sodium-hypochlorite and phosphoric-acid

The aim of this study was to evaluate the 5-year clinical performance of composite restorations of non-carious cervical lesions (NCCL) using a total-etch adhesive system with or without collagen removal with 10% sodium hypochlorite (NaOCl).. In this study randomized controlled split-mouth clinical trial, one-hundred and thirty-eight NCCL were restored into 30 patients. Each patient received at least one pair of composite restorations (Filtek A110/3M ESPE), bonded either with 2 techniques: Conventional Technique--acid etching with 37% phosphoric acid+Prime & Bond NT (Denstply DeTrey); Deproteinization Technique--acid etching with 37% phosphoric acid+10% NaOCl for 1min+Prime & Bond NT. The two techniques were evaluated using the United States Public Health Service (USPHS) criteria at baseline, 18 months, 3 and 5 years. After five years, one-hundred and six restorations were evaluated in 24 patients. Data were analyzed using the Chi-Square test (p<0.05).. There were no statistically significant differences between the two techniques regarding the evaluated parameters (p>0.05).. After 5 years, the application of 10% NaOCl deproteinization on etched dentine did not affect the clinical performance of composite restorations placed in NCCL when compared to the conventional total-etch technique.. Clinical studies evaluating the performance of the Deproteinization Technique are scarce. In this study, this technique showed similar clinical performance at the end of 5 years when compared to a conventional total-etch technique.

Topics: Acid Etching, Dental; Adult; Collagen; Color; Composite Resins; Dental Bonding; Dental Caries; Dental Marginal Adaptation; Dental Materials; Dental Restoration Failure; Dental Restoration, Permanent; Dentin; Dentin Sensitivity; Female; Follow-Up Studies; Humans; Male; Middle Aged; Oxidants; Phosphoric Acids; Polymethacrylic Acids; Protein Denaturation; Sodium Hypochlorite; Tooth Cervix; Tooth Wear; Young Adult

Sodium hypochlorite solutions have been evaluated for their effects in bonding procedures as they are found to deplete or remove the organic portion of the dentin, particularly the collagen fibrils. The aim of this in vitro study was to assess and compare the efficacies of 1%, 2.5%, 5% and 10% NaOCl at 30, 60 and 120s on etched primary dentin.. 84 primary anterior teeth were ground to expose a flat dentin area on the buccal surface. The specimens were divided into fourteen groups of six each based on the dentin surface treatment (35% phosphoric acid etching for 7 seconds-AE and/or NaOCl application), NaOCl solution concentrations (1%, 2.5%, 5% and 10%) and time of application (0, 30, 60 and 120s). Specimens were prepared for SEM and photomicrographs were taken of the surface and were scored against a five point scale, based on the smear layer and amount of collagen removed. The scores were submitted to Kruskal-Wallis and Mann Whitney tests.. This study showed the presence of smear layer in the control group. The group treated with Acid Etchant showed a demineralized pattern of dentin with exposure of dentin tubules and collagen fibrils network on the intertubular and peritubular dentin which was not significantly different from the groups treated with 1% and 2.5% NaOCl. Groups treated with 5% NaOCI were not statistically different from each other the surface was corroded but collagen fibrils were not completely depleted. Groups treated with 10% NaOCl were not statistically different from each other and showed complete removal of collagen fibrils with wider tubular apertures and several secondary tubules on peritubular and intertubular dentin.. Higher concentrations of NaOCl solutions (5% and 10%) produced significant changes in the etched primary dentin. The higher the concentration of the NaOCI solution, the lower can be the time for the application of the solution for the complete removal of collagen fibrils.

Topics: Acid Etching, Dental; Collagen; Dentin; Humans; Materials Testing; Microscopy, Electron, Scanning; Phosphoric Acids; Root Canal Irrigants; Smear Layer; Sodium Hypochlorite; Time Factors; Tooth, Deciduous

The purpose was to investigate by push-out tests and scanning electron microscopy (SEM)/energy-dispersive spectroscopy (EDS) the effect, after first acid etching the post space walls, of three radicular dentine treatments on the regional bond strength of quartz fibre posts placed using two heavily filled resin luting cements. The crowns of 39 extracted maxillary central incisors were sectioned transversely 2 mm coronal to the labial cement-enamel junction and the roots endodontically treated. After standardized post space preparations and etching 15 s with 32% phosphoric acid, 36 roots were randomly divided into six equal groups. Quartz fibre posts (D.T. LIGHT-POST) were placed using three radicular dentine treatments (0.9% sodium chloride (NaCl) for 60 s, 10% sodium hypochlorite (NaOCl) for 60 s, 17% ethylenediaminetetraacetic acid (EDTA) for 60 s followed by 5.25% NaOCl for 60 s) and two resin composite luting cements (ONE-STEP PLUS/DUO-LINK; ONE-STEP PLUS/LuxaCore Dual). Transverse segments (S1-S7), 1.00 mm (SD = 0.05 mm) thick, were sectioned from the coronal 8 mm of each root. Push-out bond strength tests were performed on coronal, middle and apical post space segments (S2, S4, S6) at a crosshead speed of 0.5 mm/min. Data were recorded and analyzed using a two-way mixed ANOVA design (a = 0.05). Three segments (S1, S5, S7) from roots in each group were examined using SEM/EDS. After post space preparation, acid etching and using each of the three radicular dentine treatments, the three remaining roots were sectioned longitudinally for SEM observation of the post space walls. At all root segment sites, the mean bond strengths from using 0.9% NaCl were significantly lower than for the other two radicular dentine treatments (P ≤ 0.02), and DUO-LINK cement had significantly higher mean bond strengths than LuxaCore Dual cement (P ≤ 0.01). There was a significant linear trend for reduced bond strengths from coronal to apical post space segments (P < 0.001), which was supported by the SEM/EDS observations of dentine tubule appearance and resin tag formation. Acid etching followed by either 10% NaOCl or 17% EDTA and 5.25% NaOCl dentine treatments of the post spaces provided good adhesion and resin luting cement tag infiltration of dentinal tubules in the coronal and middle segments in particular.

Topics: Acid Etching, Dental; Adhesiveness; Composite Resins; Dental Bonding; Dental Pulp Cavity; Dental Stress Analysis; Dentin; Dentin-Bonding Agents; Edetic Acid; Humans; Materials Testing; Methacrylates; Microscopy, Electron, Scanning; Phosphoric Acids; Post and Core Technique; Quartz; Resin Cements; Root Canal Irrigants; Root Canal Preparation; Sodium Chloride; Sodium Hypochlorite; Spectrometry, X-Ray Emission; Stress, Mechanical; Surface Properties; Time Factors

The objectives of this in vitro study, is to evaluate the influence of various dentin treatment procedures prior to bleaching namely, demineralization and demineralization in conjunction with deproteinization on the dentin permeability and bleaching efficacy.. The study used a total of 40 sound premolars, which were sectioned longitudinally, and their color coefficients and absorption spectrum was recorded and used as control values for the later study. These dentin samples were then discolored by blood and their color coefficients and absorption spectrum were calibrated. They were then divided into two Groups with 20 samples each per group. Group A--dentin samples were demineralized prior to bleaching. Group B--dentin samples were deproteinized also in conjunction to demineralization prior to bleaching. The values of color coefficient and absorption spectrum were determined using Spectrophotometer for samples of each group respectively.. There were significantly higher color coefficient and absorption spectrum values in the group where dentin was treated with demineralization in conjunction with deproteinization prior to bleaching when compared to the group where dentin was treated by demineralization alone prior to bleaching.. Demineralization in conjunction with deproteinization has proven to be a good method of increasing dentin permeability for achieving a higher bleaching efficacy.

Topics: Acid Etching, Dental; Adolescent; Blood; Borates; Child; Collagen; Color; Dentin; Dentin Permeability; Humans; Hydrogen Peroxide; Materials Testing; Oxidants; Phosphoric Acids; Protein Denaturation; Sodium Hypochlorite; Spectrophotometry; Tooth Bleaching; Tooth Discoloration

To determine the marginal leakage of Class V restorations bonded with etch-and-rinse and self-etching adhesives applied after different dentin pretreatments over a maximum storage time of 24 months.. Standardized mixed Class V cavities (5 mm x 3 mm and 2 mm deep) were cut on the buccal and lingual surfaces of 180 human molars. Two self-etching adhesive systems, Adper Prompt L-Pop (3M ESPE) and Clearfil SE Bond (Kuraray), and one etch-and-rinse bonding agent (One Step, Bisco) were applied as follows: 1. according to manufacturers' instructions; 2. after 37% H3PO4 etching for 15 s; 3. after 37% H3PO4 etching for 15 s and 5% NaOCl aq application for 2 min. Teeth were stored for 24 h, 6, 12, and 24 months in saline solution at 37 degrees C before being stained in 0.5% solution of basic fuchsine. Dye penetration was scored on a 0 to 3 ordinal scale and analyzed with the Kruskal-Wallis H test (p < 0.05), Mann-Whitney U-test (p < 0.01), and Wilcoxon paired test (p < 0.05).. Significant differences exist after using the tested adhesives at dentin and enamel margins. Adhesive type and substrate pretreatment had a significant effect on the long-term sealing of Class V restorations, and aging increased leakage overtime. The extent of leakage at the enamel margins was lower than that at dentin margins. One Step recorded the best results after 24 months.. Optimal adhesion of restorative materials to enamel and dentin is hampered by a reduction in marginal seal over time. Alternative dentinal treatments (etching or collagen removal) might increase bonding efficacy, depending on the adhesive system used.

Topics: Acid Etching, Dental; Coloring Agents; Composite Resins; Dental Bonding; Dental Cavity Preparation; Dental Enamel; Dental Leakage; Dental Marginal Adaptation; Dental Restoration, Permanent; Dentin; Dentin-Bonding Agents; Humans; Methacrylates; Phosphoric Acids; Resin Cements; Rosaniline Dyes; Sodium Hypochlorite; Time Factors; Water

The aim of this study was to evaluate the alterations of etched deciduous dentin when submitted to different time and concentrations of sodium hypochlorite (NaOCl), using scanning electron microscopy (SEM).. Forty deciduous anterior teeth were selected, cleaned and ground until expose a flat dentin area on the buccal surface. The specimens were randomly distributed into eight groups (n=5), according to dentin surface treatment (35% phosphoric acid etching for 7s--AE and/or NaOCl application), NaOCl solution concentration (5% or 10%), and time of application (0, 30, 60, and 120 s), as follows: G1: control (without AE and NaOCl); G2: only AE; G3, G4, and G5: AE+5% NaOCl for 30, 60, and 120 s, respectively; G6, G7, and G8: AE+10% NaOCl for 30, 60, and 120 s, respectively. All specimens were prepared for SEM analysis and the photomicrographs (three for each specimen) were classified according to a score as follow: 0: presence of smear layer (SL); 1: absence of SL+non-altered collagen fibrils; 2: absence of SL+collagen fibrils slightly altered; 3: absence of SL+collagen fibrils severely altered; and 4: absence of SL and absence of collagen fibrils. Data were submitted to Kruskal-Wallis and Mann-Whitney tests (p<0.05).. All groups treated with NaOCl solution were significant different from G1 and G2, and showed alterations on the collagen fibrils network. Collagen complete removal was only observed when a 5% NaOCl solution was applied for 120 s and 10% NaOCl solution for 30, 60, and 120 s.. The NaOCl action produced significant changes in the etched deciduous dentin. The higher NaOCl concentration, the lower the time required to completely removing the collagen fibrils network in deciduous dentin.

Topics: Acid Etching, Dental; Collagen; Dentin; Dentin Solubility; Humans; Microscopy, Electron, Scanning; Oxidants; Phosphoric Acids; Smear Layer; Sodium Hypochlorite; Time Factors; Tooth, Deciduous

The goal of this study was to evaluate the cleaning ability of three acid irrigating solutions after hand and rotary instrumentation. Eighty human teeth were randomly divided in eight groups. Four groups were prepared with hand instrumentation and other four with ProTaper. The irrigating solutions were 15% citric acid plus 2.5% NaOCl; 15% EDTA plus 2.5% NaOCl; 5% orthophosphoric acid plus 2.5% NaOCl; and 2.5% NaOCl alone as control. Canal walls were observed with scanning electron microscopy, and photomicrographs were taken in apical, middle, and coronal thirds. A scoring system for debris and smear layer was used. Acid solutions with 2.5% NaOCl were effective in the elimination of smear layer or debris, and no significant differences were showed in smear layer removal between techniques. However, 2.5% NaOCl did not remove smear layer or debris, and no significant differences in debris were observed between manual and rotary techniques.

Topics: Acids; Adult; Chelating Agents; Citric Acid; Dental Pulp Cavity; Dentin; Edetic Acid; Humans; Materials Testing; Microscopy, Electron, Scanning; Middle Aged; Phosphoric Acids; Photomicrography; Root Canal Irrigants; Root Canal Preparation; Smear Layer; Sodium Hypochlorite; Tooth Apex

The aim of this study was to evaluate the effect of conditioners (sodium hypochlorite (NaOCl), Roth's ethylenediaminetetraacetic acid (EDTA), and phosphoric acid) on shear bond strength and morphology of Nd:YAP laser-irradiated dentin. In particular, the key focus was on the bond durability between resin composite and treated dentin after being subjected to thermocycling in artificial saliva between 5 degrees C and 55 degrees C. Results indicated that the application of phosphoric acid to laser-irradiated dentin produced a bond strength comparable to those using NaOCl and EDTA. Further, dentinal tubules which were closed after laser irradiation opened following the treatment with conditioners. When subjected to 3,000 thermocycles, the mean shear strength of the samples treated by the three conditioners following laser irradiation ranged from 9.7 to 12.6 MPa with a reduction of 25-33%--a reduction rate lower than that obtained using acid etching alone (50%). Among the three conditioners tested, only phosphoric acid treatment demonstrated an enhanced effect on bond durability of laser-irradiated dentin.

