Bond strength of composite resin/universal adhesive to dentin submitted to radiotherapy

  • Fabiana De Goes Paiola Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.
  • Aline Evangelista Souza-Gabriel Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil. http://orcid.org/0000-0002-9280-2945
  • Vitoria Leite Paschoini Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil. http://orcid.org/0000-0001-9233-1381
  • Alexandra Mussolino de Queiroz Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil. http://orcid.org/0000-0003-2900-5000
  • Antônio Miranda Cruz-Filho Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil. http://orcid.org/0000-0002-5894-9046

Abstract

Aim: To evaluate the bond strength of a universal adhesive system to dentin submitted to radiotherapy.
Materials and Methods: Sixty extracted human teeth were divided into two groups (n = 30): without radiotherapy (control); with radiotherapy, according to the adhesive protocol (n=15): ER-etch-and-rinse (acid + Single Bond Uni-versal); SE-self-etch (Single Bond Universal). The analyzes were shear bond strength (SBS) (n=10), failure pattern (n=10) and scanning electron microscopy (n=5). Data was analyzed by a two-way ANOVA (α =0.05).
Results: The radiotherapy decreased SBS of the restorative material to dentin (p<0.0001). The ER protocol provided lower bond strength values (p<0.001). The predominant type of fracture without radiotherapy was mixed (SE), cohesive to the material (ER). Both protocols presented adhesive failures with radiotherapy. Teeth had a hybrid layer and long resin tags (without radiotherapy) and few tags (with radiotherapy).
Conclusions: The SE adhesive mode favors the shear bond strength of resin to dentin in teeth submitted to radiotherapy.
Keywords: Dental Cements; Adhesives; Dental bonding; Self-curing of dental Resins; radiation treatment; Dentin.

