title: Evaluation of three different adhesive systems using a bacterial method to develop secondary caries in vitro.
abstract: OBJECTIVE
  To assess the effects of three different dental adhesive systems on the formation of secondary root caries, in vitro, with a standardized interfacial gap in a filled cavity model.
  
  
  METHODS
  40 sound human molars were selected and randomly assigned to four experimental groups: Clearfil SE Bond (CSEB), Xeno III (X-III), Scotchbond Multi-Purpose Plus (SBMP) and negative control (NC) without an adhesive system. After the standardized Class V cavity preparations on the buccal and lingual surfaces, restorations were placed with resin composite (Filtek Z250) using a standardized interfacial gap, using a 3 x 2 mm piece of 50 microm metal matrix. The teeth were sterilized with gamma irradiation and exposed to a cariogenic challenge using a bacterial system with Streptococcus mutans. Depth and extension of wall lesions formed and the depth of outer lesions were measured by software coupled with light microscopy.
  
  
  RESULTS
  For wall lesion extension the ANOVA test showed differences between groups except between X-III and SBMP (P=0.294). The Tukey's test of confidence intervals indicated smaller values for the CSEB group than for the others. For wall lesion depth the CSEB group also presented the smallest mean values of wall lesion depth when compared to the others (P<0.0001) for all comparisons using Tukey's test. Regarding outer lesion depth, all adhesives showed statistically similar behavior. SEM evaluation of the morphologic appearance of caries lesions confirmed the statistical results showing small caries lesion development for cavities restored with CSEB adhesive system, which may suggest that this adhesive system interdiffusion zone promoted a good interaction with subjacent dentin protecting the dental tissues from recurrent caries.
authors.affiliation: Department of Operative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
authors.forename: Luciana Cardoso
authors.initials: LC
authors.lastname: Espejo
authors.forename: Maria Regina Lorenzetti
authors.initials: MR
authors.lastname: Simionato
authors.forename: Lucia Pereira
authors.initials: LP
authors.lastname: Barroso
authors.forename: Narciso Garone
authors.initials: NG
authors.lastname: Netto
authors.forename: Maria Aparecida Alves de Cerqueira
authors.initials: MA
authors.lastname: Luz
mesh_terms: D000704:Analysis of Variance; D003188:Composite Resins; D003793:Dental Restoration, Permanent / Q000379:methods*; D017220:Dentin-Bonding Agents; D006801:Humans; D008964:Molar, Third; D019279:Resin Cements; D017213:Root Caries / Q000382:microbiology / Q000517:prevention & control*; D018709:Statistics, Nonparametric; D013295:Streptococcus mutans
chemical_list: C438313:Clearfil SE Bond; D003188:Composite Resins; D017220:Dentin-Bonding Agents; C444701:Filtek Z250; D019279:Resin Cements; C425844:Scotchbond Multi-Purpose Plus; C487957:Xeno III