Evaluation of effect of different cavity disinfectants on shear bond strength of composite resin to dentin using two-step self-etch and one-step self-etch bonding systems: a comparative in vitro study.

AIM AND OBJECTIVES

To evaluate the effect of 2% chlorhexidine, 2% sodium hypochlorite, 3% hydrogen peroxide on shear bond strength of composite resin to dentin using two-step and onestep self-etch bonding systems and to study the mode of failure of specimens under stereomicroscope.

MATERIALS AND METHODS

Eighty extracted sound human posterior teeth were used. The occlusal surfaces were ground to expose the dentin and were then randomly divided into 4 main groups. In group I, no cavity disinfectant was used and served as control. In groups II, III, IV, 2% chlorhexidine, 2% sodium hypochlorite and 3% hydrogen peroxide were used as cavity disinfectants respectively. Each group was then divided into two subgroups of 10 teeth each according to the bonding agent used, two-step self-etch (Adper SE Plus) and one-step self-etch (Adper Easy One) respectively. A transparent cylindrical plastic tube was loaded with microhybrid composite and placed over the dentin and light cured for 40 seconds. The specimens were subjected to shear stress in the universal testing machine.

RESULTS

Pretreatment with 2% chlorhexidine, 2% sodium hypochlorite and 3% hydrogen peroxide, had a negative effect on the shear bond strength of self-etching bonding systems.

CONCLUSION

The highest bond strength was found in 2% chlorhexidine group followed by 2% sodium hypochlorite group and the lowest bond strength was found in 3% hydrogen peroxide group.

CLINICAL SIGNIFICANCE

All three cavity disinfectants used in this study reduced the shear bond strength and hence should be used with caution.