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Evaluación de la fuerza de unión de sistemas adhesivos universales previa aplicación de clorhexidina al 2 %
Resumen
Introducción: La influencia de la clorhexidina sobre la fuerza de unión de los sistemas adhesivos es aún muy controversial.
Objetivo: Determinar la fuerza de unión de dos adhesivos universales en dentina previa aplicación de la clorhexidina al 2 % en tiempos de aplicación diferentes.
Métodos: Se empleó treinta incisivos y se desgastó la superficie vestibular para exponer la dentina. Posteriormente, se dividió aleatoriamente en seis grupos (n = 5). Se emplearon los adhesivos Single Bond Universal (SBU) y All-Bond Universal (ABU) con/sin clorhexidina. Grupo SBU-0: Single Bond Universal; Grupo SBU-30: clorhexidina por 30 segundos + Single Bond Universal; Grupo SBU-60: clorhexidina por 60 segundos + Single Bond Universal; Grupo ABU-0: All-Bond Universal; Grupo ABU-30: clorhexidina por 30 segundos + All-Bond Universal y Grupo ABU-60: clorhexidina por 60 segundos + All-Bond Universal. La resistencia adhesiva se analizó mediante ANOVA mixto de dos factores y post hoc de Tukey (p < 0,05).
Resultados: La fuerza de unión para el grupo SBU-60 aumentó significativamente respecto al grupo control (p = 0,032). Igualmente, para los grupos ABU-30 y ABU-60, la fuerza de unión aumentó significativamente respecto al grupo control (p = 0,001) y (p = 0,000), respectivamente.
Conclusión: La aplicación previa de clorhexidina al 2 % durante 60 segundos aumenta la fuerza de unión de los sistemas adhesivos Single Bond Universal y All-Bond Universal.
Palabras clave
Referencias
Kazemi H, Saeed M, Rezaei S. Effect of Chlorhexidine on durability of two self-etch adhesive systems. J Clin Exp Dent. J Clin Exp Dent. 2020;12(7):663–9.
Sharafeddin F, Salehi R, Feizi N. Effect of Dimethyl Sulfoxide on Bond Strength of a Self-Etch Primer and an Etch and Rinse Adhesive to Surface and Deep Dentin. J Dent. 2016;17(3):242–9.
Frassetto A, Breschi L, Turco G, Marchesi G, Di Lenarda R, Tay FR, et al. Mechanisms of degradation of the hybrid layer in adhesive dentistry and therapeutic agents to improve bond durability--A literature review. Dent Mater. 2016;32(2):e41-53.
Firouzmandi M, Khashaei S. Knoop Hardness of Self-Etch Adhesives Applied on Superficial and Deep Dentin. J Dent (Shiraz, Iran). 2020;21(1):42–7.
Maravić T, Comba A, Cunha S, Angeloni V, Cadenaro M, Visinitini E, et al. Long-term bond strength and endogenous enzymatic activity of a chlorhexidine-containing commercially available adhesive. J Dent. 2019;84:60–6.
Hardan L, Bourgi R, Kharouf N, Mancino D, Zarow M, Jakubowicz N, et al. Bond Strength of Universal Adhesives to Dentin: A Systematic Review and Meta-Analysis. Polym. 2021;13(5).
Fehrenbacha J, Aldrighi E, P ereira C. Is the presence of 10-MDP associated to higher bonding performance for self-etching adhesive systems? A meta-analysis of in vitro studies. Dent Mater. 2021;37(10):1463–85.
Digole V, Warhadpande M, Dua P, Dakshindas D. Comparative evaluation of clinical performance of two self-etch adhesive systems with total-etch adhesive system in noncarious cervical lesions: An in vivo study. J Conserv Dent. 2020;23(2):190–5.
Lima JFM de, Wajngarten D, Islam F, Clifford J, Botta AC. Effect of adhesive mode and chlorhexidine on microtensile strength of universal bonding agent to sound and caries-affected dentins. Eur J Dent. 2018;12(4):553–8.
Rayar S, Sadasiva K, Singh P, Thomas P, Senthilkumar K, Jayasimharaj U. Effect of 2% Chlorhexidine on Resin Bond Strength and Mode of Failure Using Two Different Adhesives on Dentin: An In Vitro Study. J Pharm Bioallied Sci. 2019;11(2):S325–30.
Tessore R, Silveira C, Vázquez P, Mederos M, García A, Cuevas C, et al. Evaluación de la resistencia de unión a dentina humana de un sistema adhesivo universal con clorhexidina utilizado en modo de grabado total y autocondicionante. Odontoestomatología. 2020;22(35):20–9.
