Fasya AN, Yolanda Y, Hayati AT. The Role of Duration of Chlorhexidine Gluconate 2% Application on the Shear Bond Strength of a Total Etch Bonding Agent: A Comparative Study.
Clin Cosmet Investig Dent 2023;
15:281-288. [PMID:
37955001 PMCID:
PMC10637224 DOI:
10.2147/ccide.s432480]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 10/27/2023] [Indexed: 11/14/2023] Open
Abstract
Introduction
Matrix metalloproteinases enzymes (MMPs) can degrade the hybrid layer which can cause failure of composite restorations. Chlorhexidine gluconate 2% can reduce MMPs activity and increase the bond strength of the resin to dentin.
Purpose
This study aims to determine the role of the duration of chlorhexidine gluconate 2% application on shear bond strength of a total-etch bonding agent.
Methods
A total of 36 freshly extracted maxillary premolars were removed occlusally by one-third of the crown using a carborundum disc until the dentin was exposed. Specimens were divided into four groups n(9). The dentin surfaces were etched for 5s. Group A is the control group. In group B, chlorhexidine gluconate 2% was applied for 30s. In group C, chlorhexidine gluconate 2% was applied for 60s. In group D, chlorhexidine gluconate 2% was applied for 90s. The universal adhesive was applied afterwards and then followed by composite to the dentin surface. All specimens were stored in artificial saliva at 37°C for 24 hours. The shear bond strength was tested using a universal testing machine.
Results
There was an increase in the shear bond strength of the bonding agent along with the additional application duration of chlorhexidine gluconate 2%. All groups gave higher MPa values than the control group. The shear bond strength in group A (control) was 12.64 MPa; Group B (30s of chlorhexidine) was 16.93 MPa; Group C (60s chlorhexidine) was 18.23 MPa; group D (90s of chlorhexidine) was 18.47MPa.
Conclusion
Duration of chlorhexidine gluconate 2% application affects the shear bond strength of the bonding agent with the total-etch system. The effective duration of chlorhexidine gluconate 2% for the restorative procedure is 60 seconds.
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