IADR Abstract Archives

Influence of chlorhexidine on the bond strength of composite resin



Matrix metalloproteinases (MMPs) are enzymes capable of degrading collagen hybrid layer and consequently cause failure of adhesive restorations. Objectives: investigate the effect of the application or not of chlorhexidine (CHX), a nonspecific inhibitor of MMPs in the dentin bond strength of different adhesive systems: conventional three-step, two steps self-etching and one step after aging in 100% humidity at 37 ° C for 24 hours and 8 months. Methods: this study used 99 healthy human teeth, divided into nine groups (n = 11), who had their leaflets removed and cavity preparation class I occlusal 5x4x3mm. Each tooth was treated and subdivided into 24 hours and 8 months without prior application of CHX and 8 months with the use of CHX, and then they were restored with composite resin polymerized. After 24 hours, the teeth were sectioned into sticks in a cutting machine, and according to the aging period, were submitted to the microtensile test. Results: statistical methods of Mann-Whitney and Kruskal-Wallis followed by Dunn's posttest were applied and it was observed that: 1) the microtensile strength was different among the three types of adhesives used, without using CHX in both periods (p <0.001), as the conventional adhesive achieved a performance significantly better than the self-etchings (p<0.05); 2) the two-steps self-etching showed significantly higher resistance than the single-step (p <0.05); 3) the use of CHX maintained the microtensile strength, when compared to 24 hours, being the results superior to the groups of 8 months without CHX, when were used the adhesive and self-etching conventional two-step (p = 0.001) and 4 ) the use of CHX did not significantly affect the resistance of the single-step self-etching adhesives (p = 0.395). Conclusions: aging causes a fall in bond strength of tooth-restoration, that CHX is able to maintain this strength even after aging, and that the conventional adhesive system provides the best results in bond strength when compared with self-etchings.

Division: IADR/LAR General Session
Meeting: 2012 IADR/LAR General Session (Iguaçu Falls, Brazil)
Location: Iguaçu Falls, Brazil
Year: 2012
Final Presentation ID: 1674
Abstract Category|Abstract Category(s): Dental Materials 1: Adhesion - Bond Strength Testing and Mechanisms
Authors
  • Mello, Vanessa  ( Universidade Federal Mato Grosso Do Sul, Campo Grande-MS, N/A, Brazil )
  • Coutinho, Margareth  ( Federal University of Mato Grosso do Sul, Campo Grande - MS, MS, Brazil )
  • Denadai, Guilherme  ( Universidade Federal Mato Grosso Do Sul, Campo Grande-MS, N/A, Brazil )
  • Coppini, Erick  ( Piracicaba Dental School - UNICAMP, Piracicaba, N/A, Brazil )
  • Paulillo, Luís  ( Piracicaba Dental School-UNICAMP, Piracicaba-SP, N/A, Brazil )
  • SESSION INFORMATION
    Poster Session
    Adhesion, Bond Strength, and Durability II
    06/22/2012