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SEALING OF BONDED RESIN COMPOSITE TO GINGIVAL WALL FOLLOWING APPLICATION OF TWO HEMOSTATIC AGENTS USING TWO ADHESIVE PROTOCOLS: AN INVITRO STUDY

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Last updated: 01 Jan 2025

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Abstract

Aim: To evaluate the microleakage of self-etch adhesive used with and without pre-etching step, on human dentin contaminated with two different hemostatic agents. Materials and methods Thirty human premolars were collected and class V cavities with standard dimensions were prepared at the cemento-enamel junction on both buccal and lingual surfaces, with the gingival margin is totally placed in dentin. All specimens were randomly assigned into three groups according to the hemostatic agent used (A); A0: No hemostatic agent applied (control group). A1: Hemostop (Dentsply). A2:ViscoStat® (Ultradent). Each group was furtherly subdivided into two subgroups according to the adhesive protocol used (B); B1: Pre-etching was performed. B2: Pre-etching was not performed. The resultant will be six subgroups, each of them was formed of five teeth with 10 cavities (n=10). Filtek™ Z350 XT nano resin was used to restore all cavities according to the manufacturer's instructions. Teeth were exposed to a thermocycling procedure, thereafter, they were stored in artificial saliva for two years. After immersion in 2% methylene blue dye, Microleakage was measured using USB Digital microscope with a built-in camera connected with an IBM compatible personal computer using a fixed magnification of 40X. Results: A two-way unrelated ANOVA showed significant main effects (p=0.0001) for hemostatic agent, with large effect size η2=86.5%, adhesive protocol with medium effect size η2=68.6%, and the interaction between hemostatic agent and adhesive protocol but with small effect size η2=34.2%.The Duncan post-hoc test revealed a significant difference between all groups except between the groups of Viscosat with pre-etching adhesive protocol (0.54 ± 0.03) on one hand and Hemostop with and without pre-etching adhesive protocol (0.53 ± 0.02) and (0.61 ± 0.04), respectively on the other hand (p > 0.05 ). Conclusions: 1. Contamination with hemostatic agents adversely affected the bonding qualities of self etch adhesives applied with and without pre etching step. 2. Dentin etching prior to self etch adhesives minimized the harmful effect of the hemostatic agents

DOI

10.21608/edj.2018.78099

Authors

First Name

Hossam

Last Name

Al Mandouh

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Affiliation

Lecturer, Operative Dentistry Department, Faculty of Dentistry, Suiz Canal University

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Orcid

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First Name

Inas

Last Name

Alzayat

MiddleName

-

Affiliation

Assistant Professor, Operative Dentistry Department, Faculty of Dentistry, Misr International University

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Volume

64

Article Issue

Issue 2 - April (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics)

Related Issue

11448

Issue Date

2018-04-01

Receive Date

2020-03-18

Publish Date

2018-04-01

Page Start

1,561

Page End

1,570

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_78099.html

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https://edj.journals.ekb.eg/service?article_code=78099

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19

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Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

MainTitle

SEALING OF BONDED RESIN COMPOSITE TO GINGIVAL WALL FOLLOWING APPLICATION OF TWO HEMOSTATIC AGENTS USING TWO ADHESIVE PROTOCOLS: AN INVITRO STUDY

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Article

Created At

22 Jan 2023