Efecto del pretratamiento con clorhexidina en la resistencia de unión a dentina desmineralizada
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Palabras clave

Dentina desmineralizada
Adhesivos universales
Clorhexidina
Dientes permanentes jóvenes

Cómo citar

Efecto del pretratamiento con clorhexidina en la resistencia de unión a dentina desmineralizada. (2024). Odontoestomatología, 25(42), 11. https://doi.org/10.22592/ode2023n42e230

Resumen

  1. Objetivo: Analizar la resistencia de unión a dentina sana y desmineralizada, en forma inmediata y a los 6 meses, utilizando un pretratamiento de clorhexidina (CHX) 2%. Método: 40 terceros molares sanos con desarrollo radicular incompleto se desgastaron exponiendo dentina. Las piezas fueron sometidas a ciclado de pH. Se dividieron aleatoriamente en 2 grupos: con y sin CHX. En dentina se crearon 4 botones de resina utilizando adhesivo universal mediante autoacondicionamiento. Las muestras se almacenaron en agua destilada a 37ºC hasta su análisis. El microcizallamiento se ejecutó a las 24 horas y a los 6 meses de envejecimiento. Resultados: El grupo de dentina sana, sin CHX inmediato presentó mayor resistencia adhesiva (23,37±1,84). El grupo de dentina desmineralizada, sin CHX, envejecido presentó la menor resistencia adhesiva (8,87±1,51). Conclusiones: La CHX al 2% previo a la aplicación del adhesivo no mejora los valores de resistencia de unión a dentina sana ni desmineralizada a corto o largo plazo.
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Referencias

Casagrande L, Seminario AT, Correa MB, Werle SB, Maltz M, Demarco FF, et al. Longevity and associated risk factors in adhesive restorations of young permanent teeth after complete and selective caries removal: a retrospective study. Clin Oral Investig. 2017 Apr;21(3):847-55. https://doi.org/10.1007/s00784-016-1832-1

Schwendicke F, Frencken JE, Bjørndal L, et al. Managing Carious Lesions: Consensus Recommendations on Carious Tissue Removal. Advances in Dental Research. 2016;28(2):58-67. doi:10.1177/0022034516639271

Uribe S. Partial caries removal in symptomless teeth reduces the risk of pulp exposure. Evidence-Based Dentistry. 2006 Dec 24;7(4):94–94.

Li T, Zhai X, Song F, Zhu H. Selective versus non-selective removal for dental caries: a systematic review and meta-analysis. Acta Odontologica Scandinavica. 2018 Feb 17;76(2):135–40.

Nagarkar S, Theis‐Mahon N, Perdigão J. Universal dental adhesives: Current status, laboratory testing, and clinical performance. Journal of Biomedical Materials Research Part B: Applied Biomaterials. 2019 Aug 14;107(6):2121–31.

Rodrigues JA, Casagrande L, Araújo FB, Lenzi TL, Mariath AAS. Restorative Materials in Pediatric Dentistry. In: Pediatric Restorative Dentistry. Cham: Springer International Publishing; 2019. p. 161–7.

Banerjee A. Minimal intervention dentistry: part 7. Minimally invasive operative caries management: rationale and techniques. British Dental Journal. 2013 Feb 8;214(3):107–11.

Rosa WL de O da, Piva E, Silva AF da. Bond strength of universal adhesives: A systematic review and meta-analysis. Journal of Dentistry. 2015 Jul 1;43(7):765–76.

Perdigão J, Swift EJ. Universal Adhesives. Journal of Esthetic and Restorative Dentistry. 2015 Nov 1;27(6):331–4.

Elkaffas AliA, Hamama HHH, Mahmoud SH. Do universal adhesives promote bonding to dentin? A systematic review and meta-analysis. Restorative Dentistry & Endodontics. 2018;43(3).

Shadman N, Farzin-Ebrahimi S, Mortazavi-Lahijani E, Jalali Z. Effect of chlorhexidine on the durability of a new universal adhesive system. Journal of Clinical and Experimental Dentistry. 2018;10(9):0–0.

Chen C, Niu L-N, Xie H, Zhang Z-Y, Zhou L-Q, Jiao K, et al. Bonding of universal adhesives to dentine – Old wine in new bottles? Journal of Dentistry. 2015 May 1;43(5):525–36.