Topics: Acrylic Resins; Composite Resins; Dental Bonding; Dentin; Dentin-Bonding Agents; Edetic Acid; Hot Temperature; Humans; Laser Therapy; Phosphoric Acids; Polyurethanes; Shear Strength; Sodium Hypochlorite

The aim of this study was to investigate the consequences of dentine treatment on dentine permeability of crown preparations treated with phosphoric acid, sodium hypochlorite (NaOCl), and then ferric oxalate (Sensodyne sealant) or bis-phenol-A-diglycidyldimethacrylate (BIS-GMA) and hydroxyethylmethacrylate (HEMA) resin combination (Scotchbond Multipurpose). Thirty human premolars received full crown preparations (stage A), were then acid etched (stage B) and subsequently the pulp chamber flushed with NaOCl (stage C). They were then randomly assigned to two groups: group 1 was treated with Scotchbond Multipurpose and group 2 with 6% ferric oxalate (Sensodyne sealant) (stage D). Both groups were acid etched a second time (stage E) as the final step in the sequence. The rise in pressure in the pulp chamber because of the transmission of saline from the pressure chamber through cut dentine was recorded by a pressure transducer after each of the stages described (A to E). The mean rate of pressure change across dentine (Pa s(-1)) for each measurement point (A to E) (n = 30) were A = 2.3; B = 9.8; C = 16; D = 2.1; E = 3.1. Acid etching and NaOCl were both effective in producing significant increases in the rate of pressure change across dentine (P < 0.05). Sensodyne sealant and Scotchbond Multipurpose are both effective dentine sealants and there is no significant difference (P > 0.05) in their abilities in sealing dentine. Acid etching-sealed dentine produced a significant increase in the rate of pressure change across dentine (P < 0.05). The sealing of dentine appears to be a sensible consideration following crown preparations on vital teeth.

Topics: Acid Etching, Dental; Bicuspid; Crowns; Dental Bonding; Dental Leakage; Dental Stress Analysis; Dentin; Humans; Oxalates; Phosphoric Acids; Pit and Fissure Sealants; Pressure; Resin Cements; Sodium Hypochlorite

The purpose of this study was to evaluate the effect of pretreatment using phosphoric acid, sodium hypochlorite and sulfinic acid sodium salt on the bonding of one-step self-etching adhesives to root canal dentin.. Thirty-six single-rooted sound human premolars were randomly assigned into three groups before applying the one-step self-etching adhesive. These comprised a control group with no pretreatment, an NC group that received phosphoric acid and subsequent sodium hypochlorite gel pretreatments, and an NC+AC group that received an additional treatment with sulfinic acid sodium salt following the same pretreatment applied to the NC group. Microtensile bond strength measurements, bonding interface observations by scanning electron microscopy (SEM), elemental analyses by X-ray photoelectron spectroscopy (XPS) and degree of polymerization (DOP) analyses by Raman spectroscopy were subsequently performed.. The bond strength was significantly higher in the NC+AC group than in the other two groups (Control: P=000.1 and NC: P=0.004). SEM observations showed that resin tags were present in the dentinal tubules in the NC and NC+AC groups. Compared to the control group, the adhesive resin layer had a lower DOP in the NC group, while the DOP for the NC+AC group was higher than that of the NC specimens.. Bonding to root canal dentin was improved by applying sulfinic acid sodium salt in addition to treatment with phosphoric acid followed by sodium hypochlorite. The DOP of the adhesive resin was reduced by sodium hypochlorite and subsequently restored by applying sulfinic acid sodium salt.

Topics: Acid Etching, Dental; Composite Resins; Dental Bonding; Dental Pulp Cavity; Dentin; Dentin-Bonding Agents; Humans; Materials Testing; Microscopy, Electron, Scanning; Phosphoric Acids; Resin Cements; Sodium; Sodium Hypochlorite; Surface Properties; Tensile Strength

The purpose of this in vitro investigation was to assess the effect of deproteinization before and after acid etching on the surface roughness of immature human enamel of permanent teeth compared to acid etching alone using noncontact three-dimensional (3D) optical profilometer.. Forty-eight enamel blocks were randomly distributed into 4 groups (12 each) according to the surface treatment in the form of deproteinized with 2.5% sodium hypochlorite (NaOCl) before and after acid etching with 32% phosphoric acid (H3PO4) compared to application of H3PO4 alone. The surface roughness (Sa) was measured using a 3D optical noncontact surface profiler. Two specimens from each group were selected and prepared for scanning electron microscopic (SEM) analysis. Shapiro-Wilk test, one-way analysis of variance, and Tukey's honest significance difference test were used. All statistical analyses were established with a significance level of P < 0.05.. The highest surface roughness (Sa) was recorded for Group 3/NaOCl ± H3PO4 and the lowest Sa was recorded for Group 1 (control). All surface treatments applied showed significantly greater values of surface roughness (Sa) than the enamel surfaces with no surface treatment (control). There was significant difference between control group and Group 2/H3PO4 (P = 0.002), Group 3/NaOCl ± H3PO4 (P = 0.0001), and Group 4/H3PO4 ± NaOCl (P = 0.017). There was no significant difference between Group 2/H3PO4 and Group 4/H3PO4 ± NaOCl. SEM evaluation showed different topographical features of deproteinized enamel surface.. Deproteinizing the enamel of immature permanent teeth with 2.5% NaOCl before and after acid etching with 32% H3PO4 increased surface roughness compared to the application of H3PO4 alone.

Topics: Acid Etching, Dental; Dental Bonding; Dental Enamel; Dental Enamel Proteins; Dental Materials; Dentition, Permanent; Humans; Image Processing, Computer-Assisted; Microscopy, Electron, Scanning; Phosphoric Acids; Sodium Hypochlorite; Surface Properties

To investigate the release of growth factors into the root canal space after various final irrigants during regenerative endodontic procedures. The residual cytotoxic effect of final irrigants on stem cells from the apical papilla (SCAP) was also examined.. To measure the release of TGF-β1, root segments (8 mm long) were irrigated with 1.5% NaOCl followed by 20 mL of final irrigants; Saline, 17% EDTA, 10% citric acid, 10% or 37% phosphoric acid. Specimens were then immersed into culture medium for 24 h and the supernatants were collected to measure TGF-β1 by ELISA. For the cytotoxicity of residual final irrigants, dentine chips (5 × 5 × 1 mm) treated with irrigants as above were placed in the upper chamber of transwell system. Stem cells from the apical papilla were incubated indirectly in the lower chamber for 24 h and MTS assay was performed after 24 h. The surfaces of irrigated root canals were examined for smear layer with a scanning electron microscope (SEM). Log transformation was performed for ELISA data to compare different groups (one-way ANOVA, α = 0.05).. Ten percent citric acid released the greatest amount of TGF-β1 amongst all groups, which was significantly different to 17% EDTA (P < 0.01). All dentine chips irrigated with the irrigants showed no significant difference of cytotoxicity on SCAP compared to nonirrigated dentine (P > 0.05). SEM revealed completely open dentinal tubules in 10% citric acid, whereas 17% EDTA was associated with partially open dentinal tubules.. Ten percent citric acid was effective as a final irrigant for releasing TGF-β1 with good biocompatibility in regenerative endodontics.

Topics: Citric Acid; Dental Papilla; Dental Pulp Cavity; Dentin; Edetic Acid; Humans; Microscopy, Electron, Scanning; Phosphoric Acids; Regenerative Endodontics; Root Canal Irrigants; Root Canal Preparation; Root Canal Therapy; Saline Solution; Smear Layer; Sodium Hypochlorite; Stem Cells; Transforming Growth Factor beta1

To compare the shear bond strength (SBS) values of orthodontic brackets luted using a resin-modified glass ionomer cement (RMGIC) on enamel surfaces etched using either an Er:YAG laser in two different working modes, or a conventional etching protocol, including phosphoric acid.. Sixty healthy human premolars were randomly allocated to three experimental groups (n = 20) and etched with: Group 1: Er:YAG laser in super-short pulse (SSP) mode (100 mJ, 20 Hz, 2 W); Group 2: Er:YAG laser in quantum square pulse mode (120 mJ, 10 Hz, 1.2 W) using a digitally controlled handpiece ("X-Runner"); Group 3 (control): 5.25% sodium hypochlorite pretreatment, then 37% phosphoric acid for 15 sec. Stainless steel brackets were bonded using light-curing RMGIC for orthodontic bonding. After term cycling (1800 cycles), SBS testing was performed using a universal testing machine. After debonding, both enamel and bracket surfaces were examined to determine the amount of RMGIC still present on the surfaces.. Group 3 surfaces gave the lowest mean SBS (10.6104 ± 2.66196 MPa), whereas Group 1 provided the highest 1 (13.1795 ± 3.37904 MPa), which was significantly different from the control (Group 3, p = 0.0226). Group 2 provided intermediate values (11.8486 ± 0.59832 MPa) nonsignificantly different from the control or from SSP (p = 0.4215 and p = 0.3082, respectively).. Er:YAG laser treatment in SSP mode of enamel surfaces for orthodontic bonding provided higher SBS and a shear behavior of the luting material similar to the conventional acid-etching procedures, making it a viable alternative to acid etching.

Topics: Acid Etching, Dental; Bicuspid; Dental Bonding; Dental Debonding; Dental Etching; Glass Ionomer Cements; Humans; In Vitro Techniques; Lasers, Solid-State; Materials Testing; Orthodontic Brackets; Phosphoric Acids; Shear Strength; Sodium Hypochlorite; Surface Properties

To compare bonding of dental adhesive to hypomineralized enamel (HE) after pre-treatment with either 5% sodium hypochlorite (NaOCl) solution or papain-based papacarie gel.. Normal enamel (NE) and HE obtained from hypomineralized first permanent molars were acid-etched with 32% phosphoric acid and randomly allocated into no deproteinization, deproteinization using 5% NaOCl, or deproteinization usping papacarie gel groups. Subsequently, the specimens were bonded, packed with composite resins and subjected to micro-shear bond strength (MSBS) testing and the data analysed using 2-way ANOVA and Tukey tests. Furthermore, specimens from all groups were subjected for qualitative analysis using scanning electron microscope.. Two way-ANOVA showed that the factor "enamel substrate" was significant (p<0.001), "enamel pre-treatment" was not significant and interaction of the two factors was significant (p=0.005). HE produced inferior bonding with dental adhesive compared to NE. Enamel pre-treatment with deproteinization agents enhanced bonding to HE. No significant difference in MSBS was evident between the two deproteinization agents (p>0.05). Qualitative analysis of acid-etched moderate HE showed barely visible enamel rods with irregular etching pattern. Following acid etching and deproteinization, Type I and II etching patterns were observed in moderate HE; while a porous enamel surface with more profound etching patterns in severe HE.. Papain-based papacarie could be an alternative deproteinization agent for bonding dental adhesive to HE.. Papain-based papacarie, a natural deproteinization agent and a proven chemo-mechanical caries removal agent could be an alternative to NaOCl for enhancement of bond durability of adhesive restorations to HE.

Topics: Acid Etching, Dental; Composite Resins; Dental Bonding; Dental Cements; Dental Enamel; Dental Enamel Proteins; Dental Stress Analysis; Dentin-Bonding Agents; Humans; Materials Testing; Molar; Papain; Phosphoric Acids; Protein Denaturation; Resin Cements; Shear Strength; Sodium Hypochlorite; Surface Properties

The purpose of this study was to compare, in vitro, the shear bond strength of resin-modified glass ionomer (RMGI) bonded to an enamel surface prepared by either sandblasting with 50μm of aluminium oxide particles, deproteinization with 5.25% NaOCl, or by combining both techniques.. One hundred and fifty human premolars were cleaned and randomly divided into five groups. In group 1, the teeth were etched using 37% phosphoric acid and bonded with Transbond XT. In group 2, the teeth were etched using 37% phosphoric acid and bonded with Fuji Ortho LC. In group 3, the teeth were deproteinized with 5.25% NaOCl for one minute then etched with 37% phosphoric acid and bonded with Fuji Ortho LC. In group 4, the enamel was sandblasted with 50μm of aluminium oxide particles for 5seconds prior to etching and bonding with Fuji Ortho LC. In group 5, the teeth were both sandblasted with 50μm of aluminium oxide particles for 5seconds and deproteinized with 5.25% NaOCl for one minute prior to etching using 37% phosphoric acid and bonding with Fuji Ortho LC. The shear bond strength was tested using a universal testing machine with a crosshead speed of 1.0mm/min. The adhesive remnant index (ARI) index was also determined for each group.. The mean shear bond strengths were as follows: group 1: 11.33±2.60MPa, group 2: 8.14±2.09, group 3: 9.57±3.25MPa, group 4: 9.49±1.99MPa and group 5: 9.76±2.29MPa (P=0.0001).. The results show that pre-treating the enamel with either sandblasting, NaOCl, or both, could give a significantly higher shear bond strength than using RMGI with acid etch alone.

