Five-year effects of chlorhexidine on the in vitro durability of resin/dentin interfaces

Alessandro D. Loguercio, Viviane Hass, Mario Felipe Gutierrez, Issis Virginia Luque-Martinez, Anna Szezs, Rodrigo Stanislawczuk, Matheus Coelho Bandeca, Alessandra Reis

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28 Scopus citations

Abstract

Purpose: To evaluate the effect of an acid containing 2% chlorhexidine (Ac/CHX) or a 2% CHX aqueous solution (Aq/CHX) on the immediate and 5-year bonding properties of resin/dentin interfaces produced by two adhesives. The presence of CHX in these interfaces was also evaluated under micro-Raman spectroscopy. Materials and Methods: Forty-two molars were ground to expose a flat dentin surface. In the control group, the surfaces were etched with conventional phosphoric acid, and Prime & Bond NT (PB) and Adper Single Bond 2 (SB) were applied. In Ac/CHX, an acid containing 2% CHX was applied after adhesive application. In the Aq/CHX group, an aqueous solution of 2% CHX was applied for 60 s after etching. After placing the restoration, specimens were prepared and tested using the microtensile bond strength test (μTBS, 0.5 mm/min) immediately or after 5 years. For nanoleakage (NL), specimens at each period were immersed in silver nitrate solution and examined by EDX-SEM. In addition, specimens at each period underwent examination for CHX using micro-Raman spectroscopy. Data were submitted to appropriate statistical analysis (α = 0.05). Results: After 5 years, NL was more pronounced in the control than in the Ac/CHX or Aq/CHX (p < 0.001). Significant reductions in the μTBS were observed for all groups; however, they were more pronounced for the control (p < 0.001). CHX was still present in the hybrid layers Ac/CHX or Aq/CHX groups after 5 years. Conclusion: The use of a 2% chlorhexidine-containing acid or the application of an aqueous CHX primer may increase the long-term stability of resin/dentin interfaces.

Original languageEnglish
Pages (from-to)35-42
Number of pages8
JournalJournal of Adhesive Dentistry
Volume18
Issue number1
DOIs
StatePublished - 2016
Externally publishedYes

Bibliographical note

Publisher Copyright:
© Quintessenz. All right reserved.

Keywords

  • Adhesive systems
  • Chlorhexidine
  • Longevity
  • Microtensile bond strength
  • Nanoleakage
  • Water sorption

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