Document Detail


Evaluating EDTA as a substitute for phosphoric acid-etching of enamel and dentin.
MedLine Citation:
PMID:  22414518     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Matrix metalloproteinases (MMPs) are proteolytic enzymes released when dentin is acid-etched. The enzymes are capable of destroying unprotected collagen fibrils that are not encapsulated by the dentin adhesive. Chlorhexidine applied after etching inhibits the activation of released MMPs, whereas neutral ethylenediamine tetra-acetic acid (EDTA) prevents the release of MMPs. The purpose of this study was to determine if conditioning enamel and dentin with EDTA can be a substitute for treating acid-etching enamel and dentin with chlorhexidine. A column of composite resin was bonded to enamel and dentin after conditioning. Shear bond strengths were evaluated after 48 hours and after accelerated aging for three hours in 12% sodium hypochlorite. Shear bond strengths ranged from 15.6 MP a for accelerated aged EDTA enamel specimens to 26.8 MPa for dentin conditioned with EDTA and tested after 48 hours. A three-way ANOVA and a Tukey HSD test found statistically significant differences among the eight groups and the three independent variables (P < 0.05). EDTA was successfully substituted for phosphoric acid-etched enamel and dentin treated with chlorhexidine. Interactions of conditioning agent and aging were significant for dentin but not for enamel. In an effort to reduce the detrimental effects of MMPs, conditioning enamel and dentin with EDTA is an alternative to treating acid-etched dentin and enamel with chlorhexidine.
Authors:
Terence A Imbery; Matthew Kennedy; Charles Janus; Peter C Moon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  General dentistry     Volume:  60     ISSN:  0363-6771     ISO Abbreviation:  Gen Dent     Publication Date:    2012 Mar-Apr
Date Detail:
Created Date:  2012-03-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610466     Medline TA:  Gen Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e55-61     Citation Subset:  D    
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