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. 2020 Sep-Oct;23(5):522-527.
doi: 10.4103/JCD.JCD_58_20. Epub 2021 Feb 10.

Influences of desensitizing agents on bond strength of etch-and-rinse and self-etch adhesive system to dentin

Affiliations

Influences of desensitizing agents on bond strength of etch-and-rinse and self-etch adhesive system to dentin

Nivedha Viswanath et al. J Conserv Dent. 2020 Sep-Oct.

Abstract

Background: Cervical lesions requiring adhesive restoration may present with dentin hypersensitivity, but the effect of desensitizer treatment on microtensile bond strength (MBS) is inconclusive.

Aim: The aim of the present study was to assess the influence of two types of dentin desensitizing treatment on bond strength to dentin.

Materials and methods: Thirty-six extracted human mandibular first premolars were used to obtain superficial buccal cervical dentin. The samples were assigned to two groups (18/group): etch-and-rinse (ERS) (Optibond® Solo) and self-etch (Palfique) adhesive systems. Eighteen teeth in each group were randomly assigned to three desensitizer treatments (6/treatment); control (no desensitization), Gluma™ desensitizerand Novamin-containing toothpaste (Sensodyne repair and protect™). Bonded dentin-composite specimens were stored in artificial saliva for 2 weeks prior to scanning electron microscope (SEM) evaluation and MBS testing. Univariate analysis of variance and Tukey tests were performed (α = 0.05) for the data analysis.

Results: The mean MBS with self-etch system (SES) was significantly higher than ERS system, irrespective of the dentin desensitizer regimen. SEM showed no hybrid layer or resin tag formation in the SES group. Tubular occlusion was observed in all specimens treated with desensitizer.

Conclusion: Mild self-etch adhesive can be used on dentin treated with Gluma or bioglass-containing desensitizer without compromising the bond strength.

Clinical relevance: Dentin desensitizer such as in-office Gluma or at-home Novamin-containing toothpaste could be used without compromising the bond strength of mild self-etch adhesive systems.

Keywords: Bioglass-containing desensitizing toothpaste; bond strength; etch-and-rinse dentin adhesive; gluma desensitizer; self-etch dentin adhesive.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Flowchart showing the group allotment
Figure 2
Figure 2
(a) Dentin-composite sticks prepared for microtensile bond strength testing. (b) Dentin-composite sticks glued to Gripit cable tie for loading in universal testing machine. (c) Dentin-composite sticks mounted in universal testing machine (Tinius Olsen India Pvt Ltd, Noida, India)
Figure 3
Figure 3
Scanning electron microscope images of etch-and-rinse adhesive (optibond solo) agent applied dentin. (a) Control dentin. (b) Gluma applied dentin. (c) NovaMin-containing toothpaste applied dentin. Arrows point to hybrid layer mark
Figure 4
Figure 4
Scanning electron microscope images of self-etch adhesive (Palfique bond) agent applied dentin. (a) Control dentin. (b) Gluma-applied dentin. (c) NovaMin toothpaste-applied dentin. Arrows point to hybrid layer mark

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