Research Article

DOI :10.26650/eor.20241233183 IUP :10.26650/eor.20241233183 Full Text (PDF)

Comparing the effectiveness of desensitizing toothpastes on the dentin bond strength of a new self-cured universal adhesive

Tuğba Nur Tuncer, Begüm Büşra Cevval Özkoçak, Fatma Aytaç Bal

Purpose: This study aims to evaluate the shear bond strength (SBS) of dentin using a new self-cured universal adhesive after the application of various desensitizing toothpastes.

Materials and Methods: Fifty permanent third molar teeth were prepared by removing roots and enamel surfaces to expose the buccal and lingual dentin surfaces mesiodistally. Specimens were then randomly divided into five groups: Sensodyne Repair & Protect (Group 1), Ipana Pro-Expert (Group 2), Colgate Sensitive Pro-Relief (Group 3), Prevdent (Group 4), and Group 5 served as the control group where no toothpaste was applied. An electric toothbrush was used to brush the teeth twice daily for 14 days, each session lasting 15 seconds. Each group was further divided into two subgroups for bonding procedures using Clearfil SE-Bond (CSB) and Tokuyama Universal Bond (TUB). Composite resin was applied to all sample surfaces following the adhesive procedures. After undergoing 5,000 thermal cycles, the SBS test was conducted. Data were analyzed using two-way ANOVA and post hoc Tukey test (p<0.05). Scanning electron microscopy (SEM) was employed to assess the toothpaste's ability to occlude dentinal tubules, while stereomicroscopy (x40) was used for failure analysis.

Results: The data indicated that the highest mean SBS value among all groups was observed in CSB/Group-5 (13.83 MPa), while the lowest mean SBS value was recorded in TUB/Group-4 (5.21 MPa). SEM analysis showed significant tubule occlusion in the group treated with nanohydroxyapatite-containing toothpaste.

Conclusion: The study found that toothpaste containing nanohydroxyapatite effectively occludes dentin tubules. Therefore, two-step self-etch adhesive systems might be preferred over self-curing universal adhesives. The selection of adhesive procedures should consider the desensitizing toothpaste's composition.

Keywords: dentin hypersensitivity, desensitizing toothpaste, dentin tubule occlusion, shearbond strength, self-cure universal adhesive

