Scanning electron microscopy revealed partial removal of the smear layer or an etching effect of dentin as a result of the application of hemostatic agents on dentin .
PRACTICAL IMPLICATION S Adhesive procedures may be affected adversely when performed on dentin and enamel contaminated by hemostatic agents .
Hemostatic agents may induce changes in the dentin surface morphology .
The results of this review indicate that the bond strength of self-etching adhesive systems is affected more negatively than is that of etch- and -rinse systems .
BACKGROUND Hemostatic agents have been used clinical ly in dentistry for many years to control bleeding .
Influence of zinc-oxide eugenol, formocresol, and ferric sulfate on bond strength of dentin adhesives to primary teeth.
This study evaluated in vitro the influence of a  temporary filling { zinc oxide-eugenol ( ZOE ) } and two pulpotomy agents { formocresol ( FC ) and ferric sulfate ( FS ) } on shear bond strength ( SBS ) of two dentin adhesives to the dentin of primary molars . A total of 80 dentin surfaces were prepared and r and omly allocated into 10 groups of 8 specimens each . Groups were subjected to different treatments , which included covering with a paste of ZOE mixed at different powder : liquid ( P : L ) ratios , placement on a gauze soaked in FC or FS , or they received no pretreatment and served as a control . XRV Herculite composite cylinders were bonded to dentin surfaces using Prime and Bond NT adhesive resin or Opti Bond Solo Plus adhesive resin . SBSs were determined using the lnstron testing machine running at a crosshead speed of 0.5 mm/min . The use of ZOE mixed at the lower P : L ratio of 10g:2 g significantly decreased the values of SBS of the two adhesives . The use of two pulpotomy agents ( FC and FS ) significantly decreased the SBS of the two adhesives . The bond strength to dentin of primary teeth was influenced by the pulpotomy agents used and the ZOE P : L ratio but not by the adhesive system used
Scanning electron microscopy revealed partial removal of the smear layer or an etching effect of dentin as a result of the application of hemostatic agents on dentin .
PRACTICAL IMPLICATION S Adhesive procedures may be affected adversely when performed on dentin and enamel contaminated by hemostatic agents .
Hemostatic agents may induce changes in the dentin surface morphology .
The results of this review indicate that the bond strength of self-etching adhesive systems is affected more negatively than is that of etch- and -rinse systems .
BACKGROUND Hemostatic agents have been used clinical ly in dentistry for many years to control bleeding .