Improving the effect of NaOCl pretreatment on bonding to caries-affected dentin using self-etch adhesives

Gen Taniguchi, Masatoshi Nakajima, Keiichi Hosaka, Nanako Iwamoto, Masaomi Ikeda, Richard M. Foxton, Junji Tagami

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Abstract

Objective: To evaluate the effect of sodium hypochlorite pretreatment on adhesion to normal and caries-affected dentin using self-etch adhesives. Methods: Forty extracted human molars with coronal carious lesions were used in this experiment. The occlusal dentin surfaces including the caries-affected dentin in each group were treated as follows: group 1, rinsed with water; group 2, treated with 6% NaOCl for 15 s; group 3, treated with 6% NaOCl for 30 s; group 4, application with Accel for 30 s after NaOCl-30 s pretreatment. After rinsing with water and air-drying, the treated dentin surfaces were applied with self-etch systems (Bond Force and Clearfil Protect Bond) according to the manufacturers' instructions, and built-up with resin composite. After 37 degrees C water storage for 24 h, the bonded normal or caries-affected dentin areas were isolated to create an hourglass configuration with a cross-sectional area of approximately 1 mm(2). The specimens were subjected to tensile stress at a cross-head speed of 1.0 mm/min. Results: NaOCl-15 s pretreatment significantly improved the mu TBS of both self-etch adhesives to caries-affected dentin, while the 30 s pretreatment did not affect them. For normal dentin, NaOCl-30 s pretreatment significantly reduced the mu TBS of both self-etch adhesives although the 15 s pretreatment did not alter them. Furthermore, the application of Accel with a reducing effect increased the mu TBS to normal and caries-affected dentin treated with NaOCl for 30 s. Conclusions: The effects of NaOCl pretreatment on bonding of both self-etch adhesives were dependent upon type of dentin (normal and caries-affected dentin) and the treatment time. (C) 2009 Elsevier Ltd. All rights reserved.
Original languageEnglish
Pages (from-to)769 - 775
Number of pages7
JournalJournal of Dentistry
Volume37
Issue number10
DOIs
Publication statusPublished - Oct 2009

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