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Root Canal Irrigants and Dentin Bonding: An Update.

Zahed Mohammadi1, Shapour Yaripour2, Sousan Shalavi3

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Summary

Root canal irrigants like chlorhexidine (CHX) and MTAD can enhance resin-dentin bond stability by inhibiting matrix metalloproteinases. Sodium hypochlorite (NaOCl) effects vary, while ozone

Keywords:
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Area of Science:

  • Endodontics
  • Dental Materials Science
  • Biomaterials

Background:

  • Root canal irrigation is crucial for disinfection.
  • Dentin bonding is essential for restorative procedures.
  • The interaction between irrigants and dentin bonding is complex.

Purpose of the Study:

  • To review the impact of common root canal irrigants on dentin bonding.
  • To synthesize findings on sodium hypochlorite (NaOCl), chlorhexidine (CHX), ethylenediaminetetraacetic acid (EDTA), mixture of a tetracycline, acid and a detergent (MTAD), and ozone.
  • To evaluate their effects on resin-dentin bond strength and stability.

Main Methods:

  • PubMed database search for articles from 1980 to 2016.
  • Review and analysis of studies investigating root canal irrigants and dentin bonding.
  • Categorization of findings based on irrigant type and effect on bond strength.

Main Results:

  • Sodium hypochlorite (NaOCl) demonstrated variable effects on bond strength, potentially decreasing, increasing, or having no effect.
  • Chlorhexidine (CHX) and MTAD significantly improved resin-dentin bond stability due to matrix metalloproteinase inhibition.
  • The influence of ozone therapy on bond strength remained inconclusive and controversial.

Conclusions:

  • CHX and MTAD show promise for enhancing long-term resin-dentin bond durability.
  • Careful consideration of irrigant selection is necessary to optimize dentin bonding outcomes.
  • Further research is needed to clarify the effects of certain irrigants, like ozone, on bond strength.