References

1. Qing P, Huang S, Gao S, Qian L, Yu H. Effect of gamma irradiation on the wear behavior of human tooth dentin. Clin Oral Investig. 2016;20(9):2379-2386. https://doi.org/10.1007/s00784-016-1731-5
2. Gonçalves LM, Palma-Dibb RG, Paula-Silva FW, Oliveira HF, Nelson-Filho P, Silva LA, Queiroz AM. Radiation therapy alters microhardness and microstructure of enamel and dentin of permanent human teeth. J Dent. 2014;42(8):986-992. https://doi.org/10.1016/j.jdent.2014.05.011
3. Khaw A, Logan R, Keefe D, Bartold M. Radiation-induced oral mucositis and periodontitis - proposal for an inter-relationship. Oral Dis. 2014;20(3):e7-18. https://doi.org/10.1111/odi.12199
4. Duruk G, Acar B, Temelli Ö. Effect of different doses of radiation on morphogical, mechanical and chemical properties of primary and permanent teeth-an in vitro study. BMC Oral Health. 2020;20(1):242. https://doi.org/10.1186/s12903-020-01222-3
5. Madrid CC, de Pauli Paglioni M, Line SR, Vasconcelos KG, Brandão TB, Lopes MA, Santos-Silva AR, De Goes MF. Structural Analysis of Enamel in Teeth from Head-and-Neck Cancer Patients Who Underwent Radiotherapy. Caries Res. 2017;51(2):119-128. https://doi.org/10.1159/000452866
6. Gupta S, Bogra P, Sharma D, Goyal R, Dhir S, Gupta B. Impact of radiotherapy and shielding on the effi-cacy of the self-etch adhesive technique. J Conserv Dent. 2022;25(4):444-447. https://doi.org/10.4103/jcd.jcd_238_22
7. Lopes C de CA, Soares CJ, Lara VC, Arana-Chavez VE, Soares PB, Novais VR. Effect of fluoride application during radiotherapy on enamel demineralization. J Appl Oral Sci. 2018;27:e20180044. https://doi.org/10.1590/1678-7757-2018-0044
8. Pelloso AM, de Miranda RR, Rossi ME, Bianchini ALB, Marcelino FAS, da Silva ELC, Novais VR. Chemical analysis of irradiated root dentin and its interaction with resin cements. Clin Oral Investig. 2022;26(6):4315-4325. https://doi.org/10.1007/s007 84-022-04395-z
9. Bernard C, Villat C, Abouelleil H, Gustin M-P, Grosgogeat B. Tensile Bond Strengths of Two Adhesives on Irradiated and Nonirradiated Human Dentin. Biomed Res Int. 2015;2015:798972. https://doi.org/10.1155/2015/798972
10. Lopes FC, Roperto R, Akkus A, de Queiroz AM, Francisco de Oliveira H, Sousa-Neto MD. Effect of carbodiimide and chlorhexidine on the bond strength longevity of resin cement to root dentine after radiation therapy. Int Endod J. 2020;53(4):539-552. https://doi.org/10.1111/iej.13252
11. Guo JM, Makvandi P, Wei CC, Chen JH, Xu HK, Breschi L, Pashley DH, Huang C, Niu LN, Tay FR. Polymer conjugation optimizes EDTA as a calcium-chelating agent that exclusively removes extrafibrillar minerals from mineralized collagen. Acta Biomater. 2019;90:424-440. https://doi.org/10.1 016/j.actbio.2019.04.011
12. Oglakci B, Burduroğlu D, Eriş AH, Mayadağlı A, Arhun N. The Effect of Radiotherapy on the Mar-ginal Adaptation of Class II Direct Resin Composite Restorations: A Micro-computed Tomography Analysis. Oper Dent. 2022;47(1):43-54. https://doi.org/10.2341/20-066-L
13. Muñoz MA, Garín-Correa C, González-Arriagada W, Quintela Davila X, Häberle P, Bedran-Russo A, Luque-Martínez I. The adverse effects of radiotherapy on the structure of dental hard tissues and longevity of dental restoration. Int J Radiat Biol. 2020;96(7):910-918. https://doi.org/10.1080/09553002.2020.1741718
14. Kochueva M, Ignat’eva N, Zakharkina O, Kamensky VA, Snopova LB, Kulabukhova KS, Maslennikova A. Collagen Structural Changes in Early Radiation-Induced Damage. Sovrem Tehnol v Med. 2012; 2012:24-28.
15. Zhou W, Liu S, Zhou X, Hannig M, Rupf S, Feng J, Peng X, Cheng L. Modifying Adhesive Materials to Improve the Longevity of Resinous Restorations. Int J Mol Sci. 2019;20(3). https://doi.org/10.3390/ijms20030723
16. Nagarkar S, Theis-Mahon N, Perdigão J. Universal dental adhesives: Current status, laboratory testing, and clinical performance. J Biomed Mater Res B Appl Biomater. 2019;107(6):2121-2131. https://doi.org/10.1002/jbm.b.34305
17. Cardoso MV, de Almeida Neves A, Mine A, Coutinho E, Van Landuyt K, De Munck J, Van Meerbeek B. Current aspects on bonding effectiveness and stability in adhesive dentistry. Aust Dent J. 2011;56 Suppl 1:31-44. https://doi.org/10.1111/j.1834-7819.2011.01294.x
18. Van Meerbeek B, Yoshihara K, Yoshida Y, Mine A, De Munck J, Van Landuyt KL. State of the art of self-etch adhesives. Dent Mater. 2011;27(1):17-28. https://doi.org/10.1016/j.dental.2010.10.023
19. Rosa WL de O da, Piva E, Silva AF da. Bond strength of universal adhesives: A systematic review and meta-analysis. J Dent. 2015;43(7):765-776. https://doi.org/10.1016/j.jdent.2015.04.003
