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Biomedical subjects

Thomas Attin

Publications and source records attributed to Thomas Attin.

36 records · Page 2Linked to original sources

Peroxide release into saliva from five different home bleaching systems in vivo.

PURPOSE: This study determined hydrogen peroxide release into the oral cavity during use of different home bleaching products and compared them with accepted safe levels. METHODS: Determination of peroxide in saliva was performed with peroxidase, phenol and 4-aminoantipyrin in a photometric method. Upper jaw incisors were bleached with individual trays charged with 350 mg Opalescence 10%, Opalescence 15% (OP) and Vivastyle (V). Additionally, Whitestrips (WS) designed for upper or lower jaw were used. All systems were adopted by five subjects for 30 minutes on different days. Whole saliva was collected at 2-minute intervals during the first 10 minutes of bleaching and every 5 minutes thereafter. RESULTS: Highest release of peroxide was found for all products in the saliva sample collected initially after application of the bleaching agent. Total amount of peroxide released into saliva during 30-minute bleaching period was 0.78+/-0.45 for Opalescence 10% and 1.52+/-0.44 mg for Opalescence 15%. Significantly more peroxide was released from Vivastyle (2.67+/-1.03 mg) and from Whitestrips (upper: 3.25+/-5,65, lower: 2.09+/-0.34 mg). A significantly smaller fraction of the charged peroxides was released into saliva from individual trays than from Whitestrips during the 30-minute use time. From the peroxide loaded in the trays or strips the following fractions were released during the application period: Opalescence 10% (6.4+/-3.7%), Opalescence 15% (8+/-2.4%), Vivastyle (18.6+/-8.5%), upper Whitestrips (30.4+/-4.9), lower Whitestrips (27.4+/-4.4%). In terms of amount/kg body weight the bleaching systems led to a single exposure of 0.013-0.056 mg/kg which is distinctly less than the maximum safe daily dose of 0.26 mg/kg/day if calculated for a small person (58 kg/128 lbs).

Carbamide Peroxide↗

[Treatment of crown fractured incisors: reattachment instead of restoration?].

Crown fractures are the most common form of traumatic dental injuries in the permanent dentition. Reattachment of the coronal fragment to the remaining tooth structure may offer a conservative, esthetic and cost-effective restorative option which has been shown to be an accepted alternative to conventional restoration (resin composite build-up, veneer or crown) of the fractured teeth. Fragment retention is significantly influenced by reattachment techniques and materials. Regarding reattachment techniques, placement of an internal groove seems advisable when the remnant and the fragment fit well, while an overcontouration should be used when the partial loss of hard tissue must be compensated. Materials used for reattachment seem to be less important than technique for a successful treatment, but adhesives and composite resin materials should correspond to each other. However, up to now, self-etching adhesives have shown less fracture strength of the reattachment than multi-bottle adhesives. Since many case reports and several clinical studies reported clinical success, further studies are recommended to analyse the impact of reattachment techniques and materials on the long-term survival of fragment bonding.

Dental Bonding↗

Efficacy of different whitening modalities on bovine enamel and dentin.

Previous studies have shown that bleaching treatment may be efficient in both enamel and dentin, but it is still unknown how much the subsurface dentin contributes to the color change of teeth. This in vitro study evaluated the whitening effect of different external bleaching agents on enamel-dentin slabs and subsurface dentin. Ninety bovine teeth were distributed among six groups (A, Opalescence 10%; B, Opalescence PF 15%; C, Opalescence Quick; D, Opalescence Extra Boost; E, Rapid White; F, Whitestrips). Two enamel-dentin specimens were prepared from the labial surface of each teeth. In one of the specimens enamel was removed, resulting in a dentin (CD) disc of 1 mm high. The labial and the pulpal sides of the second specimen were ground until the remaining enamel and dentin layers of the enamel-dentin sample (ED) were 1 mm each. Whitening treatment of the ED specimens was performed according to manufacturers' instructions. Pre- and posttreatment Lab values of ED samples were analyzed using CIE-Lab. Baseline Lab values of dentin were analyzed by evaluation of the CD specimen. Finally, enamel of the ED specimens was removed and color change of the exposed dentin (D) was recorded. For all treatment agents significant color changes (DeltaE) were observed for enamel-dentin samples and subsurface dentin specimens compared to controls. In groups A-D DeltaE was significantly higher in dentin than enamel-dentin. Furthermore, L and b values of bleached enamel-dentin and subsurface dentin samples differed significantly from baseline. Treatment with the tested external whitening bleaching agents resulted in color change of both enamel-dentin and subsurface dentin samples. The results indicate that color change of treated teeth might be highly influenced by color change of the subsurface dentin.

