de Castro Fabrício Luscino Alves, de Andrade Marcelo Ferrarezi, Duarte Júnior Sillas Luiz Lordello, Vaz Luís Geraldo, Ahid Fernando Jorge Mendes
Department of Restorative Dentistry, Araraquara School of Dentistry, UNESP Araraquara, São Paulo, Brazil.
J Adhes Dent. 2003 Summer;5(2):129-38.
To evaluate the effect of 2% chlorhexidine on the microtensile bond strength of composite resin to dentin treated with three dentin bonding systems.
Flat dentinal surfaces were prepared in 24 extracted human third molars. Teeth were randomly divided into 8 distinct experimental groups according to the adhesive applied (Prime & Bond NT, Single Bond and Clearfil SE Bond), the application (yes/no) of chlorhexidine, and the time point at which it was applied (before or after acid etching the dentin). Composite resin blocks were built up over treated surfaces, and teeth were then stored in water at 37 degrees C for 24 h. Samples were thermocycled, stored under the same conditions, and then vertically sectioned, thus obtaining specimens with 1.0 +/- 0.1 mm2 cross-sectional area. Specimens were stressed in tension at 0.5 mm/min crosshead speed. Bond strength results were evaluated using a one-way ANOVA (p < 0.05). The modes of failures were verified using optical microscopy. Dentin disks were obtained from 3 additional teeth treated in the same manner for observation under SEM. The most representative samples of fractured specimens were also observed under SEM.
No statistically significant differences of bond strength values were found between any groups. Failures occurred mainly within the bond; exclusively adhesive fractures (adhesive-dentin) were not observed.
The 2% chlorhexidine solution, applied before or after acid etching of the dentin, did not interfere with the microtensile bond strength of composite resin to the dentin treated with Prime & Bond NT, Single Bond, or Clearfil SE Bond bonding systems.
评估2%氯己定对三种牙本质粘结系统处理后的牙本质与复合树脂微拉伸粘结强度的影响。
在24颗拔除的人类第三磨牙上制备平坦的牙本质表面。根据所使用的粘结剂(Prime & Bond NT、Single Bond和Clearfil SE Bond)、氯己定的应用情况(使用/不使用)以及应用时间点(酸蚀牙本质之前或之后),将牙齿随机分为8个不同的实验组。在处理后的表面上堆积复合树脂块,然后将牙齿在37℃的水中储存24小时。对样本进行热循环处理,在相同条件下储存,然后垂直切片,从而获得横截面积为1.0±0.1平方毫米的标本。以0.5毫米/分钟的十字头速度对标本施加拉伸应力。使用单因素方差分析评估粘结强度结果(p < 0.05)。通过光学显微镜检查失效模式。从另外3颗以相同方式处理的牙齿上获取牙本质盘,用于扫描电子显微镜观察。还在扫描电子显微镜下观察断裂标本中最具代表性的样本。
各实验组之间的粘结强度值无统计学显著差异。失效主要发生在粘结界面内;未观察到单纯的粘结剂断裂(粘结剂-牙本质)。
在酸蚀牙本质之前或之后应用2%氯己定溶液,对Prime & Bond NT、Single Bond或Clearfil SE Bond粘结系统处理后的牙本质与复合树脂的微拉伸粘结强度没有干扰。