Topics: Acid Etching, Dental; Acrylic Resins; Aluminum Oxide; Bicuspid; Dental Bonding; Dental Enamel; Dental Stress Analysis; Humans; In Vitro Techniques; Materials Testing; Phosphoric Acids; Resin Cements; Shear Strength; Silicon Dioxide; Sodium Hypochlorite; Surface Properties

To test the hypothesis that enamel surface deproteinisation with different concentrations of bromelain in association with 10% papain increases the shear bond strength (SBS) of brackets bonded with orthodontic composite and resin modified glass ionomer cement (RMGIC).. Orthodontic brackets were attached according to the following protocols to 195 bovine incisors, which were acquired and divided into 13 groups: 1) Transbond XT (TXT) according to the manufacturer's recommendations; 2) Deproteinisation with 3% bromelain (BD) plus 10% papain and TXT; 3) 6% BD plus 10% Papain and TXT; 4) RMGIC, without enamel deproteinisation and without acid etching; 5) RMGIC, with 3% BD plus 10% papain and without acid etching; 6) RMGIC, with 6% BD plus 10% papain and without acid etching; 7) attachment using RMGIC following etching with polyacrylic acid; 8) 3% BD plus 10% papain, attachment using RMGIC and etching with polyacrylic acid; 9) 6% BD plus 10% papain, and attachment using RMGIC following etching with polyacrylic acid; 10) etching with 37% phosphoric acid and attachment using RMGIC; 11) 3% BD plus 10% papain, etching with 37% phosphoric acid and attachment using RMGIC; 12) 6% BD plus 10% papain, etching with 37% phosphoric acid and attachment using RMGIC; 13) deproteinisation with 2.5% sodium hypochlorite (NaOCl), etching with polyacrylic acid and RMGIC. After bonding, the brackets were removed by a universal mechanical testing machine, which recorded shear bond strength at failure. The material remaining on the tooth was assessed using the adhesive remnant index (ARI).. Deproteinisation with 3% and 6% bromelain gel plus papain significantly increased the shear bond strength (p < 0.05), when acid etching was performed with phosphoric acid, followed by primer application and attachment using Transbond XT (Group 3) and when attached with RMGIC without etching. Deproteinisation with 6% bromelain gel plus papain significantly increased (p < 0.05) the ARI score only when attachment was performed using RMGIC, without etching (Group 6).. Deproteinisation with bromelain associated with papain in a gel increased the shear bond strength and is recommended before orthodontic bracket attachment.

Topics: Acid Etching, Dental; Acrylic Resins; Animals; Bromelains; Cattle; Dental Bonding; Dental Enamel; Dental Enamel Proteins; Dental Stress Analysis; Gels; Glass Ionomer Cements; Materials Testing; Orthodontic Brackets; Papain; Phosphoric Acids; Proteolysis; Random Allocation; Resin Cements; Shear Strength; Sodium Hypochlorite; Stress, Mechanical; Surface Properties

The surface free energy of conditioned-dentin is one of the factors that interfere with monomeric infiltration of the interfibrillar spaces. Saturation of the tooth matrix with different substances may modulate this energy and, consequently, the wettability of the dentin.. To evaluate the influence of different substances used to saturate conditioned-dentin on surface free energy (SFE) of this substrate.. Dentin blocks (4 × 7 × 1 mm, n = 6/ group), obtained from the roots of bovine incisors, were etched using phosphoric acid for 15 seconds, rinsed and gently dried. The surfaces were treated for 60 seconds with: ultra-purified water (H20-control); ethanol (EtOH), acetone (ACT), chlorhexidine (CHX), ethylenediaminetetraacetic acid (EDTA); or sodium hypochlorite (NaOCl). The tooth surfaces were once again dried with absorbent paper and prepared for SFE evaluation using three standards: water, formamide and bromonaphthalene. Analysis of variance (ANOVA) and Dunnet's tests (a = 0.05) were applied to the data.. Ethylenediaminetetraacetic acid was the only substance that caused a change to the contact angle for the standards water and formamide, while only EtOH influenced the angles formed between formamide and the dentin surface. None of the substances exerted a significant effect for bromonaphtha-lene. In comparison to the control, only EDTA and NaOCl altered both polar components of the SFE. Total SFE was increased by saturation of the collagen matrix by EDTA and reduced when NaOCl was used.. Saturation of the collagen matrix by EDTA and EtOH changed the surface free energy of the dentin. In addition, the use of NaOCl negatively interfered with the properties evaluated.. The increase of surface free energy and wettability of the dentin surface would allow higher penetration of the the adhesive system, which would be of importance to the clinical success of resin-dentin union.

Topics: Acetone; Acid Etching, Dental; Animals; Cattle; Chlorhexidine; Collagen; Dentin; Edetic Acid; Ethanol; Formamides; Materials Testing; Naphthalenes; Phosphoric Acids; Root Canal Irrigants; Sodium Hypochlorite; Solvents; Surface Tension; Water; Wettability

The aim of this study was to assess the effects of four enamel preparation techniques on shear bond strength (SBS) of brackets bonded with a resin-modified glass ionomer cement (RMGIC). Adhesive Remnant Index (ARI) and enamel surface roughness (Ra) were also investigated after cement removal.. One hundred and forty-four human premolars were divided into four groups (n = 36 in each group) as follows: Group 1, 37% phosphoric acid (i.e. conventional); Group 2, sandblasting; Group 3, sodium hypochlorite and 37% phosphoric acid; and Group 4, sodium hypochlorite and sandblasting. Twenty-four hours after bonding, the brackets were debonded with an Instron machine using a crosshead speed of 1·0 mm/min; the ARI was evaluated by an image analyser system; the Ra was measured by profilometry; and the morphology of the tooth enamel surface was observed by scanning electron microscope evaluation. Data were submitted to ANOVA and the Kruskal-Wallis test (α = 0·05).. Mean SBS values for Groups 1-4 were 13·86, 9·08, 17 and 9·63 MPa, respectively. Mean ARI for Groups 1-4 were 11·16, 2·06, 20·66 and 3·73%. The SBS and ARI showed statistically significant differences between the four groups (P<0·001). The Ra (μm) showed no significant differences between groups.. Bracket bonding using RMGIC showed adequate adhesion for clinical use, and the type of enamel preparation had a significant influence.

Topics: Acid Etching, Dental; Adhesiveness; Aluminum Oxide; Bicuspid; Dental Bonding; Dental Enamel; Dental Etching; Dental Stress Analysis; Glass Ionomer Cements; Humans; Light-Curing of Dental Adhesives; Materials Testing; Microscopy, Electron, Scanning; Orthodontic Brackets; Phosphoric Acids; Resin Cements; Shear Strength; Sodium Hypochlorite; Stress, Mechanical; Surface Properties; Temperature; Time Factors; Water

The purpose of this in vitro study was to evaluate the immediate shear bond strength of different categories of resin cements on sodium hypochlorite (NaOCl)-treated dentin and to evaluate if the bond was improved by a subsequent treatment with 10% sodium ascorbate before adhesive procedures.. This study tested immediate shear bond strengths to human dentin of 5 resin cements: Variolink II (Ivoclar Vivadent, Schaan, Liechtenstein), Multilink (Ivoclar Vivadent), Clearfil Esthetic Cement EX (Kuraray, Tokyo, Japan), SpeedCEM (Ivoclar Vivadent), and Clearfil SA Cement (Kuraray). All cements were tested with no NaOCl pretreatment of the dentin (negative control) and with a 20-minute exposure of the dentin to 6% NaOCl before bonding procedures. The cements found to have decreased bond strengths to NaOCl-treated dentin were tested with the dentin exposed to 10% sodium ascorbate after NaOCl exposure. The sodium ascorbate exposure times tested were 5 seconds and 1 minute.. The mean and standard deviation values for immediate shear bond strength (MPa) for the negative control group were as follows: Variolink II, 18.8 ± 4.2; Multilink, 29.1 ± 7.1; Clearfil Esthetic Cement EX, 20.7 ± 4.9; SpeedCEM, 17.8 ± 4.2; and Clearfil SA Cement, 7.2 ± 2.8. The results for the NaOCl exposure group were as follows: Variolink II, 24.0 ± 6.7; Multilink, 34.1 ± 6.1; Clearfil Esthetic Cement EX, 20.7 ± 6.8; SpeedCEM, 0.0 ± 0.0; and Clearfil SA Cement, 0.1 ± 0.1. The results for the 5-second sodium ascorbate group were the following: SpeedCEM, 8.5 ± 2.6, and Clearfil SA Cement, 4.3 ± 2.0. The following results were found for the 1-minute sodium ascorbate group: SpeedCEM, 12.2 ± 3.2, and Clearfil SA Cement, 4.8 ± 1.0.. The resin cements tested varied in their capacity to adhere to NaOCl-treated dentin. Some resin cements exhibited equal or improved bond strengths (P < .05), whereas others exhibited significantly decreased bond strengths (P < .05). For the susceptible resin cements, a rinse of 10% sodium ascorbate provided an immediate restoration of at least 50% of the original bond strength (P < .05). The efficacy of sodium ascorbate may vary among resin cements.

Topics: Acid Etching, Dental; Adhesiveness; Antioxidants; Ascorbic Acid; Dental Bonding; Dental Pulp Cavity; Dental Stress Analysis; Dentin; Dentin-Bonding Agents; Humans; Materials Testing; Phosphoric Acids; Resin Cements; Shear Strength; Sodium Hypochlorite; Stress, Mechanical; Surface Properties; Time Factors

This study assessed the cross-sectional Knoop microhardness and flexural strength of root dentin exposed to different surface treatments with chemical agents after biomechanical preparation. Root canals from human canines were biomechanically treated and divided into eight groups (n=10) to receive one of the following dentin treatments: I. Deionized water (control); II. 5.25% Sodium hypochlorite (NaOCl); III. NaOCl + 10% Sodium ascorbate (SA); IV. SA; V. 2% Chlorhexidine gel (CHX); VI. 37% Phosphoric acid gel (PA) + CHX; VII. PA; and VIII. PA + NaOCl. The roots were sectioned to obtain specimens that were evaluated for cross-sectional Knoop microhardness and flexural strength using a three-point bending test. ANOVA and Tukey's test were performed. The microhardness in the control group was significantly higher (p < 0.05) than in the groups exposed to chemical agents, which in turn were statistically similar (p > 0.05) to each other. Regarding flexural strength, PA+NaOCl provided statistical higher values than PA+CHX and CHX. However, there was no significant difference between the control group and those groups subjected to surface treatment (p > 0.05). Dentin microhardness was reduced after exposure to NaOCl, CHX, PA, SA and their associations and the flexural strength of radicular dentin was not affected by the chemical agents.

Topics: Analysis of Variance; Ascorbic Acid; Chlorhexidine; Dental Pulp Cavity; Dentin; Disinfectants; Edetic Acid; Hardness Tests; Humans; Materials Testing; Phosphoric Acids; Pliability; Reference Values; Root Canal Irrigants; Root Canal Preparation; Sodium Hypochlorite; Surface Properties

To study the degree of penetration of an adhesive resin in artificial enamel carious lesions after using sodium hypochlorite as deproteinization agent.. Twenty included human third-molars, extracted for surgical indication, were used. Artificial lesions were created in the buccal and lingual sides of each specimen through a cycle of demineralization-remineralization. Samples were then incubated in human saliva for 7 days at 37 ° C. After surface cleaning, lesions and the peripheral sound enamel were etched with 37% orthophosphoric acid for 20 seconds. One lesion of each specimen was treated with 5.25% sodium hypochlorite (NaOCl) for one minute. The other lesion of each specimen was used as a control. Experimental and control lesions were sealed with a fluid resin marked with Rhodamine B. Lesions were sectioned for microscopic observation by epifluorescence and polarized light. The images obtained were analyzed morphometrically. The micrometer measurements were made with ImageJ ® software. The level of significance was assessed at p<0.05.. The average sealant depth penetration in the control group was 94.9 ± 28.6 μm versus 122.8 ± 25.3 μm in the experimental group. This represents Δ 20.1% significantly greater penetration when using sodium hypochlorite (p<0.001).. The results demonstrated a significant penetration of the sealing resin when the conventional technique is complemented with the application of 5.25% sodium hypochlorite for one minute in artificial enamel carious lesions.

Topics: Acid Etching, Dental; Acrylates; Acrylic Resins; Adolescent; Dental Caries; Dental Enamel; Dental Materials; Fluorescent Dyes; Humans; Image Processing, Computer-Assisted; Microscopy, Fluorescence; Microscopy, Polarization; Phosphoric Acids; Protein Denaturation; Rhodamines; Saliva; Sodium Hypochlorite; Temperature; Time Factors; Young Adult

The aim of this study was to evaluate the influence of different irrigation protocols on resin-based sealer bond strength to dentin and the associated failure pattern.. One hundred eighty single-rooted premolars were used. Roots were divided into 18 groups according to the irrigation protocol used and instrumented using 5.25% NaOCl or 2% chlorhexidine (CHX) gel as chemical auxiliary substances and 17% EDTA or 37% phosphoric acid for smear layer removal. Finally, CHX solution was used as the final irrigant in some groups. Root canals were filled with either gutta-percha and AH Plus (Dentsply, Petropolis, RJ, Brazil) (GP/AH) or Resilon/Real Seal SE (SybronEndo, Orange, CA). Bond strength was measured by the push-out test. Additionally, failure patterns were classified as adhesive, cohesive, and mixed. Data were statistically analyzed by Kruskal-Wallis and Mann-Whitney U tests.. In the GP/AH groups, high bond strength values were obtained when NaOCl was associated with phosphoric acid with (6.9 ± 3.9) and without (7.4 ± 3.8) a final flush with CHX. However, when CHX gel was used, the association with EDTA with (7.5 ± 3.2) and without (6.0 ± 2.3) a final flush with CHX solution showed better results. The GP/AH groups mainly showed a cohesive failure pattern. Evaluation of Resilon/Real Seal SE showed that higher bond strength values were reached when CHX was associated with phosphoric acid with (5.2 ± 3.0) and without (4.2 ± 2.0) a final flush with CHX solution. The failure patterns were mainly adhesive.. Irrigation protocols influenced the bond strength of resin sealers to dentin.