Animals↗

Immobilisation and activity of human alpha-amylase in the acquired enamel pellicle.

UNLABELLED: Amylase is an important salivary component and structural element of the acquired enamel pellicle. Aim of the study was to establish a method for precise and direct determination of pellicle bound amylase activity in order to analyse kinetics and activity of the immobilised enzyme. Six bovine enamel slabs (5mm diameter) were fixed on individual maxillary trays and worn by five subjects for different times (3, 30 and 120 min) on buccal and palatal sites on different days. Slabs were removed from the trays and rinsed with aqua dest. Afterwards, pellicle bound amylase activity was determined directly with a photometric method using 2-chloro-4-nitrophenyl-4-O-beta-D-galactopyranosylmaltotriosid (GalG2CNP) as substrate yielding the coloured product chloronitrophenolate (CNP). All investigated pellicles exhibited immobilised amylase activity. Mean activity was 1.39 +/- 187 mU/cm(2) (n=87, range 0.14-11.5 mU/cm(2)). Product formation of CNP by immobilised amylase was linear over time. Pellicle bound amylase showed a Michaelis type kinetic (Km = 3.3 x 10(-3) M). Immobilised activity on buccal surfaces ranged between 0.25 and 11.1 mU/cm(2) (palatal slabs: 0.14-3.06 mU/cm(2)). Thirty minutes pellicles formed on buccal sites exhibited significantly higher immobilised amylase activity (2.85 +/- 3.65 mU/cm(2)) than palatal ones (0.63 +/- 0.32 mU/cm(2)). Amylase activity showed great intraindividual variability when comparing same positions on different days. CONCLUSION: Pellicle bound amylase activity can be determined directly with GalG2CNP and shows a Michaelis Menten kinetic. Enzyme activity of the amylase immobilised in the in situ pellicle reveals great intra- and interindividual differences.

Analysis of Variance↗

Effect of bleaching on restorative materials and restorations--a systematic review.

OBJECTIVE: Internal and external bleaching procedures utilizing 3-35% hydrogen peroxide solutions or hydrogen peroxide releasing agents, such as carbamide peroxide or sodium perborate, can be used for whitening of teeth. The purpose of the review article was to summarize and discuss the available information concerning the effects of peroxide releasing bleaching agents on dental restorative materials and restorations. SOURCES: Information from all original scientific full papers or reviews listed in PubMed or ISI Web of Science (search term: bleaching AND (composite OR amalgam OR glass ionomer OR compomer OR resin OR alloy) were included in the review. DATA: Existing literature reveals that bleaching therapies may have a negative effect on physical properties, marginal integrity, enamel and dentin bond strength, and color of restorative materials as investigated in numerous in vitro studies. However, there are no reports in literature indicating that bleaching may exert a negative impact on existing restorations requiring renewal of the restorations under clinical conditions. CONCLUSION: Bleaching may exert a negative influence on restorations and restorative materials. Advice is provided based on the current literature to minimize the impact of bleaching therapies on restorative materials and restorations.

Composite Resins↗

Comparative fluorescence spectroscopy of root caries lesions.

In this study, the light-emission properties of carious and sound root surfaces were investigated under a wide range of excitation wavelengths. Human molar teeth with exposed root surfaces containing light- and dark-discolored root caries (n = 3 of each) were selected. Emission spectra were recorded from carious and corresponding sound root surface areas from each tooth by using a fluorescence spectrophotometer at excitation wavelengths from 360 nm up to 580 nm, in steps of 20 nm. The spectra were corrected for fluctuations in detector sensitivity and excitation light intensity, and normalized to peak intensity. Excitation spectra were recorded for selected emission wavelengths that showed maximum intensity. Light- and dark-discolored root surface caries showed distinct fluorescence emission bands between 600 and 700 nm that were not present in sound root surface areas. These bands were strongest for excitation wavelengths between 390 and 420 nm. The excitation spectra of root caries revealed maximum excitation at around 405 nm, which is equivalent to the Soret band of porphyrin compounds. The emission spectra of both types of root caries lesions were shifted towards longer wavelengths (red shift at half maximum) when compared to the spectra of corresponding sound root surfaces. The red shift for dark-discolored root caries was higher than for light-discolored lesions at all excitation wavelengths.

