Sodium Hypochlorite Irrigation and Its Effect on Bond Strength to Dentin

Biomed Res Int. 2017:2017:1930360. doi: 10.1155/2017/1930360. Epub 2017 Aug 20.

Abstract

Effective shaping and cleaning of root canals are essential for the success of endodontic treatment. Due to the complex anatomy of root canal spaces, the use of various instrumentation techniques alone is not effective in producing bacteria-free root canal spaces. Irrigation, disinfectants, rinses, and intervisit medications are used in conjunction with the mechanical instrumentation to ensure the success of endodontic treatment. Sodium hypochlorite (NaOCl), a halogenated compound, is routinely used to irrigate the root canal during endodontic treatments. NaOCl has been known for its antibacterial action, proteolytic and dissolution capacity, and debridement properties. NaOCl, however, can alter the composition of dentin and hence its interaction with the adhesive resins used to bond the restorative materials to treated dentin. This review therefore covers in depth the action of NaOCl on dentin-adhesive resin bond strength including both enhancement and reduction, then mechanisms proposed for such action, and finally how the adverse action of NaOCl on dentin can be reversed.

Publication types

  • Review

MeSH terms

  • Dental Bonding
  • Dental Materials / chemistry
  • Dental Materials / therapeutic use
  • Dental Pulp Cavity / drug effects*
  • Dentin / drug effects
  • Dentin / pathology*
  • Humans
  • Resin Cements / chemistry
  • Resin Cements / therapeutic use*
  • Root Canal Preparation*
  • Sodium Hypochlorite / chemistry
  • Sodium Hypochlorite / therapeutic use

Substances

  • Dental Materials
  • Resin Cements
  • Sodium Hypochlorite