Influence of silver fluoride plus potassium iodine on adhesive properties of primary carious dentin-resin interface: An in vitro study

This paper evaluated the influence of different protocols of silver fluoride (SF) pretreatment of artificial carious lesions on the adhesive interface of composite resin restorations and remineralization of deciduous dentin compared to silver diamine fluoride (SDF). Sixty-four deciduous molar teeth...

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Main Authors: Nayara Cristina da Luz, Vitória Monteiro, Célia Maria Condeixa de França Lopes, Andres Felipe Millan Cardenas, Ana Cláudia Rodrigues Chibinski
Format: Article
Language:English
Published: Springer 2024-03-01
Series:Saudi Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S1013905223002729
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author Nayara Cristina da Luz
Vitória Monteiro
Célia Maria Condeixa de França Lopes
Andres Felipe Millan Cardenas
Ana Cláudia Rodrigues Chibinski
author_facet Nayara Cristina da Luz
Vitória Monteiro
Célia Maria Condeixa de França Lopes
Andres Felipe Millan Cardenas
Ana Cláudia Rodrigues Chibinski
author_sort Nayara Cristina da Luz
collection DOAJ
description This paper evaluated the influence of different protocols of silver fluoride (SF) pretreatment of artificial carious lesions on the adhesive interface of composite resin restorations and remineralization of deciduous dentin compared to silver diamine fluoride (SDF). Sixty-four deciduous molar teeth were randomly divided into 8 groups (n = 8) according to the restoration time (immediately – IM; 30 days after SDF/SF treatment – 30 D) and treatment before restoration (SDF 38 %; SDF 38 % + potassium iodide – KI; SF 38 %; SF 38 % +KI). After SDF/SF application, teeth in the IM group were restored with self-etch universal adhesive system/composite resin. Samples in the 30D groups were stored in artificial saliva (37 °C) for 30 days before receiving the same restoring protocol. Beams were obtained from all groups and subjected to bond strength tests (µTBS), ultrastructural qualitative analysis (FEG) and mineral analysis (SEM/EDX; Micro-Raman spectroscopy). The µTBS data were subjected to three-factor ANOVA and multiple comparisons (Holm-Sidak method). Bond strength values (MPa) for IM groups were 16.9 ± 2.7 (SDF); 17.6 ± 3.5 (SDF + KI); 16.8 ± 5.5 (SF); 18.4 ± 4.1 (SF + KI); and 14.9 ± 4.2 (SDF); 16.0 ± 5.4 (SDF + KI); 14.1 ± 3.6(SF); 16.4 ± 5.4 (SF + KI) for 30D groups. Bond strength wasn’t influenced by the moment of restoration (IM or 30D); the use of KI didn’t alter adhesion characteristics; SDF/SF solutions resulted in similar adhesive strength; calcium and phosphate expressions were identified at the interfaces on IM and 30D moments. However, 30D presented qualitative increase in these ions, compatible with remineralization. It was concluded that the adhesion of composite resin restorations in artificial caries lesions of deciduous teeth treated with SDF (38 %) and SF (38 %) had similar effects in vitro; the use of KI or the moment when restorations were accomplished did not influence the adhesion and all tested protocols promoted remineralization of carious dentin.
