Chlorhexidine preserves dentin bond in vitro

J Dent Res. 2007 Jan;86(1):90-4. doi: 10.1177/154405910708600115.

Abstract

Loss of hybrid layer integrity compromises resin-dentin bond stability. Matrix metalloproteinases (MMPs) may be partially responsible for hybrid layer degradation. Since chlorhexidine inhibits MMPs, we hypothesized that chlorhexidine would decelerate the loss of resin-dentin bonds. Class I preparations in extracted third molars were sectioned into two halves. One half was customarily restored (etch-and-rinse adhesive/resin composite), and the other was treated with 2% chlorhexidine after being acid-etched before restoration. Specimens were stored in artificial saliva with/without protease inhibitors. Microtensile bond strengths and failure mode distribution under SEM were analyzed immediately after specimens' preparation and 6 months later. With chlorhexidine, significantly better preservation of bond strength was observed after 6 months; protease inhibitors in the storage medium had no effect. Failure analysis showed significantly less failure in the hybrid layer with chlorhexidine, compared with controls after 6 months. In conclusion, this in vitro study suggests that chlorhexidine might be useful for the preservation of dentin bond strength.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acid Etching, Dental
  • Anti-Infective Agents, Local / chemistry*
  • Chlorhexidine / chemistry*
  • Composite Resins / chemistry
  • Dental Bonding*
  • Dental Cavity Preparation / classification
  • Dental Restoration, Permanent / methods
  • Dentin / ultrastructure*
  • Dentin-Bonding Agents / chemistry*
  • Humans
  • Microscopy, Electron, Scanning
  • Protease Inhibitors / chemistry
  • Saliva, Artificial / chemistry
  • Stress, Mechanical
  • Surface Properties
  • Tensile Strength
  • Time Factors

Substances

  • Anti-Infective Agents, Local
  • Composite Resins
  • Dentin-Bonding Agents
  • Protease Inhibitors
  • Saliva, Artificial
  • Chlorhexidine