In vivo Preservation of the Hybrid Layer by Chlorhexidine

SAGE Publications - Tập 86 Số 6 - Trang 529-533 - 2007
Marcela Rocha de Oliveira Carrilho1,2,3,4,5, Saulo Geraldeli1,2,3,4,5, Franklin R. Tay1,2,3,4,5, Mário Fernando de Góes1,2,3,4,5, Ricardo M. Carvalho1,2,3,4,5, Leo Tjäderhane1,2,3,4,6, André Figueiredo Reis1,2,3,4,5, Josimeri Hebling1,2,3,4,5, Annalisa Mazzoni1,2,3,4,5, Lorenzo Breschi1,2,3,4,5, David H. Pashley1,2,3,4,5
1Department of Endodontics, School of Dentistry, Medical College of Georgia, Augusta, GA 30912-1129, USA
2Department of Operative Dentistry, School of Dentistry, University of Iowa, Iowa City, IA, USA;
3Department of Oral Biology and Maxillofacial Pathology,
4Department of Prosthodontics, University of São Paulo, Bauru School of Dentistry, Bauru/SP, Brazil;
5Department of Restorative Dentistry, Dental Materials Area, University of Campinas, Piracicaba School of Dentistry, Piracicaba/SP, Brazil;
6Institute of Dentistry, University of Helsinki and Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital (HUCU), Helsinki, Finland

Tóm tắt

Host-derived proteases have been reported to degrade the collagen matrix of incompletely-resin-infiltrated dentin. This study tested the hypothesis that interfacial degradation of resin-dentin bonds may be prevented or delayed by the application of chlorhexidine (CHX), a matrix metalloproteinase inhibitor, to dentin after phosphoric acid-etching. Contralateral pairs of resin-bonded Class I restorations in non-carious third molars were kept under intra-oral function for 14 months. Preservation of resin-dentin bonds was assessed by microtensile bond strength tests and TEM examination. In vivo bond strength remained stable in the CHX-treated specimens, while bond strength decreased significantly in control teeth. Resin-infiltrated dentin in CHX-treated specimens exhibited normal structural integrity of the collagen network. Conversely, progressive disintegration of the fibrillar network was identified in control specimens. Auto-degradation of collagen matrices can occur in resin-infiltrated dentin, but may be prevented by the application of a synthetic protease inhibitor, such as chlorhexidine.

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