Osorio R, Yamauti M, Osorio E, Ruiz-Requena ME, Pashley D, Tay F, et al. Effect of dentin etching and chlorhexidine application on metalloproteinase-mediated collagen degradation. European Journal of Oral Sciences. 2011 Feb;119(1):79–85.

Bravo C, Sampaio CS, Hirata R, Puppin-Rontani RM, Mayoral JR, Giner L. In-vitro Comparative Study of the use of 2 % Chlorhexidine on Microtensile Bond Strength of Different Dentin Adhesives: A 6 Months Evaluation. International Journal of Morphology. 2017 Sep;35(3):893–900.

Mazzoni A, Nascimento FD, Carrilho M, Tersariol I, Papa V, Tjäderhane L, et al. MMP Activity in the Hybrid Layer Detected with in situZymography. Journal of Dental Research. 2012 May 21;91(5):467–72.

Mobarak EH, El-Korashy DI, Pashley DH. Effect of chlorhexidine concentrations on micro-shear bond strength of self-etch adhesive to normal and caries-affected dentin. American journal of dentistry. 2010;23(4):217–22.

Marquezan M, Corrêa FNP, Sanabe ME, Rodrigues Filho LE, Hebling J, Guedes-Pinto AC, et al. Artificial methods of dentine caries induction: A hardness and morphological comparative study. Archives of Oral Biology. 2009 Dec;54(12):1111–7.

International Organization for Standarization. ISO 29022:2013 - Dentistry — Adhesion — Notchededge shear bond strength test. https://www.iso.org/standard/45285.html

Koyuturk A, Sengun A, Ozer F, Sener Y, Gokalp A. Shear Bond Strengths of Self-etching Adhesives to Caries-affected Dentin on the Gingival Wall. Dental Materials Journal. 2006;25(1):59–65.

Hosoya Y, Tay FR, Ono T, Miyazaki M. Hardness, elasticity and ultrastructure of primary tooth dentin bonded with a self-reinforcing one-step self-etch adhesive. Journal of Dentistry. 2010 Mar;38(3):214–21.

Shen J, Xie H, Wang Q, Wu X, Yang J, Chen C. Evaluation of the interaction of chlorhexidine and MDP and its effects on the durability of dentin bonding. Dental Materials. 2020 Dec 1;36(12):1624–34.

Bahari M, Oskoee SS, Esmaeel M, Chaharom E, Kahnamoui MA, Gholizadeh S, et al. Effect of accelerated aging and double application on the dentin bond strength of universal adhesive system. Dental Research Journal. 2021;1.

Lima JFM de, Wajngarten D, Islam F, Clifford J, Botta AC. Effect of adhesive mode and chlorhexidine on microtensile strength of universal bonding agent to sound and caries-affected dentins. European Journal of Dentistry. 2018 Oct 23;12(04):553–8.

Singh D, Srivastava SK, Chaudhuri TK, Upadhyay G. Multifaceted role of matrix metalloproteinases (MMPs). Frontiers in Molecular Biosciences. 2015 May 13;2(MAY):19.

Breschi L, Mazzoni A, Nato F, Carrilho M, Visintini E, Tjäderhane L, et al. Chlorhexidine stabilizes the adhesive interface: A 2-year in vitro study. Dental Materials. 2010 Apr;26(4):320–5.

Tessore R, Silveira C, Vázquez P, Mederos M, García A, Cuevas-Suarez CE, et al. Evaluación de la resistencia de unión a dentina humana de un sistema adhesivo universal con clorhexidina utilizado en modo de grabado total y autocondicionante. Odontoestomatología. 2020 Jun 6;22(35):20–9.

Sano H, Yoshikawa T, Pereira RNR, Kanemura N, Morigami M, Tagami J, et al. Long-term durability of dentin bonds made with a self-etching primer, in vivo. Journal of dental research. 1999;78(4):906–11.

Frassetto A, Breschi L, Turco G, Marchesi G, di Lenarda R, Tay FR, et al. Mechanisms of degradation of the hybrid layer in adhesive dentistry and therapeutic agents to improve bond durability--A literature review. Dental materials: official publication of the Academy of Dental Materials. 2016 Feb 1;32(2):e41–53.

Kiuru O, Sinervo J, Vähänikkilä H, Anttonen V, Tjäderhane L. MMP Inhibitors and Dentin Bonding: Systematic Review and Meta-Analysis. Isola G, editor. International Journal of Dentistry. 2021 May 27;2021:1–14.

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