Effect of Re-etching of Oxalate-Occluded Dentin on Microleakage of Composite Resin Restorations
Abstract
Objectives: This study aimed to assess the effect of re-etching of desensitized dentin for five and 10 seconds on marginal microleakage of composite restorations.
Materials and Methods: Class V cavities (4x2x2mm) were prepared on the buccal surfaces of 64 third molars and randomly divided into four groups of 16. In the control group, Single Bond (SB) adhesive was applied after etching. In BB+SB group, after application of BisBlock (BB) desensitizer agent (which needs etching), SB adhesive was used. In BB+5E+SB group, re-etching of dentin was done for five seconds after application of desensitizer, and then the adhesive was applied. The process in BB+10E+SB was the same as BB+5E+SB group except for re-etching time, which was 10 seconds. The cavities were restored with composite resin. After 24 hours of storage in distilled water and 10,000 thermal cycles, all samples were subjected to dye penetration test. The teeth were sectioned buccolingually in the middle of restorations. A blind examiner observed the sections under a stereomicroscope.
Results: At the occlusal margins, no significant difference in microleakage was observed among the groups (P>0.05). Application of BB in combination with SB had no effect in comparison to the control group (P>0.05); while there were significant differences in microleakage scores between BB+10E+SB and control (P=0.002), BB+10E+SB and BB+SB (P<0.001) and BB+5E+SB and BB+SB groups (P=0.009).
Conclusions: Dentin re-etching after application of BB desensitizer increased the gingival microleakage of class V composite restorations. Application of BB desensitizer combined with SB adhesive enhanced marginal seal.
- Itthagarun A, Tay FR. Self-contamination of deep dentin by dentinal fluid. Am J Dent. 2000 Aug;13(4): 195-200.
- Akpata ES, Sadiq W. Post-operative sensitivity in glass ionomer versus adhesive resin-lined posterior composites. Am J Dent. 2001 Feb;14(1):34-8.
- Pashley DH, Carvalho RM, Pereira JC, Villanueva R, Tay FR. The use of oxalate to reduce dentin permeability under adhesive restorations. Am J Dent. 2001 Apr;14(2):89-94.
- Sadek FT, Pashley DH, Ferrari M, Tay FR. Tubular occlusion optimizes bonding of hydrophobic resins to dentin. J Dent Res. 2007 Jun;86(6):524-8.
- Tay FR, Pashley DH, Mak YF, Carvalho RM, Lai SC, Suh BI. Integrating oxalate desensitizers with total-etch tow-step adhesive. J Dent Res. 2003 Sep;82(9):703-7.
- Vachiramon V, Vargas MA, Pashley DH, Tay FR, Geraldeli S, Qian F, et al. Effect of oxalate on dentin bond after 3-month simulated pulp pressure. J Dent. 2008 Mar;36(3):178-85.
- Yiu CKY, Hiraishi N, chersoni S, Breschi L, Ferrari M, Pratti C, et al. Single-bottle adhesives behave as permeable membranes after polymerization. II: Differential permeability reduction with an oxalate desensitizer. J Dent. 2006 Feb;34(2):106-116.
- Yiu CKY, King NM, Suh BI, Sharp LJ, Carvalho RM, Pashley DH, et al. Incompatibility of oxalate desensitizers with acidic, fluoride-containing total-etch adhesive. J Dent Res. 2005 Aug;84(8):730-5.
- De Andrade e Silva SM, Malacarne-Zanon J, Carvalho RM, Alves MC, De Goes MF, Anido-Anido A, et al. Effect of oxalate desensitizer on the durability of resin -bonded interfaces. Oper Dent. 2010 Nov-Dec;35(6):610-7.
- Pashley DH, Pashley EL, Carvalho RM, Tay FR. The effect of dentin permeability on restorative dentistry. Dent Clin North Am. 2002 Apr;46(2):211-45.
- Shafiei F, Motamedi M. Alavi AA, Namvar B. The effect of oxalate desensitizers on the microleakage of resin composite restorations bonded by etch and rinse adhesive systems. Oper Dent. 2010 Nov-Dec;35(6):682-8.
- Shafiei F, Memarpour M. Effect of surface pretreatment with two desensitizer techniques on the microleakage of resin composite restorations. Lasers Med Sci. 2013 Jan;28(1):247-51.
- Yousry MM. Effect of re-etching oxalate-occluded dentin and enamel on bonding effectiveness of etch-and-rinse adhesives. J Adhes Dent. 2012 Feb;14(1):31-8.
- Ferrari M, Mason PN, Vichi A, Davidson CL.Role of hybridization on marginal leakage and bond strength. Am J Dent. 2000 Dec;13(6):329-36.
- Bisco dental products, supportive products, BisBlock General info (The oxalate dentin desensitizer); Retrieved online November 15, 2009 from:http://www.biscocanada.com/en/products.php?pid=122
- Gillam DG, Mordan NJ, Sinodinou AD, Tang JY, Knowles JC, Gibson IR. The effect of oxalate-containing products on exposed dentine surface: an SEM investigation. J Oral Rehabil. 2001 Nov;28 (11):1037-44.
- Pereira JC, Segala AD, Gillam DG. Effect of desensitizing agents on the hydraulic conductance of human dentin subject to different surface pre-treatments- an in vitro study. Dent Mater. 2005 Feb;21(2):129-38.
- Aranha AC, Siqueira Junior Ade S, Cavalcante LM, Pimenta LA, Marchi GM. Microtensile bond strength of composite to dentin treated with desensitizer products. J Adhes Dent. 2006 Apr;8(2):
-90.
- Carrilho MR, Tay FR, Pashley DH, Tjäderhane L, Carvalho RM. Mechanical stability of resin-dentin bond components. Dent Mater. 2005 Mar;21(3):232-41.
- Malacarne J, Carvalho RM, de Goes MF, Svizero N, Pashley DH, Tay FR, et al. Water sorption/solubility of dental adhesive resins. Dent Mater. 2006 Oct;22(10):973-80.
- Mai S, Gu L, Ling J. Current methods of preventing degradation of resin-dentin bonds. Hong Kong Dent J. 2009;6:83-92.
- Silberberg MS. Equilibrium: the extent of chemical reactions. In: Chemistry. The molecular nature of matter and change. 3rd ed., New York, McGraw-Hill, 2003:736-9.
- De Munck J, Van den Steen PE, Mine A, Van Landuyt KL, Poitevin A, Opdenakker G, et al. Inhibition of enzymatic degradation of adhesive-dentin interfaces. J Dent Res. 2009 Dec;88(12):1101-6.
Files | ||
Issue | Vol 13, No 5 (2016) | |
Section | Original Article | |
Keywords | ||
marginal seal re-etching oxalate dentin |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |