Treatment of caries affected dentin with different photosensitizers and its effect on adhesive bond integrity to resin composite. 2020

Ali Alrahlah, and Muhammad Omar Niaz, and Eisha Abrar, and Fahim Vohra, and Haroon Rashid
Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P. O. Box 60169, Riyadh, 11545, Saudi Arabia; Engr. Abdullah Bugshan Research Chair for Dental and Oral Rehabilitation, King Saud University, Riyadh, 11545, Saudi Arabia. Electronic address: aalrahlah@ksu.edu.sa.

OBJECTIVE The aim of the present study was to evaluate the effect of different photosensitizers activated by photodynamic therapy (PDT) on shear bond strength (SBS) of composite resin on caries affected dentin compared to conventional cavity disinfectants. METHODS Forty carious mandibular teeth were collected through non-traumatic extraction. All samples were embedded in polyvinyl cross-sections to the cemento-enamel junction. The preparation of caries-affected dentin was performed by grinding the specimens using silicon carbide discs. All specimens were arbitrarily allocated in to four groups (n = 10). Group 1, affected dentin disinfected with methylene blue (MB) [100 mg/L]; Group 2, caries affected dentin disinfected using curcumin photosensitizer (CP) [500 mg/L]; Group 3, affected dentin disinfected with indocyanin green photosensitizer (ICGP) [0.5 mL] Group 4, affected dentin treated with 3 % H2O2. Two-step self-etch adhesives was smeared on all specimens for 15 s and photopolymerized for 10 s. All specimens were placed in an incubator with humid environment for 24 h at 37 °C followed by positioning in universal testing machine for SBS testing. Failure mode examination of debonded samples was performed by a stereomicroscope. Analysis of variance (ANOVA) was used for inter group comparison through mean and standard deviation of each group. For multiple group comparison Tukey HSD was employed. Level of significance was established at p < 0.05. RESULTS In group 2 dentin disinfection using CP, displayed the highest SBS value (18.21 ± 1.39 MPa). Whereas, group 4 (3% H2O2 as cavity disinfectant) presented the lowest SBS values (13.39 ± 1.26 MPa). SBS in Group 3 (ICGP) (17.42 ± 0.55 MPa) specimens was comparable to group 2 (p > 0.05) samples. In group 1, samples disinfected with MB (15.18 ± 0.39 MPa) was found to be significantly lower compared to group 2 and group 3 (p < 0.05) respectively. CONCLUSIONS Curcumin and Indocyanin green (ICGP) PS have the potential to be used as cavity disinfectant as it improves SBS of caries affected dentin to resin composite. Photodynamic therapy for disinfection of caries affected dentin will augment its bond strength, however its long-term effect on bond integrity still needs to be investigated.

UI MeSH Term Description Entries
D008422 Materials Testing The testing of materials and devices, especially those used for PROSTHESES AND IMPLANTS; SUTURES; TISSUE ADHESIVES; etc., for hardness, strength, durability, safety, efficacy, and biocompatibility. Biocompatibility Testing,Biocompatible Materials Testing,Hemocompatibility Testing,Testing, Biocompatible Materials,Testing, Hemocompatible Materials,Hemocompatibility Testings,Hemocompatible Materials Testing,Materials Testing, Biocompatible,Materials Testing, Hemocompatible,Testing, Biocompatibility,Testing, Hemocompatibility,Testing, Materials,Testings, Biocompatibility
D010778 Photochemotherapy Therapy using oral or topical photosensitizing agents with subsequent exposure to light. Blue Light Photodynamic Therapy,Photodynamic Therapy,Red Light PDT,Red Light Photodynamic Therapy,Therapy, Photodynamic,Light PDT, Red,PDT, Red Light,Photochemotherapies,Photodynamic Therapies,Therapies, Photodynamic
D003188 Composite Resins Synthetic resins, containing an inert filler, that are widely used in dentistry. Composite Resin,Resin, Composite,Resins, Composite
D003733 Dental Caries Susceptibility The predisposition to tooth decay (DENTAL CARIES). Dental Caries Resistance,Caries Resistance, Dental,Caries Susceptibility, Dental,Resistance, Dental Caries,Susceptibility, Dental Caries
D003804 Dentin The hard portion of the tooth surrounding the pulp, covered by enamel on the crown and cementum on the root, which is harder and denser than bone but softer than enamel, and is thus readily abraded when left unprotected. (From Jablonski, Dictionary of Dentistry, 1992) Dentine,Dentines,Dentins
D006861 Hydrogen Peroxide A strong oxidizing agent used in aqueous solution as a ripening agent, bleach, and topical anti-infective. It is relatively unstable and solutions deteriorate over time unless stabilized by the addition of acetanilide or similar organic materials. Hydrogen Peroxide (H2O2),Hydroperoxide,Oxydol,Perhydrol,Superoxol,Peroxide, Hydrogen
D000269 Adhesives Substances that cause the adherence of two surfaces. They include glues (properly collagen-derived adhesives), mucilages, sticky pastes, gums, resins, or latex. Glues,Mucilage Adhesive,Mucilage Adhesives,Mucilages, Adhesive,Adhesive,Adhesive Mucilage,Adhesive Mucilages,Adhesive, Mucilage,Adhesives, Mucilage,Glue,Mucilage, Adhesive
D017220 Dentin-Bonding Agents Cements that act through infiltration and polymerization within the dentinal matrix and are used for dental restoration. They can be adhesive resins themselves, adhesion-promoting monomers, or polymerization initiators that act in concert with other agents to form a dentin-bonding system. Dentin Bonding Agent,Dentin-Bonding Agent,Bonding Agents, Dentin,Agent, Dentin Bonding,Agent, Dentin-Bonding,Agents, Dentin Bonding,Agents, Dentin-Bonding,Bonding Agent, Dentin,Dentin Bonding Agents
D017319 Photosensitizing Agents Drugs that are pharmacologically inactive but when exposed to ultraviolet radiation or sunlight are converted to their active metabolite to produce a beneficial reaction affecting the diseased tissue. These compounds can be administered topically or systemically and have been used therapeutically to treat psoriasis and various types of neoplasms. Photosensitizer,Photosensitizers,Photosensitizing Agent,Photosensitizing Effect,Photosensitizing Effects,Agent, Photosensitizing,Agents, Photosensitizing,Effect, Photosensitizing,Effects, Photosensitizing
D019279 Resin Cements Dental cements composed either of polymethyl methacrylate or dimethacrylate, produced by mixing an acrylic monomer liquid with acrylic polymers and mineral fillers. The cement is insoluble in water and is thus resistant to fluids in the mouth, but is also irritating to the dental pulp. It is used chiefly as a luting agent for fabricated and temporary restorations. (Jablonski's Dictionary of Dentistry, 1992, p159) Resin Cement,Cement, Resin,Cements, Resin

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