Color↗

[Bitewing examinations as a part of preventive dentistry--a review].

For an optimal treatment of approximal caries lesions it is important to rely on a safe diagnosis. Bitewing examinations are an aid for detecting hidden lesions in the approximal surfaces. Other techniques for this purpose are fibre-optic transillumination (FOTI), digital imaging fibre-optic transillumination (DIFOTI), electric resistance measurement, laser fluorescence measurement and tooth separating. Since no direct view on approximal surfaces is feasible the detection of approximal lesions in the clinical examination is mostly insufficient. For a systematical controlling of the different grades of caries lesions, a time schedule for examinations is useful. For such a schedule, a couple of factors, such as caries risk of the patient or fluoridations, seem to be important. This article gives a survey of recommendations found in the literature to optimise the arrangement of bitewing examination in the therapeutical concept of caries monitoring and treatment planning.

Dental Caries↗

[Filling revision--possibilities and execution].

For the last years new techniques and materials have been developed and tested to make corrections or revisions of fillings, metallic and ceramic restorations possible, allowing a bond between these different surfaces with reasonable strength. Composite material is qualified as universal repair material. Cavities of composite and amalgam fillings have to be sandblasted intraorally with aluminum oxide powder. The pre-treatment and conditioning of enamel and dentin can be managed by conventional methods such as the total etch technique but they cannot produce adequate microretentive surfaces on metallic and ceramic restorations. Silica coating by intraoral sandblasting and silane application can stabilize a durable bond. Enamel and dentin are conditioned additionally by conventional methods. Durable success of repair does not depend on using the original filling material. Adhesive and composite, however, have to be customised. While sandblasting hygiene should be observed and preventive measures are obligatory.

Aluminum Oxide↗

In vitro evaluation of toothbrushing abrasion of differently bleached bovine enamel.

PURPOSE: To evaluate in vitro, the effect of different external bleaching agents on the susceptibility of enamel against toothbrushing abrasion. METHODS: 96 bovine enamel specimens were embedded in acrylic resin, polished and covered with tape except for a 1.4 x 10 mm window. The samples were divided into eight groups (A-H), 12 specimens each (A-G) were treated with seven different home-bleaching (A: Whitestrips, B: Rapid White, C: Opalescence 10%, D: Opalescence PF 15%) and in-office-bleaching agents (E: Opalescence Extra, F: Opalescence Quick, G: Opalescence Extra Boost) according to manufacturers' instructions. Before and after each individual bleaching treatment the samples were brushed 40 times in an automatic brushing machine using a slurry containing artificial saliva and fluoridated toothpaste. The control group (Group H) was not bleached, but also brushed. After each cycle the specimens were stored in artificial saliva for 24 hours. RESULTS: After 20 cycles loss of enamel was determined by profilometry, resulting in the following values (mean +/- standard deviation) which were statistically analyzed: Group A: (0.169 microm +/- 0.035), Group B (11.108 microm +/- 0.655), Group C (0.207 microm +/- 0.042), Group D (0.154 microm +/- 0.028), Group E (0.081 microm +/- 0.015), Group F (0.084 microm +/- 0.018), Group G (0.087 microm +/- 0.014), Group H (0.076 microm +/- 0.012). Group B differed significantly from the other groups (r = 0.001). Samples of Groups C, D and A showed a significant difference compared to the control H (r = 0.001). Statistical analysis revealed no significant difference between enamel loss of Groups E, F, G and the Control H. It could be proven that toothbrushing abrasion of bleached enamel may be increased depending on the bleaching agent and application form used. Nevertheless, with the exception of bleaching treatment with Rapid White, toothbrushing abrasion of bleached enamel seems to be clinically less relevant.

Animals↗

Determination of peroxides in saliva--kinetics of peroxide release into saliva during home-bleaching with Whitestrips and Vivastyle.

