{"title":"术前抗菌漱口水对牙本质黏合剂结合强度的影响。","authors":"Sutasinee Srichai, Pipop Saikaew, Vanthana Sattabanasuk, Pisol Senawongse","doi":"10.3290/j.jad.c_1854","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of pre-procedural antiseptic mouthwashes on dentin bond strength of different adhesive systems.</p><p><strong>Methods: </strong>Flat occlusal dentin surfaces from 120 extracted human molars were randomly divided into four groups according to mouthwashes (0.12% chlorhexidine = CHX, 1% hydrogen peroxide = HP, 0.2% povidone-iodine = PI, and no mouthwash/control) and three subgroups of adhesives used (Clearfil SE Bond; CSE, Single Bond Universal = SBU in etch-and-rinse (ER) or self-etch (SE) modes) (n = 8). Composite resin was built up, and all bonded teeth were stored in 37°C distilled water for 24 h. Stick-shaped specimens were prepared and subjected to microtensile bond strength (µTBS) test. Failure mode analysis was determined using a light microscope. A resin-dentin interface was observed using scanning electron microscopy (SEM, n = 2). Elemental analysis in the PI group was further examined by SEM with energy-dispersive X-ray spectroscopy. The µTBS data were statistically analyzed by two-way analysis of variance (ANOVA) and Duncan's multiple comparison (P < 0.05).</p><p><strong>Results: </strong>Rinsing with PI followed by SBU-SE demonstrated significantly higher µTBS than the control group (P < 0.05). Rinsing with HP showed significantly lower bond strength for CSE (P < 0.05). However, the effect of adhesive systems was not observed for all mouthwashes used (P > 0.05). SEM/EDX revealed the iodine deposition in the underlying dentin, where the highest amount of iodine was found for SBU-SE.</p><p><strong>Conclusion: </strong>CHX and PI can be recommended as pre-procedural antiseptic mouthwashes since they show no negative impact on µTBS for all tested adhesives. The dentin bond strength of CSE is hampered in the HP mouthwash group, and this should be a concern for the use of self-etching adhesive afterward.</p>","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":"27 ","pages":"1-7"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11880833/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of Pre-Procedural Antiseptic Mouthwash On The Dentin Bond Strength of Dental Adhesives.\",\"authors\":\"Sutasinee Srichai, Pipop Saikaew, Vanthana Sattabanasuk, Pisol Senawongse\",\"doi\":\"10.3290/j.jad.c_1854\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the effect of pre-procedural antiseptic mouthwashes on dentin bond strength of different adhesive systems.</p><p><strong>Methods: </strong>Flat occlusal dentin surfaces from 120 extracted human molars were randomly divided into four groups according to mouthwashes (0.12% chlorhexidine = CHX, 1% hydrogen peroxide = HP, 0.2% povidone-iodine = PI, and no mouthwash/control) and three subgroups of adhesives used (Clearfil SE Bond; CSE, Single Bond Universal = SBU in etch-and-rinse (ER) or self-etch (SE) modes) (n = 8). Composite resin was built up, and all bonded teeth were stored in 37°C distilled water for 24 h. Stick-shaped specimens were prepared and subjected to microtensile bond strength (µTBS) test. Failure mode analysis was determined using a light microscope. A resin-dentin interface was observed using scanning electron microscopy (SEM, n = 2). Elemental analysis in the PI group was further examined by SEM with energy-dispersive X-ray spectroscopy. The µTBS data were statistically analyzed by two-way analysis of variance (ANOVA) and Duncan's multiple comparison (P < 0.05).