Which concentrations and application methods of chlorhexidine are proper for universal adhesives?


Recen D., YILDIRIM B., Şanlı B., Çelik E. U.

JOURNAL OF ADHESION SCIENCE AND TECHNOLOGY, vol.36, no.22, pp.2404-2417, 2022 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 36 Issue: 22
  • Publication Date: 2022
  • Doi Number: 10.1080/01694243.2022.2052427
  • Journal Name: JOURNAL OF ADHESION SCIENCE AND TECHNOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Aerospace Database, Chemical Abstracts Core, Chimica, Communication Abstracts, Compendex, INSPEC, Metadex, Civil Engineering Abstracts
  • Page Numbers: pp.2404-2417
  • Keywords: Chlorhexidine, universal adhesives, bond strength, dentin
  • Uşak University Affiliated: Yes

Abstract

To in vitro evaluate the effects of different chlorhexidine (CHX) concentrations and application methods on the microshear bond strength (µSBS) between dentin and universal adhesives (UAs) used in self-etch mode with different functional monomers. In this study, 300 third molars were randomly assigned into 25 experimental groups based on the combinations of different variables: the UAs and functional monomers (Clearfil Universal Bond Quick [MDP, CU, Kuraray], Tokuyama Universal Bond [3D-SR, TU, Tokuyama], Gluma Bond Universal [MDP-4-META, GU, Kulzer], Prime & Bond Elect [MDP-PENTA, PEU, Dentsply Sirona], and Single Bond Universal [MDP-Vitrebond copolymer, SU, 3 M]), the CHX concentration (2% and 0.2%), and the application mode (with rinsing [R], without rinsing [WR]). Two composite resin samples were prepared on each tooth for the study groups (n = 24). Then, these samples were submitted to a µSBS test after 500 thermal cycles (load of 50 kgF and crosshead speed, 0.5 mm/min). The resulting data were statistically analyzed using the Kruskal-Wallis and Mann-Whitney U tests (α = 0.05). The CU-2%CHX-WR, TU-2%CHX-WR, and GU-2%CHX-WR groups had lower µSBS values than the control groups (CU-control, TU-control, and GU-control) (p < 0.05). Using 2% CHX-WR may reduce the SBS of UAs when they were used in self-etch mode. On the other hand, 0.2% CHX can be used with or without rinsing, since this concentration did not affect the μSBS of any UA in self-etch mode, regardless of the functional monomer. When chlorhexidine is used with proper concentrations and application methods, it will not negatively affect the adhesion of a UA to dentin, even if the UA is used in self-etch mode.