Effect of Cavity Disinfectants on Adhesion to Primary Teeth-A Systematic Review

Some authors have been proposing the use of cavity disinfectants in order to reduce, or even eliminate, the effect of the microorganisms present in a dental cavity before a restoration is placed. The aim of this study was to evaluate the effect of different cavity disinfectants on bond strength and...

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Bibliographic Details
Published in:International journal of molecular sciences 2021-04, Vol.22 (9), p.4398
Main Authors: Coelho, Ana, Amaro, Inês, Apolónio, Ana, Paula, Anabela, Saraiva, José, Ferreira, Manuel Marques, Marto, Carlos Miguel, Carrilho, Eunice
Format: Article
Language:English
Subjects:
Adhesion
Adhesiveness
Adhesives
Antiseptics
Bacteria
bond strength
cavity disinfectants
Chlorhexidine
Composite materials
Dental caries
Dental Cavity Preparation - methods
Dental materials
Dental restorative materials
Dentin
Dentin-Bonding Agents - chemistry
Disinfectants
Disinfectants - chemistry
Disinfection & disinfectants
Disinfection - methods
Enamel
Evaluation
Humans
Ionomers
Lasers
Microorganisms
primary teeth
Review
Sodium
Sodium hypochlorite
Success
Systematic review
Teeth
Tooth, Deciduous - physiology
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Summary:Some authors have been proposing the use of cavity disinfectants in order to reduce, or even eliminate, the effect of the microorganisms present in a dental cavity before a restoration is placed. The aim of this study was to evaluate the effect of different cavity disinfectants on bond strength and clinical success of composite and glass ionomer restorations on primary teeth. The research was conducted using Cochrane Library, PubMed/MEDLINE, SCOPUS, and Web of Science for articles published up to February 2021. The search was performed according to the PICO strategy. The evaluation of the methodological quality of each in vitro study was assessed using the CONSORT checklist for reporting in vitro studies on dental materials. Sixteen in vitro studies and one in situ study fulfilled the inclusion criteria and were analyzed. Chlorhexidine was the most studied cavity disinfectant, and its use does not compromise dentin bonding. Sodium hypochlorite is a promising alternative, but more research on its use is required to clearly state that it can safely be used as a cavity disinfectant for primary teeth. Although other disinfectants were studied, there is a low-level evidence attesting their effects on adhesion, therefore their use should be avoided.
ISSN:1422-0067
1661-6596
1422-0067
DOI:10.3390/ijms22094398