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Coelho A, Amaro I, Apolónio A, Paula A, Saraiva J, Ferreira MM, Marto CM, Carrilho E. Effect of Cavity Disinfectants on Adhesion to Primary Teeth-A Systematic Review. Int J Mol Sci 2021; 22:4398. [PMID: 33922376 PMCID: PMC8122819 DOI: 10.3390/ijms22094398] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 04/19/2021] [Accepted: 04/22/2021] [Indexed: 02/06/2023] Open
Abstract
Some authors have been proposing the use of cavity disinfectants in order to reduce, or even eliminate, the effect of the microorganisms present in a dental cavity before a restoration is placed. The aim of this study was to evaluate the effect of different cavity disinfectants on bond strength and clinical success of composite and glass ionomer restorations on primary teeth. The research was conducted using Cochrane Library, PubMed/MEDLINE, SCOPUS, and Web of Science for articles published up to February 2021. The search was performed according to the PICO strategy. The evaluation of the methodological quality of each in vitro study was assessed using the CONSORT checklist for reporting in vitro studies on dental materials. Sixteen in vitro studies and one in situ study fulfilled the inclusion criteria and were analyzed. Chlorhexidine was the most studied cavity disinfectant, and its use does not compromise dentin bonding. Sodium hypochlorite is a promising alternative, but more research on its use is required to clearly state that it can safely be used as a cavity disinfectant for primary teeth. Although other disinfectants were studied, there is a low-level evidence attesting their effects on adhesion, therefore their use should be avoided.
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Affiliation(s)
- Ana Coelho
- Faculty of Medicine, Institute of Integrated Clinical Practice, University of Coimbra, 3000-075 Coimbra, Portugal; (I.A.); (A.A.); (A.P.); (J.S.); (E.C.)
- Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, 3000-548 Coimbra, Portugal; (M.M.F.); (C.M.M.)
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
| | - Inês Amaro
- Faculty of Medicine, Institute of Integrated Clinical Practice, University of Coimbra, 3000-075 Coimbra, Portugal; (I.A.); (A.A.); (A.P.); (J.S.); (E.C.)
| | - Ana Apolónio
- Faculty of Medicine, Institute of Integrated Clinical Practice, University of Coimbra, 3000-075 Coimbra, Portugal; (I.A.); (A.A.); (A.P.); (J.S.); (E.C.)
| | - Anabela Paula
- Faculty of Medicine, Institute of Integrated Clinical Practice, University of Coimbra, 3000-075 Coimbra, Portugal; (I.A.); (A.A.); (A.P.); (J.S.); (E.C.)
- Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, 3000-548 Coimbra, Portugal; (M.M.F.); (C.M.M.)
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
| | - José Saraiva
- Faculty of Medicine, Institute of Integrated Clinical Practice, University of Coimbra, 3000-075 Coimbra, Portugal; (I.A.); (A.A.); (A.P.); (J.S.); (E.C.)
| | - Manuel Marques Ferreira
- Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, 3000-548 Coimbra, Portugal; (M.M.F.); (C.M.M.)
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
- Faculty of Medicine, Institute of Endodontics, University of Coimbra, 3000-075 Coimbra, Portugal
| | - Carlos Miguel Marto
- Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, 3000-548 Coimbra, Portugal; (M.M.F.); (C.M.M.)
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
- Faculty of Medicine, Institute of Biophysics, University of Coimbra, 3004-548 Coimbra, Portugal
- Faculty of Medicine, Institute of Experimental Pathology, University of Coimbra, 3004-548 Coimbra, Portugal
| | - Eunice Carrilho
- Faculty of Medicine, Institute of Integrated Clinical Practice, University of Coimbra, 3000-075 Coimbra, Portugal; (I.A.); (A.A.); (A.P.); (J.S.); (E.C.)
- Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, 3000-548 Coimbra, Portugal; (M.M.F.); (C.M.M.)