</p><p><strong>Results: </strong>Rinsing with PI followed by SBU-SE demonstrated significantly higher µTBS than the control group (P < 0.05). Rinsing with HP showed significantly lower bond strength for CSE (P < 0.05). However, the effect of adhesive systems was not observed for all mouthwashes used (P > 0.05). SEM/EDX revealed the iodine deposition in the underlying dentin, where the highest amount of iodine was found for SBU-SE.</p><p><strong>Conclusion: </strong>CHX and PI can be recommended as pre-procedural antiseptic mouthwashes since they show no negative impact on µTBS for all tested adhesives. The dentin bond strength of CSE is hampered in the HP mouthwash group, and this should be a concern for the use of self-etching adhesive afterward.</p>\",\"PeriodicalId\":94234,\"journal\":{\"name\":\"The journal of adhesive dentistry\",\"volume\":\"27 \",\"pages\":\"1-7\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-02-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11880833/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The journal of adhesive dentistry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3290/j.jad.c_1854\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The journal of adhesive dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3290/j.jad.c_1854","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:评价术前抗菌漱口水对不同粘接剂体系牙本质结合强度的影响。方法:选取120颗拔除的人磨牙,根据漱口水(0.12%氯己定= CHX, 1%双氧水= HP, 0.2%聚维酮碘= PI,无漱口水/对照)和使用的粘接剂(Clearfil SE Bond;CSE, Single Bond Universal = SBU在蚀刻和冲洗(ER)或自蚀刻(SE)模式下(n = 8)。建立复合树脂,将所有粘结的牙齿在37°C蒸馏水中保存24 h。制备棒状样品并进行微拉伸粘结强度(µTBS)测试。用光学显微镜进行失效模式分析。用扫描电镜(SEM, n = 2)观察树脂-牙本质界面。用能量色散x射线能谱仪进一步分析PI组的元素分析。µTBS数据采用双向方差分析(ANOVA)和Duncan多重比较(P < 0.05)进行统计学分析。结果:PI冲洗后SBU-SE组的µTBS明显高于对照组(P < 0.05)。HP冲洗显著降低了CSE的结合强度(P < 0.05)。然而,并没有观察到粘接剂系统对所有使用的漱口水的影响(P < 0.05)。SEM/EDX显示下伏牙本质中有碘沉积,其中SBU-SE的碘含量最高。结论:CHX和PI可推荐作为手术前消毒漱口水,因为它们对所有测试粘合剂的µTBS没有负面影响。在HP漱口水组中,CSE的牙本质结合强度受到阻碍,这应该是后续使用自蚀刻胶时需要考虑的问题。
Effect of Pre-Procedural Antiseptic Mouthwash On The Dentin Bond Strength of Dental Adhesives.
Objective: To evaluate the effect of pre-procedural antiseptic mouthwashes on dentin bond strength of different adhesive systems.
Methods: Flat occlusal dentin surfaces from 120 extracted human molars were randomly divided into four groups according to mouthwashes (0.12% chlorhexidine = CHX, 1% hydrogen peroxide = HP, 0.2% povidone-iodine = PI, and no mouthwash/control) and three subgroups of adhesives used (Clearfil SE Bond; CSE, Single Bond Universal = SBU in etch-and-rinse (ER) or self-etch (SE) modes) (n = 8). Composite resin was built up, and all bonded teeth were stored in 37°C distilled water for 24 h. Stick-shaped specimens were prepared and subjected to microtensile bond strength (µTBS) test. Failure mode analysis was determined using a light microscope. A resin-dentin interface was observed using scanning electron microscopy (SEM, n = 2). Elemental analysis in the PI group was further examined by SEM with energy-dispersive X-ray spectroscopy. The µTBS data were statistically analyzed by two-way analysis of variance (ANOVA) and Duncan's multiple comparison (P < 0.05).
Results: Rinsing with PI followed by SBU-SE demonstrated significantly higher µTBS than the control group (P < 0.05). Rinsing with HP showed significantly lower bond strength for CSE (P < 0.05). However, the effect of adhesive systems was not observed for all mouthwashes used (P > 0.05). SEM/EDX revealed the iodine deposition in the underlying dentin, where the highest amount of iodine was found for SBU-SE.
Conclusion: CHX and PI can be recommended as pre-procedural antiseptic mouthwashes since they show no negative impact on µTBS for all tested adhesives. The dentin bond strength of CSE is hampered in the HP mouthwash group, and this should be a concern for the use of self-etching adhesive afterward.