Aim of the study was to determine peroxides in saliva, released during bleaching procedures. Upper incisors of five subjects were bleached with Whitestrips (5% H2O2) and Vivastyle (10% carbamide peroxide, tray charged with 225mg) for 30min, each on different days. Saliva was collected before and during the whole period of bleaching at different intervals. The amount of peroxide in the salivary samples was assessed with peroxidase, phenol and 4-aminoantipyrin in a photometric assay. Additionally the amount of peroxides in the bleaching material was determined before and after the bleaching, so that the peroxide release into saliva could be balanced. The amount of peroxides released into saliva was related to the bleaching system and only partially influenced by the individual salivary flow rate. Bleaching with Vivastyle led to lower release of peroxides into saliva compared to Whitestrips (Vivastyle: 0.8+/-0.17mg; Whitestrips: 1.5+/-0.84mg). Salivary flow rate was not correlated to release of peroxides from the bleaching products. It can be concluded that the enzymatic method adopting 4-aminoantipyrin and peroxidase is valid for the determination of peroxides in saliva. Furthermore distinctly more peroxides are released into the oral cavity from Whitestrips than from trays charged with Vivastyle .

Ampyrone↗

[Influence of the buffer capacity of amine fluoride-containing toothpastes and gels in enamel erosion].

The aim of the study was to evaluate the abrasion resistance of eroded enamel brushed with experimental toothpastes and fluoride gels of varying buffering capacities. 50 Specimens were prepared from extracted human molars and cycled through three alternating de- and remineralizations including brushing abrasion in a brushing machine. Demineralization was accomplished by immersing the samples in 1% citric acid (5 min), remineralization occurred during immersing the samples in artificial saliva (1 min). Groups of ten samples were brushed with either one of the toothpaste (A-C) or one of the fluoridated gels (D-E). Toothpastes and gels were produced on the basis of elmex toothpaste or elmex-gelée (GABA International AG, Switzerland). Amount of titrable acid was defined as amount (mg) of 1 N KOH needed for neutralization of 1 g toothpaste or gel (A: 6 mg, B: 12 mg, C: 24 mg, D: 3.1 mg, E: 10 mg KOH). The following abrasion values (mean + S.D. [micron]) were obtained profilometrically: A: 6.76 +/- 2.05, B: 6.84 +/- 1.19, C: 8.28 +/- 2.89, D: 4.19 +/- 1.09 and E: 0.83 +/- 0.61. No significant difference in abrasion between the toothpastes was found. The fluoride gel with the higher buffering capacity (E) exhibited significantly less abrasion than the gel with the lower buffering capacity (D). It is concluded that in eroded enamel buffering capacity of the tested fluoridated toothpastes has no effect on abrasion, whereas use of fluoride gel with a higher buffering capacity leads to reduced abrasion values.

Amines↗

Influence of fluoride on the prevention of erosive lesions--a review.

This review describes various forms of fluoride applications for reducing dental erosive lesions induced by acidic substances. Fluoride admixtures to acidic solutions in a concentration excluding toxicologically side-effects seem unable to arrest erosive lesions. By contrast, topical fluoride applications of toothpastes, oral rinses, gels or varnishes appear to be an effective agent for reducing demineralization by erosion. In particular, high-concentrated fluoride applications are able to increase abrasion resistance and decrease the development of erosions in enamel and dentin.

Fluorides↗

The effect of water storage and light exposure on the color and translucency of a hybrid and a microfilled composite.

STATEMENT OF PROBLEM: Internal discoloration may occur with the intraoral use of resin-based restoration materials. Water storage and light exposure influence the color properties of microfilled and hybrid composites. PURPOSE: The purpose of this study was to determine color and translucency changes in a hybrid and a microfilled composite after light exposure with and without water storage. MATERIAL AND METHODS: A hybrid (Tetric) and a microfilled composite (Silux Plus) were subjected to artificial daylight with and without water storage. Tristimulus Yxy values were determined colorimetrically against a black or a white background. Differences from baseline were calculated as Delta E*(ab) for up to 1 month. After 1 month, Delta L*, Delta a*, Delta b*, and the contrast ratio Delta C were calculated. Data were analyzed with 2-way analysis of variance (P<.05). RESULTS: The Delta E(ab)* increased over time for wet and dry stored specimens of both materials. Wet storage for 1 month resulted in significantly higher Delta E(ab)* and Delta C but lower Delta b* than dry storage. The Delta a* was significantly higher for Tetric compared with Silux Plus. Both materials showed negative Delta L* values under both storage conditions without significant differences between materials or storage conditions. CONCLUSION: The results of this in vitro study suggest that resin-based restoration materials undergo measurable changes due to daylight exposure. Increased changes occurred under the influence of water storage.

