ORIGINAL ARTICLE

 

Effect of carisolv and papacárie on the resin-dentin bond strength in sound and caries-affected primary molars

 

 

Doglas Cecchin^I; Ana Paula Farina^II; Franciele Orlando^III; Eloisa Helena Corrêa Brusco^IV; Bruno Carlini-Júnior^V

^IDDS, MS, Postgraduate Student, Endodontic Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Brazil
^IIDDS, MS, Postgraduate Student, Prosthodontics Division, Department Prosthodontics and Periodontology, Piracicaba Dental School, State University of Campinas, Brazil
^IIIDDS, Postgraduate Student, Department of Restorative Dentistry, University of Passo Fundo, Brazil
^IVDDS, MS, Full Professor, Department of Restorative Dentistry, University of Passo Fundo, Brazil
^VDDS, MS, PhD, Assistant Professor, Department of Restorative Dentistry, University of Passo Fundo, Brazil

Correspondence

 

 

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ABSTRACT

AIM: This study evaluated the influence of different chemomechanical caries removal techniques on the bond strength of an adhesive system to caries-affected and healthy dentin.
METHODS: Thirty healthy teeth were randomly divided into three groups: Group 1 (control): no caries removal technique was applied; Group 2: chemomechanical technique using Carisolv®; and Group 3: chemomechanical technique using Papacárie®. Twenty caries-affected teeth were divided into two groups: Group 4: chemomechanical technique using Carisolv; and Group 5: chemomechanical technique using Papacárie. The teeth received the application of an etch-andrinse adhesive system, were restored with composite resin, and then sectioned to obtain 4 hourglassshaped slabs from each specimen, which were subjected to a microtensile bond strength test. Data were analyzed statistically by ANOVA and Tukey's test (a=0.05).
RESULTS:G1 (13.387 ± 6.1074), G2 (18.123 ± 3.2611) and G3 (12.781 ± 4.5652) presented statistically significant higher mean bond strength values than the other groups (p<0.05), but did not differ significantly from each other (p>0.05). G4 (6.228 ± 5.3435) and G5 (6.482 ± 3.2076) presented the lowest mean bond strength values and were statistically similar to each other (p>0.05).
CONCLUSIONS: Neither of the chemomechanical caries removal methods interfered in the resin-dentin bond strength. However, lower tensile bond strength was found to caries-affected dentin.

Keywords: chemomechanical caries removal; microtensile bond strength; etch-and-rinse adhesive system.

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References

1. Cehreli ZC, Altay N. A 3-year clinical evaluation of a polyacid modified resin composite in minimally-invasive oclusal cavities. J Dent. 2000; 28: 117-22.         [ Links ]

2. Kidd EAM, Joyston-Bechal S, Beighton D. Microbiological validation of assessments of caries activity during preparation. Caries Res. 1993; 27: 402-8.         [ Links ]

3. Ranly DM, Garcia-Godoy F. Current and potential pulp therapies for primary and young permanent teeth. J Dent. 2000; 28: 153-61.         [ Links ]

4. Kakaboura A, Masouras C, Staikou O, Vougiouklakis G. A comparative clinical study on the Carisolv caries removal method. Quintessence Int. 2003; 34: 269-71.         [ Links ]

5. Kavvadia K, Karagianni V, Polychronopoulou A, Papagiannouli L. Primary teeth caries removal using the Carisolv chemomechanical method: a clinical trial. Pediatr Dent. 2004; 26: 23-8.         [ Links ]

6. Fure S, Lingström P, Birkhed D. Evaluation of Carisolv for the chemomechanical removal of primary root caries in vivo. Caries Res. 2000; 34: 275-80.         [ Links ]

7. Morrow LA, Hassall DC, Watts DC, Wilson NH. A chemo-mechanical method for caries removel. Dent Update. 2000; 27: 398-401.         [ Links ]

8. Munshi AK, Hegde AM, Shetty PK. Clinical evaluation of CarisolvTM in the chemo-mechanical removal of carious dentin. J Clin Pediatr Dent. 2001; 26: 49-54.         [ Links ]

9. Splieth C, Rosin M, Gellissen B. Determination of residual dentine caries after conventional mechanical and chemomechanical caries removal with Carisolv. Clin Oral Invest. 2001; 5: 250-3.         [ Links ]

10. Bussadori S, Castro L, Galvao A. Papain gel: a new chemomechanical caries removal agent. J Clin Pediatr Dent. 2005; 30: 115-9.         [ Links ]

11. Piva E, Ogliari FA, Moraes RR, Corá F, Henn S, Correr-Sobrinho L. Papain-based gel for biochemical caries removal: influence on microtensile bond strength to dentin. Braz Oral Res. 2008; 22: 364-70.         [ Links ]

12. Wennerberg A, Sawase T, Kultje C. The influence of Carisolv on enamel and dentine surface topography. Eur J Oral Sci. 1999; 107: 297-306.         [ Links ]

