Keywords
Dentin-bonding agents
Endodontics
Sodium hypochlorite
How to Cite
Abstract
Aim: One of the reasons for the failure of adhesion in composite restorations and secondary caries may be the chemical irrigants used during the endodontic treatment. NaOCl is widely used for the biomechanical preparation of root canals due to its antimicrobial properties and capacity to dissolve organic material. In addition, another very effective decontamination solution is chlorhexidine 2%. There are few studies about the effect of root canal irrigation solutions on bond strength of universal adhesives therefore, in this study we have investigated the influence of CHX 2% and NaOCl 5.25% on micro-tensile bond strength of G-Premio Bond. Methods: Twenty-four human teeth were randomly allocated to the following groups: G1, immersion in saline solution 0.9% for 30 minutes (control); G2, immersion in CHX 2% for 30 minutes; G3, immersion in NaOCl 5.25% for 30 minutes. After restoration, the dentin/resin interface was tested by micro-tensile bond strength. The surfaces morphology was analyzed by Scanning Electron Microscopy. Data were analyzed by ANOVA followed by Tukey test in SPSS software Version 24. Results: There was a statistically significant difference between G3 and G1 (P < 0.05). There were no statistically significant differences among G1 and G2, G2 and G3. Conclusion: Root canal irrigation with NaOCl 5.25% significantly reduced the micro-tensile bond strength in the G-Premio Bond at self-etch mode, but the use of CHX did not make a significant difference.
References
Dontula BSK, Nagaraj B, Danda N. The effect of sodium hypochlorite treatment on the shear bond strength of an acetone-based adhesive system to dentin–an in vitro study. Ann Essenc Dent. 2012 Apr;4(2):17-23. doi: 10.5368/aedj.2012.4.2.1.3.
Kermanshah H, Omrani LR, Hemati O, Pedram P, Ahmadi E. Modified microtensile bond strength of glass ionomer to composite resin using universal adhesive in self-etch and total-etch modes. Open Dent J. 2020;14(1):390-5. doi: 10.2174/1874210602014010390.
Ritter AV, Boushell LW, Walter R, Gopikrishna V, adaptation editor. Sturdevant's Art & Science of Operative Dentistry. Second South Asia Edition. New Delhi: Elsevier Health Sciences; 2018.
Geng Vivanco R, Cardoso RS, Sousa ABS, Chinelatti MA, Vincenti SAF, Tonani-Torrieri R, et al. Effect of thermo-mechanical cycling and chlorhexidine on the bond strength of universal adhesive system to dentin. Heliyon. 2020 Apr;6(4):e03871. doi: 10.1016/j.heliyon.2020.e03871.
Costa DM, Somacal DC, Borges GA, Spohr AM. Bond capability of universal adhesive systems to dentin in self-etch mode after short-term storage and cyclic loading. Open Dent J. 2017 Jun;11:276-83. doi: 10.2174/1874210601711010276.
Kakinuma H, Honda K, Arita A, Kumagai T. Shear bond strength of G-Premio BOND to dentin under moist conditions. In: Abstracts of the Third Biennial Meeting of the International Academy of Adhesive Dentistry. J Adhes Dent. 2019 Sep;21(5):453-4.
Abuhaimed TS, Abou Neel EA. Sodium hypochlorite irrigation and its effect on bond strength to dentin. Biomed Res Int. 2017;2017:1930360. doi: 10.1155/2017/1930360.
Bronzato JD, Correa ACP, Gomes BPFA, Ferraz CCR. Residual effect of sodium hypochlorite on pulp chamber dentin adhesion. G Ital Endod. 2021[cited 2021 Jul 5];35. Available from: https://giornaleitalianoendodonzia.it/gie/article/download/175/129.
Mohammed Hassan A, Ali Goda A, Baroudi K. The effect of different disinfecting agents on bond strength of resin composites. Int J Dent. 2014;2014:231235. doi: 10.1155/2014/231235.
Mehmandoust P, Farhadmollashahi N, Ghasemi A. Antibacterial efficacy of lavandula officinalis extract, sodium hypochlorite and chlorhexidine gluconate solutions as root canal irrigations: a comparative analysis. Caspian J Dent Res. 2016;5(1):14-20. doi: 10.22088/cjdr.5.1.14.
Kim YH, Shin DH. Effect of chlorhexidine application on the bond strength of resin core to axial dentin in endodontic cavity. Restor Dent Endod. 2012 Nov;37(4):207-14. doi: 10.5395/rde.2012.37.4.207.
Khamverdi Z, Kasraei S, Fazelian N, Akbarzadeh M. Effect of tubular orientation on the microtensile bond strength of composite-dentin using universal bonding agents. J Res Med Dent Sci. 2018;6(2):337-44. doi: 10.5455/jrmds.20186252.
