Effects of different chlorhexidine pretreatments on adhesion of metal brackets in vitro.docVIP
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Freyetal.HeadFaceMedicine2012,8:36
/content/8/1/36
HEAD FACE MEDICINE
RESEARCH
OpenAccess
Effectsofdifferentchlorhexidinepretreatments
onadhesionofmetalbracketsinvitro
CorinneFrey1,EnverYetkiner2*,BognaStawarczyk3,ThomasAttin4andRenginAttin5
Abstract
Objective:Toinvestigatetheeffectofchlorhexidineapplicationsinvariousformsandconcentrationsonadhesion
andfailuremodesofmetalbracketsinvitro.
Materialandmethods:Ninetybovineenamelspecimenswereallocatedtosixgroups(n=15).Metalbracketswere
bondedonallspecimensafterchlorhexidinepre-treatmentsformingthefollowinggroups:(1)untreatedspecimens
(control);(2)40%varnish(EC40,BiodentBV,Netherlands),remnantsremovedwithbrushingmimickingpatient
cleaning;(3)40%varnish(EC40),remnantsremovedwithbrushingmimickingprofessionalcleaning;(4)1%varnish
(CervitecPlus,Ivoclarvivadent,Schaan,Liechtenstein),remnantsnotremoved;(5)brushedwith%1gel(Corsodyl,
GlaxoSmithKline,Münchenbuchsee,Germany),remnantsnotremoved;(6)immersedin0.07%mouthrinse(Corsodyl,
GlaxoSmithKline,Münchenbuchsee,Germany),remnantnotrinsed.Debondingofbracketswasperformedusinga
universaltestingmachine.Datawereanalysedusingone-wayANOVAandpost-hocScheffétest.
Results:Group4performedsignificantlyinferiorthanalltheothergroupsandthecontrol.Group4presentedthe
highestnumberofadhesivefailuresattheenamel-resininterfacewhereasinothergroupsnofailuresat
adhesive-resininterfacewasobserved.
Conclusion:Presenceofchlorhexidinevarnishpriortobracketbondingadverselyaffectsadhesion.Concentration
ofchlorhexidinepre-treatmenthasnoinfluenceonshearbondstrength.
Keywords:Chlorhexidine,Adhesion,Shearbondstrength
Introduction
and rinsing solutions, which also determine the mode of
Standard caries prevention measures based on mecha- its effect. The persistence of bacterial suppression is re-
nical plaque removal, non-cariogenic dietary habits and latedtocontacttimeofCHXwithintraoraltissues,itsrate
regularfluoridesupplementationareofteninsufficientto of release and concentration. Depending on these parti-
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