References

Bekes K. Clinical presentation and physiological mechanisms of dentine hypersensitivity. Dentine Hypersensitivity: Developing a Person-centred Approach to Oral Health. 2014; 21-32. google scholar
West N, Seong J, Davies M. Dentine hypersensitivity. Monogr Oral Sci. 2014;25:108-22. doi: 10.1159/000360749. google scholar
Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. In: Journal (Canadian Dental Association). 2003;69(4):221-6. google scholar
Talioti E, Hill R, Gillam DG. The Efficacy of Selected Desensitizing OTC Products: A Systematic Review. ISRN Dentistry. 2014;2014:865761. doi: 10.1155/2014/8657615. google scholar
Amaechi BT, Van Loveren C. Fluorides and non-fluoride remineralization systems. Monogr Oral Sci. 2013;23: 15-26. doi: 10.1159/000350458. google scholar
Davari A, Ataei E, Assarzadeh H. Dentin hypersensitivity: etiology, diagnosis and treatment; a literature review. J Dent (Shiraz, Iran). 2013; 14(3): 136-45. google scholar
Perdigâo J, Swift EJ. Universal Adhesives. J Esthet Restor Dent. 2015; 27(6):331-4. doi: 10.1111/jerd.12185. google scholar
Kawano S, Fu J, Saikaew P, Chowdhury AA, Fukuzawa N, Kadowaki Y, et al. Microtensile bond strength of a newly developed resin cement to dentin. Dent Mater J. 2015; 34(1):61-9. doi: 10.4012/dmj.2014-122. google scholar
Ahmeda AA, Mustafa M. Hassanb AIA. Microshear bond strength of universal adhesives to dentin used in total-etch and self-etch modes. Tanta Dental Journal. 2018; 15(2):91-98. doi: 10.4103/tdj._52_17. google scholar
Wang R, Shi Y, Li T, Pan Y, Cui Y, Xia W. Adhesive interfacial characteristics and the related bonding performance of four self-etching adhesives with different functional monomers applied to dentin. J Dent. 2017; 62:72-80.doi: 10.1016/j.jdent.2017.05.010. google scholar
Tao S, He L, Xu HHK, Weir MD, Fan M, Yu Z, et. al. Dentin remineralization via adhesive containing amorphous calcium phosphate nanoparticles in a biofilm-challenged environment. J Dent. 2019;89:103193. doi: 10.1016/j.jdent.2019.103193. google scholar
Van Meerbeek B, Yoshihara K, Yoshida Y, Mine A, De Munck J, Van Landuyt KL. State of the art of self-etch adhesives. Dent Mater. 2011; 27(1):17-28. doi:10.1016/j.dental.2010.10.023. google scholar
Carrilho E, Cardoso M, Ferreira MM, Marto CM, Paula A, Coelho AS. 10-MDP based dental adhesives: Adhesive interface characterization and adhesive stability-A systematic review. Materials. 2019; 12(5):790. doi: 10.3390/ma12050790. google scholar
Yoshida Y, Yoshihara K, Nagaoka N, Hayakawa S, Torii Y, Ogawa T, et al. Self-assembled nano-layering at the adhesive interface. J Dent Res. 2012; 91(4):376-81. doi: 10.1177/0022034512437375. google scholar
Yoshihara K, Yoshida Y, Hayakawa S, Nagaoka N, Irie M, Ogawa T, et al. Nanolayering of phosphoric acid ester monomer on enamel and dentin. Acta Biomater. 2011; 7(8):3187-95.doi: 10.1016/j.actbio.2011.04.026. google scholar
Hiraishi N, Tochio N, Kigawa T, Otsuki M, Tagami J. Monomer-collagen interactions studied by saturation transfer difference NMR. J Dent Res. 2013; 92(3):284-8.doi: 10.1177/0022034512474310. google scholar
Aiichiro Katsumata, Pipop Saıkaew, Shihchun Tıng, Tamaki Katsumata, Tomohiro Hoshıka, Hidehiko Sano Yn. Microtensile Bond Strength Bonded to Dentin of a Newly Universal Adhesive. J Oral Tissue Engin. 2017;15(1):18-24. https://doi.org/10.11223/jarde.15.18. google scholar
Yoshida Y, Yoshihara K, Nagaoka N, Hanabusa M, Matsumoto T, Momoi Y. X-ray diffraction analysis of three-dimensional self-reinforcing monomer and its chemical interaction with tooth and hydroxyapatite. Dent Mater J. 2012;31(4):697-702. doi: 10.4012/dmj.2012-074. google scholar
Fu J, Kakuda S, Pan F, Hoshika S, Ting S, Fukuoka A, et al. Bonding performance of a newly developed step-less all-in-one system on dentin. Dent Mater J. 2013; 32(2):203-11. doi: 10.4012/dmj.2012-204. google scholar
Agaccioglu M, Aytac F. Analysis Methods Related to Polymerization Properties of Composite Resins. Turkiye Klinikleri J Dental Sci. 2019; 25(2):201-12. google scholar
Lu H, Mehmood A, Chow A, Powers JM. Influence of polymerization mode on flexural properties of esthetic resin luting agents. J Prosthet Dent. 2005; 94(6):549-54. doi: 10.1016/j.prosdent.2005.09.016. google scholar
Nagarkar S, Theis-Mahon N, Perdigâo J. Universal dental adhesives: Current status, laboratory testing, and clinical performance. J Biomed Mater Res B Appl Biomater. 2019;107(6):2121-2131. doi: 10.1002/jbm.b.34305. google scholar
Kochanipa Saisopa SS. Effect of desensitizing toothpaste on microtensile bond strength between resin composite and dentin. Cumhuriyet Dent J. 2014; 37:225-40. google scholar
Aguiar JD, Medeiros IS, e Souza Junior MHS, Loretto SC. Influence of the extended use of desensitizing toothpastes on dentin bonding, microhardness and roughness. Braz Dent J. 2017; 28(3):346-353. doi: 10.1590/0103-6440201601292. google scholar
Lavender SA, Petrou I, Heu R, Stranick MA, Cummins D, Kilpatrick-Liverman L, et al. Mode of action studies on a new desensitizing dentifrice containing 8.0% arginine, a high cleaning calcium carbonate system and 1450 ppm fluoride. Am J Dent. 2010; 23 Spec No A:14A-19A. google scholar
Tschoppe P, Zandim DL, Martus P, Kielbassa AM. Enamel and dentine remineralization by nano-hydroxyapatite toothpastes. J Dent. 2011; 39(6):430-7. doi:10.1016/j.jdent.2011.03.008. google scholar
