2022, Number 3
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Odovtos-Int J Dent Sc 2022; 24 (3)
How Does Radiotherapy Affect the Adhesion of Universal Adhesive to Enamel and Dentin? A Qualitative and Quantitative Analysis?
Oglakci B, Burduroglu D, Eris AH, Mayadagli A, Arhun N
Language: English
References: 39
Page: 75-90
PDF size: 319.97 Kb.
ABSTRACT
This study investigated the shear bond strength (SBS) of a universal
adhesive to enamel/dentin; 1) that had undergone radiotherapy (RT) and 2) that were
readily restored and had undergone RT. Enamel and dentin surfaces were obtained
from 90 intact human molars. They were randomly divided into six groups according
to the presence and timing of irradiation (RT0:no radiotherapy/control, RT1:RT
before restoration, RT2:RT after restoration groups) and adhesive application modes
(etch&rinse/ER, self-etch/SE)(n=15). A universal adhesive and resin composites
were applied. The radiotherapy protocol was conducted with 60 Gy. The SBS test
was subjected (1mm/min) and failure type analysis was performed. The resin-enamel/
dentin interfaces were examined. Data were statistically analyzed. For enamel and
dentin, the presence and timing of irradiation did not significantly influence the SBS
values (p›0.05). For enamel, significantly higher SBS values were obtained using
etch&rinse mode than self-etch mode (p‹0.05). The predominant failure was mixed
type. Loss of enamel prisms and obliterated irregular dentinal tubules were found for
the radiotherapy-treated specimens. Resin tags were clearer in the irradiated enamel
treated with ER than SE. Irradiation with different timings did not influence the bond
strength to enamel and dentin, negatively. Irrespective of radiotherapy, the etch&rinse mode caused higher bond strength to enamel than self-etch mode.
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