EFFECT OF ENDODONTIC IRRIGATION CONTAMINATION ON DENTIN FOR ADHESIVE RESTORATIONS

Luan Gregori Teixeira, Wesley Misael Krabbe, Ricardo Abreu da Rosa, Marcus Vinicius Reis Só, Leandro Azambuja Reichert, Lucas M. Silveira
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Abstract

This study aimed to evaluate if 2.5% sodium hypochlorite compromises the adhesion of bonding materials. The factors in the study were the irrigation solutions in two levels: 2.5% sodium hypochlorite and saline solution; and the adhesive systems used in three levels: three-step adhesive, universal adhesive, and two-step self-etch adhesive systems. The answer variable used was the microshear bond strength obtained through a universal testing machine and fracture mode. Six groups were obtained (n=10) : Etch-and-rinse/Saline (saline solution + 3-step adhesive system - Scotchbond Multipurpose, 3M ESPE); Universal/saline (saline solution + universal adhesive system – Prime&Bond,); Self-etch/saline (saline solution + 2-step self-etch adhesive systems - Clearfil SE Bond); Etch-and-rinse/Hypo (sodium hypochlorite 2,5% + 3-step adhesive system - Scotchbond Multiuso); Universal/Hypo (sodium hypochlorite 2,5% + universal adhesive system – Prime&Bond); Self-etch/Hypo (sodium hypochlorite 2,5% + 2-step self-etch adhesive system - Clearfil Se Bond). The specimens were obtained from 60 healthy bovine incisors. The crowns were separated from the roots, and the regularization of the buccal surface was performed. The groups received saline solution and 2.5% sodium hypochlorite for 30 minutes, respectively. A matrix of 1mm and 3mm oh height was stabilized by Scotch tape to obtain the resin sticks. Afterward, the bond strength test was performed in a universal testing machine at 1mm/min speed. The data were analyzed with normality Shapiro-Wilk, two-way ANOVA, and Tukey’s tests (p<0.001). Etch-and-rinse and Self-etch adhesives presented the highest bond strength values after irrigation with saline solution and 2.5% sodium hypochlorite, respectively (P < 0.01). The irrigation with 2.5% sodium hypochlorite decreased the bond strength values of Etch-and-rinse and Universal (P < 0.01). On the other hand, 2.5% sodium hypochlorite improved the bond strength values of Self-etch (P < 0.01). In conclusion, 2.5% sodium hypochlorite negatively impacted the bond strength of Etch-and-rinse and Universal but improved the adhesion of Self-etch.
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牙髓冲洗污染对牙本质粘接剂修复的影响
本研究旨在评估2.5%次氯酸钠是否会损害粘合材料的附着力。研究的影响因素是2.5%次氯酸钠和生理盐水两种水平的灌溉溶液;所使用的粘接系统分为三个层次:三步粘接、万能粘接和两步自蚀刻粘接系统。使用的答案变量是通过万能试验机获得的微剪切粘结强度和断裂模式。分为6组(n=10):蚀刻冲洗/生理盐水(生理盐水溶液+ 3步粘合系统- Scotchbond Multipurpose, 3M ESPE);通用/生理盐水(生理盐水溶液+通用粘合剂系统- Prime&Bond,);自蚀刻/盐水(盐水溶液+两步自蚀刻粘合剂系统- Clearfil SE Bond);蚀刻-漂洗/次氯酸钠(2.5% + 3步粘合剂系统- Scotchbond Multiuso);万能/次氯酸钠(2.5% +万能粘合剂系统- Prime&Bond);自蚀刻/次氯酸钠(2.5% +两步自蚀刻粘合剂系统- Clearfil Se Bond)。标本取自60头健康牛门牙。将牙冠与牙根分离,进行颊面整复。各组分别给予生理盐水和2.5%次氯酸钠治疗30分钟。高度分别为1mm和3mm的基质用透明胶带稳定,得到树脂棒。然后在万能试验机上以1mm/min的速度进行粘结强度试验。采用夏皮罗-威尔克正态性、双因素方差分析和Tukey检验(p<0.001)对数据进行分析。盐水溶液和2.5%次氯酸钠灌洗后,蚀刻冲洗胶粘剂和自蚀刻胶粘剂的黏结强度最高(P < 0.01)。2.5%次氯酸钠灌洗降低了蚀刻冲洗和通用的结合强度值(P < 0.01)。另一方面,2.5%次氯酸钠提高了Self-etch的粘结强度值(P < 0.01)。结果表明,2.5%次氯酸钠对蚀刻-漂洗和通用型的结合强度有负面影响,但对自蚀刻的结合强度有改善作用。
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