Topics: Adhesiveness; Bicuspid; Chlorhexidine; Composite Resins; Dental Bonding; Dental Pulp Cavity; Dental Stress Analysis; Dentin; Edetic Acid; Epoxy Resins; Gutta-Percha; Humans; Materials Testing; Phosphoric Acids; Root Canal Filling Materials; Root Canal Irrigants; Root Canal Preparation; Smear Layer; Sodium Hypochlorite; Stress, Mechanical; Therapeutic Irrigation; Tooth Apex

The aim of this study was to examine the effect of pre-post deproteinization treatment with 5% sodium hypochloride on shear bond strength (sbs) of adhesive resin to primary, immature and mature permanent teeth enamel.. 30 teeth were used for each of primary, immature and mature permanent teeth groups. (totally 90). In control groups, enamel was etched for 60s with 37% phosphoric acid (3M) and rinsed for 10s (Procedure A). In experimental groups, deproteinization was applied with 5% NaOCI solution for 120s before (Procedure D+A) and after acid-etching (Procedure A+D). Gluma Comfort Bond (Heraeus-Kulzer) and Charisma (Heraeus-Kulzer) composite resin were applied to etched enamel surfaces. Data were determined with Two-Way ANOVA and LSD Multiple Comparison Test (p < 0.05).. SBS was significantly lower in primary and immature permanent teeth than mature permanent teeth (p < 0.05). "Procedure A+D" statistically increased sbs values in primary and immature permanent teeth (p < 0.05).. Deproteinization after acid etching significantly enhanced the shear bond strength values in primary and immature permanent teeth.

Topics: Acid Etching, Dental; Adult; Bicuspid; Composite Resins; Dental Bonding; Dental Enamel; Dental Enamel Proteins; Dental Materials; Dental Stress Analysis; Dentin-Bonding Agents; Humans; Molar; Molar, Third; Oxidants; Phosphoric Acids; Proteolysis; Shear Strength; Sodium Hypochlorite; Stress, Mechanical; Temperature; Time Factors; Tooth, Deciduous; Water; Young Adult

The aim of this investigation was to assess the effects of different treatments of demineralised enamel on microleakage under orthodontic brackets.. Seventy-five intact premolars were randomly assigned to five groups. The teeth in groups 2 through 5 were immersed in a demineralising solution for 16 weeks. In groups 1 (control) and 2 (demineralised/control), conventional acid etching was used. In group 3, sodium hypochlorite (NaOCl) was applied on the enamel surface for 1 min after acid etching, and in group 4, Transbond Plus (3M Unitek, Monrovia, CA, USA) self-etching primer (SEP) was used. The teeth in group 5 were treated with 2% sodium fluoride (NaF) for 4 min before etching. After bracket bonding, the specimens were thermocycled, sealed with nail varnish, immersed in 0.5% basic fuchsine solution for 24 h and sectioned. Microleakage was measured under a stereomicroscope for the enamel-adhesive and adhesive-bracket interfaces of both occlusal and gingival sides.. Demineralised teeth showed more microleakage at the enamel-adhesive interface on both occlusal and gingival sides compared to sound teeth, but the difference was not significant (P>0.005). Treating the demineralised enamel with 5% NaOCl or Transbond Plus SEP was not effective in reducing microleakage. NaF treatment followed by acid etching of demineralised enamel resulted in significantly lower microleakage in most comparisons (P<0.005).. The use of 2% NaF on hypomineralised enamel before the bracket bonding procedure is an effective way to decrease microleakage.

Topics: Acid Etching, Dental; Cariostatic Agents; Coloring Agents; Dental Alloys; Dental Bonding; Dental Enamel; Dental Leakage; Humans; Orthodontic Brackets; Oxidants; Phosphoric Acids; Resin Cements; Rosaniline Dyes; Sodium Fluoride; Sodium Hypochlorite; Stainless Steel; Surface Properties; Temperature; Time Factors; Tooth Demineralization

The purpose of this study was to examine, morphologically and histochemically, five types of conditioning effects on cavities prepared with an Er,Cr:YSGG laser and an air-turbine. Cavities were prepared using a Waterlase(®) MD turbo handpiece (W) and an air-turbine (AT) on human extracted molars. The cavity conditionings used were non-conditioned (G1), K-etchant Gel (G2), K-etchant Gel + AD Gel (G3), Clearfil SE Bond primer (G4) and Clearfil S(3) Bond (G5). On naked eye observations, enamel of G1, G2 and G3 in the W cavities and etched enamel of G2 and G3 in the AT cavities were observed as rough and dull in appearance. G4 and G5 in W and AT cavities were observed as shiny surfaces. On SEM observations, no smeared layer was observed in W cavities, while a smeared layer and bur-scratches were observed in AT cavities. In W cavities, rough surfaces were observed on enamel. That is, cracks and minute rough surfaces were observed. In contrast, equally etched scale-shaped enamel rods were observed in AT cavities. Widely opened dentinal tubules and protruding peritubular matrices of dentin were observed in W cavities. A few remaining smeared plugs could be observed at the AT cavities. On LM observations, 13-16 μm layers of the dentin in G1, G2, G4 and G5 of W cavities were stained red in color by the Azan staining method, while redness was not observed in G3. No groups were stained red in AT cavities. It was considered that layers stained red in color were thermal degeneration layers of dentin induced by W. Namely 30 s etching of 40% phosphoric acid gel followed by 90 s treatment of 10% NaClO gel should be recommended for use when combined with an Er,Cr:YSGG laser for cavity preparation.

Topics: Acid Etching, Dental; Coloring Agents; Dental Cavity Preparation; Dental Enamel; Dental High-Speed Equipment; Dentin; Dentin-Bonding Agents; Humans; Lasers, Solid-State; Microscopy, Electron, Scanning; Phosphoric Acids; Resin Cements; Smear Layer; Sodium Hypochlorite; Time Factors

We compared the kinetics and efficacies of sodium hypochlorite, peracetic acid, phosphoric acid-based detergent, chlorinated alkaline detergent, quaternary ammonium-based sanitizer, and peracetic acid-based sanitizer for inactivating the potential bioterrorism agents ricin and abrin in simple buffers, food slurries (infant formula, peanut butter, and pancake mix), and in dried food residues on stainless steel. The intrinsic fluorescence and cytotoxicity of purified ricin and abrin in buffers decreased rapidly in a pH- and temperature-dependent manner when treated with sodium hypochlorite but more slowly when treated with peracetic acid. Cytotoxicity assays showed rapid and complete inactivation of ricin and crude abrin in food slurries and dried food residues treated 0-5 min with sodium hypochlorite. Toxin epitopes recognized by ELISA decayed more gradually under these conditions. Higher concentrations of peracetic acid were required to achieve comparable results. Chlorinated alkaline detergent was the most effective industrial agent tested for inactivating ricin in dried food residues.

Topics: Abrin; Animals; Bioterrorism; Cell Line; Chlorine Compounds; Detergents; Food Contamination; Macrophages; Mice; Peracetic Acid; Phosphoric Acids; Plant Proteins; Ricin; Sodium Hypochlorite; Stainless Steel

An experimental conditioner (Exp), which was an aqueous solution of 10% ascorbic acid and 5% ferric chloride, was prepared in this study. This study evaluated the effect of Exp on the microtensile bond strength between a self-curing resin and dentin after long-term water immersion. Flat human dentin surfaces were sequentially pretreated with 40% phosphoric acid, 10% sodium hypochlorite, and Exp. Surface pretreatment with an aqueous solution of 10% citric and 3% ferric chloride (10-3) was used as a control. Composite resin rods were bonded to pretreated dentin surfaces using 4-META/MMA-TBB resin. Microtensile bond strengths were evaluated after water immersion at 24 h, 12 months, 24 months, and 36 months. At each immersion period, the bond strength of Exp was significantly higher than that of 10-3. After 36 months, Exp showed no significant decrease in microtensile bond strength, but 10-3 showed significant reductions. Pretreatment with experimental acid/base conditioner markedly improved the bonding durability of 4-META/MMA-TBB resin to human dentin when compared against the conventional 10-3 treatment.

Topics: Acid Etching, Dental; Ascorbic Acid; Boron Compounds; Chlorides; Citric Acid; Composite Resins; Dental Bonding; Dental Materials; Dentin; Ferric Compounds; Humans; Hydrogen-Ion Concentration; Immersion; Materials Testing; Methacrylates; Methylmethacrylates; Microscopy, Electron, Scanning; Phosphoric Acids; Resin Cements; Sodium Hypochlorite; Stress, Mechanical; Tensile Strength; Time Factors; Water

The authors present a series of 6 deaths due to the uncommon cause of chemical burns. Of the 6 deaths due to chemical burns, 4 deaths were due to ingestion of a chemical, 1 death was caused by chemical burns of the skin, and 1 death resulted from rectal insufflation of a chemical. Seven additional cases where chemical burns may have been a contributing factor to the death or an incidental finding are also presented. Four cases are related to an incident involving chemical exposure during an industrial explosion. Three cases involve motor fuel burns of the skin. Two cases concern a plane crash incident, and 1 case involved a vehicular collision. Cases are derived from the records of the Dallas County Medical Examiner's Office and those of the authors' consultation practices. Each of the cases is presented, followed by a discussion of the various mechanisms of chemical injury.

Topics: Accidents; Administration, Inhalation; Administration, Rectal; Adult; Burns, Chemical; Caustics; Disinfectants; Explosions; Female; Fibrosis; Forensic Pathology; Gastrointestinal Tract; Humans; Infant; Lye; Male; Mercuric Chloride; Middle Aged; Phosphoric Acids; Respiratory Aspiration; Respiratory System; Sepsis; Sodium Hypochlorite; Suicide

The effect of the ethylenediaminetetraacetic acid (EDTA) treatment on the hybrid layer durability of total-etch dentin adhesives was investigated. A flat dentin surface was exposed and treated with 37% phosphoric acid or 0.1 M EDTA. Dentin adhesive was applied and a 4 mm thick composite resin was built-up. Twenty 0.9×0.9 mm(2) resin-dentin beams were fabricated in each experimental group. Artificial aging with 10% NaClO was performed in half of the experimental groups for 1 hour. A micro-tensile bond strength (µTBS) test was performed and the bonded interface was analyzed with transmission electron microscopy (TEM). The 37% phosphoric acid-treated group showed a lower µTBS after artificial aging, whereas the 0.1 M EDTA-treated group did not. TEM analysis revealed collagen fibrils dissolved in the 37% phosphoric acid-treated group but not in the 0.1M EDTA-treated group. Undissolved minerals were observed in the 0.1 M EDTA-treated group. In conclusion, a dentin treatment with 0.1M EDTA is effective in improving the hybrid layer durability.

Topics: Acid Etching, Dental; Chelating Agents; Composite Resins; Dental Bonding; Dental Cements; Dental Materials; Dental Stress Analysis; Dentin; Dentin-Bonding Agents; Edetic Acid; Humans; Materials Testing; Methacrylates; Microscopy, Electron, Transmission; Minerals; Oxidants; Phosphoric Acids; Sodium Hypochlorite; Stress, Mechanical; Surface Properties; Temperature; Tensile Strength; Time; Time Factors; Water

Rooted molars were subjected to standardized canal instrumentation to a master apical file (MAF). The samples were dressed with Ca(OH)(2), and after 7 days, teeth were reopened and Ca(OH)(2) medication was removed by 1 of 4 different experimental procedures: 2.5% sodium hypochlorite (NaOCl) (n = 10); 17% EDTA-T (n = 10); 10% citric acid (n = 10); or 37% phosphoric acid (n = 10). This was followed by reinstrumentation with MAF plus 15 mL saline solution. The roots were prepared for scanning electron microscopic analysis of the cervical, middle, and apical thirds. Statistical analysis was performed with the Kruskal-Wallis test. EDTA-T and phosphoric acid gave the best results in the apical third, with significant statistical differences compared with other groups. NaOCl gave the worst results. Irrigation with 17% EDTA-T and 37% phosphoric acid is more effective than sodium hypochlorite and citric acid in the removal of calcium hydroxide from the apical third.

Topics: Calcium Hydroxide; Citric Acid; Dental Pulp Cavity; Dentin; Edetic Acid; Humans; Materials Testing; Microscopy, Electron, Scanning; Phosphoric Acids; Root Canal Irrigants; Root Canal Preparation; Sodium Hypochlorite; Solvents; Therapeutic Irrigation; Time Factors; Tooth Apex

To evaluate the cytotoxicity of 15% citric acid, 5% phosphoric acid and 2.5% NaOCl on cultured fibroblasts using MTT colorimetric assay.. Irrigating solutions of 5% phosphoric acid, 15% citric acid, and 2.5% NaOCl, diluted at 0.1% and 0.5%, were applied to cell cultures of 3T3L1 fibroblasts. The cell viability was determined by means of MTT colorimetric assay after a period of 1, 6 and 24 hours. Percentages of cell viability were analyzed using the Kruskal-Wallis test for global comparisons and the Mann-Whitney U-test for pairwise comparisons.. The percentage of cell viability diminished progressively over a 24 hour period in all solutions at both dilutions. At 0.1% dilution, 2.5% NaOCl (63.39%) and 15% citric acid (53.91%) showed the highest percentage of cell viability (p=0.083). At 0.5% dilution, 2.5% NaOCl again showed the highest cell viability value (48.51%).. The irrigating solution with the highest percentage of cell viability was 2.5% NaOCl at both 0.1% and 0.5% dilutions. A very low percentage of cell viability was obtained with 15% citric acid and 5% phosphoric acid at 0.5% dilution.

