Abstract

This study evaluated the effect of bromelain associated with Biosilicate on the bond strength (BS) of composite restorations to sound and caries-affected dentin. 360 sound human molars were selected, and occlusal cavities (6 mm×6 mm x 3 mm) were prepared using carbide burs. Half of them were submitted to cariogenic challenge with Streptococcus mutans strain ATCC25175. All the teeth were separated into nine groups (n = 20), according to the treatment received before the adhesive system (Single Bond Universal, 3 M ESPE): Control group Adhesive System (two coats in self-etch mode); CHX group 0,12% chlorhexidine; NaOCl group 5% sodium hypochlorite; Bio group 10% Biosilicate; Br5 group - 5% bromelain; Br10 group - 10% bromelain; Br5Bio group 5% bromelain + 10% Biosilicate; Br10Bio group 10% bromelain + 10% Biosilicate; NaOClBio group 5% sodium hypochlorite + 10% Biosilicate. After restorative procedures (Filtek Z350XT, 3 M ESPE), the samples were sectioned into sticks, separated, and stored in distilled water at 37 C for 24 h. After that, the sticks were submitted to microtensile test (0.5 mm/min). Data were analyzed using 2-way ANOVA and Bonferronis test (p <.05). The fracture pattern was observed with digital microscope (VH-M100). The caries-affected dentin presented higher BS (p <.05) than the sound substrate under control conditions and when the surface was treated with Biosilicate. Among the sound samples, there was no difference (p >.05), regardless of the treatment employed. In the caries-affected samples, Control and Br10 groups resulted in higher (p <.05) BS than Br5Bio group, with no difference (p >.05) between them. Br10 group also demonstrated higher values (p <.05) than Br10Bio group. The other groups showed no difference (p >.05). Both substrates presented higher incidence of non-adhesive fractures irrespective of the treatment. The pre-treatments with bromelain and bioactive glass-ceramic can affect the bond strength of composite restorations to sound and caries-affected dentin.

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