15 April 2024 : Laboratory Research
[In Press] Effect of Dentin Contamination with Hemostatic Agents and Cleaning Techniques on Bonding with Self-Adhesive Resin Cement
Saeed J. Alzahrani 1ABCDEF, Maher S. Hajjaj1ABCDE, Tariq S. Abu Haimed1AB, Arwa Alnoury1ABCF, Naseeba Khouja1ABCF, Dalia A. Abuelenain1EF, Yousef AlNowailaty1ABE, Manar Abu-Nawareg1ABE, Roaa Abuljadayel1ABE, Ghada H. Naguib1ADEFDOI: 10.12659/MSM.943353
Med Sci Monit In Press; DOI: 10.12659/MSM.943353
Available online: 2024-04-15, In Press, Corrected Proof
Publication in the "In-Press" formula aims at speeding up the public availability of the pending manuscript while waiting for the final publication. The assigned DOI number is active and citable. The availability of the article in the Medline, PubMed and PMC databases as well as Web of Science will be obtained after the final publication according to the journal schedule
Abstract
BACKGROUND
Dentin contamination with hemostatic agents before bonding indirect restorations negatively affects the bond strength. However, the consensus on which materials could be used to clean contamination of hemostatic agents has not been explored. The aim of this study was to assess the effect of Katana Cleaner applied on the surface of dentin contaminated with hemostatic agents on the shear bond strength (SBS) of self-adhesive resin cement by comparing it with three other surface cleaners.
MATERIAL AND METHODS
Ninety dentin specimens were divided into a no contamination group (control) (n=10), 4 groups contaminated with 25% aluminum chloride (Viscostat Clear) (n=40), and 4 groups contaminated with 20% ferric sulfate (Viscostat) (n=40). Subsequently, 4 different cleaners were used for each contamination group (water rinse, phosphoric acid, chlorhexidine, and Katana Cleaner). Then, self-adhesive resin cement was directly bonded to the treated surfaces. All specimens were subjected to 5000 thermal cycles of artificial aging. The shear bond strength was measured using a universal testing machine.
RESULTS
Two-way analysis of variance showed that the contaminant type as the main factor was statistically non-significant (p=0.655), cleaner type as the main factor was highly significant (p<0.001), and interaction between the contaminant and cleaner was non-significant (p=0.51). The cleaner type was the main factor influencing the bond strength. Phosphoric acid and chlorhexidine showed better performance than Katana Cleaner.
CONCLUSIONS
Cleaning dentin surface contamination with phosphoric acid and chlorhexidine had better performance than with Katana Cleaner.
Keywords: Adhesive cement; Composite Resins; Dentin-Bonding Agents; Polymers; Prosthesis Failure; Shear Strength
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