Topics: Cells, Cultured; Citric Acid; Cytotoxins; Dental Materials; Fibroblasts; Phosphoric Acids; Root Canal Therapy; Sodium Hypochlorite

Dentine carious lesions can be remineralized under optimal conditions, while the surface characteristics of the caries-attacked area may play an important role in the remineralization process. To understand such a surface mechanism, we examined the microstructures of the remineralized area pretreated with different methods. It was found that dentinal tubules on the remineralized surface orientated differently from intrinsic dentine tubules, with the specific alignment angle determined by different surface treatments. Various surface treatments included in this study were 37% phosphoric acid treatment (the etched group), 37% phosphoric acid etching followed by the application of 10% sodium hypochlorite treatment (the deproteinized group), and untreatment (the control group). These findings are helpful for understanding the non-restorative repair of dentine lesions and the remineralization process of the caries-affected dentin surface.

Topics: Dental Caries; Dentin; Humans; Phosphoric Acids; Sodium Hypochlorite

Our aim was to evaluate the influence of different application parameters on microtensile bond strength (microTBS) of an "all in one" water-based self-etching primer/adhesive to dentin. Extracted human third molars had their crowns transversally sectioned next to the dentinoenamel junction. Prompt-L-Pop adhesive was applied using five modes: (1) following the manufacturer's instructions (MI); (2) after 36% H(3)PO(4) etching (15 s) (AG); (3) after H(3)PO(4) etching and 5% NaOCl (2 min) with constant agitation (HG); (4) as a double layer (DL); and (5) for double the application time (DT). Resin build-ups were constructed with Tetric Ceram. After storage for 24 h, 6 months, or 12 months in water at 37 degrees C, the specimens were vertically sectioned into beams (cross-sectional areas, 1 mm(2)). Each beam was tested in an Instron Machine at 0.5 mm/min. Analysis of variance and Student-Newman-Keuls were used (P < 0.05). Bonded interfaces were examined by scanning electron microscopy (SEM) and transmission electron microscopy (TEM). The highest microTBS values were obtained when AG was used, and the lowest when MI was employed. The HG, DL, and DT modes resulted in similar microTBS values. Water storage reduced microTBS in all groups except the MI group. SEM and TEM revealed hybrid layer and resin tag formation in all groups. Applied after AG, HG, DL, and DT, Prompt L-Pop adhesive provided adequate bond strength to dentin after 24 h of water storage. Bond strength decreased when specimens were stored in distilled water for 6 or 12 months.

Topics: Acid Etching, Dental; Adhesiveness; Composite Resins; Curing Lights, Dental; Dental Bonding; Dental Stress Analysis; Dentin; Dentin-Bonding Agents; Humans; Humidity; Materials Testing; Microscopy, Electron, Scanning; Microscopy, Electron, Transmission; Phosphoric Acids; Resin Cements; Sodium Hypochlorite; Stress, Mechanical; Surface Properties; Temperature; Tensile Strength; Time Factors; Water

The goal of this in vitro study was to identify the topographical features of deproteinized (NaOCl) and etched with phosphoric acid (H3PO4) enamel surface, compared to phosphoric acid surface alone with a Resin Replica model.. Ten extracted lower first and second permanent molars were polished with pumice and water, and then divided into 3 equal buccal sections having similar physical and chemical properties. The enamel surfaces of each group were subjected to the following treatments: Group A: Acid Etching with H3PO4 37% for 15 seconds. Group B: Sodium Hypochlorite (NaOCl) 5.25% for 60 seconds followed by Acid Etching with H3PO4 37% for 15 seconds. Group C; No treatment (control). All the samples were treated as follow: Adhesive and resin were applied to all groups after A, B and C treatment were performed; Then enamel/dentin decalcification and deproteinization and topographic SEM Resin Replica assessment were used to identify resin tags enamel surface quality penetration.. Showed that group B reached an area of 7.52 mm of the total surface, with a 5.68 mm2 (73%) resin tag penetration equivalent type I and II etching pattern, 1.71 mm2 (26%) equivalent to type III etching pattern and 0.07 mm2 (1%) unaffected surface. Followed by group A with 7.48 mm2 of the total surface, with a 3.47 mm2 (46 %)resin tag penetration equivalent to type I and II etching pattern, 3.30 mm2 (45%)equivalent to type III etching pattern and 0.71 mm2, and (9%) unaffected surface. Group C did not show any resin tag penetration. A significant statistical diference (P < 0.001) existed between groups A and B in resin quality penetration, leading to the conclusion that when the enamel is deproteinizated with 5.25% NaOCl for 1 minute prior H3PO4, the surface and topographical features of the replica resin penetration surface increases significantly with type I-II etching pattern.

Topics: Acid Etching, Dental; Bisphenol A-Glycidyl Methacrylate; Composite Resins; Dental Bonding; Dental Cements; Dental Enamel; Dental Enamel Proteins; Dental Materials; Dentin; Humans; Materials Testing; Microscopy, Electron, Scanning; Phosphoric Acids; Protein Denaturation; Replica Techniques; Sodium Hypochlorite; Surface Properties; Time Factors

This study was undertaken to evaluate the topographical features of enamel surface deproteinized with sodium hypochlorite (NaOCl) and etched with phosphoric acid (H3PO4) compared to phosphoric acid alone using Scanning Electron Microscopic (SEM) Analysis.. 30 enamel blocks of 1 mm2 from ten human sound extracted permanent molars were obtained and treated as under: Group 1 (10 blocks): Enamel surface was etched with 37% H3PO4 gel for 15 seconds. Group 2 (10 blocks): Enamel surface was treated with 5.25% NaOCl for 60 seconds and then etched with 37% H3PO4 gel for 15 seconds. 10 enamel blocks were included in the control group where no treatment was carried out. The samples were subjected to SEM analysis and 5 microphotographs of each sample were obtained at 500X magnification and evaluated for the quality of etching pattern of the enamel in percentage (%) using Auto-CAD 2007 software.. Mean values of etching pattern in Group 1 being 55.76% and Group 2 being 53.58%. No significant difference was observed between the two groups.. The use of 37% phosphoric acid for 15 seconds still remains the best method for pretreatment of enamel.

Topics: Acid Etching, Dental; Dental Enamel; Dental Enamel Proteins; Humans; Image Processing, Computer-Assisted; Microscopy, Electron, Scanning; Oxidants; Phosphoric Acids; Protein Denaturation; Sodium Hypochlorite; Time Factors

The aim of this study was to reduce hybrid layer degradation created with simplified dentine adhesives by using two different methods to condition the dentine surface.. A smear-layer was created on flat dentine surfaces from extracted human third molars with a 180-grit/SiC-paper. Dentine specimens were conditioned before bonding with the following procedures: 37% H(3)PO(4); H(3)PO(4)/0.5% NaOCl; 0.1M EDTA; 0.1M EDTA/0.5% NaOCl. Two etch-and-rinse adhesives: (Scotchbond 1XT or Optibond Solo Plus) were applied and light-cured. Composite build-ups were constructed. The bonded teeth were sectioned into beams, stored in distilled water (24h) or 12% NaOCl solution (90 min) and finally tested for microtensile bond strengths (microTBS). Additional dentine surfaces were conditioned and bonded as previously described. They were prepared for a pulpal-micropermeability confocal microscopy study and finally observed using confocal microscopy.. microTBS results revealed that both adhesives gave high bond strengths to acid-etched dentine before, but not after a 12% NaOCl challenge. Bonds made to acid-etched or EDTA-treated dentine plus dilute NaOCl, gave high microTBS that resisted 12% NaOCl treatment, as did EDTA-treated dentine alone. A confocal micropermeability investigation showed very high micropermeability within interfaces of the H(3)PO(4), etched specimens. The lowest micropermeability was observed in H(3)PO(4)+0.5% NaOCl and 0.1M EDTA groups.. The use of dilute NaOCl (0.5%) after acid-etching, or the conditioning of dentine smear layers with 0.1M EDTA (pH 7.4) produced less porous resin-dentine interfaces. These dentine-conditioning procedures improve the resistance of the resin-dentine bond sites to chemical degradation (12% NaOCl) and may result in more durable resin-dentine bonds.

Topics: Acid Etching, Dental; Dental Bonding; Dental Marginal Adaptation; Dentin; Dentin Permeability; Dentin-Bonding Agents; Drug Combinations; Edetic Acid; Humans; Molar, Third; Phosphoric Acids; Resin Cements; Smear Layer; Sodium Hypochlorite; Tensile Strength

The aim of this study was to evaluate the minimal biofilm eradication concentration (MBEC) of sodium hypochlorite (NaOCl), chlorhexidine (CHX), EDTA, and citric and phosphoric acids after 1, 5, and 10 minutes of exposure to biofilms of Enterococcus faecalis. The biofilms grew in the MBEC high-throughput device for 24 hours at 37 degrees C and were exposed to 10 serial two-fold dilutions of each irrigating solution. The viable cell counts were log(10) transformed, and a concentration of an irrigant was considered to eradicate the biofilms when it produced a reduction of > or = 5 logarithmic units. NaOCl was the most effective agent, capable of eradicating the biofilms after 1 minute at a concentration of 0.00625%. CHX eradicated biofilm after 5 minutes at 2%. EDTA and citric and phosphoric acid solutions were not effective against the biofilms at any concentration or time tested.

Topics: Anti-Infective Agents, Local; Biofilms; Chelating Agents; Chlorhexidine; Citric Acid; Colony Count, Microbial; Disinfectants; Edetic Acid; Enterococcus faecalis; Humans; Microbial Sensitivity Tests; Microscopy, Electron, Scanning; Phosphoric Acids; Root Canal Irrigants; Sodium Hypochlorite; Temperature; Time Factors

The purpose of this study was to assess the effect of different surface treatments on the shear bond strength (SBS) of a resin modified glass ionomer cement (RMGIC) to dentin.. Forty human third molar teeth were randomly divided into four groups (n=10). The occlusal enamel was removed to obtain a flat surface of dentin. Each group was treated as follows: Group 1: 10% polyacrylic acid (positive control); Group 2: 37% phosphoric acid followed by 5% sodium hypochlorite (NaOCl); Group 3: 1.1% APF gel; and Group 4: no conditioning (negative control). Fuji II LC glass ionomer was bonded to dentin using a cylindrical mold. Samples were thermocycled and debonded using a shear force with a crosshead speed of 0.5 mm/min. Data were analyzed using one-way analysis of variance (ANOVA) and Tukey tests (a = 0.05).. The mean SBS in Groups 1 through 4 were 11.562+/-3.148, 8.060+/-1.781, 8.830+/-1.554, and 3.074+/-0.784 (MPa), respectively. There were significant differences in the SBS between Group 1 with other groups (P<0.05). There were no statistically significant differences between Groups 2 and 3, but the SBS of both of them were significantly higher than that of Group 4 (P<0.05).. Although the dentin SBS of Fuji II LC after conditioning with APF and phosphoric acid followed by NaOCl was greater than the unconditioned group (Group 4), polyacrylic acid yielded the best result.. Proper conditioning of dentin is effective in promoting close adaptation of RMGIC to dentin.

Topics: Acid Etching, Dental; Acrylic Resins; Analysis of Variance; Dental Bonding; Dental Materials; Dental Stress Analysis; Dentin-Bonding Agents; Glass Ionomer Cements; Humans; Materials Testing; Molar, Third; Phosphoric Acids; Resins, Synthetic; Shear Strength; Smear Layer; Sodium Hypochlorite; Statistics, Nonparametric; Surface Properties

To investigate the effect of a phosphoric acid/sodium hypochlorite (NaOCl) mixture as a dentin conditioner on shear bond strength, the resin/dentin interface, as well as the surface area and tubular diameter of dentin.. Thirty human molars were prepared for shear bond strength testing. The teeth were randomly divided into five groups according to the method of dentin conditioning. In group I, dentin was conditioned with 37% phosphoric acid, in group II dentin was conditioned with 37% phosphoric acid followed by application of 5.25% NaOCl, and in groups III, IV, and V, dentin was conditioned with a phosphoric acid/NaOCl mixture for 15, 30, and 60 s, respectively. A resin-based restorative composite disk was bonded to the occlusal surface of each tooth and shear bond strength was measured in a universal testing machine. The resin/dentin interface was evaluated using a scanning electron microscope (SEM). The surface area and tubular diameter for different conditioning methods were assessed using atomic force microscopy (AFM). The data were submitted to one-way ANOVA at a significance level of 0.05 followed by the Tukey-Kramer Multiple comparisons test.. Group III showed the highest shear bond strength value (36 MPa), which was significantly higher than groups I and II. SEM micrographs revealed hybrid layer formation for all groups except group II. AFM results showed that groups II and V have significantly higher surface areas and dentinal tubular diameters than other groups.. The use of a phosphoric acid/NaOCl mixture as dentin conditioner improved the bond strength of an etch-and-rinse single-bottle adhesive to dentin.

