-3-gallate (EGCG) on the bond strength of two adhesive systems to the Sodium hypochlorite (NaOCl) treated intraradicular dentin. The roots were accepted regular root canal treatments and post space preparations, and further divided into eight groups according to the four post space pretreatments and two dentin adhesives [Single Bond 2 (SB2) and Clearfil SE Bond (CSB)] used. The push-out strength before and after thermocycling in different root region (coronal and apical), DC of the adhesive and morphologic patterns of treated post space were evaluated. NaOCl + EGCG groups showed the highest push-out strength regardless of the adhesive type, root region and time (P < 0.05). NaOCl pretreatment significantly decreased the push-out strengths and DC of CSB (P < 0.05). EGCG could improve the bonding properties of both SB2 and CSB to NaOCl treated intraradicular dentin. The effect of NaOCl on bonding of a fiber post depended on the type of the adhesive.
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8
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Uhanov MM, Ryahovsky AN. [Restorative nanomaterials in dentistry]. STOMATOLOGII︠A︡ 2016; 95:73-78. [PMID: 27441319 DOI: 10.17116/stomat201695273-78] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- M M Uhanov
- Central Research Institute of Dentistry and Maxillofacial Surgery Ministry of Health of Russian Federation, Moscow, Russia
| | - A N Ryahovsky
- Central Research Institute of Dentistry and Maxillofacial Surgery Ministry of Health of Russian Federation, Moscow, Russia
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9
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Ferreira MBDC, Carlini Júnior B, Galafassi D, Gobbi DL. Calcium hypochlorite as a dentin deproteinization agent: Microleakage, scanning electron microscopy and elemental analysis. Microsc Res Tech 2015; 78:676-81. [PMID: 26031607 DOI: 10.1002/jemt.22524] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2015] [Revised: 04/30/2015] [Accepted: 05/01/2015] [Indexed: 11/07/2022]
Affiliation(s)
| | - Bruno Carlini Júnior
- Department of Restorative Dentistry, School of Dentistry, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brasil
| | - Daniel Galafassi
- Department of Restorative Dentistry, School of Dentistry, Serra Gaúcha College-FSG, Rio Grande do Sul, Brasil
| | - Delton Luiz Gobbi
- Department of Chemistry, School of Chemistry, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brasil
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Furuse AY, Cunha LF, Baratto SP, Leonardi DP, Haragushiku GA, Gonzaga CC. Bond strength of fiber-reinforced posts to deproteinized root canal dentin. J Contemp Dent Pract 2014; 15:581-6. [PMID: 25707830 DOI: 10.5005/jp-journals-10024-1583] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
AIM This study evaluated the push-out bond strength of cemented fiber posts after deproteinization of root canal dentin walls with NaOCl. The effect of the application of an antioxidant solution (sodium ascorbate) was also evaluated. MATERIALS AND METHODS A three-step etch-and-rinse (Scotch-bond - 3M Espe) and a one-step self-etching adhesive (Xeno III - Dentsply Caulk) were evaluated. Thirty bovine incisor roots were divided into 3 groups: a. Irrigation with physiologic solution (control). b. Deproteinization with 10 minutes irrigation of 5% NaOCl. c. Deproteinization with NaOCl followed by 10 minutes irrigation with 10% ascorbic acid. Fiber posts were cemented with a dual-cured cement (Rely X ARC - 3M ESPE). The push-out bond strength was evaluated after 24 hours of storage in distilled water. The data were analyzed with three-way ANOVA, one-way ANOVA and Tukey's test (α = 0.05). RESULTS There were significant differences between groups (p < 0.05). The bond strength of Scotchbond was not influenced by the deproteinization. Xeno III showed a decrease in bond strength when deproteinized with 5% NaOCl (p < 0.05). For Xeno III, the subsequent irrigation with ascorbic acid was able to reverse the effect of the deproteinization. Considering the radicular thirds, the bond strength varied in the sequence-apical < middle < coronal. CONCLUSION Only the all-in-one adhesive was influenced by the deproteinization. Considering the respective control groups, both systems showed similar bond strength results. CLINICAL SIGNIFICANCE The decreased bond strength of the self-etching adhesive following deproteinization seams to be related to the oxidant effect of the NaOCl solution and the subsequent irrigation with ascorbic acid was able to reverse the effect of the deproteinization.
