The influence of dentin adhesives on the demineralization of irradiated and non-irradiated human root dentin.
This study determined the caries-protective effects of two different dentin bonding systems (Syntac, Scotchbond) on sound and irradiated root surfaces in vitro. The root surfaces of 30 freshly extracted caries-free human molars were used. The teeth were bisected in the mesio-distal direction and all lingual halves of the teeth were irradiated. The irradiation dose of 60 Gy was fractionally applied over six weeks (2 Gy/day, 5d/wk). All halves were then coated with acid-resistant nail varnish, exposing two rectangular windows 6 mm2 each on the dentinal root surface. One window served as an untreated control, while the other was treated with one of the above mentioned dentin adhesive systems. The specimens were randomly distributed among the four experimental groups as follow: Group A: Syntac, non-irradiated; Group AR: Syntac, irradiated; Group B: Scotchbond, non-irradiated; Group BR: Scotchbond, irradiated. Subsequently, all specimens were demineralized for 14 days with acidified gel (HEC, pH 4.8, 37 degrees C). From each window, two dentinal slabs were cut. The slabs were ground to a thickness of 80 microm and submerged in water. The depth of the lesions was determined using a polarized light microscope. The non-irradiated control specimens showed lesions with an average depth of 63 microm (+/-10,2 microm). In the case of the irradiated control specimen, the lesion depth was not significantly different. In all experimental groups, the lesion depth was significantly reduced compared to the control groups. Statistical analysis revealed no significant differences between the irradiated and non-irradiated specimens. It can be concluded that demineralization of the root surface can be hampered by application of the dentin adhesive systems tested. In this study, no differences between irradiated and sound root surfaces could be detected.
Martin-Luther-University Halle-Wittenberg, University School of Dental Medicine, Department of Operative Dentistry and Periodontology, Halle, Germany. christian.gernhardt@medizin.uni-halle.de
Christian R
CR
Gernhardt
Tasula
T
Koravu
Reinhard
R
Gerlach
Hans-Guenter
HG
Schaller
D000704:Analysis of Variance; D002327:Cariostatic Agents / Q000627:therapeutic use*; D003733:Dental Caries Susceptibility; D003804:Dentin / Q000528:radiation effects*; D017220:Dentin-Bonding Agents / Q000627:therapeutic use*; D006801:Humans; D008963:Molar; D019279:Resin Cements / Q000627:therapeutic use; D017213:Root Caries / Q000517:prevention & control*; D018709:Statistics, Nonparametric; D017001:Tooth Demineralization / Q000517:prevention & control*; D014092:Tooth Root / Q000528:radiation effects*
D002327:Cariostatic Agents; D017220:Dentin-Bonding Agents; D019279:Resin Cements; C078484:Syntac dentine adhesive; C041330:Scotchbond