Chlorhexidine does not increase immediate bond strength of etch-and-rinse adhesive to caries-affected dentin of primary and permanent teeth

Braz Dent J. 2012;23(4):438-42. doi: 10.1590/s0103-64402012000400022.

Abstract

The aim of this study was to evaluate the effect of 2% chlorhexidine digluconate (CHX) on immediate bond strength of etch-and-rinse adhesive to sound (SD) and caries-affected (CAD) primary dentin compared with permanent dentin. Flat dentin surfaces from 20 primary molars (Pri) and 20 permanent molars (Perm) were assigned to 8 experimental groups (n=5) according to tooth type (Pri or Perm), dentin condition (SD or CAD - pH-cycling for 14 days) and treatment (control - C or 60 s application of 2% CHX solution after acid etching - CHX). The bonding system (Adper Single Bond 2) was applied according to manufacturer's instructions followed by resin composite application (Filtek Z250). After 24 h water storage, specimens with cross-section area of 0.8 mm² were prepared for being tested under microtensile test (1 mm/min). Data were submitted to ANOVA and Tukey's post hoc test (α=0.05). Failure mode was evaluated using a stereomicroscope at ×400. Treatment with CHX did not result in higher bond strength values than no pre-treatment (C groups), independently of tooth type. Primary teeth and caries-affected dentin showed significantly lower (p<0.05) bond strength means compared with permanent teeth and sound dentin, respectively. Predominance of adhesive/mixed failure was observed for all groups. CHX did not influence the immediate bond strength to sound or caries-affected dentin of primary and permanent teeth.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acid Etching, Dental / methods
  • Adhesiveness
  • Anti-Infective Agents, Local / chemistry*
  • Chlorhexidine / analogs & derivatives*
  • Chlorhexidine / chemistry
  • Composite Resins / chemistry
  • Dental Bonding*
  • Dental Caries / pathology*
  • Dental Cements / chemistry
  • Dental Stress Analysis / instrumentation
  • Dentin / ultrastructure*
  • Dentin-Bonding Agents / chemistry*
  • Humans
  • Hydrogen-Ion Concentration
  • Materials Testing
  • Molar / ultrastructure
  • Molar, Third / ultrastructure
  • Phosphoric Acids / chemistry
  • Stress, Mechanical
  • Surface Properties
  • Tensile Strength
  • Time Factors
  • Tooth, Deciduous / ultrastructure*
  • Water / chemistry

Substances

  • Adper single bond 2
  • Anti-Infective Agents, Local
  • Composite Resins
  • Dental Cements
  • Dentin-Bonding Agents
  • Filtek Z250
  • Phosphoric Acids
  • Water
  • phosphoric acid
  • chlorhexidine gluconate
  • Chlorhexidine