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Ghidini GP, de Lima Dias-Junior LC, Minamisako MC, Takashima MTU, Cábia NC, Machado RG, Bortoluzzi EA, da Silveira Teixeira C, da Fonseca Roberti Garcia L. Ultrasonic activation of adhesive systems increases bond strength and intratubular penetration of resin cement in root dentin subjected to radiation therapy. Clin Oral Investig 2024; 28:386. [PMID: 38890207 DOI: 10.1007/s00784-024-05782-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Accepted: 06/11/2024] [Indexed: 06/20/2024]
Abstract
OBJECTIVE This study aimed to evaluate the effect of ultrasonic activation of etch-and-rinse and self-etch adhesive systems on the bond strength of resin cement to irradiated root dentin. MATERIALS AND METHODS Eighty human maxillary anterior teeth were distributed into 8 groups (n = 10), according to the type of adhesive system used (etch-and-rinse and self-etch), the ultrasonic activation of the adhesive systems, and the dentin condition (irradiated or non-irradiated - 70 Gy). Endodontic treatment was performed followed by fiberglass post-space preparation. After fiberglass posts' luting, the roots were transversely sectioned on dentin discs and submitted to the push-out bond strength test (0.5 mm/min). The fractured specimens were analyzed under a stereomicroscope and Scanning Electron Microscope (SEM) for failure mode classification. One of the dentin discs was analyzed under SEM to evaluate the characteristics of the adhesive interface. RESULTS Irradiated specimens had lower bond strength than non-irradiated specimens (P < 0.0001). Ultrasonic activation of both adhesive systems increased the bond strength of the resin cement to irradiated dentin (P < 0.0001). Radiotherapy significantly affected the failure mode in the middle (P = 0.024) and apical thirds (P = 0.032) (adhesive failure). CONCLUSION Non-irradiated specimens had a more homogeneous adhesive interface. When ultrasonically activated, both adhesive systems showed a greater number of resinous tags, regardless of the dentin condition. CLINICAL RELEVANCE Ultrasonic activation of adhesive systems is a feasible strategy to enhance fiberglass posts retention in oncological patients.
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Affiliation(s)
- Gabriela Pasqualin Ghidini
- Department of Dentistry, Endodontics Division, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Florianopolis, SC, CEP, 88040-900, Brazil
| | - Luiz Carlos de Lima Dias-Junior
- Department of Dentistry, Endodontics Division, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Florianopolis, SC, CEP, 88040-900, Brazil
| | | | | | - Nayara Cardoso Cábia
- Department of Radiotherapy, Oncology Research Center (CEPON), Florianópolis, SC, Brazil
| | - Renata Gondo Machado
- Department of Dentistry, Endodontics Division, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Florianopolis, SC, CEP, 88040-900, Brazil
| | - Eduardo Antunes Bortoluzzi
- Department of Diagnosis & Oral Health, School of Dentistry, University of Louisville, Louisville, KY, USA
| | - Cleonice da Silveira Teixeira
- Department of Dentistry, Endodontics Division, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Florianopolis, SC, CEP, 88040-900, Brazil
| | - Lucas da Fonseca Roberti Garcia
- Department of Dentistry, Endodontics Division, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Trindade, Florianópolis, Florianopolis, SC, CEP, 88040-900, Brazil.
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Montanari M, Fiorillo L, Cervino G, Sambataro S, Herford AS, Cicciù M. The Effect of Different Condition of Pulpal Pressure on Microtensile Bond Strength of Several Dentin Bonding Agents on Deep and Superficial Dentin. MATERIALS 2021; 14:ma14206200. [PMID: 34683790 PMCID: PMC8541316 DOI: 10.3390/ma14206200] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 10/10/2021] [Accepted: 10/12/2021] [Indexed: 01/27/2023]
Abstract
The objective of this study was to examine the effect of different conditions of simulated hydrostatic pulpal pressure on the μTBS of HEMA-based and HEMA-free dentin bonding agents (DBAs). The influence of dentin location (deep and superficial) on μTBS was also evaluated. Flat coronal dentin surfaces of extracted human molars were prepared. Three groups of resin-bonded specimens were exposed to different pulpal pressures. Pulpal pressure was maintained for 20 min for each group. A flowable resin composite was used for coronal build-up. The bonded teeth were sectioned and, after 24 h of water storage, stressed to failure using the microtensile tester (μTBS). Failed samples were analyzed by SEM inspection. HEMA-based DBAs were much more sensitive to pulpal pressure conditions than non-HEMA-containing DBAs. Pulpal pressure had a greater influence in deep dentin. The HEMA-free DBA was insensitive to the presence or absence of pulpal pressure condition. SEM inspection confirmed a relationship between the presence of voids inside the HEMA-based DBAs layer and the lower μTBS results. HEMA-based DBAs are more sensitive to pulpal pressure conditions than HEMA-free DBAs. Interestingly, HEMA-free DBA showed a greater number of water droplets at resin–dentin interface in all tested conditions.
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Affiliation(s)
- Marco Montanari
- Department of Prosthodontics, University of Ferrara, Via Luigi Borsari 46, 44121 Ferrara, Italy;
| | - Luca Fiorillo
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Policlinico G. Martino, Via Consolare Valeria, 98100 Messina, Italy; (G.C.); (S.S.); (M.C.)
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, 80100 Naples, Italy
- Department of Dentistry, University of Aldent, 1000 Tirana, Albania
- Correspondence:
| | - Gabriele Cervino
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Policlinico G. Martino, Via Consolare Valeria, 98100 Messina, Italy; (G.C.); (S.S.); (M.C.)
| | - Sergio Sambataro
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Policlinico G. Martino, Via Consolare Valeria, 98100 Messina, Italy; (G.C.); (S.S.); (M.C.)
| | - Alan Scott Herford
- Department of Maxillofacial Surgery, Loma Linda University, Loma Linda, CA 92354, USA;
| | - Marco Cicciù
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Policlinico G. Martino, Via Consolare Valeria, 98100 Messina, Italy; (G.C.); (S.S.); (M.C.)
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Shafiei F, Memarpour M, Jowkar Z. Effect of Silver Antibacterial Agents on Bond Strength of Fiber Posts to Root Dentin. Braz Dent J 2020; 31:409-416. [PMID: 32901718 DOI: 10.1590/0103-6440202003300] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Accepted: 04/20/2020] [Indexed: 11/22/2022] Open
Abstract
This study was conducted to evaluate whether antibacterial pretreatment irrigation with silver nanoparticles (SNPs) and silver diamine fluoride (SDF) has any effect on bond strength of fiber posts cemented with three types of resin cements in root canal space. Fifty-four endodontically treated maxillary central incisor roots were prepared for fiber post (FRC Postec Plus NO.3, Ivoclar Vivadent) cementation and divided into nine groups in terms of three cement types and two pretreatments with silver antibacterial agents. The cements were as follows: an etch-and-rinse cement (ER, Excite DSC/Variolink N), a self-etch cement (SE, ED Primer/Panavia F2.0), and a self-adhesive cement (SA, Panavia SA Luting Plus). For each cement, the control group was with no treatment and two experimental groups were with SNPs and SDF treatments that were used after acid-etching for ER cement and after EDTA treatment for SE and SA cements. After fiber post cementation, each bonded root was horizontally sectioned into 1-mm thickness microslices to create two slices for each root region (apical, middle and coronal) and underwent push-out bond strength (PBS) test. Data in MPa were analyzed with two-way ANOVA and Tukey test (p=0.05). The interaction of the pretreatment type and cement type was significant (p<0.001). SNPs and SDF significantly increased PBS with ER cement (p≤0.04). This positive effect was also marginally significant for SDF with SE cement (p=0.049). For SA cement, SNPs showed a significant positive effect, but SDF had a significant adverse effect on PBS (p<0.001). The effect of pretreatment with silver antibacterial agents prior to adhesive cementation of fiber posts depends on the resin cement used. Contrary to SNPs with beneficial or no significant effect on bonding for all cements, SDF exhibited a deleterious effect with self-adhesive cement.
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Affiliation(s)
- Fereshteh Shafiei
- Oral and Dental Disease Research Center, Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahtab Memarpour
- Oral and Dental Disease Research Center, Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Jowkar
- Oral and Dental Disease Research Center, Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
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Costa Scholz MF, Aboud Matos de Almeida R, Scholz N, Gomes GM, Masson-P MJ, Loguercio AD, Reis A, Bandéca MC. The Effect of Viscosity and Application Mode of Phosphoric Acid on Bond Strength of GlassFiber Post. Clin Cosmet Investig Dent 2020; 12:61-70. [PMID: 32161504 PMCID: PMC7049749 DOI: 10.2147/ccide.s230134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Accepted: 12/06/2019] [Indexed: 11/23/2022] Open
Abstract
Background When a phosphoric acid is used, before applying an adhesive system, it is known that obtaining an effective adhesion to the root canal walls is a challenge. The aim of the present study was to evaluate the influence of phosphoric acid viscosity and application mode on the push-out bond strength (BS) values of fiberglass post to root dentin. The conditioning pattern on the root dentin was also evaluated. Materials and Methods The roots of 44 endodontically treated premolars were divided into 4 groups, of eleven teeth each, according to the combination of the main factors: phosphoric acid viscosity (liquid or gel) and application mode (passive or sonic). After application of the two-step etch-and-rinse adhesive system, the fiberglass posts were cemented with a dual-cure resin-cement. Roots were sectioned transversely into six 1-mm slices for push-out BS test at 0.5 mm/min. Some roots of each group were selected for evaluation of the conditioning pattern by scanning electron microscopy. BS results (three-way ANOVA and Tukey’s test) and the conditioning pattern (Kruskal–Wallis test and Mann–Whitney test) were statistically evaluated (α= 0.05). Results The highest BS value was observed with a liquid phosphoric acid under sonic application mode (p < 0.05), being all other groups similar to one another (p < 0.05). Also, the highest BS value was observed in the cervical third, followed by the medium and the apical thirds (p < 0.05). The sonic application produced better smear layer removal and opening of dentinal tubules for both viscosities (p = 0.015). Conclusion A better bonding of fiberglass posts to root canals can be achieved when the post spaces are conditioned with a liquid phosphoric acid under sonic application.