Analysis of Variance↗

Influence of the canal contents on the electrical assisted determination of the length of root canals.

The purpose of this study was to compare the influence of the root canal status on the determination of the root canal length by an electronic apex locator in vital and necrotic canals and canals with root canal filling retrieval. One hundred seven teeth with a total of 171 canals with various contents (105 vital pulp, 47 necrotic pulp, and 19 retrieval of root canal filling materials) were measured for root canal length in vivo with the AFA Apex Finder. The distance between the file tip and the radiographic apex was also determined on radiographs. In 86% of the evaluated roots, the file tip position as indicated by the Apex Finder was located within 0.5 mm of a point 1.0-mm short of the radiographic apex. The Apex Finder showed higher accuracy for determining the apical constriction in vital canals (93.9%) than in necrotic canals (76.6%), and this difference was statistically significant (p < or = 0.05). The Apex Finder indicated the point -1 mm +/- 0.5 mm in canals with retrieval of root canal filling materials in 68.4% of these cases, but because of the small number of retrieval cases, this is not comparable statistically with vital and necrotic cases. The authors concluded that the AFA Apex Finder is highly accurate in vital canals.

Dental Pulp↗

Influence of bleaching agents and desensitizing varnishes on the water content of dentin.

This in vitro study investigated the possible dehydration of dentin caused by bleaching agents. Furthermore, it tested whether protective dentin varnishes can maintain the physiological moisture of dentin during bleaching treatment. Fifty-five standardized dentin cylinders were prepared from freshly extracted bovine incisors under constant water irrigation. Prior to bleaching, the treatment specimens were conditioned at room temperature in a hygrophor for 14 days. The samples were divided into 11 groups. The Group A specimens, which were completely dehydrated, and Group B, which was stored for 2 weeks in a hygrophor, served as controls (A, B n=5). The other samples (n=10 each group) were coated with Vivasens [VS] (C), Bilfuorid [BF] (D) and Seal&Protect [SP] (E). Five specimens from each group (C-E) were subsequently treated with an experimental bleaching gel (Exp BG) (20% carbamide peroxide [CP], glycerine-based gel): Cb, Db, Eb. The remaining specimens were bleached with Exp BG (F) only, Vivastyle (G: 16% CP, glycerine-based gel) or Vivastyle Paint On (H: 6% CP-varnish) for 7 days (n=5 each group) with bleaching time for gels: 2 hours/day, paint on: 20 minutes/day. After the respective treatments, the overall water content of each specimen was determined using the analytical method of Karl-Fischer-titration. The water content of bovine dentin (Group B, mean%+/-SD) obtained in this study amounted to 15.24+/-0.4. All bleaching products significantly reduced the water content compared to the controls (exp BG: 13.32+/-0.47, Vivastyle 13.2+/-0.27, paint on 13.72+/-0.54; p<0.05). Also, application of SP before bleaching resulted in reduced water content (14.06+/-0.12; p=0.0005). However, bleaching with exp BG following use of VS (14.99+/-0.42) or SP (13.85+/-0.26) did not result in a reduction of water content in dentin. Pretreatment with BF did not protect dentin from water loss during bleaching (12.44+/-0.38; bi p=0.0009). All glycerine-based bleaching products used in this study had a significant dehydrating effect on dentin. The application of protective varnishes prior to bleaching treatment may reduce or even prevent dentin dehydration.

Animals↗

Efficiency of 4 caries excavation methods compared.

