Influence of gel chlorexidine, ethanol and sodium hypoclorite on the bond strenght to root dentin and adhesive durability of the fiber post relined with resin composite

Author(s)

Doglas Cecchin

• Document type: Doctoral Thesis
• Press: Piracicaba, SP.
• Institution: Universidade Estadual de Campinas (UNICAMP). Faculdade de Odontologia de Piracicaba
• Defense date: 2010-09-12

Examining board members

Caio Cezar Randi Ferraz; Bruno Carlini Junior; João Vicente Baroni Barbizam; Alexandre Augusto Záia; José Flávio Affonso de Almeida

• Advisor: Caio Cezar Randi Ferraz

Abstract

The bond strength of posts to root dentin can be compromised over time by adhesive interface degradation. Therefore, the aim of this study was to investigate the effects of pre-treatment of root dentin with 2% chlorhexidine (CHX), 100% ethanol (EtOH) and 5.25% sodium hypochlorite (NaOCl), as well as the association of these substances, on the bond strength and adhesive durability of fiber posts relined with resin composite to root dentin. The wet (WT) and dry (ST) (air-drying for five seconds) techniques were also evaluated. The first chapter of this work, the pre-treatments were: G1-control, irrigation with physiologic solution; G2, ST; G3, 5 minutes with CHX; G4, 1 minute with EtOH; and G5, 5 minutes with CHX followed by 1 minute EtOH. Afterwards, the root canals were dried with absorbent paper cones (WT) and the dentin hybridized with Scotch Bond. In G2, after WT was realized ST. Fiber post relining with resin composite was cemented with RelyX ARC. Each group was randomly divided into three subgroups: 24 h of water storage, 12 months of water storage, and 12 months of oil storage. All roots were sectioned transversely, the push-out test was performed and bond strength values were analyzed by ANOVA/Tukey's test (a=0.05). Immediate groups showed similars bond strengths (P>0.05), except that the ST significantly decreased bond strength (P<0.05). The use of CHX preserved bond strength in the groups stored in water and oil for 12 months (P>0.05). The other groups stored for 12 months showed a significant decrease in bond strength (P<0.05). It may be concluded that CHX preserved the bond strength for 12 months. In the second chapter, pretreatment of root dentin was performed with NaOCl alone, and associated with CHX and/or EtOH. In addition ST and WT were performed. The adhesive system, the sample preparation and statistical analysis were similar to those used in the first chapter. The results showed that the groups in which NaOCl was used alone or associated with CHX showed the highest bond strength values with ST or WT in the immediate and groups stored for 12 months (P>0.05). The groups that used EtOH showed lower bond strength and there was a statistical similarity between them (P<0.05). It may be concluded that the use of NaOCl or NaOCl associated with CHX preserved the bond strength to root dentin for 12 months. In the third chapter, the treatments were the same as those in the first chapter. However, the ST was not studied and the adhesive used was Clearil SE Bond. The sample preparation and statistical analysis were similar to those used in the first chapter. Immediate groups showed similar bond strength values with or without CHX and/or EtOH pre-treatment (P>0.05). A significant decrease in the bond strength was observed in the control groups after 12 months of storage in water and oil (P<0.05). It may be concluded that the use of CHX and/or EtOH preserved bond strength in the groups stored in water and oil for 12 months (P<0.05). (AU)

• FAPESP's process: 09/05183-0 - In vitro assessment of the influence of sodium hypochlorite, chlorhexidine gel and ethanol on the bond strength and adhesive longevity using different bond systems.
• Grantee: Doglas Cecchin
• Support Opportunities: Scholarships in Brazil - Doctorate