title: The influence of dental unit waterline cleaners on composite-to-dentin bond strengths.
abstract: BACKGROUND
  One approach to controlling dental unit waterline (DUWL) contamination by microorganisms is the addition of chemical cleaners to the treatment water. Yet, there is concern that these cleaners might affect the bonding of resin-based composites to enamel and dentin. The authors evaluated the influence of DUWL cleaners on composite-to-dentin bond strengths.
  
  
  METHODS
  The authors tested the strength of resin-based composite bonded to dentin in specimens treated with distilled water (control) or one of four cleaners. They tested a total-etch adhesive, a self-etching primer/adhesive and an experimental self-etching primer/ adhesive. The authors stored the specimens for 24 hours at 37 C and tested them to determine their bond strengths.
  
  
  RESULTS
  The mean shear bond strengths (SBSs) varied according to the cleaner and adhesive used, ranging from 14.7 to 21.9 megapascals. However, the authors found no statistically significant differences and/or interactions between mean SBSs of specimens treated with the various DUWL cleaners and adhesives (P > or = .05).
  
  
  CONCLUSIONS
  The tested DUWL cleaners did not significantly influence composite-to-dentin bond strengths for the total-etch adhesive and self-etching primer/adhesives used in this study. CLINICAL IMPLICATIONS. The conclusions imply that bonding of resin-based composites to dentin is not affected by the cleaners tested when they are used to treat DUWL contamination.
authors.affiliation: Department of Operative Dentistry, University of North Carolina School of Dentistry, Chapel Hill, USA.
authors.forename: André V
authors.initials: AV
authors.lastname: Ritter
authors.forename: Eduardo
authors.initials: E
authors.lastname: Ghaname
authors.forename: Ralph H
authors.initials: RH
authors.lastname: Leonard
mesh_terms: D001641:Bicuspid; D017606:Chlorine Compounds / Q000737:chemistry; D003188:Composite Resins; D001840:Dental Bonding; D019551:Dental Disinfectants / Q000737:chemistry; D003748:Dental Equipment; D045662:Dental Etching / Q000379:methods; D003799:Dental Stress Analysis; D003804:Dentin; D017220:Dentin-Bonding Agents / Q000737:chemistry; D006801:Humans; D006997:Hypochlorous Acid / Q000737:chemistry; D010087:Oxides / Q000737:chemistry; D019279:Resin Cements / Q000737:chemistry; D033081:Shear Strength; D012822:Silicon Dioxide; D012835:Silver Nitrate / Q000737:chemistry; D014871:Water Microbiology; D015040:Zirconium
chemical_list: D017606:Chlorine Compounds; D003188:Composite Resins; D019551:Dental Disinfectants; D017220:Dentin-Bonding Agents; D010087:Oxides; D019279:Resin Cements; C083568:Z100 composite resin; D006997:Hypochlorous Acid; D012822:Silicon Dioxide; C025109:chlorine dioxide; D012835:Silver Nitrate; D015040:Zirconium