UNLABELLED: This in vitro study compared the efficiency (time taken to excavate and successfully remove bacterially infected dentin) of Fluorescence Aided Caries Excavation (FACE), caries detector dye (CD), chemomechanical excavation (CS) and conventional excavation (CE). Teeth with dentin caries were assigned to 4 groups (n= 25). Caries excavation was carried out by one operator. In the FACE group, the operating field was illuminated with violet light. The operator observed the teeth through a high-pass filter and removed orange-red fluorescing areas with a slow speed bur. In the CS group, Carisolv was applied to the cavity using CS hand instruments and allowed to act for 30 seconds before caries was removed. In the CD group, caries was removed using the Caries Detector and, in the CE group, conventional excavation was carried out using visual-tactile criteria. The excavation time was recorded. Undecalcified thin slices (8 microm) were prepared, stained with giemsa and examined using light microscopy. The excavation time (median) was significantly shorter for FACE (3 minutes, 3 seconds) compared to CS (5 minutes, 8 seconds, p=0.015), CD (5 minutes, 26 seconds, p=0.003) and CE (4 minutes, 2 seconds, p=0.025). Histology showed remaining bacteria in significantly fewer (5/25) FACE samples compared to CS (15/25 p=0.004) CD (12/25 p=0.037) but not significantly fewer than CE (11/25 p=0.069). IN CONCLUSION: the excavation result with FACE is equal to CE and superior to CD and CS but requires a significantly shorter excavation time.

Azure Stains↗

Influence of different repair procedures on bond strength of adhesive filling materials to etched enamel in vitro.

Contamination of etched enamel with repair bond agents during repair of dental restorations may interfere with the bonding of composite to enamel. This study examined the bond strength of adhesive filling materials to etched bovine enamel after pre-treatment with the repair systems Monobond S, Silibond and Co-Jet. The materials Tetric Ceram, Dyract and Definite and their corresponding bonding agents (Syntac Single Comp, Prime & Bond NT, Etch and Prime) were tested in combination with the repair systems. One hundred and thirty-five enamel specimens were etched (37% phosphoric acid, 60 seconds) and equally distributed among three groups (A-C). In Group A, the repair materials were applied on etched enamel followed by applying the composite materials without using their respective bonding material. In Group B, the composite materials were placed on etched enamel after applying the repair materials and bonding agents. In control Group C, the composite materials and bonding agents were applied on etched enamel without using the repair systems. In each sub-group, every composite material was applied on 15 specimens. Samples were stored in artificial saliva for 14 days and thermocycled 1,000 times (5 degrees C/55 degrees C). The shear bond strength of the samples were then determined in a universal testing machine (ISO 10477). Applying Monobond or Silibond followed by the use of its respective bonding agents resulted in a bond strength that was not statistically different from the controls for all filling materials (Group C). The three composites that used Monobond and Silibond without applying the corresponding bonding agent resulted in bond strengths that were significantly lower than the controls. Utilizing the Co-Jet-System drastically reduced the bond strength of composites on etched enamel. Contamination of etched enamel with the repairing bonding agents Monobond and Silibond does not interfere with bond strength if the application of Monobond and Silibond is followed by using its corresponding bonding system of the composites tested.

Acid Etching, Dental↗

Influence of disinfectants on dentin bond strength of different adhesive systems.

The influence of water disinfectants used in dental unit waterlines on the dentin bonding of different adhesive systems was investigated by using push-out tests. Three hundred and twenty dentin disc specimens were prepared from caries-free human molars. In each specimen, a standardized conical cavity was prepared while cooling with water from a dental unit containing one of three different disinfectants (n=80 each group; A=control: water without disinfectant, B: Alpron neutral, C: Alpron mint, D: Dentosept P). Subsequent rinsing of the cavities was performed With the respective disinfectant. The cavities were filled with the following combinations of dentin adhesives and composites, resulting in 16 subgroups (n=20): Syntac Classic/Tetric Ceram, Clearfil Liner Bond 2V/Luxacore, OptiBond FL/Prodigy and Prime&Bond NT/Spectrum. After polishing the fillings, one half of each subgroup (n=10) was stored in water (37 degrees C) for 24 hours. The other half was stored in water (37 degrees C) for 180 days and additionally thermocycled (2000 cycles at 5/55 degrees C). The bond strength was then measured by push-out tests. Statistical analysis of the data was carried out using ANOVA and pairwise t-tests (Significance level p < or = 0.01). The disinfectants showed no significant influence on the loads required for debonding of Syntac Classic/Tetric Ceram, Clearfil Liner Bond 2V/Luxacore and OptiBond FL/Prodigy as compared to the controls. However, the use of disinfectants in the water supply of a dental unit decreased dentin bond strength in the specimens filled with Prime&Bond NT/Spectrum. Disinfectants in the water of dental unit waterlines may have an influence on dentin bonding, depending on the adhesive system used.

Amines↗