Department of Operative Dentistry, Faculty of Dentistry, Kirikkale University, Kirikkale, Turkey.
J Adhes Dent. 2009 Oct;11(5):343-6.
The aim of this study was to evaluate the effect of different cavity disinfectants on dentin bond strengths of composite resin applied with two different adhesive systems.
One hundred mandibular third molars were sectioned parallel to the occlusal surface to expose midcoronal dentin. The dentin surfaces were polished with waterproof-polishing papers. The specimens were randomly divided into 5 groups of 20 each. In group 1, the specimens were not treated with any cavity disinfectants and served as control. From groups 2 to 5, dentin surfaces were treated with the following cavity disinfectants, respectively; 2% chlorhexidine solution, 2.5% NaOCl, 1% chlorhexidine gel, 3% H2O2. The specimens were then randomly divided into 2 subgroups including ten teeth each to evaluate the effect of different bonding systems. Dentin bonding systems were applied to the dentin surfaces and the composite buildups were created. After the specimens were stored in an incubator for 24 h, the shear bond strength was measured at a crosshead speed of 1 mm/min. The bond strength data were analyzed with one way analysis of variance and Tukey-HSD tests.
There was no significant difference between chlorhexidine gel and control groups regardless of the type of the bonding agent (p > 0.05). On the other hand, pretreatment with NaOCl, H2O2 or chlorhexidine solutions had a negative effect on the shear bond strength of self-etching bonding systems.
The findings of this study suggest that when NaOCl, H2O2 or chlorhexidine solution are used as a cavity disinfectant, an etch-and-rinse bonding system should be preferred.
本研究旨在评估不同窝洞消毒剂对两种不同粘接系统应用的复合树脂牙本质粘接强度的影响。
将 100 颗下颌第三磨牙沿颌面平行切割,暴露近中牙本质。用防水砂纸对牙本质表面进行抛光。将标本随机分为 5 组,每组 20 个。第 1 组标本不做任何窝洞消毒剂处理,作为对照组。第 2 组至第 5 组分别用以下窝洞消毒剂处理牙本质表面:2%洗必泰溶液、2.5%次氯酸钠、1%洗必泰凝胶、3%双氧水。然后,将标本随机分为 2 个亚组,每组 10 个,评估不同粘接系统的效果。将牙本质粘接系统应用于牙本质表面,构建复合堆积物。将标本在孵育箱中储存 24 小时后,以 1mm/min 的十字头速度测量剪切粘接强度。使用单因素方差分析和 Tukey-HSD 检验对粘接强度数据进行分析。
无论粘接剂类型如何,洗必泰凝胶组与对照组之间均无显著性差异(p>0.05)。另一方面,用次氯酸钠、双氧水或洗必泰溶液预处理对自酸蚀粘接系统的剪切粘接强度有负面影响。
本研究结果表明,当使用次氯酸钠、双氧水或洗必泰溶液作为窝洞消毒剂时,应优先选择酸蚀-冲洗粘接系统。