Effects of chlorhexidine on bonding durability of different adhesive systems using a novel thermocycling method

Aust Dent J. 2013 Jun;58(2):148-55. doi: 10.1111/adj.12038. Epub 2013 May 5.

Abstract

Background: The purpose of this study was to evaluate the influence of chlorhexidine on the bonding durability of etch-and-rinse and self-etch adhesive systems using the polymerase chain reaction (PCR) thermocycling method.

Methods: Twenty freshly extracted intact human third molars were ground and bonded with either an etch-and-rinse adhesive (Single-Bond) or a self-etch adhesive (G-Bond). Specimens were either left untouched or placed in PCR tubes filled with three thermocycling mediums: water, chlorhexidine or silicone oil. Thermocycling (5000 cycles) was done using the PCR programme at temperatures of 5 °C and 55 °C. The microtensile bond strength (μTBS) was evaluated and interfacial nanoleakage was assessed by scanning electron microscopy before and after thermocycling.

Results: Significant differences were detected among groups kept in different media after thermocycling. For Single-Bond, both the chlorhexidine and silicone oil groups could preserve the μTBS (p < 0.001). For G-Bond, μTBS of the chlorhexidine and water groups were significantly decreased (p < 0.05). No obvious increase in silver deposition was observed in specimens incubated in water after thermocycling, less silver penetration was found in specimens incubated in chlorhexidine.

Conclusions: In this experimental model, chlorhexidine was found to preserve bonding durability in Single-Bond but have no significant effects on G-Bond.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adhesives / chemistry*
  • Bisphenol A-Glycidyl Methacrylate
  • Chlorhexidine / pharmacology*
  • Cold Temperature
  • Composite Resins / chemistry
  • Dental Bonding / methods*
  • Dental Etching / methods*
  • Dental Restoration Failure
  • Dentin
  • Dentin-Bonding Agents / chemistry*
  • Hot Temperature
  • Humans
  • Methacrylates
  • Microscopy, Electron, Scanning
  • Molar, Third
  • Polymerase Chain Reaction / instrumentation
  • Random Allocation
  • Resin Cements
  • Time Factors

Substances

  • Adhesives
  • Composite Resins
  • Dentin-Bonding Agents
  • G-Bond
  • Methacrylates
  • Resin Cements
  • single bond
  • Bisphenol A-Glycidyl Methacrylate
  • Chlorhexidine