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Affiliation(s)
- Adilson Yoshio Furuse
- Assistant Professor, Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of Sao Paulo Bauru, Sao Paulo, Brazil, e-mail:
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Barbosa De Souza F, Sinclér Delfino C, Lacalle Turbino M, Braz R. Deproteinized dentin: A favorable substrate to self-bonding resin cements? J Biomed Mater Res B Appl Biomater 2011; 98:387-94. [DOI: 10.1002/jbm.b.31863] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2010] [Revised: 03/10/2011] [Accepted: 03/21/2011] [Indexed: 11/10/2022]
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12
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Eugénio S, Osorio R, Sivakumar M, Vilar R, Monticelli F, Toledano M. Bond strength of an etch-and-rinse adhesive to KrF excimer laser-treated dentin. Photomed Laser Surg 2010; 28:97-102. [PMID: 19743929 DOI: 10.1089/pho.2008.2270] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE The aim of this work was to evaluate the effect of KrF excimer laser treatment on the bond strength between dentin and an etch-and-rinse adhesive system. MATERIALS AND METHODS Polished dentin surfaces were subjected to the following treatments: (1) 35% phosphoric acid etching for 15 s; (2) laser surface treatment using KrF excimer laser radiation (1 J/cm(2)); and (3) laser treatment under the same conditions followed by acid etching. After treating the dentin, an etch-and-rinse adhesive (Adper Scotchbond 1 XT, 3M ESPE) was applied and composite (Esthet-X, Dentsply Caulk, Konstanz, Germany) build-ups were incrementally constructed. After 24 h of water storage at 37 degrees C, 1 mm(2) beams were longitudinally cut from the samples. Microtensile sticks were loaded in tension at a crosshead speed of 0.5 mm/min. Bond strength data were analyzed with one-way ANOVA and the Student-Newman-Keuls test (p < 0.05). The dentin surfaces resulting from each surface treatment and the fracture surfaces originated by the bond-strength tests were observed under a scanning electron microscope. RESULTS Laser-treated surfaces exhibited a cone-shaped topography with a frank occlusion of dentinal tubules, while acid etching produced a smoother surface with open tubules. Application of 35% phosphoric acid on laser-treated dentin surfaces resulted in the partial dissolution of the surface cones. Mean microtensile bond strengths for acid-etched dentin was significantly higher (33.7 +/- 8.7 MPa) than for laser-treated (13.8 +/- 5.1 MPa) and laser-treated and etched surfaces (19.7 +/- 6.9 MPa). A higher percentage of cohesive failures at the base of the cones occurred in the laser-treated group, whereas mixed failures were predominant on acid-etched samples. CONCLUSION The cone-shaped texture produced by treating dentin with KrF laser radiation does not improve the bond strength of the tested etch-and rinse adhesive system when compared to the traditional acid-etching technique.
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Affiliation(s)
- Sónia Eugénio
- Department of Materials Engineering, Instituto Superior Técnico, Lisboa, Portugal
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13
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Baseggio W, Consolmagno EC, de Carvalho FLN, Ueda JK, Schmitt VL, Formighieri LA, Naufel FS. Effect of deproteinization and tubular occlusion on microtensile bond strength and marginal microleakage of resin composite restorations. J Appl Oral Sci 2010; 17:462-6. [PMID: 19936527 PMCID: PMC4327675 DOI: 10.1590/s1678-77572009000500021] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2008] [Accepted: 11/30/2008] [Indexed: 11/22/2022] Open
Abstract
UNLABELLED Dentin adhesion procedure presents limitations, especially regarding to lifetime stability of formed hybrid layer. Alternative procedures have been studied in order to improve adhesion to dentin. OBJECTIVE The aim of this study was to evaluate in vitro the influence of deproteinization or dentin tubular occlusion, as well as the combination of both techniques, on microtensile bond strength (microTBS) and marginal microleakage of composite resin restorations. MATERIAL AND METHODS Extracted erupted human third molars were randomly divided into 4 groups. Dentin surfaces were treated with one of the following procedures: (A) 35% phosphoric acid gel (PA) + adhesive system (AS); (B) PA + 10% NaOCl + AS; (C) PA + oxalate + AS and (D) PA + oxalate + 10% NaOCl + AS. Bond strength data were analyzed statistically by two-way ANOVA and Tukey's test. The microleakage scores were analyzed using Kruskal-Wallis and Mann-Whitney non-parametric tests. Significance level was set at 0.05 for all analyses. RESULTS microTBS data presented statistically lower values for groups D and B, ranking data as A>C>B>D. The use of oxalic acid resulted in microleakage reduction along the tooth/restoration interface, being significant when used alone. On the other hand, the use of 10% NaOCl alone or in combination with oxalic acid, resulted in increased microleakage. CONCLUSIONS Dentin deproteinization with 10% NaOCl or in combination with oxalate significantly compromised both the adhesive bond strength and the microleakage at interface. Tubular occlusion prior to adhesive system application seems to be a useful technique to reduce marginal microleakage.