13. Çehreli ZC, Yazici AR, Akca T, Özgünaltay G. A morphological and microtensile bond strength evaluation of a single-bottle adhesive to caries-affected human dentine after four different caries removal techniques. J Dent. 2003; 31: 429-35.         [ Links ]

14. Silva NRFA, Calamia CS, Harsono M, Carvalho RM, Pegoraro LF, Fernandes CAO, Vieira ACB, Thompson VP. Bond angle effects on microtensile bonds: Laboratory and FEA comparison. Dent Mater. 2006; 22: 314-24.         [ Links ]

15. Rafique S, Fiske J, Banerjee A. Clinical trial of an air-abrasion/ chemomechanical operative procedure for the restorative treatment of dental patients. Caries Res. 2003; 37: 360-4.         [ Links ]

16. Banerjee A, Kidd EA, Watson TF. Scanning electron microscopic observations of human dentine after mechanical caries excavation. J Dent. 2000; 28: 179-86.         [ Links ]

17. Hosoya Y, Kawashita Y, Marshall GW Jr, Goto G. Influence of Carisolv™ for resin adhesion to sound human primary dentin and young permanent dentin. J Dent. 2001; 29: 163-71.

18. Bengtson AL, Guedes-Pinto AC, Turbíno ML, Mathías RC, Bengtson NG. Força adesiva de um sistema de resina composta à dentina. Comparação entre molares decíduos esfoliados fisiologicamente e com retenção prolongada. RGO. 2002; 50: 93-6.         [ Links ]

19. Bengtson AL, Guedes-Pinto AC, Turbíno ML, Bengtson NG, Bengtson CRG. Contribuição na padronização de dentina de dentes decíduos para os ensaios de adesividade de materiais resinosos. Pesq Bras Odontoped Clin Integr. 2003; 3: 21-5.         [ Links ]

20. Dammaschke T, Stratmann U, Mokrys K, Kaup M, Ott KHR. Reaction of sound and demineralised dentine to Carisolv in vivo and in vitro. J Dent. 2002; 30: 59-65.         [ Links ]

21. Burrow MF, Bokas J, Tanumiharja M, Tyas MJ. Microtensile bond strengths to caries-affected dentine treated with Carisolv. Aust Dent J. 2003; 48: 110-4.         [ Links ]

22. Ericson D, Zimmerman M, Raber H, Götrick B, Bornstein R, Thorell J. Clinical evaluation of efficacy and safety of a new method for chemo-mechanical removal of caries. A multi-centre study. Caries Res. 1999; 33: 171-7.         [ Links ]

23. Haak R, Wicht MJ, Noack MJ. Does chemomechanical caries removal affect dentine adhesion? Eur J Oral Sci. 2000; 108: 449-55.         [ Links ]

24. Hossain M, Nakamura Y, Tamaki Y, Yamada Y, Jayawardena JÁ, Matsumoto K. Dentinal composition and Knoop Hardness measurements of cavity floor following carious dentin removal with Carisolv. Oper Dent. 2003; 28: 346-51.         [ Links ]

25. Hosoya Y, Shinkawa H, Marshall GW. Influence of Carisolv on resin adhesion for two different adhesive systems to sound human primary dentin and young permanent dentin. J Dent. 2005; 33: 283-91.         [ Links ]

26. Flindt ML. Allergy to alpha-amylase and papain. Lancet. 1979; 1: 1407-8.         [ Links ]

27. Maragakis GM, Hahn P, Hellyig E. Clinical evaluation of chemomechanical caries removal in primary molars and its acceptance by patients. Caries Res. 2001; 35: 205-10.         [ Links ]

28. Lopes MC, Mascarini RC, da Silva BM, Flório FM, Basting RT. Effect of a papain-based gel for chemomechanical caries removal on dentin shear bond strength. J Dent Child (Chic). 2007; 74: 93-7.         [ Links ]

29. Yoshiyama M, Tay FR, Doi J, Nishitani Y, Yamada T, Itou K, Carvalho RM, Nakajima M & Pashley DH. Bonding of self-etch and total-etch adhesives to carious dentin. J Dent Res. 2002; 81: 556-60.         [ Links ]

30. Hosoya Y, Marshall SJ, Watanabe LG, Marshall GW. Microhardness of carious deciduous dentin. Oper Dent. 2000; 25: 81-9.         [ Links ]

31. Marshall GW Jr, Chang YJ, Gansky SA, Marshall SJ. Demineralization of caries-affected transparent dentin by citric acid: an atomic force microscopy study. Dent Mater. 2001; 17: 45-52.         [ Links ]

 

 

Correspondence to:
Doglas Cecchin
Rua Guaporé 360/81, Higienópolis,
Piracicaba, SP, Brasil
E-mail: dgscecchin@yahoo.com.br

Received for publication: October 21, 2009
Accepted: March 29, 2010