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spelling doaj-art-65f7295af5fa4a338e4d9adf672203212025-08-20T02:56:47ZengSpringerSaudi Dental Journal1013-90522024-03-0136347147910.1016/j.sdentj.2023.12.008Influence of silver fluoride plus potassium iodine on adhesive properties of primary carious dentin-resin interface: An in vitro studyNayara Cristina da Luz0Vitória Monteiro1Célia Maria Condeixa de França Lopes2Andres Felipe Millan Cardenas3Ana Cláudia Rodrigues Chibinski4Departament of Dentistry, State University of Ponta Grossa, Paraná, BrazilDepartament of Dentistry, State University of Ponta Grossa, Paraná, BrazilDepartament of Dentistry, University of Joinville Region, Joinvile, Santa Catarina, BrazilDepartament of Dentistry, CEUMA University, São Luiz, Maranhão, BrazilDepartament of Dentistry, State University of Ponta Grossa, Paraná, Brazil; Corresponding author at: State University of Ponta Grossa, Departament of Dentistry, Av. General Carlos Cavalcanti, 4748 - Uvaranas, Ponta Grossa, PR CEP 84030-900, Brazil.This paper evaluated the influence of different protocols of silver fluoride (SF) pretreatment of artificial carious lesions on the adhesive interface of composite resin restorations and remineralization of deciduous dentin compared to silver diamine fluoride (SDF). Sixty-four deciduous molar teeth were randomly divided into 8 groups (n = 8) according to the restoration time (immediately – IM; 30 days after SDF/SF treatment – 30 D) and treatment before restoration (SDF 38 %; SDF 38 % + potassium iodide – KI; SF 38 %; SF 38 % +KI). After SDF/SF application, teeth in the IM group were restored with self-etch universal adhesive system/composite resin. Samples in the 30D groups were stored in artificial saliva (37 °C) for 30 days before receiving the same restoring protocol. Beams were obtained from all groups and subjected to bond strength tests (µTBS), ultrastructural qualitative analysis (FEG) and mineral analysis (SEM/EDX; Micro-Raman spectroscopy). The µTBS data were subjected to three-factor ANOVA and multiple comparisons (Holm-Sidak method). Bond strength values (MPa) for IM groups were 16.9 ± 2.7 (SDF); 17.6 ± 3.5 (SDF + KI); 16.8 ± 5.5 (SF); 18.4 ± 4.1 (SF + KI); and 14.9 ± 4.2 (SDF); 16.0 ± 5.4 (SDF + KI); 14.1 ± 3.6(SF); 16.4 ± 5.4 (SF + KI) for 30D groups. Bond strength wasn’t influenced by the moment of restoration (IM or 30D); the use of KI didn’t alter adhesion characteristics; SDF/SF solutions resulted in similar adhesive strength; calcium and phosphate expressions were identified at the interfaces on IM and 30D moments. However, 30D presented qualitative increase in these ions, compatible with remineralization. It was concluded that the adhesion of composite resin restorations in artificial caries lesions of deciduous teeth treated with SDF (38 %) and SF (38 %) had similar effects in vitro; the use of KI or the moment when restorations were accomplished did not influence the adhesion and all tested protocols promoted remineralization of carious dentin.http://www.sciencedirect.com/science/article/pii/S1013905223002729Silver diamine fluorideDental bondingComposite resinToothDeciduous
spellingShingle Nayara Cristina da Luz
Vitória Monteiro
Célia Maria Condeixa de França Lopes
Andres Felipe Millan Cardenas
Ana Cláudia Rodrigues Chibinski
Influence of silver fluoride plus potassium iodine on adhesive properties of primary carious dentin-resin interface: An in vitro study
Saudi Dental Journal
Silver diamine fluoride
Dental bonding
Composite resin
Tooth
Deciduous
title Influence of silver fluoride plus potassium iodine on adhesive properties of primary carious dentin-resin interface: An in vitro study
title_full Influence of silver fluoride plus potassium iodine on adhesive properties of primary carious dentin-resin interface: An in vitro study
title_fullStr Influence of silver fluoride plus potassium iodine on adhesive properties of primary carious dentin-resin interface: An in vitro study
title_full_unstemmed Influence of silver fluoride plus potassium iodine on adhesive properties of primary carious dentin-resin interface: An in vitro study
title_short Influence of silver fluoride plus potassium iodine on adhesive properties of primary carious dentin-resin interface: An in vitro study
title_sort influence of silver fluoride plus potassium iodine on adhesive properties of primary carious dentin resin interface an in vitro study
topic Silver diamine fluoride
Dental bonding
Composite resin
Tooth
Deciduous
url http://www.sciencedirect.com/science/article/pii/S1013905223002729
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