TY - JOUR
T1 - Adjunctive application of chlorhexidine and ethanol-wet bonding on durability of bonds to sound and caries-affected dentine
AU - Ekambaram, Manikandan
AU - Yiu, Cynthia Kar Yung
AU - Matinlinna, Jukka Pekka
AU - King, Nigel Martyn
AU - Tay, Franklin Russell
N1 - Funding Information:
The comonomer blend used in this study was generously sponsored by Bisco Inc. This work was supported by GRF HKU 784410M , Faculty of Dentistry, The University of Hong Kong . The authors thank Frankie Chan of the Electron Microscopy Unit, the University of Hong Kong for technical support.
PY - 2014/6
Y1 - 2014/6
N2 - Objectives To examine the effect of adjunctive application of chlorhexidine (CHX) and ethanol-wet bonding (EWB) on bond durability and nanoleakage of hydrophobic adhesive to sound (SD) and caries-affected dentine (CAD). Methods Dentine surfaces of molars were etched after caries removal and randomly allocated to four groups (n = 12). In Groups 1 and 2, dentine surfaces were saturated with either 2 ml of 100% ethanol or 2 ml of ethanol with 2% CHX for 60 s. In Groups 3 and 4, dentine surfaces were saturated with either 15 μL of distilled water or 15 μL of distilled water with 2% CHX for 60 s. Two coats of primer, followed by neat resin were applied and light-cured for 40 s. Resin composite build-ups were placed and bonded specimens were sectioned for bond strength testing after 24 h and 12 months' storage in artificial saliva. Bond strength data were analyzed using 3-way ANOVA and SNK tests. Interfacial nanoleakage was evaluated after 24 h and 12 months using a field-emission scanning electron microscopy and data were analyzed using Kruskal-Wallis test. Results Significant differences were observed for the three factors: "substrate" (p < 0.001), "rewetting agents" (p < 0.001) and "time" (p < 0.001) on bond strength. Incorporation of 2% CHX to EWB preserved bond strength to SD and CAD and reduced interfacial nanoleakage after 12 months. Incorporation of 2% CHX to WWB also preserved bond strength to SD after ageing. Conclusions Incorporation of chlorhexidine to ethanol-wet bonding has an interaction effect on preservation of bond durability to sound and caries-affected dentine. Clinical significance Incorporation of chlorhexidine to ethanol-wet bonding with hydrophobic adhesive enhances the success rate of aesthetic bonded restorations.
AB - Objectives To examine the effect of adjunctive application of chlorhexidine (CHX) and ethanol-wet bonding (EWB) on bond durability and nanoleakage of hydrophobic adhesive to sound (SD) and caries-affected dentine (CAD). Methods Dentine surfaces of molars were etched after caries removal and randomly allocated to four groups (n = 12). In Groups 1 and 2, dentine surfaces were saturated with either 2 ml of 100% ethanol or 2 ml of ethanol with 2% CHX for 60 s. In Groups 3 and 4, dentine surfaces were saturated with either 15 μL of distilled water or 15 μL of distilled water with 2% CHX for 60 s. Two coats of primer, followed by neat resin were applied and light-cured for 40 s. Resin composite build-ups were placed and bonded specimens were sectioned for bond strength testing after 24 h and 12 months' storage in artificial saliva. Bond strength data were analyzed using 3-way ANOVA and SNK tests. Interfacial nanoleakage was evaluated after 24 h and 12 months using a field-emission scanning electron microscopy and data were analyzed using Kruskal-Wallis test. Results Significant differences were observed for the three factors: "substrate" (p < 0.001), "rewetting agents" (p < 0.001) and "time" (p < 0.001) on bond strength. Incorporation of 2% CHX to EWB preserved bond strength to SD and CAD and reduced interfacial nanoleakage after 12 months. Incorporation of 2% CHX to WWB also preserved bond strength to SD after ageing. Conclusions Incorporation of chlorhexidine to ethanol-wet bonding has an interaction effect on preservation of bond durability to sound and caries-affected dentine. Clinical significance Incorporation of chlorhexidine to ethanol-wet bonding with hydrophobic adhesive enhances the success rate of aesthetic bonded restorations.
KW - Acid etching
KW - Caries-affected dentine
KW - Chlorhexidine
KW - Dentine bonding
KW - Ethanol-wet bonding
KW - Hydrophobic adhesives
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U2 - 10.1016/j.jdent.2014.04.001
DO - 10.1016/j.jdent.2014.04.001
M3 - Article
C2 - 24732576
AN - SCOPUS:84901008280
SN - 0300-5712
VL - 42
SP - 709
EP - 719
JO - Journal of Dentistry
JF - Journal of Dentistry
IS - 6
ER -