Kiremitçi A, Yalçin F, Gökalp S. Bonding to enamel and dentin using self-etching adhesive systems. Quintessence Int. 2004;35(5):367–70.
Mandri M, Aguirre A, Zamudio M. Sistemas adhesivos en Odontología Restauradora. Odontoestomatología. 2015;17(26):50–6.
Dos Santos RA, de Lima EA, Montes MAJR, Braz R. Pre-treating dentin with chlorhexadine and CPP-ACP: self-etching and universal adhesive systems. Acta Biomater Odontol Scand. 2016;2(1):79–85.
Bravo C, Sampaio C, Hirata R, Puppin R, Mayoral J, Giner L. In-vitro Comparative Study of the use of 2 % Chlorhexidine on Microtensile Bond Strength of Different Dentin Adhesives: A 6 Months Evaluation. Int J Morphol. 2017;35(3):893–900.
Fernandes GL, Strazzi-Sahyon HB, Suzuki TYU, Briso ALF, Dos Santos PH. Influence of Chlorhexidine Gluconate on the Immediate Bond Strength of a Universal Adhesive System on Dentine Subjected to Different Bonding Protocols: An In Vitro Pilot Study. Oral Health Prev Dent. 2020;18(1):71–6.
Jing D-B, Wang L-Q, Hu Y-F, Zhu J. [Effect of chlorhexidine on the bonding effect of self-acid adhesive to pre-treatment dentin]. Shanghai Kou Qiang Yi Xue. 2020;29(2):150–4.
Geng R, Cardoso R, Sousa A, Chinelatti M, Vicenti S, Tonani R, et al. Effect of thermo-mechanical cycling and chlorhexidine on the bond strength of universal adhesive system to dentin. Heliyón. 2020;6(4).
Gunaydin Z, Yazici AR, Cehreli ZC. In Vivo and In Vitro Effects of Chlorhexidine Pretreatment on Immediate and Aged Dentin Bond Strengths. Oper Dent. 2016;41(3):258–67.
Tekçe N, Tuncer S, Demirci M, Balci S. Do matrix metalloproteinase inhibitors improve the bond durability of universal dental adhesives? Scanning. 2016;38(6):535–44.
Shadman N, Farzin-Ebrahimi S, Mortazavi-Lahijani E, Jalali Z. Effect of chlorhexidine on the durability of a new universal adhesive system. J Clin Exp Dent. 2018;10(9):e921–6.
García V, Hamdan T, Bellot C, Paredes V, Pascual A, Almerich JM, et al. Effect of 2% Chlorhexidine Following Acid Etching on Microtensile Bond Strength of Resin Restorations: A Meta-Analysis. Med. 2019;55(12):769.
Loguercio AD, Hass V, Gutierrez MF, Luque-Martinez IV, Szezs A, Stanislawczuk R, et al. Five-year Effects of Chlorhexidine on the In Vitro Durability of Resin/Dentin Interfaces. J Adhes Dent. 2016;18(1):35–42.
Sinha DJ, Jandial UA, Jaiswal N, Singh UP, Goel S, Singh O. Comparative evaluation of the effect of different disinfecting agents on bond strength of composite resin to dentin using two-step self-etch and etch and rinse bonding systems: An in-vitro study. J Pharm Bioallied Sci. 2018;21(4):424–7.
Rascão B, Coelho A, Amaro I, Marcelino I, Paula A, Saraiva J. Effect of Cavity Disinfectants on Dentin Bond Strength and Clinical Success of Composite Restorations-Review de Estudios In Vitro, In Situ y Clínicos. Int Sci. Int J Mol Sci. 2020;22(1):353.
Utria J, Pérez E, Rebolledo M, Vargas A. CARACTERÍSTICAS DE LAS SOLUCIONES DE CLORHEXIDINA AL 2% Y AL 0,2% EN PREPARACIONES CAVITARIAS EN ODONTOLOGÍA: UNA REVISIÓN. Duazary. 2018. 15(2):1-14.
Puspitasari D, Herda E, Soufyan A. Effect of 2% chlorhexidine gluconate on the degradation of resin composite–dentin bond strength when using self-etch adhesive systems. Int. J. Appl. Pharm. 2017; 945 - 50.
Nichitani Y, Yoshima M, Wadgaonkar B. Activation of gelatinolytic / collagenolytic activity in dentin by self-etching adhesives. Eur J Oral Sci. 2006; 1114:160-166.
