Smear layer deproteinization with NaOCl and HOCl: Do application/wash-out times affect dentin bonding of one-step self-etch adhesives?

Dent Mater J. 2022 May 31;41(3):353-362. doi: 10.4012/dmj.2021-208. Epub 2022 Jan 25.

Abstract

This study investigated the influence of application/wash-out times of sodium hypochlorite (NaOCl) and hypochlorous acid (HOCl) on dentin bond strength of one-step self-etch adhesives (1-SEAs). Human coronal dentin discs with a standardized smear layer were pretreated with 6% NaOCl or 100 ppm HOCl for 5 s, 15 s, or 30 s, and washed out with water for 5 s, 15 s or 30 s with or without the application of Clearfil DC Activator (CDA). No pretreatment was used as a control. The discs were bonded with a 1-SEA (Bond Force II or Clearfil Universal Bond Quick) and microtensile bond strength (µTBS) was measured after 24 h. Pretreatment with NaOCl for 15 s and 30 s significantly decreased µTBS (p<0.05), irrespective of wash-out time. The application of CDA recovered µTBS but did not outperform the control group. Conversely, pretreatment with HOCl for 15 s and 30 s followed by 30 s wash-out time significantly increased µTBS of 1-SEAs (p<0.05), regardless of CDA application.

Keywords: FTIR; Hypochlorous acid; Microtensile bond strength; Smear layer deproteinizing; Sodium hypochlorite.

MeSH terms

  • Dental Bonding*
  • Dental Cements
  • Dentin / chemistry
  • Dentin-Bonding Agents / chemistry
  • Humans
  • Hypochlorous Acid / analysis
  • Materials Testing
  • Resin Cements / chemistry
  • Smear Layer*
  • Tensile Strength

Substances

  • Dental Cements
  • Dentin-Bonding Agents
  • Resin Cements
  • Hypochlorous Acid