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Affiliation(s)
| | | | - Nelson Scholz
- Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil
| | - Giovana M Gomes
- Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil
| | - María José Masson-P
- Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil.,Faculdad de Ciencias de la Salud Eugenio Espejo, Universidad UTE, Quito, Equador
| | - Alessandra Reis
- Department of Restorative Dentistry, State University of Ponta Grossa, Paraná, Brazil
| | - Matheus C Bandéca
- The Post-Graduation Program in Dentistry, CEUMA University, São Luis, Maranhão, Brazil
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How proteolytic inhibitors interact with dentin on glass-fiber post luting over 6 months. J Mech Behav Biomed Mater 2018; 79:348-353. [DOI: 10.1016/j.jmbbm.2018.01.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Accepted: 01/09/2018] [Indexed: 12/11/2022]
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Shafiei F, Memarpour M, Vafamand N, Mohammadi M. Effect of antibacterial/adhesive approaches on bonding durability of fiber posts cemented with self-etch resin cement. J Clin Exp Dent 2017; 9:e1096-e1102. [PMID: 29075411 PMCID: PMC5650211 DOI: 10.4317/jced.53992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2017] [Accepted: 08/09/2017] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Longevity of post-retained restoration is highly depended on bonding stability of fiber post (FP) to root dentin. This study evaluated the effect of different antibacterial/adhesive approaches on bonding durability of FPs luted into root canal with a self-etch cement. MATERIAL AND METHODS Seventy-two human maxillary central incisor roots were divided into six groups after endodontic treatment, based on the antibacterial/adhesive treatments as follows: 1)ED primer II (ED, control); 2) Clearfil Protect Bond (PB); 3) 2% chlorhexidine (CH) pretreatment + ED primer II (CH+ED); 4) CH-incorporated into ED primer II (CH in ED); 5) CH pretreatment + Clearfil SE Bond (CH+SE); and 6)CH-incorporated into SE primer (CH in SE). The FPs were then cemented using PanaviaF2.0. After micro-slicing the bonded root dentin, a push-out bond strength (PBS) test was performed immediately or after two years of water storage. Data were analyzed using ANOVA and post hoc Tukey tests (α=0.05). RESULTS The effects of antibacterial/adhesive approach, time and interaction between the main factors were significant (p=0.01). There was no significant difference between the immediate groups, except between the CH+ED group (the lowest PBS) and PB and CH in SE groups (the highest PBS) (p≤0.03). After aging, the same difference was observed (p≤0.02); the control group exhibited a significantly lower PBS compared to the other groups (p≤0.01), except for CH+ED. Aging significantly decreased PBS of all the groups (p≤0.01); the control group exhibited the highest reduction. CONCLUSIONS CH incorporated into self-etch primers or in pretreatment step prior to two-step self-etch adhesive and antibacterial adhesive could improve bond stability of self-etch cemented fiber post. However, none of these was capable of inhibiting bond degradation over time. Key words:Push-out bond strength, Fiber post, Chlorhexidine.
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Affiliation(s)
- Fereshteh Shafiei
- DMD, MScD, Professor, Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahtab Memarpour
- DMD, MScD, Professor, Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Narges Vafamand
- DDS, Dentist, Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahsa Mohammadi
- DDS, Dentist, Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
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Zarow M, Ramírez-Sebastià A, Paolone G, de Ribot Porta J, Mora J, Espona J, Durán-Sindreu F, Roig M. A new classification system for the restoration of root filled teeth. Int Endod J 2017; 51:318-334. [DOI: 10.1111/iej.12847] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2015] [Accepted: 08/23/2017] [Indexed: 12/28/2022]
Affiliation(s)
| | - A. Ramírez-Sebastià
- Department of Restorative Dentistry and Endodontics; School of Dentistry; Universitat Internacional de Catalunya; Barcelona Spain
| | - G. Paolone
- Dental School; Universitá Vita e Salute San Raffaele; Milan Italy
| | - J. de Ribot Porta
- Department of Restorative Dentistry and Endodontics; School of Dentistry; Universitat Internacional de Catalunya; Barcelona Spain
| | - J. Mora
- Department of Restorative Dentistry and Endodontics; School of Dentistry; Universitat Internacional de Catalunya; Barcelona Spain
| | - J. Espona
- Department of Restorative Dentistry and Endodontics; School of Dentistry; Universitat Internacional de Catalunya; Barcelona Spain
| | - F. Durán-Sindreu
- Department of Restorative Dentistry and Endodontics; School of Dentistry; Universitat Internacional de Catalunya; Barcelona Spain
| | - M. Roig
- Department of Restorative Dentistry and Endodontics; School of Dentistry; Universitat Internacional de Catalunya; Barcelona Spain
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Pereira RD, Brito-Júnior M, Faria-E-Silva AL, Guimarães KR, Mendes LDO, Soares CJ, Sousa-Neto MD. Does MTA affect fiber post retention in repaired cervical root canal perforations? Braz Oral Res 2016; 30:S1806-83242016000100268. [PMID: 27305516 DOI: 10.1590/1807-3107bor-2016.vol30.0083] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2016] [Accepted: 03/23/2016] [Indexed: 11/22/2022] Open
Abstract
This study evaluated the effect of mineral trioxide aggregate (MTA) on the retention of fiber posts in repaired root canal perforations. Ten-millimeter post spaces were prepared in 60 endodontically treated bovine incisors. Root perforations were created in half of the root canals in the cervical area prior to being filled with white MTA-Angelus. Fiber posts were luted into the root canals with two self-adhesive (RelyX Unicem or Set) or self-etching (Panavia F) resin cements. The posts were submitted to a pull-out test, and the data were submitted to two-way ANOVA and Tukey's post hoc tests (α = 0.05). The fiber posts exhibited reduced retention in MTA-repaired root canal perforations, regardless of the type of resin cement that was used (p < 0.001). Self-adhesive resin cements provided higher bond strength values than Panavia F, while no difference was observed between RelyX Unicem and Set (p > 0.05). The presence of MTA in repaired root perforations negatively affected post retention. In addition, self-adhesive cements seemed to be the best option to lute fiber posts within a root canal in these cases.
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Affiliation(s)
- Rodrigo Dantas Pereira
- Universidade de São Paulo, Universidade de São Paulo, Dental School of Ribeirão Preto, Department of Restorative Dentistry, Ribeirão Preto SP , Brazil, Universidade de São Paulo - USP, Dental School of Ribeirão Preto, Department of Restorative Dentistry, Ribeirão Preto, SP, Brazil
| | - Manoel Brito-Júnior
- Universidade Estadual de Montes Claros, Universidade Estadual de Montes Claros, Department of Dentistry, Montes Claros MG , Brazil, Universidade Estadual de Montes Claros, Department of Dentistry, Montes Claros, MG, Brazil
| | - André Luis Faria-E-Silva
- Universidade Federal de Sergipe, Universidade Federal de Sergipe, Department of Dentistry, Aracaju SE , Brazil, Universidade Federal de Sergipe, Department of Dentistry, Aracaju, SE, Brazil
| | - Karine Rodrigues Guimarães
- Faculdades Unidas do Norte de Minas, Faculdades Unidas do Norte de Minas, Departament of Dentistry, Montes Claros MG , Brazil, Faculdades Unidas do Norte de Minas, Departament of Dentistry, Montes Claros, MG, Brazil
| | - Laís de Oliveira Mendes
- Faculdades Unidas do Norte de Minas, Faculdades Unidas do Norte de Minas, Departament of Dentistry, Montes Claros MG , Brazil, Faculdades Unidas do Norte de Minas, Departament of Dentistry, Montes Claros, MG, Brazil
| | - Carlos José Soares
- Universidade Federal de Uberlândia, Universidade Federal de Uberlância, Department of Dental Materials and Restorative Dentistry, Uberlândia MG , Brazil, Universidade Federal de Uberlância - UFU, Department of Dental Materials and Restorative Dentistry, Uberlândia, MG, Brazil
| | - Manoel Damião Sousa-Neto
- Universidade de São Paulo, Universidade de São Paulo, Dental School of Ribeirão Preto, Department of Restorative Dentistry, Ribeirão Preto SP , Brazil, Universidade de São Paulo - USP, Dental School of Ribeirão Preto, Department of Restorative Dentistry, Ribeirão Preto, SP, Brazil
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Soejima H, Takemoto S, Hattori M, Yoshinari M, Kawada E, Oda Y. Effect of adhesive system on retention in posts comprising fiber post and core resin. Dent Mater J 2015; 32:659-66. [PMID: 23903651 DOI: 10.4012/dmj.2013-078] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The purpose of this study was to compare the retention of fiber-reinforced composite (FRC) posts luted with either conventional or self-adhesive resin cement. The FRC posts and core resin were built up in bovine teeth. The posts were luted with standard etch-andrinse cement, self-etch cement, or one of two self-adhesive cements. The samples were stored in water for 1 or 14 days or subjected to thermal cycling (TC). Retention value was measured with the pull-out test using a universal testing machine. Conventional adhesive resin cement yielded significantly greater retention than self-adhesive resin cement at 1 day. No significant difference was observed in retention among the adhesive systems tested at 14 days or after TC. During the early luting stage, self-adhesive resin cement yielded lower retention value than conventional resin cement. After 14 days storage or TC, retention was comparable to that with conventional resin cement.
