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Influence of chlorhexidine on the degree of conversion and E-modulus of experimental adhesive blends
Authors:M Cadenaro  DH Pashley  G Marchesi  M Carrilho  F Antoniolli  A Mazzoni  FR Tay  R Di Lenarda  L Breschi  
Institution:1. Department of Biomedicine, University of Trieste, Trieste, Italy;2. Department of Oral Biology, School of Dentistry, Medical College of Georgia, Augusta, GA, USA;3. Department of Restorative Dentistry, University of Campinas, Piracicaba School of Dentistry, São Paulo, Brazil;4. GEO/UNIBAN, Bandeirante University of São Paulo, São Paulo, Brazil;5. Department of SAU&FAL, University of Bologna, Bologna, Italy;6. IGM-CNR, Unit of Bologna c/o IOR, Bologna, Italy
Abstract:ObjectivesThis study examined the effect of chlorhexidine (CHX) content on degree of conversion (DC) and E-modulus of experimental adhesive blends. The hypothesis tested was that increasing concentrations of CHX result in decreased DC and E-modulus in relation to adhesive hydrophilicity.MethodsExperimental adhesive blends with increasing hydrophilicity R2 (70% bisGMA, 28.75% TEGDMA); R3 (70% BisGMA, 28.75% HEMA); R4 (40% BisGMA, 30% TCDM, 28.75% TEGDMA); R5 (40% BisGMA, 30% BisMP, 28.75% HEMA) and different CHX concentrations (1 and 5%) were analyzed. 5% CHX could not be dissolved in R2. A differential scanning calorimeter was used to measure the DC of resin blends. Photopolymerized disks of the experimental comonomer mixtures (n = 10/gp) were used to measure the E-modulus of each specimen using a biaxial flexure test. Data were analyzed with two-way ANOVA (resin type and CHX concentration) and Tukey's post hoc test.ResultsThe addition of 1% CHX did not significantly alter the DC of R2 and R3. Significant decrease in R3 DC values was observed when 5% CHX was added. CHX significantly increased the DC of R4 and R5. 1% CHX reduced the E-modulus of all resins (p < 0.05) except for R2, in which the E-modulus was significantly increased (p < 0.05). 5% CHX significantly reduced the E-modulus of resins R3 to R5 (p < 0.05).SignificanceIn conclusion, increasing concentrations of CHX dissolved in resin blends had little adverse effect on DC but decreased the E-modulus 27–48% compared to controls. Solvation of CHX in ethanol prior to incorporation of CHX into R2 may permit higher CHX concentrations without lower polymer stiffness.
Keywords:Chlorhexidine  Degree of conversion  E-modulus  Polymerization  Dental bonding systems
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