Avaliação da associação de clorexidina com etanol na durabilidade da adesão à dentina / Evaluation of the adjunctive use of chlorhexidine and ethanol on the durability of resin dentin bonds

AUTOR(ES)

Adriana Pigozzo Manso

DATA DE PUBLICAÇÃO

2009

RESUMO

Both adhesive and collagen degradation have been regarded as major causes of resin-dentin bonds failures over time. Complete infiltration of hydrophobic resins facilitated by ethanol, and the presence of MMPs inhibitors within the hybrid layer would build the ideal interface, resistant to hydrolysis and enzymatic activities. This study examined the benefits of the adjunctive use of chlorhexidine and ethanol on the durability of resin dentin bonds. Forty-eight flat dentin surfaces were etched (32% phosphoric acid), rinsed (30s) and blot-dried with absorbent paper. The surfaces were re-wetted with either water (Water); 1% chlorhexidine diacetate in water (CHX/Water); 100% ethanol (Ethanol); and 1% chlorhexidine diacetate in ethanol (CHX/Ethanol) solutions for 30s. They were then bonded with All Bond 3 (AB3, Bisco) or Excite (EX, Ivoclar- Vivadent) using a smooth, continuous rubbing application (15s), followed by 15s gentle air dry. The adhesives were light-cured (20s) and resin build-ups constructed incrementally for the microtensile method. Bonded beams were obtained and tested after 24-hours, 6-months, and 15- months water storage at 370C. Effects of treatment and testing periods were analyzed (ANOVA, Holm-Sidak, p<0.05) for each adhesive. There were no interactions between factors for both adhesives. AB3 was significantly affected by storage, but not by treatments. Excite was significantly affected by treatments, but not by storage. Adjunctive use of ethanol/chlorhexidine did not improve bond stability after 15 months. AB3 treated either with ethanol or CHX/ethanol resulted in reduced bond strengths after 15 months. AB3 treated with water or CHX/water and all treatments for Excite were not affected by storage.

ASSUNTO(S)

adhesive chlorhexidine adesivo etanol ethanol dentina durabilidade dentin durability clorexidina

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