Use of chlorhexidine solution as an additional step in combination with conventional and two or three step adhesive systems

Adhesion to dental tissues is one of the main lines of research today, mainly the chemical evolution of adhesives, which allowed the restorative procedures to be performed with greater speed and predictability1. Bonding to dentin is a unique form of tissue engineering in which a matrix of demineralized collagen with residual crystals of hydroxyapatite is used as the basis for the infiltration of resinous monomers, forming the hybrid layer. Most adhesive systems currently available on the market produce good initial bond strength values, allowing the clinician to stick to the dental structure without the need for retentive preparation.

[1]  Diogo de Azevedo Miranda Use of Chlorhexidine Solution as an Additional Step in Combination with Conventional and Two or Three Step Adhesive Systems , 2018, Modern Approaches in Dentistry and Oral Health Care.

[2]  L. C. Azevedo,et al.  Effectiveness of self-adhesive luting cements in bonding to chlorhexidine-treated dentin. , 2012, Dental materials : official publication of the Academy of Dental Materials.

[3]  D. Pashley,et al.  Chlorhexidine increases the longevity of in vivo resin-dentin bonds. , 2010, European journal of oral sciences.

[4]  L. Breschi,et al.  Effect of 2% chlorhexidine digluconate on the bond strength to normal versus caries-affected dentin. , 2009, Operative dentistry.

[5]  M. Toledano,et al.  Dentin treatment with MMPs inhibitors does not alter bond strengths to caries-affected dentin. , 2008, Journal of dentistry.

[6]  M F de Goes,et al.  In vivo Preservation of the Hybrid Layer by Chlorhexidine , 2007, Journal of dental research.

[7]  M F de Goes,et al.  Chlorhexidine Preserves Dentin Bond in vitro , 2007, Journal of dental research.

[8]  F R Tay,et al.  Chlorhexidine Arrests Subclinical Degradation of Dentin Hybrid Layers in vivo , 2005, Journal of dental research.

[9]  O. Fejerskov,et al.  What Constitutes Dental Caries? Histopathology of Carious Enamel and Dentin Related to the Action of Cariogenic Biofilms , 2004, Journal of dental research.

[10]  R. Carvalho,et al.  Collagen Degradation by Host-derived Enzymes during Aging , 2004, Journal of dental research.

[11]  M. D. de Andrade,et al.  Effect of 2% chlorhexidine on microtensile bond strength of composite to dentin. , 2003, The journal of adhesive dentistry.

[12]  Timo Sorsa,et al.  Inhibition of the Activities of Matrix Metalloproteinases 2, 8, and 9 by Chlorhexidine , 1999, Clinical Diagnostic Laboratory Immunology.

[13]  N. Ersin,et al.  No adverse effect to bonding following caries disinfection with chlorhexidine. , 2009, Journal of dentistry for children.