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Affiliation(s)
- Hirotaka Soejima
- Department of Dental Materials Science, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba 261-8502, Japan
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de Araújo DFG, Chaves LP, Bim Júnior O, Pimentel Garcia FC, Ishikiriama SK, Honório HM, Wang L. Influence of 2% chlorhexidine digluconate on bond strength of a glass-fibre post luted with resin or glass-ionomer based cement. J Dent 2014; 42:735-41. [DOI: 10.1016/j.jdent.2014.02.019] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2013] [Revised: 02/19/2014] [Accepted: 02/21/2014] [Indexed: 11/30/2022] Open
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Bagheri R, Vojdani M, Mogharabi S, Burrow MF. Effect of home bleaching on the mechanical properties of resin luting cements using Hertzian indentation test. ACTA ACUST UNITED AC 2014; 6:234-9. [DOI: 10.1111/jicd.12098] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2013] [Accepted: 07/09/2013] [Indexed: 11/26/2022]
Affiliation(s)
- Rafat Bagheri
- Department of Dental Materials and Biomaterial Research Centre; Shiraz University of Medical Sciences; Shiraz Iran
| | - Mahroo Vojdani
- Department of Dental Materials and Biomaterial Research Centre; Shiraz University of Medical Sciences; Shiraz Iran
| | - Sara Mogharabi
- Department of Prosthodontics and Biomaterial Research Centre; Shiraz University of Medical Sciences; Shiraz Iran
| | - Michael F. Burrow
- Department of Oral Diagnosis and Polyclinics; Faculty of Dentistry; University of Hong Kong; Prince Philip Dental Hospital; Hong Kong China
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Keswani K, Maria R, Punga R. A Comparative Evaluation of the Retention of Tooth Coloured and Stainless Steel Endodontic Posts: An In-vitro Study. J Clin Diagn Res 2014; 8:ZC04-6. [PMID: 24959506 PMCID: PMC4064924 DOI: 10.7860/jcdr/2014/7241.4220] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2013] [Accepted: 01/24/2014] [Indexed: 11/24/2022]
Abstract
AIMS This in vitro study evaluated: a) the retention of stainless steel posts of 1.5 mm diameter which were cemented with Zinc Phosphate cement versus Glass fiber posts with 1.1 mm, 1.3 mm and 1.5 mm diameters which were cemented with resin cement and b) the effect of change in diameter on the retention of Glass fiber posts with 1.1 mm, 1.3 mm and 1.5 mm diameters. MATERIALS AND METHODS Sixty extracted mandibular premolar teeth were endodontically treated and randomly assigned to four groups of fifteen teeth each. In Groups I, II and III glass fibre posts with diameters 1.1 mm, 1.3 mm and 1.5 mm were cemented by using resin cement. In Group IV, stainless steel posts with diameter 1.5 mm were cemented by using zinc phosphate cement. The specimens were tested for tensile loading at a cross head speed of 2.0 mm/min, on a universal testing machine. STATISTICAL ANALYSIS USED One way analysis of variance and Tukey's (post-hoc) test. RESULTS Mean tensile strength from highest to lowest was in the order of Group IV, Group II, Group III, Group I. Statistically significant differences were observed between the mean tensile strengths between Groups I and II, Groups I and III, Groups I and IV, Groups II and IV, Groups III and IV, while non significant differences were observed between Groups II and III. CONCLUSION Stainless steel posts were more retentive than glass fibre posts. Glass fibre posts with 1.3 mm or 1.5 mm diameters provided significantly greater retention as compared to 1.1 mm diameter posts.
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Affiliation(s)
- Kiran Keswani
- Reader, Department of Conservative Dentistry and Endodontics, Vyas Dental College and Hospital, Jodhpur, Rajasthan, India
| | - Rahul Maria
- Head of the Department, Department of Conservative Dentistry and Endodontics, RishiRaj College of Dental Sciences, Bhopal, Madhya Pradesh, India
| | - Rohit Punga
- Senior Lecturer, Department of Oral and Maxillofacial Surgery, Vyas Dental College and Hospital, Jodhpur, Rajasthan, India
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Brito-Júnior M, Pereira RD, Veríssimo C, Soares CJ, Faria-e-Silva AL, Camilo CC, Sousa-Neto MD. Fracture resistance and stress distribution of simulated immature teeth after apexification with mineral trioxide aggregate. Int Endod J 2014; 47:958-66. [PMID: 24386969 DOI: 10.1111/iej.12241] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2013] [Accepted: 01/01/2014] [Indexed: 11/30/2022]
Abstract
AIM To evaluate the effect of adhesive restorations on fracture resistance and stress distribution in teeth with simulated immature apices and apical plugs of mineral trioxide aggregate (MTA). METHODOLOGY Sixty bovine incisors were sectioned 8 mm above and 12 mm below the cemento-enamel junction (CEJ). The root canal was enlarged using a diamond bur, resulting in remaining root canal walls with 0.1-0.2 mm of thickness. A 5-mm apical plug of MTA was placed and the teeth were restored according to the following groups: GP--the root canal was filled with gutta-percha and endodontic sealer; CR--the root canal was filled with light-cured composite resin inserted incrementally; FP--a fibre post was cemented into the root canal; and RFP--the fibre post was relined with composite resin prior to the cementation into the root canal. A load was applied on the crown of all teeth at 135° to their long axis until fracture. Data was analysed by one-way anova and SNK tests (α = 0.05), whilst the fracture pattern was evaluated according to the position of the fracture. Stress distributions in the restored teeth were verified by finite element analysis. RESULTS Teeth restored with fibre posts and relined fibre posts were associated with the highest fracture resistance, whilst the GP group had the lowest values. GP and RC groups had similar fracture resistance values (P = 0.109). All fractures types involved the cervical and middle thirds of roots. The GP model had high levels of stress concentration in the cervical and middle thirds of roots. No difference was found amongst the stress concentration in the RC, FP and RFP models. CONCLUSION Restorative protocols alter the fracture resistance and stress distribution of immature teeth after placement of MTA apical plugs.
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Affiliation(s)
- M Brito-Júnior
- Interinstitutional PhD program, State University of Montes Claros, Montes Claros, Brazil; Department of Restorative Dentistry, Faculty of Dentistry, University of São Paulo, Ribeirão Preto, Brazil
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Gomes GM, Gomes OMM, Reis A, Gomes JC, Loguercio AD, Calixto AL. Effect of Operator Experience on the Outcome of Fiber Post Cementation With Different Resin Cements. Oper Dent 2013; 38:555-64. [DOI: 10.2341/11-494-l] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives
To evaluate the influence of operator experience (dentist vs student) and cementation system (Adper Scotchbond Multi-Purpose [SBMP] + RelyX ARC [1]; Adper Single Bond 2 [SB] + RelyX ARC [2] and RelyX U100 [3]) on the push-out bond strength (BS) of fiber post to radicular dentin.
Materials and Methods
The roots of 48 extracted human maxillary central incisors were prepared and divided into six groups (n=8), according to combination of the above factors. Glass fiber posts were cemented in accordance with the instructions of the manufacturer of each cementation system. After water storage at 37°C for one week, the roots were cross-sectioned into six 1-mm thick slices and the push-out test was performed (0.5 mm/min). Data were statistically analyzed by two-way analysis of variance and Tukey tests (α=0.05). The BS results obtained by dentist and student for each cementation system were compared using the Student t-test (α=0.05).
Results
Higher BS means were observed for the expert operators, irrespective of the cementation system used (p=0.006). RelyX U100 showed the highest bond strength, but it did not differ from SBMP + RelyX ARC. The Student t-test revealed that only RelyX U100 was not affected by the operator's experience.
Conclusion
Within the limitations of this in vitro study, it can be concluded that the self-adhesive cement RelyX U100 showed the highest bond strength to the root canal in the student's group, and its performance was not affected by the operator's experience.
