Bonding to NaOCl-treated dentin: effect of pretreatment with sodium toluene sulfinic acid.

Xianghong Li, Weidong Ma, Xiaodong Chen, Jiaming Zhao, Takashi Nakata, Kumiko Tanaka, Kei Takahashi, Yoshihiro Nishitani, Masahiro Yoshiyama

Index: J. Adhes. Dent. 14(2) , 129-36, (2012)

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Abstract

The use of sodium hypochlorite (NaOCl) can decrease the bond strength of 4-META/MMA-TBB resin cement to root dentin. The aim of this in vitro study was to evaluate the effect of sodium toluene sulfinic acid (SA) as a pretreatment to increase bond strength to NaOCl-treated dentin.The root canal dentin of bovine teeth was treated with 6 methods: group 10-3 (10% citric acid/3% ferric chloride; control); group SA; group NC (sodium hypochlorite/10-3 solution); group NS-10-3 (NaOCl + sulfinic acid + 10-3 solution); group HSA-10-3 (NaOCl +H2O2 +NaOCl + sulfinic acid + 10-3 solution); group HO-10-3 (NaOCl + H2O2 + NaOCl +10-3 solution). The roots were then filled with Super-Bond C&B (SB) or Super-Bond sealer (SBS). Samples were stored in distilled water for 24 h at 37°C and then cross sectioned into five slabs (0.8 mm thick) that were subjected to "trimming" microtensile bond strength testing. All treated dentin surfaces and resin/dentin bond interfaces were analyzed under SEM.Compared with the control, NaOCl treatment significantly decreased the resin/dentin bond strengths. However, SA treatment following NaOCl irrigation resulted in no significant differences of bond strength values.Sulfinic acid was effective in restoring 4-META/MMA-TBB resin cement bond strength after NaOCl irrigation.