Caries-affected dentin disinfection using Triphala, Indocyanine green, and Potassium Titanyl Phosphate laser and their effect on adhesive bond strength

• Published in: Photodiagnosis and photodynamic therapy Vol. 41; p. 103257
• Main Authors: Kumari, Ujala, Zafar, Tooba, Shafqat, Shaheryar, Askary, Syed Hussain, Qasim, Muhammad, Kamran, Muhammad Abdullah, Baig, Eisha Abrar, Shaikh, Amynah C., Qureshi, Ambrina
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01-03-2023
• Subjects: Adhesives; Cavity disinfectant; Dental Caries Susceptibility; Dentin; Dentin-Bonding Agents - chemistry; Disinfection; Humans; Indocyanine Green - pharmacology; Indocyanine green photosensitizer; Lasers, Solid-State - therapeutic use; Materials Testing; Photochemotherapy - methods; Photodynamic Therapy; Photosensitizing Agents - pharmacology; Potassium Titanyl Phosphate laser; Shear bond strength; Triphala; Triphala; Photodynamic Therapy; Potassium Titanyl Phosphate laser; Indocyanine green photosensitizer; Shear bond strength; Cavity disinfectant
• ISSN: 1572-1000; 1873-1597
• DOI: 10.1016/j.pdpdt.2022.103257

•CAD disinfection with ozone displayed the highest shear bond strength.•CAD disinfection with Triphala demonstrated the lowest adhesive strength.•Among groups the dominant failure pattern observed was adhesive.
To assess the impact of new cavity sterilization types using ozone water (OW), Potassium Titanyl Phosphate laser (KTPL), Triphala, and indocyanine green photosensitizer (ICGP) on adhesive bond strength.
Fifty human permanent molars were included based on the criteria of International Caries Detection and Assessment System (ICDAS) scores 4 and 5 visual examinations, surface hardness valuation, staining by a caries detector solution, and radiographs. Caries-affected dentin (CAD) samples were randomly distributed into groups based on methods of disinfection (n = 10). Group 1: chlorhexidine, group 2: ow, group 3: KTPL, group 4: Triphala, and group 5: ICGP. Following disinfection, specimens were applied with Adper prime and bond NT and then restored with resin composite. All specimens were positioned in a jig of the universal testing machine for shear bond strength (SBS). The debonded samples were analyzed under a stereomicroscope at 40x magnification to determine the type of failure. Analysis of variance (ANOVA) and Tukey HSD tests were used keeping the level of significance p < 0.05.
The highest bond of adhesive resin was displayed by group 2 specimens cleaned using OW (16.71 ± 0.19 MPa). Whereas, the lowest bond integrity was observed by group 5 specimens disinfected using ICGP (11.21 ± 0.16 MPa). It was observed samples disinfected with OW (16.71 ± 0.19 MPa) in group 2 and samples in group 4 (16.09 ± 0.26 MPa) treated with Triphala displayed comparable outcomes of bond strength (p > 0.05). It was observed that group 2 (70%) and 4 (80%) treated specimens accounted mostly for cohesive failure. However, groups 1 (80%), 3 (60%), and 5 (70%) displayed an adhesive failure pattern.
OW and Triphala displayed better bond integrity of adhesive resin to CAD and therefore have the potential to be used as a cavity disinfectant in clinical settings. However, ICGP and KTPL displayed weak bonds of adhesive to CAD. More work is needed to extrapolate the findings of the present study.