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15
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Bitter K, Aschendorff L, Neumann K, Blunck U, Sterzenbach G. Do chlorhexidine and ethanol improve bond strength and durability of adhesion of fiber posts inside the root canal? Clin Oral Investig 2013; 18:927-34. [DOI: 10.1007/s00784-013-1040-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2013] [Accepted: 07/02/2013] [Indexed: 10/26/2022]
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16
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Reis A, Carrilho M, Breschi L, Loguercio AD. Overview of Clinical Alternatives to Minimize the Degradation of the Resin-dentin Bonds. Oper Dent 2013; 38:E1-E25. [DOI: 10.2341/12-258-lit] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
The incorporation of hydrophilic and acidic resin monomers substantially improved the initial bonding of contemporary etch-and-rinse (ER) and self-etch (SE) adhesives to intrinsically wet dental substrates, providing quite favorable immediate results, regardless of the bonding approach used. However, in the long term, the bonding effectiveness of most simplified ER and SE adhesives drop dramatically. This review examines the fundamental processes that are responsible for the aging mechanisms involved in the degradation of the resin-bonded interfaces and some possible clinical approaches that have been effective in minimizing or even preventing the degradation of the adhesive interfaces produced with simplified adhesives. The incorporation of some of the feasible approaches - described in this review - may improve the quality of the adhesive restorations performed in clinical practice, while manufacturers develop bonding materials that are less susceptible to the aging mechanisms present in the oral environment.
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Affiliation(s)
- A Reis
- Alessandra Reis, DDS, PhD, adjunct professor, State University of Ponta Grossa, Restorative Dentistry, Ponta Grossa, Brazil
| | - M Carrilho
- Marcela Rocha Carrilho, DDS, PhD, professor, GEO/Bandeirante University of São Paulo and School of Dentistry, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada
| | - L Breschi
- Lorenzo Breschi, DDS, PhD, professor, University of Trieste, Dental Sciences and Biomaterials, Trieste, Italy
| | - AD Loguercio
- Alessandro D. Loguercio, DDS, MS, PhD, adjunct professor, State University of Ponta Grossa, Restorative Dentistry, Ponta Grossa, Brazil
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17
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Wang L, Pinto TA, Silva LM, Araújo DFG, Martins LM, Hannas AR, Pedreira APRV, Francisconi PAS, Honório HM. Effect of 2% chlorhexidine digluconate on bond strength of a glass-fibre post to root dentine. Int Endod J 2013; 46:847-54. [PMID: 23441932 DOI: 10.1111/iej.12070] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2012] [Accepted: 01/12/2013] [Indexed: 12/31/2022]
Abstract
AIM To assess the immediate influence of dentine bonding systems (DBS) associated with 2% chlorhexidine digluconate (CHX) on glass-fibre post-bond strength to root dentine, in terms of coronal, middle and apical thirds. METHODOLOGY Sixty bovine roots were root filled and randomly assigned to 1 of 6 groups (n = 10): SBMP (3-step etch-and-rinse system, Scotchbond Multi-Purpose), SB (2-step etch-and-rinse system, Single Bond 2), SE (2-step self-etching system, Clearfil SE Bond) and SBMP-CHX, SB-CHX and SE-CHX, respectively, associated with CHX. For all groups, a glass-fibre post was luted with a dual-cure resin cement, RelyX ARC. After 7-day storage, specimens were subjected to the push-out test. Failure modes were analysed under optical microscopy (40x). Bond strength values were statistically analysed by two-way anova and Bonferroni tests (P < 0.05). RESULTS The effect of DBS was significant (P < 0.05), and SE reached higher bond strength in comparison with the other DBS tested. CHX association did not show improvement with any DBS (P > 0.05); rather, it negatively affected SE, which was detected for all thirds. There was no difference between thirds (P > 0.05), except for the SE-CHX, which presented lower values for the apical third (P < 0.05). Adhesive cement/dentine adhesive failure was predominant for all groups. CHX did not influence the failure mode for any DBS (P > 0.05). CONCLUSIONS The performance of the dentine bonding systems was material dependent. CHX did not improve immediate bond strength; however, CHX negatively affected the bond strength of the self-etching system, especially in the third apical.
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Affiliation(s)
- L Wang
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
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18
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Faria-e-Silva AL, Menezes MDS, Silva FP, Reis GRD, Moraes RRD. Intra-radicular dentin treatments and retention of fiber posts with self-adhesive resin cements. Braz Oral Res 2013; 27:14-9. [DOI: 10.1590/s1806-83242013000100003] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2012] [Accepted: 10/26/2012] [Indexed: 11/22/2022] Open
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19
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Elution of TEGDMA and HEMA from polymerized resin-based bonding systems. Dent Mater 2012; 28:1120-5. [DOI: 10.1016/j.dental.2012.06.010] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2012] [Revised: 05/29/2012] [Accepted: 06/25/2012] [Indexed: 12/13/2022]
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20
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Microleakage of endodontically treated teeth restored with 3 different adhesive systems and 4 different fiber-reinforced posts. J Prosthet Dent 2012; 107:239-51. [PMID: 22475467 DOI: 10.1016/s0022-3913(12)60069-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
STATEMENT OF PROBLEM Despite recent advances in adhesive dentistry, fiber-reinforced post/resin cement/dentin adhesive combinations are not able to prevent microleakage. While studies have examined microleakage in endodontically treated teeth restored with posts and cores, microleakage among post and adhesive systems remains a concern. PURPOSE This study compared the sealing properties of 4 adhesively luted post systems: glass fiber, quartz-glass fiber, zirconia-glass fiber and polyethylene fiber posts. MATERIAL AND METHODS Forty-eight permanent maxillary central incisors were divided into 4 groups (n=12). Post space was prepared and each post was adhesively luted with 1 of 3 systems: a 1-stage self-etch, a 2-stage total-etch, and a 3-stage total-etch adhesive. The specimens were separately immersed in freshly prepared 2% methylene blue solution for 1 week. The cleaned specimens were then embedded in autopolymerizing acrylic resin. The teeth were horizontally sectioned into apical, middle, and coronal portions. An occlusal view of each section was digitally photographed with a stereomicroscope. The methylene blue-infiltrated surface for each specimen was measured and data were collected with software. Dye penetration was estimated as the ratio of the methylene blue-infiltrated surface to the total dentin surface. Nonparametric data were analyzed with the Kruskal-Wallis test (α=.05). The Mann-Whitney U-test was used to compute multiple pairwise comparisons that identified differences among groups. Dentin-luting agent and post interfaces were evaluated with a scanning electron microscope. RESULTS Significant differences in adhesive and post systems were observed in all sectioned regions (P<.05). There were significant differences between the apical and coronal sections of each post type, and between the following pairs: middle versus coronal sections of zirconia-glass fiber and glass fiber posts and apical versus middle sections of quartz-glass fiber and polyethylene fiber posts (P<.05). No significant differences were found among post types. The variables of middle section and 3-stage adhesive produced significant differences in microleakage between the following post pairs: zirconia-glass fiber versus quartz-glass fiber, zirconia-glass fiber versus polyethylene fiber, and quartz-glass fiber versus polyethylene fiber (P<.05). CONCLUSIONS The 3-stage adhesive and zirconia-glass fiber posts demonstrated the least microleakage.
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21
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Abou-Id LR, Morgan LFS, Silva GAB, Poletto LTDA, Lanza LD, Albuquerque RDC. Ultrastructural evaluation of the hybrid layer after cementation of fiber posts using adhesive systems with different curing modes. Braz Dent J 2012; 23:116-21. [DOI: 10.1590/s0103-64402012000200005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2011] [Accepted: 09/06/2011] [Indexed: 11/22/2022] Open
Abstract
This in vitro study evaluated the adhesive interface of intraradicular fiber glass posts and root dentin using scanning electron microscopy (SEM). Forty-eight single-rooted premolars were randomly divided into 6 groups consisting of chemical, dual, or light cured adhesive systems combined with either chemical or dual cure resin cements. Scanning electron microscopic analysis showed the best results for continuity, density and morphology of the hybrid layer and resin tags for the combination of a self-cure adhesive with self-cure cement resin, followed by a dual-cure adhesive with self-cure cement resin, and finally a light-cure adhesive with self-cure cement. For the dual-cure resin cement, the same relation may be observed. The apical third was the most critical region for evaluated the criteria for all combinations of materials (Kruskal-Wallis and Friedman tests; p<0.001). Generally, the simplification of steps in the adhesive system and the polymerization reaction of resin adhesives and cements produced a direct effect on the quality of the adhesive post/dentin substrate interface.
