ALTERNATIVAS PARA MELHORAR AS PROPRIEDADES ADESIVAS DE SISTEMAS ADESIVOS UNIVERSAIS EM DENTINA EROSIONADA

Abstract

The aim of the present study was evaluate the adhesive properties of eroded dentin with different pH cycling using universal adhesive systems and to evaluate the application of collagen cross-linking agent or MMP inhibitors on the resin-eroded dentin interface, through of three in vitro studies. For the experiment 1, the teeth were randomly assigned into the experimental groups according to the combination of variables: dentin surface (sound dentin and eroded dentin) vs adhesive systems (10 universal adhesives) vs Adhesive strategy [etch-and-rinse (ER) and self-etch (SE)]. The adhesive systems were applied according to the manufacturer's instructions and the teeth were restored. They were sectioned to analysis of microtensile bond strength (μTBS) and nanoleakage (NL). The surfaces of 2 tooth were examined under scanning electron microscopy (SEM) to evaluate the surface characterization after erosive-cycling. For experiment 2, the teeth were randomly assigned into 18 experimental conditions according to the variables: Erosive cycling (eroded dentin with soft drink pH ≈ 2,7 and eroded dentin with citric acid pH 2.3) vs. adhesive systems [Prime & Bond Elect (PBE); Scotchbond Universal Adhesive (SBU); Tetric N-Bond Universal (TEU)] vs Treatment agents [6.5% primer containing proanthocyanidin (PA) and 0.1% riboflavin (RI)]. The surface was treated with primers and the adhesive systems were applied and restored. The samples were sectioned and tested for μTBS, NL and degree of conversion (DC). The surfaces of 2 tooth were examined under SEM to evaluate the surface characterization after erosive-cycling. For experiment 3, the teeth were randomly assigned into 18 experimental conditions according to the variables: Erosive cycling (eroded dentin with soft drink pH ≈ 2,7 and eroded eroded with citric acid pH 2.3) vs. Adhesive Systems (PBE; SBU; TEU) vs Acid pretreatment [control with 37% phosphoric acid;Phosphoric acid containing 2% chlorhexidine (CHXacid) and phosphoric acid containing 3% PA (PAacid)]. The teeth were acid-etched according to each experimental conditions, the adhesive systems were applied and the teeth were restored. The teeth were sectioned and tested for μTBS, NL and DC. Data were submitted to appropriate statistical analysis (α = 0.05). The μTBS values in eroded dentin were statistically lower than sound dentin, independent of the adhesive strategy (p < 0.01) The inclusion of primers containing collagen cross-linking agents in the eroded dentin adhesive protocol improved μTBS values (p <0.001),significantly reduced NL (p <0.004) for all the adhesives tested, as well as improved DC (p <0.03). The use of phosphoric acids containing MMPs inhibitors or collagen cross-linking agent improved μTBS values (p> 0.33), produced a significant reduction of NL (p <0.004) and improved DC (p <0.03). The application of MMP inhibitors (primer or acid etching - containing) were effective to improve the properties of the resin-eroded dentin interface.