20. Tay FR, Pashley DH. Aggressiveness of contemporary self-etching systems. I: Depth of penetration beyond dentin smear layers. Dent Mater. 2001;17(4):296-308. https://doi.org/10.1016/s0109-5641(00)00087-7
21. Van Landuyt KL, Snauwaert J, De Munck J, Peumans M, Yoshida Y, Poitevin A, Coutinho E, Suzuki K, Lambrechts P, Van Meerbeek B. Systematic review of the chemical composition of contemporary dental adhesives. Biomaterials. 2007;28(26):3757-3785. https://doi.org/10.1016/j.biomaterials.2007.04.044
22. Campi LB, Lopes FC, Soares LES, de Queiroz AM, de Oliveira HF, Saquy PC, de Sousa-Neto MD. Effect of radiotherapy on the chemical composition of root dentin. Head Neck. 2019;41(1):162-169. https://doi.org/10.1002/hed.25493
23. Mellara TS, Paula-Silva FWG, Arid J, de Oliveira HF, Nelson-Filho P, Bezerra Silva RA, Torres FM, Faraoni JJ, Palma-Dibb RG, de Queiroz AM. Radiotherapy Impairs Adhesive Bonding in Primary Teeth: An In Vitro Study. J Dent Child (Chic). 2020;87(2):69-76.
24. Yamin PA, Pereira RD, Lopes FC, Queiroz AM, Oliveira HF, Saquy PC, Sousa-Neto MD. Longevity of bond strength of resin cements to root dentine after radiation therapy. Int Endod J. 2018;51(11):1301-1312. https://doi.org/10.1111/iej.12945
25. Karlinsey RL, Mackey AC, Blanken DD, Schwandt CS. Remineralization of eroded enamel lesions by simulated saliva in vitro. Open Dent J. 2012;6:170-176. https://doi.org/10.2174/1874210601206010170
26. Galetti R, Santos-Silva AR, Antunes AN da G, Alves F de A, Lopes MA, de Goes MF. Radiotherapy does not impair dentin adhesive properties in head and neck cancer patients. Clin Oral Investig. 2014;18(7):1771-1778. https://doi.org/10.1007/s00784-013-1155-4
27. Paiola FG, Lopes FC, Mazzi-Chaves JF, Pereira RD, Oliveira HF, Queiroz AM, Sousa-Neto MD. How to improve root canal filling in teeth subjected to radiation therapy for cancer. Braz Oral Res. 2018;32:e121. https://doi.org/10.1590/1807-3107bor-2 018.vol32.0121
28. Palmier NR, Migliorati CA, Prado-Ribeiro AC, de Oliveira MCQ, Vechiato Filho AJ, de Goes MF, Brandão TB, Lopes MA, Santos-Silva AR. Radiation-related caries: current diagnostic, prognostic, and management paradigms. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;130(1):52-62. https://doi.org/10.1016/j.oooo.2020.04.003
29. Souza-Gabriel AE, Sousa-Neto MD, Scatolin RS, Corona SAM. Durability of resin on bleached dentin treated with antioxidant solutions or lasers. J Mech Behav Biomed Mater. 2020;104:103647. https://doi.org/10.1016/j.jmbbm.2020.103647
30. Arid J, Palma-Dibb RG, de Oliveira HF, Nelson-Filho P, de Carvalho FK, da Silva LAB, de Siqueira Mellara T, da Silva RAB, Faraoni JJ, de Queiroz AM. Radiotherapy impairs adhesive bonding in permanent teeth. Support care cancer Off J Multinatl Assoc Support Care Cancer. 2020;28(1):239-247. https://doi.org/10.1007/s00520-019-04782-5
31. Peumans M, De Munck J, Van Landuyt KL, Poitevin A, Lambrechts P, Van Meerbeek B. Eight-year clinical evaluation of a 2-step self-etch adhesive with and without selective enamel etching. Dent Mater. 2010;26(12):1176-1184. https://doi.org/10.1016/j.dent/al. 2010.08.190
32. Loguercio AD, Muñoz MA, Luque-Martinez I, Hass V, Reis A, Perdigão J. Does active application of universal adhesives to enamel in self-etch mode improve their performance? J Dent. 2015;43(9):1060-1070. https://doi.org/10.1016/j.jdent.2015.04.005
33. Naves LZ, Novais VR, Armstrong SR, Correr-Sobrinho L, Soares CJ. Effect of gamma radiation on bonding to human enamel and dentin. Support care cancer Off J Multinatl Assoc Support Care Cancer. 2012;20(11):2873-2878. https://doi.org/10.1007/s0052 0-012-1414-y
34. Kielbassa AM, Hellwig E, Meyer-Lueckel H. Effects of irradiation on in situ remineralization of human and bovine enamel demineralized in vitro. Caries Res. 2006;40(2):130-135. https://doi.org/10.1159/000091059
35. Karadas M, Demirbuga S. Influence of a short-time antioxidant application on the dentin bond strength after intracoronal bleaching. Microsc Res Tech. 2019;82(10):1720-1727. https://doi.org/10.1002/jemt.23337
Published
2023-11-12
How to Cite
DE GOES PAIOLA, Fabiana et al. Bond strength of composite resin/universal adhesive to dentin submitted to radiotherapy. Journal of Oral Research, [S.l.], v. 12, n. 1, p. 204-216, nov. 2023. ISSN 0719-2479. Available at: <https://joralres.com/index.php/JOralRes/article/view/joralres.2023.018>. Date accessed: 02 may 2024. doi: https://doi.org/10.17126/joralres.2023.018.
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