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22
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Petrie CS, Walker MP. Effect of airborne-particle abrasion and aqueous storage on flexural properties of fiber-reinforced dowels. J Prosthodont 2012; 21:296-303. [PMID: 22394023 DOI: 10.1111/j.1532-849x.2011.00836.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
PURPOSE A great range of clinical failures have been observed with fiber-reinforced dowels, often attributed to fracture or bending of the dowels. This study investigated flexural properties of fiber-reinforced dowels, with and without airborne-particle abrasion, after storage in aqueous environments over time. Scanning electron microscopy (SEM) was used to analyze the mode of failure of dowels. MATERIALS AND METHODS Two dowel systems (ParaPost Fiber Lux and FibreKor) were evaluated. Ten dowels of each system were randomly assigned to one of six experimental groups: 1--control, dry condition; 2--dowels airborne-particle abraded and then stored dry; 3--dowels stored for 24 hours in aqueous solution at 37°C; 4--dowels airborne-particle abraded followed by 24-hour aqueous storage at 37°C; 5--dowels stored for 30 days in aqueous solution at 37°C; 6--dowels airborne-particle abraded followed by 30-day aqueous storage at 37°C. Flexural strength and flexural modulus were tested for all groups according to American Society of Testing and Materials (ASTM) standard D4476. One failed dowel from each group was randomly selected to be evaluated with SEM equipped with energy dispersive spectroscopy (EDS) to characterize the failure pattern. One intact dowel of each system was also analyzed with SEM and EDS for baseline information. RESULTS Mean flexural modulus and strength of ParaPost Fiber Lux dowels across all conditions were 29.59 ± 2.89 GPa and 789.11 ± 89.88 MPa, respectively. Mean flexural modulus and strength of FibreKor dowels across all conditions were 25.58 ± 1.48 GPa and 742.68 ± 89.81 MPa, respectively. One-way ANOVA and a post hoc Dunnett's t-test showed a statistically significant decrease in flexural strength as compared to the dry control group for all experimental groups stored in water, for both dowel systems (p < 0.05). Flexural modulus for both dowel systems showed a statistically significant decrease only for dowels stored in aqueous solutions for 30 days (p < 0.05). Airborne-particle abrasion did not have an effect on flexural properties for either dowel system (p > 0.05). SEM and EDS analyses revealed differences in composition and failure mode of the two dowel systems. Failed dowels of each system revealed similar failure patterns, irrespective of the experimental group. CONCLUSIONS Aqueous storage had a negative effect on flexural properties of fiber-reinforced dowels, and this negative effect appeared to increase with longer storage times. The fiber/resin matrix interface was the weak structure for the dowel systems tested.
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Affiliation(s)
- Cynthia S Petrie
- Department of Restorative Dentistry, UMKC School of Dentistry, Kansas City, MO 64108, USA.
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23
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Reis KR, Spyrides GM, Oliveira JAD, Jnoub AA, Dias KRHC, Bonfantes G. Effect of cement type and water storage time on the push-out bond strength of a glass fiber post. Braz Dent J 2012; 22:359-64. [PMID: 22011889 DOI: 10.1590/s0103-64402011000500002] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
This study investigated the effects of the cement type and the water storage time on the push-out bond strength of a glass fiber post. Glass fiber posts (Fibrekor, Jeneric Pentron) were luted to post spaces using a self-cured resin cement (C&B Cement [CB]), a glass ionomer cement (Ketac Cem [KC]) or a resin-modified glass ionomer cement (GC FujiCEM [FC]) according to the manufacturers' instructions. For each luting agent, the specimens were exposed to one of the following water storage times (n=5): 1 day (T1), 7 days (T7), 90 days (T90) and 180 days (T180). Push-out tests were performed after the storage times. Control specimens were not exposed to water storage, but subjected to the push-out test 10 min after post cementation. Data (in MPa) were analyzed by Kruskal-Wallis and Dunn`s test (α=0.05). Cement type and water storage time had a significant effect (p<0.05) on the push-out bond strength. CB showed significantly higher values of retention (p<0.05) than KC and FC, irrespective of the water storage time. Water storage increased significantly the push-out bond strength in T7 and T90, regardless of the cement type (p<0.05). The results showed that fiber posts luted to post spaces with the self-cured resin cement exhibited the best bonding performance throughout the 180-day water storage period. All cements exhibited a tendency to increase the bond strength after 7 and 90 days of water storage, decreasing thereafter.
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Affiliation(s)
- Kátia Rodrigues Reis
- Department of Prosthodontics, Dental School, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
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Marques de Melo R, Bottino MA, Galvão RKH, Soboyejo WO. Bond strengths, degree of conversion of the cement and molecular structure of the adhesive-dentine joint in fibre post restorations. J Dent 2012; 40:286-94. [PMID: 22306531 DOI: 10.1016/j.jdent.2012.01.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2011] [Revised: 12/28/2011] [Accepted: 01/02/2012] [Indexed: 10/14/2022] Open
Abstract
OBJECTIVES Because fibre post restorations are influenced by multiple factors such as the types of bonding materials, the dentine region and the time under moist exposure, this study sought to determine the bond strength of endodontic restorations and its relation to the degree of conversion of the cement layer and the molecular structure of the dentine-bonded joints. METHODS The performance of 2 etch-and-rinse (All-Bond 2 and One-Step Plus) and 2 self-etch (Clearfil SE Bond and Xeno III) adhesives at post spaces regions, after 7 d or 4 m, was evaluated. FRC Postec Plus posts were cemented to the root canal with a dual-cure resin cement (Duo-Link). Transverse sections of the tooth were subjected to push-out testing, to degree-of-conversion measurements and to hybrid layer evaluation through μ-Raman spectroscopy. RESULTS Coronal bonding was higher than cervical and middle bonding. The hybrid layer was thicker for the etch-and-rinse systems, with thicknesses decreasing towards the middle region. The degree of conversion measured for the 3-step etch-and-rinse group after 4 m was significantly higher than that for the self-etching groups. CONCLUSIONS Although not totally stable at the adhesive-dentine interface, the 3-step etch-and-rinse adhesive in the coronal dentine provided the best bond strength, degree of conversion of the cement and hybrid layer thickness in post restorations, in both short- and long-term analyses.
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Affiliation(s)
- Renata Marques de Melo
- Department of Dental Materials and Prosthodontics, São Paulo State University, São José dos Campos, São Paulo, Brazil.
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25
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Leme AA, Coutinho M, Insaurralde AF, Scaffa PMC, da Silva LM. The Influence of Time and Cement Type on Push-Out Bond Strength of Fiber Posts to Root Dentin. Oper Dent 2011; 36:643-8. [DOI: 10.2341/10-404-l] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Clinical Relevance
A self-adhesive resin cement can provide a significantly stronger bond than a three-step etch-and-rinse adhesive and resin cement when used to lute fiber posts.
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26
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Giachetti L, Scaminaci Russo D, Baldini M, Bertini F, Steier L, Ferrari M. Push-out strength of translucent fibre posts cemented using a dual-curing technique or a light-curing self-adhering material. Int Endod J 2011; 45:249-56. [DOI: 10.1111/j.1365-2591.2011.01969.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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27
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Marginal quality of flowable 4-mm base vs. conventionally layered resin composite. J Dent 2011; 39:643-7. [DOI: 10.1016/j.jdent.2011.07.004] [Citation(s) in RCA: 125] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2011] [Revised: 07/10/2011] [Accepted: 07/11/2011] [Indexed: 11/18/2022] Open
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Silva RATD, Coutinho M, Cardozo PI, Silva LAD, Zorzatto JR. Conventional dual-cure versus self-adhesive resin cements in dentin bond integrity. J Appl Oral Sci 2011; 19:355-62. [PMID: 21710099 PMCID: PMC4223787 DOI: 10.1590/s1678-77572011005000010] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2009] [Accepted: 10/26/2010] [Indexed: 11/22/2022] Open
Abstract
UNLABELLED During post preparation, the root canal is exposed to the oral cavity, and endodontic treatment may fail because of coronal leakage, bacterial infection and sealing inability of the luting cement. OBJECTIVE this study quantified the interfacial continuity produced with conventional dual-cure and self-adhesive resin cements in the cervical (C), medium (M) and apical (A) thirds of the root. MATERIAL AND METHODS Forty single-rooted human teeth were restored using Reforpost # 01 conical glass-fiber posts and different materials (N=10 per group): group AC=Adper™ ScotchBond™ Multi-purpose Plus + AllCem; group ARC=Adper™ ScotchBond™ Multi-purpose Plus + RelyX ARC; group U100=RelyX U100; and group MXC=Maxcem Elite. After being kept in 100% humidity at 37°C for 72 hours, the samples were sectioned parallel to their longitudinal axis and positive epoxy resin replicas were made. The scanning electron micrographs of each third section of the teeth were combined using Image Analyst software and measured with AutoCAD-2002. We obtained percentage values of the interfacial continuity. RESULTS Interfacial continuity was similar in the apical, medium and cervical thirds of the roots within the groups (Friedman test, p>0.05). Comparison of the different cements in a same root third showed that interfacial continuity was lower in MXC (C=45.5%; M=48.5%; A=47.3%) than in AC (C=85.9%, M=81.8% and A=76.0%), ARC (C=83.8%, M=82.4% and A=75.0%) and U100 (C=84.1%, M=82.4% and A=77.3%) (Kruskal-Wallis test, p<0.05). CONCLUSIONS Allcem, Rely X ARC and U100 provide the best cementation; cementation was similar among root portions; in practical terms, U100 is the best resin because it combines good cementation and easy application and none of the cements provides complete interfacial continuity.