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
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Mutluay AT, Mutluay M. Effects of Different Disinfection Methods on Microleakage of Giomer Restorations. Eur J Dent 2019; 13:569-573. [PMID: 31770812 PMCID: PMC6938441 DOI: 10.1055/s-0039-1698370] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Objectives
The purpose of this in vitro study was to investigate the effects of different disinfection methods on microleakage of Class V Giomer restorations.
Materials and Methods
Class V cavity preparation was performed on 40 sound permanent central incisors. Class V cavities (3 x 2 x 2 mm) were prepared on the buccal surfaces of the selected teeth. The teeth were randomly divided into four groups, each to be disinfected with a different method: Group 1—Disinfection with 2% chlorhexidine, Group 2—Disinfection with 6% sodium hypochlorite, Group 3—Disinfection with erbium, chromium: yttrium-scandium-gallium-garnet laser, Group 4—Control (distilled water). BeautiBond adhesive and Beautifil II Giomer restoration materials were applied to all surfaces of the cavities after the disinfection of all groups. The teeth were thermocycled 5,000 times (5–55°C), and then were immersed in 0.5% methylene blue for 24 hours. After rinsing, the teeth were longitudinally sectioned and dye penetration was assessed under a stereomicroscope (40x) to evaluate microleakage.
Statistical Analysis
The results were statistically evaluated by using the Kruskal–Wallis and Mann–Whitney
U
tests.
Results
Statistically, no significant difference was found between all four groups (
p
> 0.05). There was no statistically significant difference in microleakage scores of study groups (
p
> 0.05). Also, the microleakage scores of the gingival margins were significantly higher than the incisal margins (
p
< 0.0001).
Conclusions
Application of the different cavity disinfectants has no effect on the microleakage of Class V Giomer restorations.
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Affiliation(s)
- Abidin Talha Mutluay
- Department of Restorative Dentistry, Faculty of Dentistry, Kirikkale University, Kirikkale, Turkey
| | - Merve Mutluay
- Department of Pediatric Dentistry, Faculty of Dentistry, Kirikkale University, Kirikkale, Turkey
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Alamoudi NM, Baik AM, El-Housseiny AA, Abu Haimed TS, Bakry AS. Influence of povidone-iodine on micro-tensile bonding strength to dentin under simulated pulpal pressure. BMC Oral Health 2018; 18:178. [PMID: 30373571 PMCID: PMC6206633 DOI: 10.1186/s12903-018-0645-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Accepted: 10/18/2018] [Indexed: 11/10/2022] Open
Abstract
Background Previous studies had reported that bond strength deteriorate over time following the dentin surface pretreatment with chlorhexidine. Therefore, further investigations are needed to evaluate the effect of other materials such as povidone iodine. The purpose of this study was to investigate the effects of 10% povidone-iodine pretreatment on the resin-dentin micro-tensile bond strength of a single bond adhesive system in permanent teeth over time, and compare it with 2% chlorhexidine. Methods Flat dentin surfaces were prepared in 63 extracted permanent teeth. Teeth were randomly assigned to a 10% povidone-iodine pretreatment, a 2% chlorhexidine pretreatment, or a control group. Composite resin blocks were built up over treated surfaces under pulp pressure simulation. The prepared specimens were assigned to three storage time, 24 h, 1 week, and 2 months. Samples were vertically sectioned to obtain specimens of 0.7 to 1.2 mm2 cross-sectional area. Results No significant reduction of bond strength of povidone iodine group was found among the three storage times (p = 0.477). A significant reduction of bond strength for both chlorhexidine and control groups was found in the three storage times (p < 0.001). Conclusion Povidone iodine pretreatment of etched dentin was effective in reducing the loss of bond strength over time, while the chlorhexidine pretreatment and negative control showed significant deterioration in micro-tensile bond strength over time in permanent teeth.
