Chlorhexidine does not improve but preserves bond strength to eroded dentin

Am J Dent. 2015 Feb;28(1):28-32.

Abstract

Purpose: To evaluate the effect of aqueous solutions of chlorhexidine digluconate (CHX) in different concentrations on bond strength to eroded dentin up to 6 months, using normal dentin as a control.

Methods: Exposed flat dentin of extracted third molars was only ground with 600-grit SiC paper/1 minute (normal dentin - N), or subsequently eroded by a regular-cola soft-drink (eroded dentin - E). N and E were acid-etched, washed, dried and rehydrated with 1.5 μL, respectively, of distillated water (control - NC / EC); of 0.004% CHX (N0.004% / E0.004%); or of 2% CHX (N2% / E2%). Adper Single Bond 2 was applied in all specimens and resin composite buildups were constructed with Filtek Z350. Specimens were sectioned in beams, which were tested (μTBS) immediately or after 6 months of aging.

Results: Microtensile bond strength to eroded dentin was always significantly lower than that to normal dentin. Application of tested CHX solutions did not exert a significant effect immediately; however, after aging, the 2% CHX prevented abrupt bond strength loss both to eroded and normal dentin.

MeSH terms

  • Acid Etching, Dental / methods
  • Carbonated Beverages / adverse effects
  • Chlorhexidine / analogs & derivatives*
  • Chlorhexidine / chemistry
  • Composite Resins / chemistry
  • Dental Bonding*
  • Dental Cements / chemistry
  • Dental Stress Analysis / instrumentation
  • Dentin / ultrastructure*
  • Dentin-Bonding Agents / chemistry*
  • Humans
  • Materials Testing
  • Stress, Mechanical
  • Surface Properties
  • Tensile Strength
  • Time Factors
  • Tooth Erosion / pathology*

Substances

  • Adper single bond 2
  • Composite Resins
  • Dental Cements
  • Dentin-Bonding Agents
  • Filtek Supreme
  • chlorhexidine gluconate
  • Chlorhexidine