Influence of disinfection of caries effected dentin with different concentration of silver diamine fluoride, curcumin and Er, Cr:YSGG on adhesive bond strength to resin composite

• Published in: Photodiagnosis and photodynamic therapy 2020-12, Vol.32, p.102065-102065, Article 102065
• Main Authors: Alrahlah, Ali, Naseem, Mustafa, Tanveer, Syeda A., Abrar, Eisha, Charania, Amynah, AlRifaiy, Mohammed Q., Vohra, Fahim
• Format: Article
• Language: English
• Subjects: Adhesives; Caries affected dentin; Composite Resins; Curcumin; Dental Caries Susceptibility; Dentin; Disinfection; Er,Cr:YSGG; Fluorides, Topical; Materials Testing; Photochemotherapy - methods; Photodynamic therapy; Photosensitizers; Photosensitizing Agents; Quaternary Ammonium Compounds; Silver Compounds; Silver diamine fluoride
• ISSN: 1572-1000; 1873-1597
• DOI: 10.1016/j.pdpdt.2020.102065

•3.8 % SDF and CP activated by PDT have shown potential to be adopted for dentin disinfection.•Lowest bond strength was displayed by caries affected dentin (CAD) disinfected with 38 % SDF.•Majority of failure type among investigated groups were adhesive. The aim of the study was to determine the effect of various disinfectants (CP, MB, 3.8 % SDF, 38 % SDF and ECL) on caries affected dentine (CAD) and its bond strength to composite restoration Fifty carious mandibular teeth were collected based on the criteria of ICDAS (International Caries Detection and Assessment system). Specimens up to cement enamel junction were fixed in poly vinyl pipes. All caries molars were grinded using silicon grinding carbon disk and randomly assigned into five groups based on disinfecting regimes (n = 10). Group 1, Caries affected dentin (CAD) treated with MBP [100 mg/L]; Group 2, CAD treated with Curcumin photosensitizer (CP) [500 mg/L]; Group 3, CAD treated with 3.8 % SDF Group 4, CAD treated with 38 % SDF and group 5 sterile with Er,Cr:YSGG (ECL).Self-etch adhesive bond was smeared over the surface of all specimens followed by application of composite incrementally and light cured. Samples were debonded in a universal testing machine and shear bond strength (SBS) was noted in MegaPascal (MPa). The debonded surfaces were evaluated under stereomicroscope to determine the failure mode. For inter group comparison analysis of variance (ANOVA). Tukey HSD was applied for multiple group comparison. The significance level was kept at p < 0.05 The maximum bond strength was observed in group 2 CAD disinfected with CP (17.57 ± 0.85 MPa). Whereas, minimum bond strength values were presented by group 3 CAD disinfected with 38 % SDF (11.14 ± 0.29 MPa). CAD treated with MBP (14.21 ± 0.22 MPa) was comparable to group 5 (p > 0.05). Similarly, group 2 was found to be comparable to group 4 CAD disinfected with 3.8 % SDF (16.22±0.53 MPa) (p > 0.05). 3.8 % SDF and PDT with CP have shown potential to be adopted for dentin disinfection treatment without adversely affecting bond strength of CAD to composite resin