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Effect of thermal cycling on the bond strength of self-adhesive cements to fiber posts. Clin Oral Investig 2011; 16:909-15. [DOI: 10.1007/s00784-011-0576-1] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2009] [Accepted: 05/26/2011] [Indexed: 10/18/2022]
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Pereira PC, Melo RMD, Chaves C, Galhano GAP, Bottino MA, Balducci I. The adhesive system and root canal region do not influence the degree of conversion of dual resin cement. J Appl Oral Sci 2011; 18:477-81. [PMID: 21085803 PMCID: PMC4246378 DOI: 10.1590/s1678-77572010000500008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2009] [Accepted: 02/16/2010] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES The aim of this study was to evaluate the influence of two adhesive systems and the post space region on the degree of conversion of dual resin cement and its bond strength to root dentin. MATERIAL AND METHODS One three-step etch-and-rinse (All-bond 2, Bisco) and another one-step self-etch (Xeno III, Dentsply) adhesive systems were applied on 20 (n=10) crownless bovine incisors, at 12-mm-deep post space preparation, and a fiber post (DT Light Post, Bisco) was cemented using a dual cure resin cement (Duo-Link, Bisco). Three transverse sections (3 mm) were obtained, being one from each study region (cervical, middle and apical). The degree of conversion of the dual cure resin cement was determined by a micro-Raman spectrometer. The data (%) were submitted to repeated-measures analysis of variance and Tukey's test (p<0.05). RESULTS For both groups, the degree of conversion means (%) (All bond 2cervical = 69.3; All bond 2middle = 55.1; All bond 2apical= 56; Xeno IIIcervical = 68.7; Xeno IIImiddle = 68.8; Xeno IIIapical = 54.3) were not significantly different along the post space regions (p<0.05). CONCLUSION Neither the adhesive nor the post space region influenced the degree of conversion of the cement layer.
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Affiliation(s)
- Priscilla Cristoforides Pereira
- Department of Dental Materials and Prosthodontics, São José dos Campos Dental School, São Paulo State University, São José dos Campos, SP, Brazil
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Faria-e-Silva AL, Pedrosa-Filho CDF, Menezes MDS, Silveira DMD, Martins LRM. Effect of relining on fiber post retention to root canal. J Appl Oral Sci 2010; 17:600-4. [PMID: 20027434 PMCID: PMC4327521 DOI: 10.1590/s1678-77572009000600012] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2008] [Accepted: 07/19/2009] [Indexed: 11/21/2022] Open
Abstract
One of the clinically relevant problems dentists face when restoring endodontically treated teeth is the mismatch between fiber post and post space diameters, which results in an excessively thick resin cement layer. Fiber post relining appears as a solution for this problem.
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Mazzoni A, Marchesi G, Cadenaro M, Mazzotti G, Di Lenarda R, Ferrari M, Breschi L. Push-out stress for fibre posts luted using different adhesive strategies. Eur J Oral Sci 2009; 117:447-53. [PMID: 19627358 DOI: 10.1111/j.1600-0722.2009.00656.x] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The influence of thermocycling on the bond strength of fibre posts cemented with different luting approaches was investigated. A total of 84 human incisors were selected for the study. Sixty teeth were assigned to one of the following adhesive/cement combinations for push-out bond-strength evaluation: group 1, XP Bond/CoreXFlow + DT Light-Post; group 2, Panavia F 2.0 + Tech 21; or group 3, RelyX Unicem + RelyX. Bonded specimens were cut into 1-mm-thick slabs and either thermocycled (40,000 cycles) or stored in artificial saliva (control specimens) before push-out bond-strength testing. Additional specimens were processed for quantitative interfacial nanoleakage analysis. Thermocycling decreased the bond strength in specimens of groups 2 and 3, but did not affect the specimens from group 1. No difference was observed among luting approaches in control specimens. Thermocycling resulted in increased silver nitrate deposition (i.e. interfacial nanoleakage) in all groups. Within the limitations of the study, the use of an etch-and-rinse adhesive in combination with a dual-cure cement to lute fiber posts is the most stable luting procedure if compared with a self-etch resin-based cement or a self-adhesive cement, as assayed by thermocycling of the bonded specimens.
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de Andrade e Silva SM, Carrilho MRDO, Marquezini Junior L, Garcia FCP, Manso AP, Alves MC, de Carvalho RM. Effect of an additional hydrophilic versus hydrophobic coat on the quality of dentinal sealing provided by two-step etch-and-rinse adhesives. J Appl Oral Sci 2009; 17:184-9. [PMID: 19466248 PMCID: PMC4399529 DOI: 10.1590/s1678-77572009000300010] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2008] [Accepted: 09/22/2008] [Indexed: 11/22/2022] Open
Abstract
Objective: To test the hypothesis that the quality of the dentinal sealing provided by two-step etch-and-rinse adhesives cannot be altered by the addition of an extra layer of the respective adhesive or the application of a more hydrophobic, non-solvated resin. Material and Methods: full-crown preparations were acid-etched with phosphoric acid for 15 s and bonded with Adper Single Bond (3M ESPE), Excite DSC (Ivoclar/Vivadent) or Prime & Bond NT (Dentsply). The adhesives were used according to the manufacturers' instructions (control groups) or after application to dentin they were a) covered with an extra coat of each respective system or b) coated with a non-solvated bonding agent (Adper Scotchbond Multi-Purpose Adhesive, 3M ESPE). Fluid flow rate was measured before and after dentin surfaces were acid-etched and bonded with adhesives. Results: None of the adhesives or experimental treatments was capable to block completely the fluid transudation across the treated dentin. Application of an extra coat of the adhesive did not reduce the fluid flow rate of adhesive-bonded dentin (p>0.05). Conversely, the application of a more hydrophobic non-solvated resin resulted in significant reductions in the fluid flow rate (p<0.05) for all tested adhesives. Conclusions: The quality of the dentinal sealing provided by etch-and-rinse adhesives can be significantly improved by the application of a more hydrophobic, non-solvated bonding agent.
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Affiliation(s)
- Safira Marques de Andrade e Silva
- Department of Restorative Dentistry and Dental Materials, Dental School of Piracicaba, University of Campinas, Piracicaba, SP, Brazil
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Periapical Inflammation and Bacterial Penetration After Coronal Inoculation of Dog Roots Filled With RealSeal 1 or Thermafil. J Endod 2009; 35:852-7. [DOI: 10.1016/j.joen.2009.03.050] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2008] [Revised: 03/23/2009] [Accepted: 03/28/2009] [Indexed: 11/17/2022]
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Carvalho CA, Cantoro A, Mazzoni A, Goracci C, Breschi L, Ferrari M. Effect of ethanol application on post-luting to intraradicular dentine. Int Endod J 2009; 42:129-35. [PMID: 19134041 DOI: 10.1111/j.1365-2591.2008.01491.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM To examine the effect of the application of an ethanol rinse before luting fibre posts to intraradicular dentine with etch-and-rinse adhesive systems by means of push-out bond strength evaluation and scanning electron microscopic (SEM) analysis. METHODOLOGY Fibre posts were luted to single-canal premolars using Dual Link as a luting agent in combination with a three-step (All Bond 2) or a two-step (One Step Plus) etch-and-rinse adhesive system, which were applied as per manufacturers' instructions (control) or with the additional rinse of ethanol on acid-etched dentine prior to the bonding procedures (experimental). Bonded specimens were sectioned into 1-mm-thick slabs and subjected to push-out bond strength testing. In addition, specimens from each group were processed for SEM analysis. Data were analysed by Kruskal-Wallis followed by Dunn's post hoc test at P = 0.05. RESULTS Push-out bond strength of All Bond 2 was significantly increased if the adhesive was applied on ethanol-saturated dentine (P < 0.05), whilst no significant difference (P > 0.05) was detected amongst experimental and control groups for One Step Plus. Irrespective of the adhesive, the SEM analysis revealed good impregnation patterns when both bonding techniques were employed. CONCLUSIONS The use of the additional ethanol rinse on acid-etched dentine revealed higher bond strength of All Bond 2 when compared with the control application procedure, used in combination with a resin-based cement to lute fibre posts into the dowel space. However, no bond strength improvements were detected using One Step Plus. Further investigations are needed to develop a clinically applicable ethanol/bonding/luting technique.
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Affiliation(s)
- C A Carvalho
- Department of Operative Dentistry, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
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Nihi FM, Fabre HSC, Garcia G, Fernandes KBP, Ferreira FBDA, Wang L. In vitro assessment of solvent evaporation from commercial adhesive systems compared to experimental systems. Braz Dent J 2009; 20:396-402. [PMID: 20126908 DOI: 10.1590/s0103-64402009000500007] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2009] [Accepted: 10/30/2009] [Indexed: 11/21/2022] Open
Abstract
Solvents should be properly evaporated after application to dental substrates. The aim of this study was to assess the evaporation of commercial, experimental and neat solvents. The tested null hypotheses were that there are no differences in solvent evaporation regardless of its formulation and over time. Evaporation from commercial adhesive systems (Scotchbond Multipurpose Primer, Scotchbond Multipurpose Adhesive, Prime & Bond NT, Multi Bond, Excite, Single Bond 2, Adhese Primer, Adhese Bond, Xeno III A and Xeno III B) and experimental primers (35% HEMA plus 65% acetone or ethanol or water v/v) were compared to neat solvents (acetone, ethanol and water). Samples (10 µL) of these products were dripped into glass containers placed on a digital precision balance. Evaporation was assessed at 0, 5, 10, 15, 30, 60, 120, 300 and 600 s times to calculate mass loss. Data were analyzed statistically by ANOVA and Bonferroni's correction (a=0.05). Acetone-based products exhibited a remarkable capacity to evaporate spontaneously over time. Neat acetone evaporated significantly more than the HEMA-mixtures and the commercial formulations (p<0.05). The incorporation of monomers and other ingredients in the commercial formulations seem to reduce the evaporation capacity. Solvent evaporation was time and material-dependent.