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Affiliation(s)
- Wagner Baseggio
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
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Sauro S, Mannocci F, Tay FR, Pashley DH, Cook R, Carpenter GH, Watson TF. Deproteinization Effects of NaOCl on Acid-etched Dentin in Clinically-relevant vs Prolonged Periods of Application. A Confocal and Environmental Scanning Electron Microscopy Study. Oper Dent 2009; 34:166-173. [DOI: 10.2341/08-56] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023]
Abstract
Clinical Relevance
Complete removal of the collagen matrix prior to dentin bonding procedures has been proposed as a strategy to prevent later degradation, which may jeopardize the longevity of resin-dentin bonds. This study demonstrates that a complete removal of the exposed collagen matrix from the etched dentin surface can be achieved by applying a 12 w/v% NaOCl solution, but at this concentration, it requires a far longer reaction time than is clinically acceptable.
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15
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Sauro S, Mannocci F, Toledano M, Osorio R, Pashley DH, Watson TF. EDTA or H3PO4/NaOCl dentine treatments may increase hybrid layers' resistance to degradation: a microtensile bond strength and confocal-micropermeability study. J Dent 2009; 37:279-88. [PMID: 19155116 DOI: 10.1016/j.jdent.2008.12.002] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2008] [Revised: 12/03/2008] [Accepted: 12/09/2008] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES The aim of this study was to reduce hybrid layer degradation created with simplified dentine adhesives by using two different methods to condition the dentine surface. METHODS A smear-layer was created on flat dentine surfaces from extracted human third molars with a 180-grit/SiC-paper. Dentine specimens were conditioned before bonding with the following procedures: 37% H(3)PO(4); H(3)PO(4)/0.5% NaOCl; 0.1M EDTA; 0.1M EDTA/0.5% NaOCl. Two etch-and-rinse adhesives: (Scotchbond 1XT or Optibond Solo Plus) were applied and light-cured. Composite build-ups were constructed. The bonded teeth were sectioned into beams, stored in distilled water (24h) or 12% NaOCl solution (90 min) and finally tested for microtensile bond strengths (microTBS). Additional dentine surfaces were conditioned and bonded as previously described. They were prepared for a pulpal-micropermeability confocal microscopy study and finally observed using confocal microscopy. RESULTS microTBS results revealed that both adhesives gave high bond strengths to acid-etched dentine before, but not after a 12% NaOCl challenge. Bonds made to acid-etched or EDTA-treated dentine plus dilute NaOCl, gave high microTBS that resisted 12% NaOCl treatment, as did EDTA-treated dentine alone. A confocal micropermeability investigation showed very high micropermeability within interfaces of the H(3)PO(4), etched specimens. The lowest micropermeability was observed in H(3)PO(4)+0.5% NaOCl and 0.1M EDTA groups. CONCLUSIONS The use of dilute NaOCl (0.5%) after acid-etching, or the conditioning of dentine smear layers with 0.1M EDTA (pH 7.4) produced less porous resin-dentine interfaces. These dentine-conditioning procedures improve the resistance of the resin-dentine bond sites to chemical degradation (12% NaOCl) and may result in more durable resin-dentine bonds.
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Affiliation(s)
- Salvatore Sauro
- Dental Biomaterials Science, Biomimetics & Biophotonics, King's College London Dental Institute at Guy's, King's College and St Thomas's Hospitals, Floor 17 Guy's Hospital, London, UK.