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Affiliation(s)
- Najlaa M Alamoudi
- Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 21589, Saudi Arabia.
| | - Alaa M Baik
- Pediatric Dentistry Department, King Abdulaziz University Dental Hospital, Jeddah, Saudi Arabia
| | - Azza A El-Housseiny
- Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, P.O. Box 80209, Jeddah, 21589, Saudi Arabia.,Pediatric Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Tariq S Abu Haimed
- Biomaterial Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Ahmed S Bakry
- Operative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.,Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
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Kimyai S, Pournaghi-Azar F, Naser-Alavi F, Salari A. Effect of disinfecting the cavity with chlorhexidine on the marginal gaps of Cl V giomer restorations. J Clin Exp Dent 2017; 9:e202-e206. [PMID: 28210436 PMCID: PMC5303318 DOI: 10.4317/jced.53193] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Accepted: 07/08/2016] [Indexed: 11/11/2022] Open
Abstract
Background Considering the effect of cavity disinfecting agents on the bonding and sealing ability of restorations bonded to dentin, the aim of this study was to evaluate the effect of chlorhexidine (CHX) disinfecting agent on the marginal gaps of Cl V giomer restorations. Material and Methods Cl V cavities were prepared on the buccal surfaces of 60 sound bovine permanent incisors in this in vitro study, with the occlusal and gingival margins in enamel and dentin, respectively. The teeth were randomly divided into two groups (n=30). The teeth in groups 1 and 2 were restored without and with the use of the disinfecting agent in the cavity, respectively, before applying the adhesive. BeautiBond one-step self-etch adhesive and Beautifil II giomer were used to restore the cavities in both groups. After thermocycling and sectioning of the samples, the sizes of marginal gaps at gingival margins were measured in µm under a stereomicroscope. Mann-Whitney U test was used to compare marginal gaps at P<0.05 level of significance. Results The means of marginal gaps were significantly different between the two study groups (U=180, P<0.001), with higher means of marginal gaps in group 2 (with CHX disinfection) compared to group 1 (without CHX disinfection) (P<0.0005). Conclusions Application of CHX for the disinfection of cavities in giomer restorations resulted in an increase in gingival margin gaps. Key words:Chlorhexidine, dental marginal adaptation, dental restorations.
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Affiliation(s)
- Soodabeh Kimyai
- Dental and Periodontal Research Center, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran; Professor, Department of Operative Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Fatemeh Pournaghi-Azar
- Assistant Professor, Department of Operative Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Fereshteh Naser-Alavi
- Post graduate student, Department of Operative Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Ashkan Salari
- Post graduate student, Department of Periodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
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Elkassas DW, Fawzi EM, El Zohairy A. The effect of cavity disinfectants on the micro-shear bond strength of dentin adhesives. Eur J Dent 2014; 8:184-190. [PMID: 24966768 PMCID: PMC4054048 DOI: 10.4103/1305-7456.130596] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Objectives: This study was carried out to examine the effect of application of four different disinfecting agents on the micro-shear bond strength (μ-SBS) of an etch-and-rinse and self-etch adhesive systems. Materials and Methods: One hundred flat dentin surfaces of human molars were produced by wet grinding the buccal surfaces. Specimens were randomly assigned to five groups according to the disinfectant used: Group I: Control (no disinfectant); Group II: 5.25% sodium hypochlorite based; Group III: 2% chlorhexidine based (Consepsis), Group IV: 0.1% benzalkoniumchloride based (Tubulicid red) and Group V: 3% doxycycline based (Biopure, MTAD). Specimens were bonded using either Adper Single Bond 2 or Clearfil S3 Bond, which were employed according to the manufacturer's instructions. Resin composite microcylinders were bonded using Tygon® tubes for μ-SBS testing. The modes of failure were noted after visual examination using a binocular stereomicroscope at ×25 magnification. Failures were classified as adhesive, or mixed. μ-SBS results were analyzed using two-way ANOVA followed by Tukey's post-hoc test. Results: Dentin disinfectants tested significantly negated the bonding of Adper Single bond 2 and the groups were ranked; Group I > Group V = Group IV > Group II = Group III, meanwhile they enhanced significantly the μ-SBS values upon using Clearfil S3 Bond and were ranked; Group II > Group III = Group IV = Group V > Group I. Most failures were adhesive with the Adper single bond adhesive system. Mixed modes of failure were evident with Clearfil S3 bond. Conclusions: The disinfectants tested should not be used with Adper Single Bond 2 when applied before the etching step, However they could be used safely prior to bonding with Clearfil S3 Bond.