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Santos AFV, Tanaka CB, Lima RG, Espósito COM, Ballester RY, Braga RR, Meira JBC. Vertical root fracture in upper premolars with endodontic posts: finite element analysis. J Endod 2008; 35:117-20. [PMID: 19084139 DOI: 10.1016/j.joen.2008.09.021] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2008] [Revised: 09/19/2008] [Accepted: 09/24/2008] [Indexed: 11/28/2022]
Abstract
Upper premolars restored with endodontic posts present a high incidence of vertical root fracture (VRF). Two hypotheses were tested: (1) the smaller mesiodistal diameter favors stress concentration in the root and (2) the lack of an effective bonding between root and post increases the risk of VRF. Using finite element analysis, maximum principal stress was analyzed in 3-dimensional intact upper second premolar models. From the intact models, new models were built including endodontic posts of different elastic modulus (E = 37 or E = 200 GPa) with circular or oval cross-section, either bonded or nonbonded to circular or oval cross-section root canals. The first hypothesis was partially confirmed because the conditions involving nonbonded, low-modulus posts showed lower tensile stress for oval canals compared to circular canals. Tensile stress peaks for the nonbonded models were approximately three times higher than for the bonded or intact models, therefore confirming the second hypothesis.
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Affiliation(s)
- Andrea F V Santos
- Department of Dental Materials, School of Dentistry, University of São Paulo, São Paulo, Brazil
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Borges AFS, Bittar RA, Pascon FM, Sobrinho LC, Martin AA, Puppin Rontani RM. NaOCl effects on primary and permanent pulp chamber dentin. J Dent 2008; 36:745-53. [DOI: 10.1016/j.jdent.2008.05.013] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2007] [Revised: 05/14/2008] [Accepted: 05/14/2008] [Indexed: 11/29/2022] Open
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Furukawa M, Shigetani Y, Finger WJ, Hoffmann M, Kanehira M, Endo T, Komatsu M. All-in-one self-etch model adhesives: HEMA-free and without phase separation. J Dent 2008; 36:402-8. [DOI: 10.1016/j.jdent.2008.02.011] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2007] [Revised: 02/18/2008] [Accepted: 02/19/2008] [Indexed: 11/27/2022] Open
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Bonfante EA, Pegoraro LF, de Góes MF, Carvalho RM. SEM observation of the bond integrity of fiber-reinforced composite posts cemented into root canals. Dent Mater 2008; 24:483-91. [PMID: 17675147 DOI: 10.1016/j.dental.2007.04.010] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2006] [Accepted: 04/03/2007] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To test the null hypothesis that continuity of resin cement/dentin interfaces is not affected by location along the root canal walls or water storage for 3 months when bonding fiber posts into root canals. METHODS Fiber posts were luted to bovine incisors using four resinous luting systems: Multilink, Variolink II, Enforce Dual and Enforce PV. After cementation, roots were longitudinally sectioned and epoxy resin replicas were prepared for SEM analysis (baseline). The original halves were immersed in solvent, replicated and evaluated. After 3 months water storage and a second solvent immersion, a new set of replicas were made and analyzed. The ratio (%) between the length (mm) of available bonding interface and the actual extension of bonded cement/dentin interface was calculated. RESULTS Significant lower percent values of bond integrity were found for Multilink (8.25%) and Variolink II (10.08%) when compared to Enforce Dual (25.11%) and Enforce PV (27.0%) at baseline analysis. The same trend was observed after immersion in solvent, with no significant changes. However, bond integrity was significantly reduced after 3 months water storage and a second solvent immersion to values below 5% (Multilink=3.31%, Variolink=1.87%, Enforce Dual=1.20%, and Enforce PV=0.75%). The majority of gaps were depicted at the apical and middle thirds at baseline and after immersion in solvent. After 3 months, gaps were also detected at the cervical third. SIGNIFICANCE Bond integrity at the cement/dentin interface was surprisingly low after cementation of fiber posts to root canals with all resin cements. That was not significantly altered after immersion in solvent, but was further compromised after 3 months water storage. Gaps were mainly seen at middle and apical thirds throughout the experiment and extended to the cervical third after water storage for 3 months. Bond integrity of fiber posts luted to root canals was affected both by location and water storage.
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Affiliation(s)
- Estevam A Bonfante
- Department of Prosthodontics, Integrated Center for Research, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
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dos Santos Alves Morgan LF, Peixoto RTRDC, de Castro Albuquerque R, Santos Corrêa MF, de Abreu Poletto LT, Pinotti MB. Light Transmission through a Translucent Fiber Post. J Endod 2008; 34:299-302. [PMID: 18291280 DOI: 10.1016/j.joen.2007.12.007] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2007] [Revised: 12/11/2007] [Accepted: 12/19/2007] [Indexed: 10/22/2022]
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Morphological study of fiber-reinforced post-bonding system-root dentin interface by evaluation of two bonding systems. J Dent 2008; 36:204-13. [PMID: 18207622 DOI: 10.1016/j.jdent.2007.12.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2007] [Revised: 12/03/2007] [Accepted: 12/06/2007] [Indexed: 10/22/2022] Open
Abstract
UNLABELLED Morphological study of fiber post/bonding system/root dentin interface by evaluation of two bonding systems. OBJECTIVES The aim of the study was to analyze the interfaces, and thus the seal, between root dentin and bonded fiber-reinforced posts. The interfaces were obtained by applying two enamel-dentin adhesive systems, a one-bottle system used after application of phosphoric acid and a self-etch system, both used with an adhesive cement. The interface was evaluated by SEM observation of the continuity of the hybrid layer and the morphology of the resin tags, in terms of length, density and presence of side branches, at the interface between the fiber-reinforced post, the bonding system and the root dentin. METHODS Twenty-six anterior single-rooted teeth extracted for periodontal reasons were treated endodontically and then randomly separated into two groups of 13 teeth each: group 1: Excite DSC (Ivoclar Vivadent, Liechtenstein); group 2: AdheSE DC (Ivoclar Vivadent, Schaan, Liechtenstein). After preparation of the root canal and application of the adhesive, each specimen received a Postec translucent FRC post (Ivoclar Vivadent, Schaan, Liechtenstein) that was cemented in with Variolink II dual-curing luting composite (Ivoclar Vivadent, Schaan, Liechtenstein). The specimens were then prepared for SEM observation of the continuity of the hybrid layer and scoring of the morphology of the resin tags in each third of the root (at 1, 4.5 and 8mm from the coronal surface). RESULTS There was no significant difference (at p<0.05) between the two groups in terms of continuity of the hybrid layer or morphology of the resin tags. The hybrid layer was present, unbroken and uniform in both the group where adhesive was used with a phosphoric acid total etch and the self-etch system group. Whatever the bonding system, the resin tags had side branches, and greater length and density in the cervical third than in the middle or apical thirds. Bubbles were found in the cement layer in most of the specimens. CONCLUSIONS The one-bottle and self-etch bonding systems gave similar results in terms of interface morphology when a translucent fiber-reinforced post was cemented into the endodontically prepared roots.
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Monticelli F, Osorio R, Sadek FT, Radovic I, Toledano M, Ferrari M. Surface Treatments for Improving Bond Strength to Prefabricated Fiber Posts: A Literature Review. Oper Dent 2008; 33:346-55. [PMID: 18505227 DOI: 10.2341/07-86] [Citation(s) in RCA: 72] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Clinical Relevance
Several surface treatments have been proposed for improving the bonding of resin cements or core materials to FRC (fiber-reinforced composite) posts. The possibility of combining chemical and micromechanical retention on post surface provides the most promising adhesion mechanism.
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Affiliation(s)
- Francesca Monticelli
- Department of Surgery, Faculty of Health and Sport Sciences, University of Zaragoza, Huesca, Spain
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Radovic I, Monticelli F, Papacchini F, Magni E, Cury AH, Vulicevic ZR, Ferrari M. Accelerated aging of adhesive-mediated fiber post-resin composite bonds: A modeling approach. J Dent 2007; 35:683-9. [PMID: 17614189 DOI: 10.1016/j.jdent.2007.05.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2007] [Revised: 05/11/2007] [Accepted: 05/15/2007] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVES Although fiber posts luted in root canals are not directly exposed to oral fluids, water storage is considered as in vitro accelerated aging test for bonded interfaces. The aim of the study was to evaluate the influence of accelerated water aging on fiber post-resin composite adhesion. METHODS Forty fiber posts (DT Light Post, RTD) were randomly divided into two main groups, according to the surface treatment performed. Group I: XPBond adhesive (Dentsply Caulk); Group II: sandblasting (Rocatec-Pre, 3M ESPE) and XPBond. Dual-cured resin cement (Calibra, Dentsply Caulk) and flowable composite (X-Flow, Dentsply Caulk) were applied on the posts to produce cylindrical specimens. The bond strength at the interface between post and cement/composite was measured with the microtensile test according to the non-trimming technique. Half of the sticks were tested immediately for bond strength, while in the other half testing was performed after 1 month of water storage at 37 degrees C. Post-cement/composite interfaces were evaluated under SEM prior and after water aging. Statistical analysis was performed using the Kruskal-Wallis ANOVA followed by Dunn's multiple range test (p<0.05). RESULTS Immediate bond strength was higher on sandblasted posts. After water aging the two post surface treatments resulted comparable in bond strength. Resin cement achieved higher bond strength to fiber posts than flowable composite. Water aging significantly reduced bond strength. CONCLUSIONS Sandblasting followed by adhesive coating may improve immediate post-resin bond strength in comparison to adhesive alone. However, fiber post-resin bond strength mediated by hydrophilic adhesive tends to decrease after water aging.