Topics: Acid Etching, Dental; Collagen; Composite Resins; Dental Bonding; Dental Stress Analysis; Dentin; Dentin Permeability; Drug Combinations; Humans; Materials Testing; Molar, Third; Phosphoric Acids; Shear Strength; Sodium Hypochlorite

The aim of this study was to evaluate the effect of using 5.25% commercial sodium hypochlorite treatment prior to the application of etch-and-rinse and self-etching adhesives on dentin surface microtopography and tensile bond strength.. Thirty-two noncarious, nonrestored human third molars were collected. The occlusal enamel of all teeth was removed using diamond disks to expose flat dentin surfaces. The exposed dentin surfaces were abraded using 600-grit SiC disks, to create a uniform dentin smear layer. For AFM characterization, 12 teeth were equally divided into 4 groups according to the proposed dentin surface treatment. Three dentin disks, 2 mm thick, were evaluated per group using tapping mode assessment. Twenty teeth were used for TBS and SEM evaluation and were equally divided into 4 groups, according to the proposed dentin surface treatment. For TBS, 8 dentin/composite slabs, 2 mm thick, were used in each group, while for SEM evaluation 2 slabs were used. Each slab was tested in tension at a crosshead speed of 0.5 mm/min until failure occurred. The samples were examined using SEM operated at 30 kv to evaluate the hybrid layer photographically at 1500X. Statistical analysis was carried out using StatsDirect 2.5.7. One-way ANOVA followed by Tukey-Kramer multiple-comparison post-hoc tests were performed to test the difference between roughness parameters and TBS between groups.. Sodium hypochlorite followed by the application of 37% phosphoric acid significantly increased the arithmetic average of the absolute values of surface height deviations (Sa), the surface area ratio which expresses the ratio between the surface area (taking the z height into account) and the area of the flat x,y plane (Sdr), and the surface bearing index (Sbi) parameters, while the application of sodium hypochlorite prior to the application of the self-etching primer significantly increased the valley fluid retention index (Svi) parameter. Self-etching primer without sodium hypochlorite pretreatment significantly increased the core fluid retention index (Sci) parameter. Sodium hypochlorite/AdheSE (7.42 +/- 2.16 MPa) significantly increased TBS value compared to other groups. However, no statistically significant difference was found between sodium hypochlorite/Excite (4.68 +/- 1.26 MPa), AdheSE (4.42 +/- 1.36), and Excite (4.06 +/- 1.35). Remnants of smear layer were detected with areas devoid of resin tags in SEM images of samples bonded with AdheSE self-etching adhesive, in contrast to samples bonded with sodium hypochlorite followed by AdheSE self-etching adhesive.. The application of 5.25% commercial sodium hypochlorite with rubbing action for 60 s (total application time 120 s) seems to positively influence the TBS of the self-etching adhesive; however, it has no significant effect on TBS of etch-and-rinse single-bottle adhesive to dentin. The addition of functional roughness parameters to study the dentin surface was shown to be of importance in evaluating the relationship between bond strength and surface topography of conditioned dentin.

Topics: Acid Etching, Dental; Acrylic Resins; Carbon Compounds, Inorganic; Composite Resins; Dental Bonding; Dentin; Dentin-Bonding Agents; Humans; Materials Testing; Methacrylates; Microscopy, Atomic Force; Microscopy, Electron, Scanning; Oxidants; Phosphoric Acids; Photography; Resin Cements; Silicon Compounds; Smear Layer; Sodium Hypochlorite; Stress, Mechanical; Surface Properties; Tensile Strength; Time Factors

The dentin quality of primary and permanent pulp chamber was inspected by Fourier-transformed Raman spectroscopy (FT-Raman) and scanning electron microscopy (SEM). Fragments of pulp chamber dentin were obtained from 20 human molar crowns (primary and permanent).. The fragments were assigned to 8 groups (n=5)-Primary teeth: G1, pulp chamber dentin; G2, pulp chamber dentin irrigated with NaOCl 1% (30 min); G3, pulp chamber dentin irrigated with NaOCl 1% (30 min) and etched by 35% phosphoric acid; G4, pulp chamber dentin etched by 35% phosphoric acid. Permanent teeth: G5, pulp chamber dentin; G6, pulp chamber dentin irrigated with NaOCl 1% (30 min); G7, pulp chamber dentin irrigated with NaOCl 1% (30 min) and etched by 35% phosphoric acid; G8, pulp chamber dentin etched by 35% phosphoric acid. The spectra were subjected to the Cluster analysis. The SEM images were scored.. Inorganic content: There was a difference between primary and permanent dentin. The groups treated with NaOCl were statistically similar between them, but differed from the groups not treated. Organic content: There was no difference between primary and permanent dentin. The groups became similar after NaOCl and phosphoric acid treatments. The microscopic images showed the presence of calcospherites on permanent dentin and their absence on primary dentin.. The NaOCl changed the inorganic content in both dentitions; regardless of the following phosphoric acid etching. However, the chemical changes caused by NaOCl were not detected by SEM when it was followed by etching.

Topics: Acid Etching, Dental; Dental Pulp Cavity; Dentin; Dentition, Permanent; Fourier Analysis; Humans; Microscopy, Electron, Scanning; Molar; Phosphoric Acids; Root Canal Irrigants; Sodium Hypochlorite; Spectrum Analysis, Raman; Tooth Crown; Tooth, Deciduous

The goal of this in vitro study was to identify the topographical features of the enamel surface deproteinized and etched with phosphoric acid (H3PO4) compared to phosphoric acid alone.. Ten extracted lower first and second permanent molars were polished with pumice and water, and then divided into 4 equal buccal sections having similar physical and chemical properties. The enamel surfaces of each group were subjected to the following treatments: Group A: Acid Etching with H3PO4 37% for 15 seconds. Group AH1: Sodium Hypochlorite (NaOCl) 5.25% for 30 seconds followed by Acid Etching with H3PO4 37% for 15 seconds. Group AH2; Sodium Hypochlorite (NaOCl) 5.25% for 60 seconds followed by Acid Etching with H3PO4 37% for 15 seconds. Results showed that group AH2 etching technique reached an area of 76.6 mm2 of the total surface, with a 71.8 mm2 (94.47%), type 1 and 2 etching pattern, followed by group AH1 with 55.9 mm2 out of 75.12 mm2 (74.1%), and finally group A with only 36.8 mm2 (48.83%) out of an area of 72.7 mm2. A significant statistical difference (P < 0.05) existed between all groups, leading to the conclusion that enamel deproteinization with 5.25% NaOCl for 1 minute before H3PO4, etching increases the enamel conditioning surface as well as the quality of the etching pattern.

Topics: Acid Etching, Dental; Bicuspid; Dental Bonding; Dental Enamel; Dental Enamel Proteins; Dental Materials; Dentition, Permanent; Double-Blind Method; Humans; Image Processing, Computer-Assisted; Mandible; Phosphoric Acids; Sodium Hypochlorite; Surface Properties; Time Factors

To evaluate and compare ex vivo the decalcifying effect of 15% EDTA, 15% citric acid, 5% phosphoric acid and 2.5% sodium hypochlorite on root canal dentine.. Two 2-mm-thick slices were cut from the coronal third of the root of 10 human incisors. Each slice was sectioned into two equal parts. Specimens were assigned to one of four groups (n = 10) for immersion in 20 mL of either 15% EDTA, or 15% citric acid, 5% phosphoric acid or 2.5% NaOCl, for three time periods (5, 10 and 15 min). The concentration of Ca(2+) extracted from the dentine was measured by atomic absorption spectrophometry. The amount of calcium extracted was analysed using the Kruskal-Wallis test for global comparisons and the Mann-Whitney U-test for pairwise comparisons.. In the three time periods, 15% EDTA and 15% citric acid extracted the largest amount of calcium, with no significant differences between them. The 2.5% NaOCl solution extracted insignificant amounts of calcium, whereas 15% EDTA extracted 86.72% of the calcium in the first 5 min, and 15% citric acid and 5% phosphoric acid had a similar pattern of calcium removal (77.03% and 67.08% in first 5 min, respectively).. Solutions of 15% EDTA, 15% citric acid and 5% phosphoric acid decalcify root dentine, with most calcium extracted during the first 5 min of action. The efficacy of 15% citric acid and 15% EDTA solutions was significantly greater than that of 5% phosphoric acid solution at each time period (5, 10 and 15 min).

Topics: Adult; Calcium; Citric Acid; Decalcification Technique; Dental Pulp Cavity; Dentin; Edetic Acid; Humans; Incisor; Middle Aged; Phosphoric Acids; Regression Analysis; Root Canal Irrigants; Smear Layer; Sodium Hypochlorite; Spectrophotometry, Atomic; Statistics, Nonparametric

To determine the microtensile bond strength (microTBS) of one- and two-step self-etch adhesives bonded to sound dentin conditioned or not with phosphoric acid (H3PO4) and sodium hypochlorite (H3PO4 + NaOCl).. Extracted human third molars had their crowns transversally sectioned to expose flat dentin surfaces that were divided into four groups, and bonded as follow: (1) according to the manufacturers' directions, (2) acid etched with 36% H3PO4, and (3) 10% NaOCl treated for 2 minutes, after H3PO4 etching. Two two-step self-etching primers (Clearfil SE Bond/SEB and Resulcin/RE), and two one-step adhesives (One-Up Bond F/OUB and Etch & Prime 3.0/EP) were examined. Composite build-ups were constructed incrementally with Tetric Ceram. The specimens were stored in humidity for 24 hours at 37 degrees C and sectioned into beams of 1.0 mm2 cross-sectional area. Each beam was tested in tension in an Instron machine at 0.5 mm/minute, and mean microTBS data (MPa) were analyzed by 2-way ANOVA and post-hoc multiple comparisons tests (P < 0.05).. The two-step adhesive SEB exhibited the highest bond strength when bonded to smear layer-covered dentin, whereas RE was not affected by all dentin surface conditions. H3PO4 and H3PO4 + NaOCl pretreatments significantly increased bonding efficacy of the one-step adhesives OUB and EP, respectively.

Topics: Acid Etching, Dental; Composite Resins; Dental Bonding; Dentin; Dentin-Bonding Agents; Ethanol; Humans; Humidity; Materials Testing; Methacrylates; Oxidants; Phosphates; Phosphoric Acids; Resin Cements; Smear Layer; Sodium Hypochlorite; Stress, Mechanical; Surface Properties; Temperature; Tensile Strength; Time Factors

This study examined the in vivo bonding ability to sound dentin of antibacterial adhesive systems incorporating an antibacterial monomer MDPB based on morphological evaluation of the resin-dentin interface.. Class V cavities were prepared on the buccal surfaces of the teeth of a beagle dog and a composite filling performed using (1) commercial self-etching system Liner Bond 2 (LB primer+LB bond), (2) experimental primer containing 5% MDPB and LB bond, (3) LB primer and experimental bonding-resin containing 2.5% MDPB, or (4) combination of experimental primer and bonding-resin. After 7 days, the tooth crown was cut and fixed in half-Karnovsky's solution, and the sectioned surface observed under scanning electron microscopy (SEM) after treatment with phosphoric acid and NaOCl. The ultrastructure of the bonding interface was also examined by transmission electron microscopy (TEM). Microtensile bond strengths (microTBS) of each group were measured using extracted teeth.. SEM demonstrated that all groups produced a 1-2microm thick hybrid layer with funnel shaped resin tags, although the length of tags was shorter for the group in which MDPB-containing bonding-resin was used. TEM examination supported good adhesion of the comprehensive adhesive system employing MDPB-containing primer/bonding-resin, showing integrity between resin and dentin. There were no significant differences in microTBS among the four groups tested (p>0.05, ANOVA).. This study confirmed that the experimental antibacterial adhesive systems employing MDPB-containing primer or/and bonding-resin could produce an effective bond under in vivo conditions.

Topics: Animals; Anti-Bacterial Agents; Composite Resins; Dental Bonding; Dental Cavity Preparation; Dentin; Dentin-Bonding Agents; Dogs; Female; Humans; Methacrylates; Microscopy, Electron, Scanning; Microscopy, Electron, Transmission; Phosphoric Acids; Pyridinium Compounds; Sodium Hypochlorite; Solvents; Stress, Mechanical; Surface Properties; Tensile Strength; Time Factors

The aim of this study was to clarify pulp reaction following cavity preparation with an Er:YAG laser and subsequent treatment with topically applied chemicals to achieve a high resin bond strength.. The application of chemicals has been found to effectively remove or reform the denatured layer produced by Er:YAG laser irradiation and has been proposed as a new strategy for improving resin bond strength. However, very little is known about pulp reaction to chemical procedures.. Class 5 dentin cavities were prepared with an Er:YAG laser in 128 teeth in nine adult dogs. The teeth were then coated with glutaraldehyde (GA group), or phosphoric acid and sodium hypochlorite (PA group) to reform or remove the denatured layer. All the cavities were then restored with composite resin. In the control group, no chemical application was carried out prior to restoration. The animals were sacrificed immediately after, and at 7 and 90 days following treatment. The treated teeth were then extracted for histopathological examination of the pulp.. Pathological evaluation of the pulp indicated a good condition in each group at each of the three observation time points. No bacterial growth was observed on the cavity walls or bacterial invasion into the dentinal tubules or pulp chambers in any of the groups at any of the observation periods.. Our findings suggest that the application of chemicals to remove or reform denatured layers is effective in obtaining better composite resin restoration with no pulp damage.