Wang Z, Jiang T, Sauro S, Pashley DH, Toledano M, Osorio R, et al. The dentine remineralization activity of a desensitizing bioactive glass-containing toothpaste: An in vitro study. Aust Dent J. 2011; 56(4):372-81.doi: 10.1111/j.1834-7819.2011.01361.x. google scholar
Pepla E. Nano-hydroxyapatite and its applications in preventive, restorative and regenerative dentistry: a review of literature. Annali di Stomatologia. 2014; 20;5(3):108-14. google scholar
Jena A, Kala S, Shashirekha G. Comparing the effectiveness of four desensitizing toothpastes on dentinal tubule occlusion: A scanning electron microscope analysis. J Conserv Dent. 2017; 20(4):269-272. doi: 10.4103/JCD. 34_17. google scholar
Kunam D, Manimaran S, Sampath V, Sekar M. Evaluation of dentinal tubule occlusion and depth of penetration of nano-hydroxyapatite derived from chicken eggshell powder with and without addition of sodium fluoride: An in vitro study. J Conserv Dent. 2016; 19(3):239-44.doi: 10.4103/0972-0707.181940. google scholar
Kulal R, Jayanti I, Sambashivaiah S, Bilchodmath S. An in-vitro comparison of nano hydroxyapatite, novamin and proargin desensitizing toothpastes -A SEM study. JCDR. 2016; 10(10):ZC51-ZC54. doi: 10.7860/JCDR/2016/18991.8649. google scholar
Earl JS, Topping N, Elle J, Langford RM, Greenspan DC. Physical and chemical characterization of the surface layers formed on dentin following treatment with a fluoridated toothpaste containing NovaMin. J Clin Dent. 2011; 22(3):68-73. google scholar
Shah S, Shivakumar AT, Khot O, Patil C, Hosmani N. Efficacy of NovaMin- and Pro-Argin-containing desensitizing dentifrices on occlusion of dentinal tubules. Dental Hypotheses.2017;8(4):104.doi:10.4103/denthyp. _30_17. google scholar
Sharma N, Roy S, Kakar A, Greenspan DC, Scott R. A clinical study comparing oral formulations containing 7.5% calcium sodium phosphosilicate (novamin), 5% potassium nitrate, and 0.4% stannous fluoride for the management of dentin hypersensitivity. J Clin Dent. 2010; 21(3):88-92. google scholar
He T, Barker ML, Biesbrock AR, Miner M, Qaqish J, Sharma N. A clinical study to assess the effect of a stabilized stannous fluoride dentifrice on hypersensitivity relative to a marketed sodium fluoride/triclosan control. J Clin Dent. 2014; 25(2):13-8. google scholar
Ni LX, He T, Chang A, Sun L. The desensitizing efficacy of a novel stannous-containing sodium fluoride dentifrice: An 8-week randomized and controlled clinical trial. Am J Dent. 2010; 23 Spec No B:17B-21B. google scholar
Arnold WH, Prange M, Naumova EA Effectiveness of various toothpastes on dentine tubule occlusion. J Dent. 2015; 43(4):440-9. doi: 10.1016/j.jdent.2015.01.014. google scholar
West NX, Seong J, Hellin N, Macdonald EL, Jones SB, Creeth JE. Assessment of tubule occlusion properties of an experimental stannous fluoride toothpaste: A randomised clinical in situ study. J Dent. 2018; 76:125-131.doi: 10.1016/j.jdent.2018.07.001. google scholar
Takamizawa T, Tsujimoto A, Ishii R, Ujiie M, Kawazu M, Hidari T, Suzuki T, Miyazaki M. Laboratory evaluation of dentin tubule occlusion after use of dentifrices containing stannous fluoride. J Oral Sci. 2019; 61(2):276-283. doi: 10.2334/josnusd.18-0176. google scholar
Aguiar JD, de Amorim ACS, Medeiros IS, Souza Junior MHS e, Loretto SC. Influence of Prolonged use of Desensitizing Dentifrices on Dentin Bond Strength of Self-Etching Adhesive System. IJO. 2016; 10(1):135-142. doi:10.4067/s0718-381x2016000100021. google scholar
Canares G, Salgado T, Pines MS, Wolff MS. Effect of an 8.0% arginine and calcium carbonate desensitizing toothpaste on shear dentin bond strength. J Clin Dent. 2012; 23(2):68-70. google scholar
Anithakumari R, Sureshbabu NM. The effect of desensitizing agents on the bond strength of dentin bonding agents: A systematic review. J Conserv Dent. 2022;25(6):580-587. doi: 10.4103/jcd. jcd_248_21. google scholar
Pei D, Meng Y, Li Y, Liu J, Lu Y. Influence of nano-hydroxyapatite containing desensitizing toothpastes on the sealing ability of dentinal tubules and bonding performance of self-etch adhesives. J Mech Behav Biomed Mater. 2019; 91:38-44. doi: 10.1016/j.jmbbm.2018.11.021. google scholar
Andreatti LS, Lopes MB, Guiraldo RD, Borges AH, Dorileo MCO, Gonini A. Efffect of desensitizing agents on the bond strength of dental adhesive systems. Appl Adhes Sci. 2014;2(24). https://doi.org/10.1186/s40563-014-0024-y. google scholar
Pei D, Liu S, Huang C, Du X, Yang H, Wang Y, et al. Effect of pretreatment with calcium-containing desensitizer on the dentine bonding of mild self-etch adhesives. Eur J Oral Sci. 2013; 121(3 Pt 1):204-10.doi: 10.1111/eos.12047 google scholar
Wang Y, Liu S, Pei D, Du X, Ouyang X, Huang C. Effect of an 8.0% arginine and calcium carbonate in-office desensitizing paste on the microtensile bond strength of self-etching dental adhesives to human dentin. Am J Dent. 2012; 25(5):281-6. google scholar
Wang S, Meng Y, Zhang Y, Huang F, Teng R, Lu Y, et. al. Influence of calcium-based desensitizing toothpastes on the bonding performance of universal adhesive. Microsc Res Tech. 2023;86(4):402-413. doi: 10.1002/jemt.24280. google scholar
Palhari FTL, Almeida LDM, Liporoni PCS, Hilgert LA, Zanatta RF. Influence of the combined effect of desensitizing dentifrices and universal adhesives on dentin bond strength under erosive conditions. J Appl Oral Sci. 2023;7;31:e20230224. doi: 10.1590/1678-7757-2023-0224. google scholar