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Esteves-Oliveira M, Zezell DM, Apel C, Turbino ML, Aranha ACC, Eduardo CDP, Gutknecht N. Bond strength of self-etching primer to bur cut, Er,Cr:YSGG, and Er:YAG lased dental surfaces. Photomed Laser Surg 2008; 25:373-80. [PMID: 17975950 DOI: 10.1089/pho.2007.2044] [Citation(s) in RCA: 70] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE The purpose of this study was to evaluate the tensile bond strength of a self-etching primer system to enamel and dentin surfaces treated with Er:YAG and Er,Cr:YSGG lasers. BACKGROUND DATA The recently introduced self-etching primer systems have been shown to adhere better to dental surfaces with thin or no smear layers. Moreover, there have been no previous reports on the bond strength of these adhesives to Er,Cr:YSGG laser-irradiated enamel and dentin, which have been shown to be free of a smear layer. METHODS Thirty samples of enamel and thirty of dentin were divided into three groups. The first group of each substrate served as a control with a standardized bur cut, and the other two groups were conditioned with Er:YAG (350 mJ, 10 Hz, 20 J/cm(2) for enamel; 300 mJ, 6 Hz, 17 J/cm(2) for dentin) and Er,Cr:YSGG laser (125 mJ, 20 Hz, 16 J/cm(2) for both substrates). After the bonding procedure, samples were restored with composite resin, and the tensile bond strength test was performed. RESULTS The ANOVA two-way analysis and the Tukey test at 5% significance level showed that for enamel and dentin, the bond strength values were statistically higher in Er:YAG-laser treated than in Er,Cr:YSGG-laser treated surfaces (p = 0.0001). However, bond strength means for both laser-irradiated groups were statistically lower than for the bur cut group (Er:YAG: p = 0.0281 and Er,Cr:YSGG: p < 0.0001). SEM observation of laser-irradiated surfaces revealed a roughened aspect and absence of smear layer. CONCLUSIONS The self-etching system adhesion was influenced by the type of erbium laser used, and the bond strength was higher in the Er:YAG-laser irradiated than in the Er,Cr:YSGG-laser irradiated surfaces.
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Affiliation(s)
- Marcella Esteves-Oliveira
- Department for Conservative Dentistry, Periodontology and Preventive Dentistry (ZPP), RWTH Aachen University, Pauwelsstr. 30, Aachen, Germany.
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Maior JRS, Da Figueira MAS, Netto ABAB, de Souza FB, da Silva CHV, Tredwin CJ. The Importance of Dentin Collagen Fibrils on the Marginal Sealing of Adhesive Restorations. Oper Dent 2007; 32:261-5. [PMID: 17555177 DOI: 10.2341/06-75] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Clinical Relevance
The results of this research showed that, with regard to marginal seal, collagen fibrils were not essential to obtaining an optimal adhesive performance. Deproteinization should be considered as a bonding pre-treatment.
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Silva EM, Duarte PBPG, Poskus LT, Barcellos AAL, Guimarães JGA. Nanoleakage and microshear bond strength in deproteinized human dentin. J Biomed Mater Res B Appl Biomater 2007; 81:336-42. [PMID: 17022053 DOI: 10.1002/jbm.b.30670] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
This study evaluated the influence of dentin deproteinization with NaOCl on the microshear bond strength (microSBS) and the nanoleakage patterns of three dentin bonding systems (DBS). Occlusal dentin surfaces, obtained from extracted noncarious human molars, were divided into two experimental groups, according to dentin surface treatment: Group I-37% H(3)PO(4)/15s and Group II-37% H(3)PO(4)/15s + 10% NaOCl/1 min. The dentin surfaces were bonded with one of the following DBS: Scotchbond Multipurpose-SBMP, Prime & Bond NT-PB and Clearfil SE Bond-SE. After 1 week storage in water at 37 degrees C, the specimens were subjected to the microSBS test. The data were analyzed by two-way ANOVA and Student-Newman-Keuls' test (p = 0.05). The nanoleakage was evaluated using scanning electron microscopy (SEM) in backscattered electron imaging regime. No significant difference in microSBS between dentin treatments was found for SBMP. For PB, microSBS increased after NaOCl dentin treatment. SE showed a reduction in microSBS in deproteinized specimens. SEM analysis showed different nanoleakage patterns for each DBS. Irrespective of dentin treatments, all SBMP specimens showed nanoleakage. SE did not show nanoleakage with the two dentin treatments. PB showed nanoleakage within the hybrid layer only in acid-etched specimens. The influence of dentin deproteinization was dependent on the dentin bonding system formulation.
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Affiliation(s)
- Eduardo M Silva
- Department of Restorative Dentistry, School of Dentistry, Federal Fluminense University, Niterói, Rio de Janeiro, Brazil.
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