Topics: Animals; Dental Bonding; Dental Cavity Preparation; Dental Materials; Dental Pulp; Disinfectants; Dogs; Fixatives; Glutaral; Lasers; Phosphoric Acids; Sodium Hypochlorite

It has been reported that the tensile bond strength between the 4-META/MMA-TBB resin and dentin pretreated with 10% citric/3% ferric chloride solution decreased after immersion in water for 2 years. The current study investigated the effect of an experimental dentin conditioner on the bonding of 4-META/MMA-TBB resin to dentin after thermocycling. The experimental conditioner was an aqueous solution of 10% ascorbic acid and 5% ferric chloride (Exp). Human teeth were prepared to expose flat dentin surfaces. These were treated sequentially with 40% phosphoric acid, 10% sodium hypochlorite, and the experimental conditioner. A commercially available dentin conditioner, an aqueous solution of 10% citric/3% ferric chloride (10-3) was used for a control group. Stainless steel rods were bonded to the pretreated dentin surfaces with the use of the 4-META/MMA-TBB resin. Tensile bond strengths were determined after 0, 5,000, 10,000, 20,000 themocycles. All data were analyzed by ANOVA, and differences among groups were analyzed by Duncan's new multiple range test (n = 10, p < 0.05). The experimental group showed no significant decrease in bond strength through 20,000 thermocycles, while the control group exhibited significant decrease after 10,000 thermocycles. Mean bond strength of the experimental groups were significantly higher than those of the control group at both 10,000 and 20,000 thermocycles. A hybrid layer could not be identified in SEM micrographs of the experimental groups. 10-3-conditioned specimen SEMs displayed crack formation between the adhesive resin and a hybrid layer. The experimental dentin pretreatment improved the bond strength of a 4-META/MMA-TBB resin to human dentin compared to 10-3 treatment after thermocycling.

Topics: Acid Etching, Dental; Analysis of Variance; Ascorbic Acid; Biocompatible Materials; Chlorides; Dental Bonding; Dentin; Dentin-Bonding Agents; Ferric Compounds; Hot Temperature; Humans; Materials Testing; Methacrylates; Microscopy, Electron, Scanning; Phosphoric Acids; Resin Cements; Sodium Hypochlorite; Surface Properties; Tensile Strength; Time Factors; Tooth; Water

The influence of endodontic irrigation on shear bond strengths of resin cement to radicular dentin was investigated. Human radicular dentin blocks were divided into four groups and subjected to one of four endodontic irrigations: ethylenediaminetetraacetic acid (EDTA) group, 17% EDTA for 60 s; EDTA/sodium hypochlorite (NaOCl) group, 17% EDTA for 60 s followed by 10 ml of 5% NaOCl for 15 s; NaOCl group, 10 ml of 5% NaOCl for 15 s; and control group, no treatment. Morphological changes of dentin surface after endodontic irrigation were observed by scanning electron microscopy (SEM). A resin block was bonded to the radicular dentin after irrigation using resin cement with either wet-bonding (Uni-Etch/One-Step; Bisco) or self-etching (Tyrian SPE/One-Step Plus; Bisco) adhesives. Shear bond strengths were measured and the penetration of resin tags into dentinal tubules at resin-dentin interface was observed by SEM. With the wet-bonding system, the shear bond strengths for the EDTA/NaOCl group, in which dentinal tubules openings and uniform resin tag penetration into dentinal tubules were observed, were significantly higher than the EDTA and control groups. With the self-etching system, the shear bond strengths were significantly lower in the EDTA group compared with the NaOCl and control groups. The effects of endodontic irrigation on the bonding of resin cement to radicular dentin depended on the dentin bonding system used.

Topics: Acid Etching, Dental; Chelating Agents; Dental Bonding; Dentin; Dentin-Bonding Agents; Edetic Acid; Humans; Methacrylates; Microscopy, Electron, Scanning; Phosphoric Acids; Resin Cements; Root Canal Irrigants; Shear Strength; Sodium Hypochlorite; Surface Properties; Tooth Root

The purpose of this study was to investigate the efficacy of an experimental dentin primer consisting of ascorbic acid (AA) and ferric chloride (Fe). Three exprimental primers - 10 wt%AA and 0.075 wt%Fe (i.e., 10AA-0.075Fe), 10AA-0Fe, and 0AA-0.075Fe - were prepared. Flattened dentin surfaces were first treated with phosphoric acid and NaClO, and subsequently primed using each experimental solution. Besides the experimental solutions, 10 wt% citric acid and 3 wt% ferric chroride (10CA-3Fe) was also used. A stainless steel rod was bonded to the dentin surface with Super-Bond C&B. 10CA-3Fe/Super-Bond C&B was then used as a control. Tensile bond strengths were evaluated after 24-hour immersion in water. 10AA-0.075Fe showed significantly high bond strength compared to 10AA-0Fe, 0AA-0.075Fe, 0AA-0Fe, and 10CA-3Fe. No significant differences were found between 10AA-0.075Fe and Super-Bond C&B system. The experimental primer consisting of 10 wt% ascorbic acid and 0.075 wt% ferric chloride improved the bonding between Super-Bond C&B and dentin conditioned with phosphoric acid and NaClO.

Topics: Acid Etching, Dental; Acrylic Resins; Analysis of Variance; Ascorbic Acid; Boron Compounds; Chlorides; Dental Bonding; Dental Stress Analysis; Dentin; Dentin-Bonding Agents; Ferric Compounds; Humans; Materials Testing; Methacrylates; Methylmethacrylates; Molar; Phosphoric Acids; Resin Cements; Sodium Hypochlorite; Tensile Strength

The morphological characteristics of the filament structure, universally recognized as resin tags, in samples prepared using a new SEM methodology, are analyzed .. Ten non-carious, human third molars were cut transversally to obtain 10 dentinal surfaces. They were filled using an adhesive restorative technique. Subsequently, the samples were cut lengthwise to be SEM observed, and then randomly divided into 6 main groups according to the preparation modality of the section surface: Group A: EDTA; Group B: H(3)PO(4); Group C1: H(3)PO(4)+NaOCl; Group C2 H(3)PO(4)+NaOCl+H(2)O(2); Group D1: HCl+NaOCl; Group D2: HCl+NaOCl+H(2)O(2).. The resin tags which originate from resin penetration and polymerization within the dentinal tubules are small conic-trunk shaped plugs that are a few microns long. The thinner extension of the resin tags is probably due to the persistence of the lamina limitans.. A new method of specimen preparation for SEM visualization is proposed in order to effectively evaluate the penetration capacity of the adhesive in the dentinal substratum. In addition to the use of strong acids and bases, an agent capable of degrading the glycosaminoglycans was employed to completely remove the dentinal organic component.

Topics: Acid Etching, Dental; Artifacts; Collagen; Composite Resins; Dental Etching; Dentin; Edetic Acid; Formaldehyde; Humans; Hydrochloric Acid; Hydrogen Peroxide; In Vitro Techniques; Microscopy, Electron, Scanning; Molar, Third; Phosphoric Acids; Polymers; Preservation, Biological; Random Allocation; Sodium Hypochlorite; Specimen Handling

The purpose of this study was to evaluate the effect of multi-step conditioning (PA-AD conditioning) with phosphoric acid and sodium hypochlorite on the bond strength of five luting materials to enamel and dentin. Three commercial self-etching/priming systems (Panavia, Linkmax, and Multibond) and two experimental systems (ED/Super-Bond and EDFe/Super-Bond) were used. The surfaces of bovine enamel or dentin were bonded to a stainless steel rod. Tensile bond strength was determined after 24-hour immersion in water. PA-AD conditioning significantly improved the bond strength between enamel and three of the systems (Panavia, ED/Super-Bond, and EDFe/Super-Bond), but did not have any effect on Linkmax and Multibond. Likewise, PA-AD conditioning did not significantly improve the bond strength of Panavia, Linkmax, Multibond, and ED/Super-Bond to dentin. Highest bond strength to dentin (19.7 MPa) was obtained when self-etching primer containing ferric chloride (EDFe/Super-Bond) was used, but additional PA-AD conditioning significantly weakened the bonding (12.6 MPa).

Topics: Analysis of Variance; Animals; Boron Compounds; Cattle; Chlorides; Composite Resins; Dental Bonding; Dental Enamel; Dental Etching; Dental Stress Analysis; Dentin; Dentin-Bonding Agents; Ferric Compounds; Methacrylates; Methylmethacrylates; Phosphoric Acids; Random Allocation; Resin Cements; Sodium Hypochlorite; Tensile Strength

The purpose of this study was to evaluate the resin-dentin interface morphology of 7 resin-based dentin adhesive systems (Solid Bond, EBS-Multi, PermaQuik, One Coat Bond, Gluma One Bond, Prime & Bond NT/NRC, and Clearfil Liner Bond 2V).. Fourteen dentin disks 1.0 mm thick were obtained from superficial occlusal dentin of extracted human third molars, and finished with wet 600-grit silicon carbide paper. Two dentin disks were bonded using each of the adhesives above according to the manufacturers' instructions, and a thin layer of flowable resin composite was applied. The specimens were kept in tap water for 24 h at 37 degrees C, and then assigned to one of two observational techniques: a fracture technique and an acid-base technique. Fracture technique: shallow grooves were cut, fixed in 10% buffered formalin, and dehydrated in an ascending ethanol series up to 100%, critical-point dried, and fractured along the prepared grooves. Acid-base technique: the specimens were embedded in epoxy resin, sectioned through the center, polished with diamond paste down to 0.25-micron particle size, and treated with 10% orthophosphoric acid for 10 s and 5% sodium hypochlorite for 5 min. All the specimens were mounted on aluminum stubs, gold sputter coated, and observed using field-emission scanning electron microscopy (FE-SEM).. All the dentin adhesive systems showed hybrid layer formation, but the thickness varied depending on the bonding system used. The self-etching priming systems (Prime & Bond NT/NRC and Clearfil Liner Bond 2V) showed the thinnest hybrid layer at 1 to 2 microns, whereas the "single-bottle" system (Gluma One Bond) exhibited the thickest hybrid layer at 8 to 16 microns.. The ultramorphological structures of dentin bonding systems are determined by the composition of each system. Characterization of the interface of the adhesive system using the fracture technique provides additional information regarding the pattern of resin infiltration in some dentin bonding systems.

Topics: Adhesives; Bisphenol A-Glycidyl Methacrylate; Composite Resins; Dentin; Dentin-Bonding Agents; Desiccation; Epoxy Compounds; Epoxy Resins; Ethanol; Humans; Methacrylates; Microscopy, Electron, Scanning; Molar, Third; Particle Size; Phosphoric Acids; Plastic Embedding; Polymethacrylic Acids; Resin Cements; Sodium Hypochlorite; Solvents; Stress, Mechanical; Surface Properties; Viscosity

To evaluate the ultramorphology of superficial and deep dentin after etching with 35% phosphoric acid (H3PO4) and after etching with 35% H3PO4 followed by deproteinization with 5% sodium hypochlorite (NaOCl).. Two dentin disks (superficial and deep dentin) were obtained from each of 10 extracted human third molars by slow-speed sectioning. Dentin was polished with wet 600-grit SiC abrasive paper for 1 min to provide smooth surfaces. The occlusal surface of each disk was etched with 35% H3PO4 for 15 s and thoroughly rinsed. The specimens were kept moist and analyzed using Atomic Force Microscopy (AFM). Half of the specimens were deproteinized by rubbing with 5% NaOCl for 2 min, followed by a 30 s rinse with deionized water. After AFM analysis of the deproteinized specimens, all disks were fixed in a solution of glutaraldehyde and paraformaldehyde, dehydrated in ethanol and dried in hexamethyldisilazane. The dentin disks were then mounted on aluminum stubs for field-emission scanning electron microscope (FESEM) observation.. The surface of etched dentin displayed a granular layer of silica, which did not reach the peritubular collagen area. The silica was more uniformly distributed in superficial dentin than in deep dentin. In spite of the silica deposition, the intertubular porosity remained unobstructed when observed at high magnification. Under a lateral view, intertubular dentin was demineralized to a depth of 2.0 to 2.5 microns for superficial dentin, and 2.5 to 3.0 microns for deep dentin. Deproteinization with 5% NaOCl removed the exposed collagen both for superficial and deep dentin. The number of open tubules was greater for deep dentin. Deproteinization of superficial dentin revealed an extensive labyrinth of lateral secondary tubules and anastomoses, which opened on the intertubular region and on the peritubular area close to the surface. This phenomenon decreased the area of exposed intertubular dentin as compared to etched specimens. In deproteinized deep dentin, the lateral anastomotic tubules were not consistently observed on the intertubular area, but were easily depicted on the peritubular area.

Topics: Acid Etching, Dental; Collagen; Dentin; Dentin Permeability; Dentin-Bonding Agents; Humans; Microscopy, Atomic Force; Microscopy, Electron, Scanning; Phosphoric Acids; Sodium Hypochlorite; Surface Properties; Surface Tension

To evaluate the influence of surface treatment with 20% polyacrylic acid containing 3% aluminum chloride (AlCl3) on the shear bond strength of an improved resin-modified glass ionomer cement to enamel and dentin, and to analyze the micromorphology of the cement-tooth interface.. Flat enamel and dentin surfaces of bovine incisors were ground up with sequentially finer abrasives to 1000-grit silicon carbide paper. Each surface was treated with 10% polyacrylic acid (Dentin Conditioner: DC) for 20 seconds or with 20% polyacrylic acid containing 3% aluminum chloride (Cavity Conditioner: CC) for 10 seconds, rinsed, and gently air-dried. A resin-modified glass ionomer cement (Fuji II LC) and its improved version (Fuji II LC-I) were applied to the tooth substrate, and bond strengths measured at periods of 5 minutes, 1 day, and 1 week after light curing. As a control, the resin-modified glass ionomer cements were applied to untreated surfaces and were tested at 1 day. To evaluate the interface micromorphology, specimens were prepared following the adhesive-sandwich technique, cut in equal halves, and observed under a scanning electron microscope (SEM). Additionally, in order to observe the effect of surface pre-treatment of each conditioner on dentin, pre-treated dentin disks were freeze-dried, fractured, and the morphology of the treated and fractured surfaces were observed.. Shear bond strength of CC+ Fuji II LC-I to enamel was significantly higher than that of DC+ Fuji II LC at 1 day and 1 week (P < 0.0001). As for dentin, the improved system showed significantly higher bond strength at 5 minutes after light curing (P < 0.001), but bond strengths were not statistically different at 1 day and 1 week. Fracture patterns, examined with a stereomicroscope, were mixed adhesive/cohesive within the cement for all groups. Interface micromorphology, observed with an SEM, suggested the formation of a resin-rich layer and an indistinct zone between the resin-modified glass ionomer cements and the underlying dentin.