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Affiliation(s)
- Dina Wafik Elkassas
- Department of Operative Dentistry, Faculty of Oral and Dental Medicine, Misr International University, Cairo, Egypt
| | - Elham Mostafa Fawzi
- Department of Operative Dentistry, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt
| | - Ahmed El Zohairy
- Department of Operative Dentistry, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt
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Reddy MSC, Mahesh MC, Bhandary S, Pramod J, Shetty A, Prashanth MB. Evaluation of effect of different cavity disinfectants on shear bond strength of composite resin to dentin using two-step self-etch and one-step self-etch bonding systems: a comparative in vitro study. J Contemp Dent Pract 2013; 14:275-80. [PMID: 23811659 DOI: 10.5005/jp-journals-10024-1313] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
AIM AND OBJECTIVES To evaluate the effect of 2% chlorhexidine, 2% sodium hypochlorite, 3% hydrogen peroxide on shear bond strength of composite resin to dentin using two-step and onestep self-etch bonding systems and to study the mode of failure of specimens under stereomicroscope. MATERIALS AND METHODS Eighty extracted sound human posterior teeth were used. The occlusal surfaces were ground to expose the dentin and were then randomly divided into 4 main groups. In group I, no cavity disinfectant was used and served as control. In groups II, III, IV, 2% chlorhexidine, 2% sodium hypochlorite and 3% hydrogen peroxide were used as cavity disinfectants respectively. Each group was then divided into two subgroups of 10 teeth each according to the bonding agent used, two-step self-etch (Adper SE Plus) and one-step self-etch (Adper Easy One) respectively. A transparent cylindrical plastic tube was loaded with microhybrid composite and placed over the dentin and light cured for 40 seconds. The specimens were subjected to shear stress in the universal testing machine. RESULTS Pretreatment with 2% chlorhexidine, 2% sodium hypochlorite and 3% hydrogen peroxide, had a negative effect on the shear bond strength of self-etching bonding systems. CONCLUSION The highest bond strength was found in 2% chlorhexidine group followed by 2% sodium hypochlorite group and the lowest bond strength was found in 3% hydrogen peroxide group. CLINICAL SIGNIFICANCE All three cavity disinfectants used in this study reduced the shear bond strength and hence should be used with caution.
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Affiliation(s)
- M Surya Chaitanya Reddy
- Department of Conservative Dentistry and Endodontics, AECS Maaruti College of Dental Sciences and Research Center, Bengaluru, Karnataka, India
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7
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Egilmez F, Ergun G, Cekic-Nagas I, Vallittu PK, Lassila LVJ. Bond strength of self-adhesive resin cements to dentin after antibacterial and chelating solution treatment. Acta Odontol Scand 2013; 71:22-31. [PMID: 22251143 DOI: 10.3109/00016357.2011.645215] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The aim of this study was to evaluate the effect of tetracycline HCl, 1-hydroxyethylidene-1, 1-bisphosphonate (HEBP) and chlorhexidine digluconate (CHX) on micro push-out (µ-PO) bond strengths of two self-adhesive resin cements on dentin. MATERIALS AND METHODS Sixty discs of 1.25 mm thickness (middle dentin) were prepared from human molars perpendicular to the tooth axis. Two standardized occlusal cavities of 2.20 mm occlusal diameter and 1.25 mm cervical diameter were prepared in each disc. The cavities were divided into three groups