The effect of caries detector dyes and a cavity cleansing agent on composite resin bonding to enamel and dentin

This study was undertaken to evaluate the effect of caries detector dyes and/or cavity cleanser on composite bonding and etching patterns of enamel and dentin. One hundred and eight non-carious premolars were divided into six groups according to the enamel and dentin pretreatment investigated. The different pretreatment were as follows: Group I: teeth with prophylaxis only, Group II: Sable seek caries detector dye, Groups III: chlorhexidine cavity cleanser, Group IV: the caries detectors dye followed by prophylaxis, Group V: the cavity cleanser followed by the caries detector dye, and Group IV: Snoop caries detector dye. The shear bond strength of composite resin bonded to enamel and dentin was evaluated by the Instron Universal testing machine while, the topographic details of enamel and dentin were examined by the SEM following the different pretreatment and acid etching. Results of the shear bond strength showed no statistically significant difference among the six groups, with no substantial differences in SEM results. It is concluded that using the caries detector dyes and/or chlorhexidine cavity cleanser before acid etching does not significantly affect composite bonding to enamel and dentin.

1. Kidd EA, Joyston-Bechal S, Beighton D. The use of a caries detector dye during cavity preparation.A microbiological assessment. Br Dent J 175: 312-313, 1993.

2. Sato Y, Fusayama T. Removal of dentin guided by fuchsin staining. J Dent Res 55: 670-683, 1976.

3. Starr CB, Langenderfer WR. Use a caries-disclosing agent to improve dental residents ability to detect caries. Oper Dent: 18: 110-114, 1993.

4. Yip HK, Stevenson AG, Beeley JA. The specificity of caries detector dyes in cavity preparation. Br Dent J 176: 417-421, 1994.

5. Al-Sehaibany F, White G, Rainey JT. The use of caries detector dye in diagnosis of occlusal carious lesion. J Clin Pediatr Dent 20: 293-298. 1996.

6. Fusayama T. Two layers of carious dentin, diagnosis and treatment. Oper Dent 4: 63-70, 1979.

7. Fusayama T. New concepts in Operative dentistry. Chicago Quintessence Pub Co, Inc, pp 18-46, 49-83, 84-94, 1980.

8. Fusayama T. Clinical guide for removing caries using a caries detecting solution. Quintessence Int 19: 397-401, 1988.

9. Anderson MH, Loesche WJ, Charbeneau GT. Bacteriologic study of a basic fuchsin caries disclosing dye. J Prosthet Dent 54: 51-55, 1985.

10. List G, Lommel TJ, Tilk M, Murdoch HG. The use of a dye in caries identification. Quintessence Int 18: 343-345, 1987.

11. Boston DW, Graver HT. Histological study of an acid red cariesdisclosing dye. Oper Dent 14: 186-192, 1989.

12. Besic FC. The Fate of bacteria sealed in dental cavities. J Dent Res 22: 349-354, 1943.

13. Brannstrom M. The cause of post restorative sensitivity and its prevention. J Endodont 10: 475-481, 1986.

14. Brannstrom M, Johnson G. Effects of various conditioner and cleaning agents on prepared dentin surfaces:A scanning electron microscopic investigation. J Prosthet Dent 31: 422-430, 1974.

15. Chan DCN, Hui EYW. Antimicrobial action of chlorhexidine incorporated in an etchant. J Dent Res, abstract 284, 71: 141, 1992.

16. Forley DW, Chan DCN, Lam YWF. Chlorhexidine uptake after treatment with a chlorehexidine-containing etchant. J Dent Res, abstract 2246, 72: 384, 1993.

17. Chan DCN, Lo WW. Residual antimicrobial action of benzalkonium chloride-containing etchant. J Dent Res, abstract 995, 73: 226, 1994.

18. Caufield PW, Navia JM, Rogers AM, Alvarez C. Effect of topically applied solutions of iodine, sodium fluoride or chlorehexidine on oral bacteria and caries in rats. J Dent Res 60: 927-932, 1981.

