Clorhexidine as an alternative for dental conditioning in the rehabilitation of endodontically treated teeth
DOI:
https://doi.org/10.54139/odousuc.v21i1.427Keywords:
Intra-radicular dentine, dentin conditioning, hybrid layer, self-etching adhesive, chlorhexidineAbstract
Adhesion to intra-radicular dentin remains a challenge in contemporary dentistry, so it requires of a protocol and / or specific dentin conditioning. The purpose of this documentary review of bibliographic design is to describe the importance and benefits of the use of CHX (clorhexidine) for dentin conditioning in the rehabilitation of endodontically treated teeth. A review was carried out that included an electronic search through databases, taking as sample 61 articles that fulfilled the criteria of the investigation; determining that the activation of metalloproteinases (MPP) and cysteine cathepsins, the configuration of the cavity, hybrid layer, use of self-etching adhesive systems, residues of endodontic sealer, the physical and chemical properties of the fiberglass post and the polymerization shrinkage is a real challenge of the complex of dental adhesive restoration. It is concluded that CHX is an enzymatic inhibitor of broad antimicrobial spectrum, substantivity and low cytotoxicity, which optimizes the longevity of adhesive restorations. During the last decade scientific evidence has demonstrated the importance of its inclusion in the adhesive protocol due to its numerous properties that benefit the restoration of endodontically treated units.
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