in accordance with the surface treatment (50 mg/ml tetracycline HCl, 18% HEBP and 2% CHX solutions). Following the treatment of the discs for 5 min, cavities were filled with two different self-adhesive resin cements (Clearfil(™) SA Cement and RelyX(™) Unicem). After light polymerization of cements, µ-PO bond strength tests were performed. Failure modes were examined and dentin morphologic assessments were done. Statistical significance was determined by a multivariate analysis of variance (MANOVA) followed by Tukey's post-hoc test (p < 0.05). Additionally, a paired-samples T-test was used to compare the µ-PO bond strengths of self-adhesive resin cements (p < 0.05). RESULTS Paired-samples T-test revealed that there was no significant difference between tested self-adhesive resin cements (p = 0.612). No significant two-factor interaction was observed between Clearfil(™) SA Cement and chemical agents (p = 0.457). Similarly, tetracycline HCl and CHX did not have a significant effect on the bond strength of RelyX(™) Unicem (p > 0.05). However, HEBP significantly decreased the bond strength of RelyX(™) Unicem when compared to the control (p < 0.05). Conclusion. The tetracycline HCl and CHX solutions do not have beneficial effects on µ-PO bond strengths of self-adhesive resin cements. Additionally, the results of this study do not justify the use of self-adhesive resin cements, following HEBP treatment of dentin. CLINICAL SIGNIFICANCE The application of topical HEBP solution treatment to dentin could have adverse effects on the µ-PO bond strengths of RelyX(™) Unicem.
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Affiliation(s)
- Ferhan Egilmez
- Faculty of Dentistry, Department of Prosthodontics, Gazi University, Ankara, Turkey.
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Moon PC, Weaver J, Brooks CN. Review of matrix metalloproteinases' effect on the hybrid dentin bond layer stability and chlorhexidine clinical use to prevent bond failure. Open Dent J 2010; 4:147-52. [PMID: 21339893 PMCID: PMC3040992 DOI: 10.2174/1874210601004010147] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2009] [Revised: 03/09/2010] [Accepted: 03/09/2010] [Indexed: 11/22/2022] Open
Abstract
This review describes the relationship between dentin collagen hybrid bond layer degradation and the Matrix Metalloproteinases (MMPs) after their release by acid etch and rinse adhesives and self etching bonding adhesives that can reduce the bond stability over time. MMP-2, MMP-8 and MMP-9 are indicated as the active proteases that breakdown the collagen fibrils in the hybrid bond layer. Phosphoric acid in the acid etch and rinse bonding process and acid primers in the self etch process are implicated in the release of these proteases and their activation by several non-collagen proteins also released from dentin by the etching. MMPs are released in saliva by salivary glands, by cells in the gingival crevices to crevicular fluid and by pulpal odontoblasts cells to the dentinal fluids. These sources may affect the hybrid layer also. Evidence of the bond strength deterioration over time and the ability of Chlorhexidine to prevent bond deterioration by inhibiting MMP action are discussed. Dentin Bonding procedure utilizing Chlorhexidine for different application times and concentrations are being developed. The application of 2% Chlorhexidine to the phosphoric acid etch surface after rinsing off the acid is the only procedure that has been clinically tested for a longer period of time and shown to prevent bond strength degradation so far. The adoption of this procedure is recommended as means of improving bond stability at this time.
