In vitro bond strength of dentin treated with sodium hypochlorite: effects of antioxidant solutions.

Grazioli, Guillermo - de León Cáceres, Elisa - Tessore, Romina - Guerra Lund, Rafael - Monjarás-Ávila, Ana Josefina - Lukomska-Szymanska, Monika - Hardan, Louis - Bourgi, Rim - Cuevas-Suárez, Carlos Enrique

Resumen:

This systematic review aims to evaluate whether the application of antioxidant solutions can enhance the bond strength of resin-based materials to sodium hypochlorite (NaOCl)-treated dentin. This study follows the PICOT strategy: population (sodium hypochlorite-treated dentin), intervention (application of antioxidants), control (distilled water), outcome (bond strength), and type of studies (in vitro studies). The systematic review and meta-analysis were conducted following PRISMA guidelines. Electronic databases were searched for in vitro studies evaluating the effects of antioxidants on bond strength to sodium hypochlorite-treated dentin. Two independent reviewers screened articles, extracted data, and assessed risk of bias. Meta-analyses were performed using a random-effects model to compare standardized mean differences in bond strength between antioxidant pretreatment and control groups. Inclusion criteria consisted of in vitro studies that examined the bond strength of resin-based materials to NaOCl-treated dentin with antioxidant application, while exclusion criteria included studies with incomplete data, those not using a control group, or those that did not directly measure bond strength. From 3041 initial records, 29 studies were included in the qualitative analysis and 25 in the meta-analysis. Ascorbic acid, sodium ascorbate, grape seed extract, green tea, and rosmarinic acid significantly improved bond strength to sodium hypochlorite-treated dentin (p < 0.05). The effectiveness of grape seed extract varied with adhesive system type. Hesperidin, p-toluene sulfonic acid, and sodium thiosulfate did not significantly improve bond strength. Most studies had a high risk of bias. This suggests that the conclusions drawn from these studies should be interpreted with caution, and further research with more robust methodologies may be needed to confirm the findings. In conclusion, this systematic review implies that certain antioxidants can improve bond strength to sodium hypochlorite-treated dentin, with efficacy depending on the specific agent and adhesive system used. Further standardized studies are needed to optimize protocols and confirm these findings.

Detalles Bibliográficos
2024
Bond strength
Resinas dentales
ANTIOXIDANTES
ANTIOXIDANTS
DENTINA
DENTIN
TRATAMIENTO DEL CONDUCTO RADICULAR
ROOT CANAL THERAPY
CEMENTOS DENTALES
DENTAL CEMENTS
METAANÁLISIS
META-ANALYSIS
RESINAS SINTÉTICAS
HIPOCLORITO DE SODIO
SODIUM HYPOCHLORITE
REVISIÓN SISTEMÁTICA
SYSTEMATIC REVIEW
Inglés
Universidad de la República
COLIBRI
https://hdl.handle.net/20.500.12008/52153
Acceso abierto
Licencia Creative Commons Atribución (CC - By 4.0)