Effects of Endodontic Irrigants on Shear Bond Strength of Mild Universal Adhesives to Dentin.

ABSTRACT

PURPOSE: The objective of this in vitro study was to evaluate the shear bond strength (SBS) of several universal adhesives to dentin treated with sodium hypochlorite (NaOCl), and NaOCl followed by ethylenediaminetetraacetic acid (EDTA). MATERIALS AND METHODS: Adhese Universal (ADU), Scotchbond Universal (SBU), Prime & Bond Elect (PBE), Prime & Bond Active (PBA), and Optibond XTR (OBX) were included in the study. SBS values were determined in self-etch mode with no pretreatment of the dentin, after a twenty-minute exposure of the dentin to 6% NaOCl, and after a twenty-minute exposure to NaOCl followed by a one-minute exposure to 17% EDTA. Experimental groups were repeated using a total-etch technique (except OBX). RESULTS: Adhesives in self-etch mode had significantly reduced SBS following dentin exposure to NaOCl (p<0.05), while with a total-etch technique only PBA was affected (p<0.05). SBS in self-etch mode when NaOCl exposure was followed by EDTA were equal to or higher than negative control values (p<0.05). For total-etch groups, ADU was negatively affected by NaOCl + EDTA exposure (p<0.05). PBE exhibited lower SBS following NaOCl + EDTA exposure when compared to just NaOCl exposure but was not different from the negative control (p<0.05). CONCLUSION: For the adhesives tested, the use of 17% EDTA following NaOCl exposure negated the negative effects of NaOCl on SBS in self-etch mode. When used in total-etch mode, results varied significantly, with some adhesives performing better or worse depending on the specific testing condition.