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Affiliation(s)
- Peter C Moon
- Department of General Practice, VCU School of Dentistry, Virginia Commonwealth University, Richmond, Va. USA
| | | | - Carol N Brooks
- Department of General Practice, VCU School of Dentistry, Virginia Commonwealth University, Richmond, Va. USA
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Çelik Ç, Özel Y, Bağış B, Erkut S. Effect of Laser Irradiation and Cavity Disinfectant Application on the Microtensile Bond Strength of Different Adhesive Systems. Photomed Laser Surg 2010; 28:267-72. [DOI: 10.1089/pho.2009.2509] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Çiğdem Çelik
- Baskent University, Faculty of Dentistry, Department of Conservative Dentistry, Ankara, Turkey
| | - Yonca Özel
- Baskent University, Faculty of Dentistry, Department of Conservative Dentistry, Ankara, Turkey
| | - Bora Bağış
- Karadeniz Technical University, Faculty of Dentistry, Department of Prosthodontics, Trabzon, Turkey
| | - Selim Erkut
- Baskent University, Faculty of Dentistry, Department of Prosthodontics, Bahcelievler, Ankara, Turkey
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ZORTUK M, KILIC K, GURBULAK AG, KESIM B, UCTASLI S. Tensile bond strength of a lithium-disilicate pressed glass ceramic to dentin of different surface treatments. Dent Mater J 2010; 29:418-24. [DOI: 10.4012/dmj.2009-074] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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11
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Campos EAD, Correr GM, Leonardi DP, Pizzatto E, Morais EC. Influence of chlorhexidine concentration on microtensile bond strength of contemporary adhesive systems. Braz Oral Res 2009; 23:340-5. [DOI: 10.1590/s1806-83242009000300019] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2008] [Accepted: 10/28/2008] [Indexed: 11/22/2022] Open
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12
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Dündar M, Cal E, Gökçe B, Türkün M, Ozcan M. Influence of fluoride- or triclosan-based desensitizing agents on adhesion of resin cements to dentin. Clin Oral Investig 2009; 14:579-86. [PMID: 19690902 DOI: 10.1007/s00784-009-0328-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2009] [Accepted: 07/27/2009] [Indexed: 11/25/2022]
Abstract
Effect of desensitizers on the bond strength of resin cements to dentin was evaluated. Intact premolars (N = 90) were embedded in polymethyl methacrylate; dentin surfaces were exposed, and they were randomly divided into two main groups of cements (Duolink (D), Variolink II (V); n = 45 per group) and then into three desensitizer subgroups (n = 15 per subgroup). Teeth in controls (C) were treated according to cements' adhesion protocols; the other two groups received either fluoride- [Aqua-Prep F (F)] or triclosan-based [Seal&Protect (T)] desensitizers. Ceramic disks (Empress 2) were adhered; specimens were thermocycled (×5,000 cycles, 5-55 ± 1°C, dwell time 30 s) and subjected to shear bond strength test (MPa ± SD) in a universal testing machine (crosshead speed 1 mm/min). Failure types were classified using scanning electron microscope. For V, application of both desensitizers (29.6 ± 7.8 and 22.8 ± 2.8 for F and T, respectively) did not present significantly different results than that of the VC (21.2 ± 2.3; p > 0.05, one-way ANOVA). In D, F (20.6 ± 2.4) showed significantly higher results (p < 0.05) than those in T (16.1 ± 3.9) and DC group (15.2 ± 2.3). V showed significantly higher results than D (p < 0.05, Bonferroni). F and T did not negatively affect the bond strength results with D and V. Adhesive failures were more frequent with both T (84%) and F (66%) in D; cohesive failures in the cement (88%) were more commonly observed with F in V. Both F and T desensitizers can be safely used prior to final cementation but F in combination with V seems to be more reliable, considering both the bond strength and the failure types.
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Affiliation(s)
- Mine Dündar
- Department of Prosthodontics, School of Dentistry, Ege University, 35100-Bornova, Izmir, Turkey.
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13
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Bansal S, Tewari S. Ex vivoevaluation of dye penetration associated with various dentine bonding agents in conjunction with different irrigation solutions used within the pulp chamber. Int Endod J 2008; 41:950-7. [DOI: 10.1111/j.1365-2591.2008.01456.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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14
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Magni E, Ferrari M, Hickel R, Huth KC, Ilie N. Effect of ozone gas application on the mechanical properties of dental adhesives bonded to dentin. Dent Mater 2008; 24:1428-34. [DOI: 10.1016/j.dental.2008.06.004] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2008] [Accepted: 06/12/2008] [Indexed: 11/24/2022]
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