Effect of silver diamine fluoride, potassium iodide, and glutathione on micro-shear bond strength of glass ionomer cement to caries affected dentine

Background: Silver diamine fluoride (SDF, 38%) is an efficient topical fluoride used to arrest dental caries though it causes black staining of both teeth and restoration. The application of potassium iodide (KI) after SDF reduces the stain, but the color change is only temporary. An alternative met...

Full description

Bibliographic Details
Main Authors: Deepthy Priya, Rupali Karale, B R Prashanth, Aparna Raj, K N Vathsala Heggade
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Indian Society of Pedodontics and Preventive Dentistry
Subjects:
Online Access:http://www.jisppd.com/article.asp?issn=0970-4388;year=2022;volume=40;issue=1;spage=62;epage=66;aulast=Priya
_version_ 1828350827098537984
author Deepthy Priya
Rupali Karale
B R Prashanth
Aparna Raj
K N Vathsala Heggade
author_facet Deepthy Priya
Rupali Karale
B R Prashanth
Aparna Raj
K N Vathsala Heggade
author_sort Deepthy Priya
collection DOAJ
description Background: Silver diamine fluoride (SDF, 38%) is an efficient topical fluoride used to arrest dental caries though it causes black staining of both teeth and restoration. The application of potassium iodide (KI) after SDF reduces the stain, but the color change is only temporary. An alternative method suggested is by mixing glutathione (GSH) with SDF, which preserves the silver ions of SDF within the solution. Hence, the purpose of this in vitro study was to evaluate the microshear bond strength (μSBS) of glass ionomer cement (GIC) to caries affected dentin (CAD) pretreated with SDF/KI/GSH. Materials and Methods: Thirty dentine slices of 2 mm thickness from human permanent upper premolars were demineralized using pH cycling method to mimic CAD. They were allocated to three groups of 10 each and treated with SDF, SDF-KI (SDF followed by KI), SDF + GSH (SDF mixed with GSH), respectively. Specimens were bonded with GICs. The μSBS was assessed using a universal testing machine and the data obtained were analyzed using one-way ANOVA and Tukey's post hoc test. Results: The μSBS (mean ± standard deviation) values for groups SDF, SDF-KI, and SDF + GSH were 4.81 ± 2.026, 5.78 ± 1.809, 8.18 ± 2.828 megapascal respectively. Group 3 showed significantly better bond strength compared to groups 1 and 2. In group 2, the addition of KI showed better bond strength when compared to group 1, but the difference was not statistically significant. Conclusion: Pretreatment of teeth with GSH along with SDF application showed significantly better bond strength of GIC to CAD compared to SDF and SDF-KI.
first_indexed 2024-04-14T01:30:39Z
format Article
id doaj.art-2ddfe52d3a21499483569fb5fdd23351
institution Directory Open Access Journal
issn 0970-4388
1998-3905
language English
last_indexed 2024-04-14T01:30:39Z
publishDate 2022-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Indian Society of Pedodontics and Preventive Dentistry
spelling doaj.art-2ddfe52d3a21499483569fb5fdd233512022-12-22T02:20:12ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Pedodontics and Preventive Dentistry0970-43881998-39052022-01-01401626610.4103/jisppd.jisppd_96_21Effect of silver diamine fluoride, potassium iodide, and glutathione on micro-shear bond strength of glass ionomer cement to caries affected dentineDeepthy PriyaRupali KaraleB R PrashanthAparna RajK N Vathsala HeggadeBackground: Silver diamine fluoride (SDF, 38%) is an efficient topical fluoride used to arrest dental caries though it causes black staining of both teeth and restoration. The application of potassium iodide (KI) after SDF reduces the stain, but the color change is only temporary. An alternative method suggested is by mixing glutathione (GSH) with SDF, which preserves the silver ions of SDF within the solution. Hence, the purpose of this in vitro study was to evaluate the microshear bond strength (μSBS) of glass ionomer cement (GIC) to caries affected dentin (CAD) pretreated with SDF/KI/GSH. Materials and Methods: Thirty dentine slices of 2 mm thickness from human permanent upper premolars were demineralized using pH cycling method to mimic CAD. They were allocated to three groups of 10 each and treated with SDF, SDF-KI (SDF followed by KI), SDF + GSH (SDF mixed with GSH), respectively. Specimens were bonded with GICs. The μSBS was assessed using a universal testing machine and the data obtained were analyzed using one-way ANOVA and Tukey's post hoc test. Results: The μSBS (mean ± standard deviation) values for groups SDF, SDF-KI, and SDF + GSH were 4.81 ± 2.026, 5.78 ± 1.809, 8.18 ± 2.828 megapascal respectively. Group 3 showed significantly better bond strength compared to groups 1 and 2. In group 2, the addition of KI showed better bond strength when compared to group 1, but the difference was not statistically significant. Conclusion: Pretreatment of teeth with GSH along with SDF application showed significantly better bond strength of GIC to CAD compared to SDF and SDF-KI.http://www.jisppd.com/article.asp?issn=0970-4388;year=2022;volume=40;issue=1;spage=62;epage=66;aulast=Priyacaries affected dentinglass ionomer cementglutathionemicroshear bond strengthpotassium iodidesilver diamine fluoride
spellingShingle Deepthy Priya
Rupali Karale
B R Prashanth
Aparna Raj
K N Vathsala Heggade
Effect of silver diamine fluoride, potassium iodide, and glutathione on micro-shear bond strength of glass ionomer cement to caries affected dentine
Journal of Indian Society of Pedodontics and Preventive Dentistry
caries affected dentin
glass ionomer cement
glutathione
microshear bond strength
potassium iodide
silver diamine fluoride
title Effect of silver diamine fluoride, potassium iodide, and glutathione on micro-shear bond strength of glass ionomer cement to caries affected dentine
title_full Effect of silver diamine fluoride, potassium iodide, and glutathione on micro-shear bond strength of glass ionomer cement to caries affected dentine
title_fullStr Effect of silver diamine fluoride, potassium iodide, and glutathione on micro-shear bond strength of glass ionomer cement to caries affected dentine
title_full_unstemmed Effect of silver diamine fluoride, potassium iodide, and glutathione on micro-shear bond strength of glass ionomer cement to caries affected dentine
title_short Effect of silver diamine fluoride, potassium iodide, and glutathione on micro-shear bond strength of glass ionomer cement to caries affected dentine
title_sort effect of silver diamine fluoride potassium iodide and glutathione on micro shear bond strength of glass ionomer cement to caries affected dentine
topic caries affected dentin
glass ionomer cement
glutathione
microshear bond strength
potassium iodide
silver diamine fluoride
url http://www.jisppd.com/article.asp?issn=0970-4388;year=2022;volume=40;issue=1;spage=62;epage=66;aulast=Priya
work_keys_str_mv AT deepthypriya effectofsilverdiaminefluoridepotassiumiodideandglutathioneonmicroshearbondstrengthofglassionomercementtocariesaffecteddentine
AT rupalikarale effectofsilverdiaminefluoridepotassiumiodideandglutathioneonmicroshearbondstrengthofglassionomercementtocariesaffecteddentine
AT brprashanth effectofsilverdiaminefluoridepotassiumiodideandglutathioneonmicroshearbondstrengthofglassionomercementtocariesaffecteddentine
AT aparnaraj effectofsilverdiaminefluoridepotassiumiodideandglutathioneonmicroshearbondstrengthofglassionomercementtocariesaffecteddentine
AT knvathsalaheggade effectofsilverdiaminefluoridepotassiumiodideandglutathioneonmicroshearbondstrengthofglassionomercementtocariesaffecteddentine