Tjäderhane L, Nascimento FD, Breschi L, Mazzoni A, Tersariol IL, Geraldeli S, et al. Strategies to prevent hydrolytic degradation of the hybrid layer-A review. Dent Mater. 2013 Oct;29(10):999-1011. doi: 10.1016/j.dental.2013.07.016.
Erdemir A, Ari H, Güngüneş H, Belli S. Effect of medications for root canal treatment on bonding to root canal dentin. J Endod. 2004 Feb;30(2):113-6. doi: 10.1097/00004770-200402000-00013.
Dikmen B, Gurbuz O, Ozsoy A, Eren MM, Cilingir A, Yucel T. Effect of different antioxidants on the microtensile bond strength of an adhesive system to sodium hypochlorite-treated dentin. J Adhes Dent. 2015 Dec;17(6):499-504. doi: 10.3290/j.jad.a35257.
Giannini M, Makishi P, Ayres AP, Vermelho PM, Fronza BM, Nikaido T, et al. Self-etch adhesive systems: a literature review. Braz Dent J. 2015 Jan-Feb;26(1):3-10. doi: 10.1590/0103-6440201302442.
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. 2020 Feb;83(2):186-95. doi: 10.1002/jemt.23401.
Kazemi-Yazdi H, Saeed-Nezhad M, Rezaei S. Effect of Chlorhexidine on durability of two self-etch adhesive systems. J Clin Exp Dent. 2020 Jul;12(7):e663-9. doi: 10.4317/jced.56873.
Mapar M, Moalemnia M, Kalantari S. Comparison of the effect of Chlorhexidine and collagen cross-linking agent (Quercus Extract) on the tensile bond strength of composite to dentin. Med Sci. 2020;24(103):1168-75.
Shadman N, Farzin-Ebrahimi S, Mortazavi-Lahijani E, Jalali Z. Effect of chlorhexidine on the durability of a new universal adhesive system. J Clin Exp Dent. 2018 Sep;10(9):e921-6. doi: 10.4317/jced.53794.
Fernandes GL, Strazzi-Sahyon HB, Suzuki TYU, Briso ALF, Dos Santos PH. Influence of chlorhexidine gluconate on the immediate bond strength of a universal adhesive system on dentine subjected to different bonding protocols: an in vitro pilot study. Oral Health Prev Dent. 2020;18(1):71-6. doi: 10.3290/j.ohpd.a43934.
Silva EM, Glir DH, Gill AW, Giovanini AF, Furuse AY, Gonzaga CC. Effect of chlorhexidine on dentin bond strength of two adhesive systems after storage in different media. Braz Dent J. 2015 Nov-Dec;26(6):642-7. doi: 10.1590/0103-6440201300159.
Campos EA, Correr GM, Leonardi DP, Pizzatto E, Morais EC. Influence of chlorhexidine concentration on microtensile bond strength of contemporary adhesive systems. Braz Oral Res. 2009 Jul-Sep;23(3):340-5. doi: 10.1590/s1806-83242009000300019.
Kaynar ZB, Kazak M, Donmez N, Dalkilic EE. The effect of additional chlorhexidine and/or ethanol on the bond strength of universal adhesives. J Adhes Sci Technol. 2021;35(4):375-85. doi: 10.1080/01694243.2020.1804723.
Gomes BPFA, Vianna ME, Zaia AA, Almeida JF, Souza-Filho FJ, Ferraz CC. Chlorhexidine in endodontics. Braz Dent J. 2013;24(2):89-102. doi: 10.1590/0103-6440201302188.
Haapasalo M, Shen Y, Wang Z, Gao Y. Irrigation in endodontics. Br Dent J. 2014 Mar;216(6):299-303. doi: 10.1038/sj.bdj.2014.204.
Osorio R, Ceballos L, Tay F, Cabrerizo-Vilchez MA, Toledano M. Effect of sodium hypochlorite on dentin bonding with a polyalkenoic acid-containing adhesive system. J Biomed Mater Res. 2002 May;60(2):316-24. doi: 10.1002/jbm.10074.
Spicciarelli V, Neelakantan P, Cantini E, Marzocco DA, Ounsi HF, Marruganti C, et al. Immediate and delayed bond strength of a multimode adhesive to deep coronal dentin following different root canal irrigation regimens. J Adhes Dent. 2021 Apr;23(2):167-75. doi: 10.3290/j.jad.b1079597.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2021 Nafiseh Fazelian, Abbas Rahimi Dashtaki , MohammadAmin Eftekharian , Batool Amiri
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