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APA

Tuncer, T.N., Cevval Özkoçak, B.B., & Aytaç Bal, F. (2024). Comparing the effectiveness of desensitizing toothpastes on the dentin bond strength of a new self-cured universal adhesive. European Oral Research, 0(0), -. https://doi.org/10.26650/eor.20241233183

AMA

Tuncer T N, Cevval Özkoçak B B, Aytaç Bal F. Comparing the effectiveness of desensitizing toothpastes on the dentin bond strength of a new self-cured universal adhesive. European Oral Research. 2024;0(0):-. https://doi.org/10.26650/eor.20241233183

ABNT

Tuncer, T.N.; Cevval Özkoçak, B.B.; Aytaç Bal, F. Comparing the effectiveness of desensitizing toothpastes on the dentin bond strength of a new self-cured universal adhesive. European Oral Research, [Publisher Location], v. 0, n. 0, p. -, 2024.

Chicago: Author-Date Style

Tuncer, Tuğba Nur, and Begüm Büşra Cevval Özkoçak and Fatma Aytaç Bal. 2024. “Comparing the effectiveness of desensitizing toothpastes on the dentin bond strength of a new self-cured universal adhesive.” European Oral Research 0, no. 0: -. https://doi.org/10.26650/eor.20241233183

Chicago: Humanities Style

Tuncer, Tuğba Nur, and Begüm Büşra Cevval Özkoçak and Fatma Aytaç Bal. “Comparing the effectiveness of desensitizing toothpastes on the dentin bond strength of a new self-cured universal adhesive.” European Oral Research 0, no. 0 (Dec. 2024): -. https://doi.org/10.26650/eor.20241233183

Harvard: Australian Style

Tuncer, TN & Cevval Özkoçak, BB & Aytaç Bal, F 2024, 'Comparing the effectiveness of desensitizing toothpastes on the dentin bond strength of a new self-cured universal adhesive', European Oral Research, vol. 0, no. 0, pp. -, viewed 23 Dec. 2024, https://doi.org/10.26650/eor.20241233183

Harvard: Author-Date Style

Tuncer, T.N. and Cevval Özkoçak, B.B. and Aytaç Bal, F. (2024) ‘Comparing the effectiveness of desensitizing toothpastes on the dentin bond strength of a new self-cured universal adhesive’, European Oral Research, 0(0), pp. -. https://doi.org/10.26650/eor.20241233183 (23 Dec. 2024).

MLA

Tuncer, Tuğba Nur, and Begüm Büşra Cevval Özkoçak and Fatma Aytaç Bal. “Comparing the effectiveness of desensitizing toothpastes on the dentin bond strength of a new self-cured universal adhesive.” European Oral Research, vol. 0, no. 0, 2024, pp. -. [Database Container], https://doi.org/10.26650/eor.20241233183

Vancouver

Tuncer TN, Cevval Özkoçak BB, Aytaç Bal F. Comparing the effectiveness of desensitizing toothpastes on the dentin bond strength of a new self-cured universal adhesive. European Oral Research [Internet]. 23 Dec. 2024 [cited 23 Dec. 2024];0(0):-. Available from: https://doi.org/10.26650/eor.20241233183 doi: 10.26650/eor.20241233183

ISNAD

Tuncer, TuğbaNur - Cevval Özkoçak, BegümBüşra - Aytaç Bal, Fatma. “Comparing the effectiveness of desensitizing toothpastes on the dentin bond strength of a new self-cured universal adhesive”. European Oral Research 0/0 (Dec. 2024): -. https://doi.org/10.26650/eor.20241233183

TIMELINE

Submitted	12.01.2023
Accepted	19.12.2023
Published Online	14.02.2024

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