Topics: Acid Etching, Dental; Acrylic Resins; Analysis of Variance; Animals; Cattle; Dental Bonding; Dentin; Dentin Permeability; Glass Ionomer Cements; Humans; Materials Testing; Mechanics; Microscopy, Electron, Scanning; Phosphoric Acids; Resin Cements; Resins, Synthetic; Sodium Hypochlorite; Surface Properties

To investigate (1) the tensile bond strengths of four commercial dentin bonding systems to bovine crown and root dentin and (2) the structure of the hybrid layers for each system bonded to the two dentin substrates.. Superficial surfaces were exposed in bovine crown and root dentin. The teeth were embedded in plaster and a 3 mm diameter bonding area was demarcated. The four bonding systems used were All-Bond 2, Super-Bond D-Liner Plus, Clearfil Liner Bond II, and ProBond. Bonding procedures followed the manufacturers' instructions with the exception of Super-Bond D-Liner Plus where the primer was left in situ for 60 seconds. Tensile bond strengths were tested after 24-hour storage in 37 degrees C deionized water. Specimens were also prepared for SEM observation of the hybrid layer, after treatment with 10% phosphoric acid, and 10% phosphoric acid and 5% sodium hypochlorite.. Statistically lower bond strengths to crown dentin when compared with root dentin were observed for All-Bond 2, whereas Liner Bond II showed the opposite (P < 0.01). Both ProBond and Super-Bond D-Liner Plus showed no statistical differences between crown and root dentin (P > 0.05). Hybrid layers could be observed for All-Bond 2, Liner Bond II and Super-Bond D-Liner Plus, with no apparent differences between the hybrid layers of crown and root dentin. In the case of ProBond, where the smear layer was not removed during the priming stage, it appeared that the primer had infiltrated and caused hybridization of the smear layer. The differences in bond strength were thought to be related to the different bonding mechanisms of each material, as well as possible variations in the crown and root dentin substrates.

Topics: Acid Etching, Dental; Animals; Cattle; Composite Resins; Dental Bonding; Dentin; Dentin-Bonding Agents; Humans; Materials Testing; Mechanics; Methacrylates; Microscopy, Electron, Scanning; Phosphoric Acids; Smear Layer; Sodium Hypochlorite; Surface Properties; Tensile Strength; Tooth Crown; Tooth Root

The adhesion of cements to root canal surfaces is a crucial factor for strengthening non-vital teeth--weakened due to extensive loss of tooth structure--by cemented posts. The aim of this study was to determine the tensile strength of a glass ionomer cement (Ketac-Cem) on root canal walls following pretreatment with conditioners. Upon cleaning and shaping, 56 straight root canals--divided into seven groups--were conditioned with one of the following solutions: NaOCl (1%) + EDTA (20%), H3PO4 (37%), HNO3 (2.5%), citric acid (6%), polyacrylic acid (10% and 20%) and NaCl (0.9%) as control. Standardized dentine cylinders were prepared out of the coronal half of each root perpendicular to the root axis and subsequently split. The exposed root canal areas were coated with Ketac-Cem. Using an universal testing machine a tensile force was applied to Ketac-Cem up to fracture. Pretreatment with EDTA-NaOCl provided the strongest bond strength (2.2 MPa). The median values for the other conditioning solutions ranged from 1.2 to 1.9 MPa. The significantly weakest bond (0.5 MPa) was recorded for NaCl. The elimination of the smear layer appeared to be an essential factor in order to improve the adhesion.

Topics: Acid Etching, Dental; Analysis of Variance; Citrates; Citric Acid; Dental Bonding; Dental Pulp Cavity; Dentin; Dentin-Bonding Agents; Edetic Acid; Glass Ionomer Cements; Humans; Magnesium Oxide; Materials Testing; Microscopy, Electron, Scanning; Nitric Acid; Phosphoric Acids; Polycarboxylate Cement; Root Canal Filling Materials; Root Canal Irrigants; Smear Layer; Sodium Hypochlorite; Tensile Strength; Zinc Oxide

The effects of dentinal surface conditioning with phosphoric acid or with phosphoric acid and subsequent deproteinization by sodium hypochlorite on resin bonding are presented. Bond strengths mediated by the Gluma/Pekafill bonding and restorative system were not affected by the alternative pretreatment methods, while marginal performance of restorations in dentinal cavities was significantly adversely affected by the deproteinization procedure. The resin polymer coupling zone has an important function as a layer that compensates for the curing stresses of the restorative material that act in a wall-to-wall direction.

Topics: Acid Etching, Dental; Analysis of Variance; Collagen; Composite Resins; Dental Bonding; Dental Marginal Adaptation; Dentin; Dentin-Bonding Agents; Gels; Glutaral; Humans; Microscopy, Electron, Scanning; Phosphoric Acids; Polymethacrylic Acids; Sodium Hypochlorite; Statistics, Nonparametric; Surface Properties

The purpose of this study was to evaluate the influence of six treatments on the dispersive, acid, and base components of the free surface energy of dentin.. Occlusal dentin surfaces were polished with 4000 grit abrasive paper, washed and air dried. Characteristics of the surface energy were calculated by measuring contact angles of the four following liquids:alpha-bromonaphtalene, glycerol, ethylene glycol, and water. The dentin was then treated with aqueous solutions containing: (1) oxalic acid and glycine (OX/GLY),(2) oxalic acid, glycine, and HEMA (OX/GLY/HEMA), (3) phosphoric acid (PA), (4) maleic acid (MA),(5) EDTA, or (6) NaCIO. After treatment, washing and air drying, the energy characteristics of the samples were evaluated again.. Three kinds of wetting behavior were observed: an increase (OX/GLY/HEMA), a stabilization (PA, NaCIO) or a decrease (OX/GLY, MA, EDTA) of the wettability of the dentin surface. The calculations demonstrated that dentin surfaces are basic.. This study of the evolution of the surface energy components gave information on adhesion mechanisms involving hydrophilic and hydrophobic interactions. The results may be helpful in the formulation of conditioners and primers.

Topics: Acid Etching, Dental; Analysis of Variance; Chemical Phenomena; Chemistry, Physical; Dentin; Edetic Acid; Glycine; Hydrogen-Ion Concentration; Maleates; Matched-Pair Analysis; Methacrylates; Oxalates; Oxalic Acid; Phosphoric Acids; Smear Layer; Sodium Hypochlorite; Statistics, Nonparametric; Surface Properties; Surface Tension; Thermodynamics; Wettability

The effect of six endodontic irrigants on smear layers created by hand instrumentation was evaluated in vitro in the middle and apical sections of 53 root canals. The irrigants evaluated were: 1% and 5% sodium hypochlorite, a combination of 24% phosphoric acid and 10% citric acid, 0.2%, 17%, and 3% ethylenediaminetetraacetic acid. After instrumentation and treatment with the respective irrigants, the root canal specimens were examined by scanning electron microscopy to determine the presence or absence of smear layer. The two sodium hypochlorite solutions did not remove the smear layer, even when 5% sodium hypochlorite was scrubbed on the dentinal walls. The 0.2% ethylenediaminetetraacetic acid solution was more effective than sodium hypochlorite, but it did not completely remove the smear layer, especially at the orifices of the dentinal tubules. The other three solutions effectively removed the smear layer, but no significant difference was found between them (p > 0.05). The solution of 3% ethylenediaminetetraacetic acid was as effective as phosphoric-citric acid and 17% ethylenediaminetetraacetic acid. Ethylenediaminetetraacetic acid, however, did not show the marked demineralizing effect on the dentinal walls and tubules as the acidic solution.

Topics: Adult; Chlorhexidine; Citrates; Citric Acid; Drug Combinations; Edetic Acid; Humans; Middle Aged; Phosphoric Acids; Root Canal Irrigants; Smear Layer; Sodium Hypochlorite

To measure the shear bond strength of resin composite to dentin using three fourth generation bonding agents in combination with three different acid treatments. One such treatment was followed by sodium hypochlorite. The purpose was to determine the contribution which the collagen rich, demineralized zone made to bond strength.. Three groups, representing (1) All Bond 2/BisFil, (2) Optibond Dual Cure/XRV and (3) Scotchbond Multi-Purpose/Z100, contained four sub-groups each comprised of 10 caries-free molar teeth whose dentin was exposed in a transverse mid-coronal plane. Dressed with 320 grit, wet silicon carbide paper, the dentin surface in each sub-group was conditioned with 10% maleic acid (15 seconds), 10% phosphoric acid (20 seconds), 2.5% nitric acid (60 seconds) and 10% phosphoric acid (20 seconds) followed by 5% sodium hypochlorite (120 seconds). The bonded resin composite assemblies were stored in water at 37 degrees C for 24 hours and then subjected to shear force at a crosshead speed of 5 mm/minute until failure.. The mean and standard deviation values derived for the groups were not statistically different from each other (P < 0.05). It was concluded that the type of conditioning agent was not a factor in achieving optimal bond strength for the system tested. Furthermore, it was tentatively concluded that the collagen-rich zone offered no direct, quantitative contribution to the interfacial bond strength which is probably derived from complete resin diffusion into the porous, partially demineralized dentin below.

Topics: Acid Etching, Dental; Analysis of Variance; Bisphenol A-Glycidyl Methacrylate; Collagen; Composite Resins; Dental Bonding; Dentin; Dentin Permeability; Dentin-Bonding Agents; Humans; Maleates; Materials Testing; Methacrylates; Microscopy, Electron, Scanning; Nitric Acid; Phosphoric Acids; Resin Cements; Silicon Dioxide; Sodium Hypochlorite; Surface Properties; Tensile Strength; Zirconium

From October 1987 through November 1989, five episodes of chlorine gas exposure with toxicity to at least 14 persons occurred at two state hospitals in California. Each hospital provides inpatient treatment to approximately 1000 forensic psychiatric patients. As part of their rehabilitation programs, selected patients perform cleaning duties under the supervision of janitors or nursing staff. Each incident occurred during the performance of these duties and involved the mixture of bleach (sodium hypochlorite) and a phosphoric acid cleaner by inpatients. This mixture produced chlorine gas and other chemical byproducts (Figure 1a and 1b) and resulted in temporary illness in exposed persons.

Topics: Chlorine; Detergents; Hospitalization; Humans; Phosphoric Acids; Sodium Hypochlorite

Cervical abrasion and erosion lesions were restored with composite resin restorations bonded with four different dentin-bonding resins, an enamel-bonding resin, or restorations of a glass ionomer cement. The long-term clinical retention of the restorations were evaluated during a 4-year period. The surrounding enamel was not acid-etched. Four cleaning methods for dentin pretreatment were used to study their effects on the bonding between dentin and the restorative materials. The dentin was treated with either (1) etching for 60 seconds or (2) 15 seconds with 37% phosphoric acid, (3) cleaning with 5% sodium hypochlorite (NaOCL) for 20 seconds, or (4) cleaning with Tubulicid etchant for 60 seconds. None of the composite resin restorations, regardless of pretreatment or bonding method, showed acceptable restorations. All glass ionomer cement restorations were retained after pretreatment with Tubulicid etchant and 5% NaOCL after a 6-month period. Full acceptance, in other words, 3 year retention, was reached only after pretreatment with NaOCL.

Topics: Acid Etching, Dental; Adhesives; Adult; Aged; Chlorhexidine; Composite Resins; Dental Bonding; Dental Restoration, Permanent; Dentin; Evaluation Studies as Topic; Female; Glass Ionomer Cements; Humans; Male; Middle Aged; Phosphoric Acids; Sodium Hypochlorite; Surface-Active Agents; Time Factors; Tooth Abrasion; Tooth Erosion

The prognosis of acid-etched enamel was investigated in both laboratory and clinical experiments. Acid etching produced irregularities even on the prismless layer that covers prism enamel. The irregularities produced by etching are not remineralized in vivo but are filled with organic debris. Brushing reduced the depth of the irregularities but did not eliminate them. A protective varnish against acid etching was developed. The varnish also serves as a guide to facilitate removal of excess resin beyond the cavosurface margin.

Topics: Acid Etching, Dental; Calcium Phosphates; Dental Bonding; Dental Cavity Preparation; Dental Enamel; Humans; In Vitro Techniques; Microscopy, Electron, Scanning; Phosphoric Acids; Resins, Synthetic; Saliva; Sodium Hypochlorite; Toothbrushing

Chlorine gas inhalation is usually accompanied by pulmonary toxicity and hypoxemia; the associated acidemia, when present, has been attributed to lactic acidosis. This case report describes the development of hyperchloremic metabolic acidosis following accidental chlorine gas exposure. The mechanism postulated for the production of this acidosis is the absorption of hydrochloric acid following the reaction of chlorine gas with tissue water. This may be the first case of chlorine toxicity in which the mechanism of the acidosis has been determined.

Topics: Accidents, Home; Acidosis; Adult; Carbon Dioxide; Chlorides; Chlorine; Female; Humans; Hydrochloric Acid; Phosphoric Acids; Sodium Hypochlorite