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Sodium Hypochlorite Irrigation and Its Effect on Bond Strength to Dentin
Tariq S Abuhaimed1, Ensanya A Abou Neel1,2,3
1Division of Biomaterials, Operative Dentistry Department, King Abdulaziz University, Jeddah, Saudi Arabia.
Biomed Research International
|September 15, 2017
Summary
Sodium hypochlorite (NaOCl) irrigation is vital for root canal cleaning but can affect dentin bonding. This review explores NaOCl
Area of Science:
- Endodontics
- Dental Materials Science
- Biomaterials
Background:
- Effective root canal cleaning is crucial for endodontic treatment success.
- Complex root canal anatomy necessitates adjuncts to mechanical instrumentation for disinfection.
- Sodium hypochlorite (NaOCl) is a standard irrigant with antibacterial and tissue dissolution properties.
Purpose of the Study:
- To review the effects of sodium hypochlorite (NaOCl) on dentin-adhesive resin bond strength.
- To elucidate the mechanisms behind NaOCl's influence on bond strength.
- To explore methods for reversing any adverse effects of NaOCl on dentin.
Main Methods:
- Literature review of studies investigating NaOCl and dentin-adhesive interactions.
- Analysis of proposed mechanisms for NaOCl's effects on dentin composition.
- Evaluation of strategies to mitigate NaOCl's negative impact on bond strength.
Main Results:
- NaOCl can both enhance and reduce dentin-adhesive resin bond strength.
- Mechanisms involve alterations in dentin collagen and smear layer.
- Adverse effects on bond strength can potentially be reversed.
Conclusions:
- Understanding NaOCl's interaction with dentin is critical for successful adhesive restorations post-endodontic treatment.
- Further research is needed to optimize NaOCl use and bonding protocols.
- Strategies to mitigate NaOCl's detrimental effects can improve long-term treatment outcomes.
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