19. Fure S, Emilson CG. Effect of chlorhexidine gel treatment supplemented with chlorhexidine varnish and resin on mutans streptococci and actinomyces on root surfaces. Caries Res 24: 242-247, 1990.

20. Schaeken MJM, Keltjents HMAM, van der Hoeven JS. Effects of fluoride and chlorhexidine on the microflora of dental root surfaces and progression of root surface caries. J Dent Res 70: 150- 153, 1991.

21. Brannstrom M, Nyborg H. Cavity treatment with a microbicidal fluoride solution: Growth of bacteria and effect on the pulp. J Prosthet Dent 30: 303-310, 1973.

22. Rolla G, Loe H, Schiot CR. The affinity of chlorhexidine for hydroyapatite and saliva mucin. J Periodont Res 5: 90-95, 1970.

23. Linden LA, Bjorkman S, Hattab F. The diffusion in vitro of fluoride and chlorhexidine in the enamel of human deciduous and permanent teeth. Arch Oral Biol 31: 33-37, 1986.

24. Perdok JF, vander Mei HC, Genet MJ, Rouxhet PG, Busscher HJ. Elemental surface concentration ratios and surface free energies of human enamel after application of chlorhexidine and adsorption of salivary constituents. Caries Res 23: 297-302, 1989.

25. Busscher HJ, Retief DH, Arends J. Relationship between surface free energies of dental resins and bond strength of etched enamel. Dent Mater 3: 60-63, 1987.

26. Lloyd CH, Scrimgeour SN. Dental materials: 1995 literature review. J Dent 25: 173-208, 1997.

27. Roulet JF. Benefits and disadvantages of tooth coloured alternatives to amalgam. J Dent 25: 459-473, 1997.

28. Fowler CS, Swartz ML, Moore MK, Rhodes BF. Influence of selected variables on adhesion testing. Dent Mat 8: 265-269, 1992.

29. Maupome G, Hernandez-Guerrero JC, Garcia-Luna M, TrejoAlvarado A, Hernandez-Perez M, Diez-De-Bonilla J. (1995). In vivo diagnostic assessment of dentinal caries utilizing acid red and povidone iodine dyes. Oper Dent 20: 119-122, 1995.

30. Legler LR, Retief DH, Bradley EL. Effects of phosphoric acid concentration and etch duration on enamel depth of etch: An in vitro study. Am J Orthod Dentofac Orthoped 98: 154-160, 1990.

31. Pashley DH, Carvalho RM. Dentine permeability and dentine adhesion. J Dent 25: 355-372, 1997.

32. Gwinnett AJ. Quantitative contribution of resin infiltration hybridization to dentin bonding. Am J Dent 6: 7-9, 1993.

33. Sudsangiam S, van Noort R. Do dentin bond strength tests serve a useful purpose? J Adhesive Dent 1: 57-67, 1999.

34. Filler S, Lazarchik D, Givan D, Retief D, Heaven T. Shear bond strengths of composition to chlorhexidine treated enamel. Am J Dent 7: 85-88, 1994.

35. Perdigao J, Denehy G, Swift E. Effects of chlorhexidine on surfaces and shear bond strengths. Am J Dent 7: 81-83, 1994.

36. Leidal TI, Eriksen HM.A scanning electron microscopic study of the effect of various cleansing agents on cavity walls in vtiro. Scand J Dent Res 87: 443-449, 1979.

37. Eick JD, Cobb CM, Chappell RP, Spencer P, Robinson SJ. The dentinal surface: its influence on dentinal adhesion. Part I. Quintessence Int 22: 967-977, 1991.

38. Silverstone LM, Saxton CA, Dogon IL, Fejerskov O. Variation in the pattern of acid etching of human dental enamel examined by scanning electron microscopy. Caries Res 9: 373-387, 1975.