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Affiliation(s)
- Ivana Radovic
- Clinic for Pediatric and Preventive Dentistry, Faculty of Dentistry, University of Belgrade, Dr. Subotica 11, Beograd 11000, Serbia.
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Paqué F, Sirtes G. Apical sealing ability of Resilon/Epiphany versus gutta-percha/AH Plus: immediate and 16-months leakage. Int Endod J 2007; 40:722-9. [PMID: 17645512 DOI: 10.1111/j.1365-2591.2007.01298.x] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM To compare the long-term apical sealing ability of gutta-percha/AH Plus and Resilon/Epiphany. METHODOLOGY The root canals of 90 single-rooted human mandibular premolars with single narrow root canals were prepared with ProFile 0.4 taper instruments to apical size 40. After each instrument, the canals were irrigated with 1% sodium hypochlorite. Subsequently, the teeth were randomly divided into four groups containing 20 teeth each. Additionally, 10 prepared premolars served as positive and 10 counterparts with intact crowns as negative controls. The root canals were filled with gutta-percha/AH Plus or Resilon/Epiphany using lateral or vertical compaction. Specimens were allowed to set for 7 days at 37 degrees C and 100% humidity. Subsequently, the root fillings were removed down to the apical 4 mm. Fluid movement was then assessed using a fluid transportation model and re-evaluated after 16 months of water storage. Leakage within and between groups was compared using nonparametric tests. RESULTS Negative controls revealed no fluid movement and positive controls displayed gross fluid movement at both times of observation. At the immediate measurement, there were no significant differences between the experimental groups (Kruskal-Wallis, P > 0.05). Gutta-percha/AH Plus fillings retained their seal after 16-months storage (Wilcoxon, P > 0.05), whilst the Resilon/Epiphany groups lost their sealing capacity (Wilcoxon, P < 0.001). In these groups, 29 of the 40 specimens exhibited gross leakage similar to positive controls. CONCLUSION Initially, Resilon/Epiphany root fillings prevented fluid movement to the same degree as gutta-percha/AH Plus counterparts, but showed more fluid movement when tested at 16 months.
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Affiliation(s)
- F Paqué
- Division of Endodontology, Department of Preventive Dentistry, Periodontology, and Cariology, University of Zurich Centre for Dental Medicine, Zurich, Switzerland.
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Tay FR, Pashley DH. Monoblocks in root canals: a hypothetical or a tangible goal. J Endod 2007; 33:391-8. [PMID: 17368325 PMCID: PMC2223075 DOI: 10.1016/j.joen.2006.10.009] [Citation(s) in RCA: 234] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2006] [Revised: 10/07/2006] [Accepted: 10/10/2006] [Indexed: 11/15/2022]
Abstract
The term monoblock has become familiar in the endodontic literature with recent interest in the application of dentin adhesive technology to endodontics. Endodontic monoblocks have generated controversial discussions among academicians and clinicians as to whether they are able to improve the quality of seal in root fillings and to strengthen roots. This review attempts to provide a broader meaning to the term monoblock and to see how this definition may be applied to the materials that have been used in the past and present for rehabilitation of the root canal space. The potential of currently available bondable materials to achieve mechanically homogeneous units with root dentin is then discussed in relation to the classical concept in which the term monoblock was first employed in restorative dentistry and subsequently in endodontics.
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Affiliation(s)
- Franklin R Tay
- Department of Oral Biology and Maxillofacial Pathology, School of Dentistry, Medical College of Georgia, Augusta, GA 30912, USA.
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Chieffi N, Chersoni S, Papacchini F, Vano M, Goracci C, Davidson CL, Tay FR, Ferrari M. The effect of application sustained seating pressure on adhesive luting procedure. Dent Mater 2007; 23:159-64. [PMID: 16494935 DOI: 10.1016/j.dental.2006.01.006] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2005] [Accepted: 01/04/2006] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To evaluate the effect of short versus long application seating pressure on the bond strength of resin blocks, luted with a dual-cured resin cement (Panavia F) to pre-coated or non pre-coated dentin with an hydrophobic light-cured adhesive (Clearfil Protect Bond). METHODS Sixteen non-carious human third molars were randomly divided into six Groups (four teeth each). Cylindrical composite blocks were luted with Panavia F (Group Ia) and with Clearfil Protect Bond with Panavia F (Group IIa) and seating pressure was applied for 5s. In Groups Ib and IIb, the two bonding procedures were respectively repeated, but the resin cylinder was maintained under constant pressure during the entire 3min polymerization period for the resin cement. After storing in distilled water for 24h, 0.9mmx0.9mm sticks were produced from these luted specimens for microtensile bond testing and SEM examination. RESULTS The use of Clearfil Protect Bond with Panavia F produced higher bond strengths than the use of Panavia F (p<0.05). Extending the time of pressure application up to 3min increased the bond strength (p<0.001) and improved the integrity of the interfacial quality. SIGNIFICANCE The application of sustained seating pressure during luting procedures and the additional use of a hydrophobic light-cured adhesive both improve the final bond strength of the resin cement.
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Gillespie WT, Loushine RJ, Weller RN, Mazzoni A, Doyle MD, Waller JL, Pashley DH, Tay FR. Improving the Performance of EndoREZ Root Canal Sealer With a Dual-cured Two-Step Self-etch Adhesive. II. Apical and Coronal Seal. J Endod 2006; 32:771-5. [PMID: 16861080 DOI: 10.1016/j.joen.2006.01.006] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2005] [Revised: 01/10/2006] [Accepted: 01/14/2006] [Indexed: 10/24/2022]
Abstract
This study tested the hypothesis that the seal of EndoREZ may be improved with an adhesive-modified technique. Instrumented single-rooted teeth were filled with: (a) Warm vertical compaction with AH Plus (control); (b). EndoREZ with master cones and passive application of accessory cones; (c) Application of Clearfil Liner Bond 2V before EndoREZ and gutta-percha condensation. Leakage was assessed by fluid filtration at 10 psi before root resection and after 3 to 12 mm apical resections. Statistical analyses revealed significant differences in filling technique and resection lengths. EndoREZ exhibited significantly higher overall leakage, while no difference was found between AH Plus and the adhesive-modified EndoRez technique. Apical resection of EndoREZ to 12 mm exhibited more leakage than all other interactions, but was not significantly different from the same material resected to 9 mm. Although EndoREZ exhibited an acceptable apical seal, its coronal seal may be improved with the use of a dual-cured self-etch adhesive.
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Affiliation(s)
- William T Gillespie
- Department of Endodontics, School of Dentistry, Medical College of Georgia, Augusta, Georgia 30912-1129, USA
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Doyle MD, Loushine RJ, Agee KA, Gillespie WT, Weller RN, Pashley DH, Tay FR. Improving the Performance of EndoRez Root Canal Sealer With a Dual-cured Two-Step Self-etch Adhesive. I. Adhesive Strength to Dentin. J Endod 2006; 32:766-70. [PMID: 16861079 DOI: 10.1016/j.joen.2005.11.003] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2005] [Revised: 11/08/2005] [Accepted: 11/09/2005] [Indexed: 11/23/2022]
Abstract
This study examined the hypotheses that the use of a self-etching-adhesive improves the adhesion of EndoRez to dentin, and that both techniques are unaffected by the prolonged use of NaOCl when EDTA is used as the final rinse. A tensile bond testing design was employed with composite cylinders bonded to dentin using: (a) 17% EDTA-2 min/EndoRez; (b) 6.15% NaOCl-1 h/EDTA-2min/EndoRez; (c) EDTA-2 min/Clearfil Liner Bond 2V/EndoRez; and (d) NaOCl-1 h/EDTA-2min/Clearfil Liner Bond 2V/EndoRez. Fractographic analyses of debonded specimens were performed using SEM. Two-way ANOVA and Tukey test revealed higher tensile bond strengths with the self-etching-adhesive-modified EndoRez technique (p < 0.001). Sealer tags pulled away from dentinal tubules when EndoRez was used alone, whereas mixed failures occurred within sealer tags, hybrid layers, adhesive, and sealer in the self-etching-adhesive-modified EndoRez technique. Both techniques were unaffected by the prolonged use of NaOCl (p > 0.05) when EDTA was employed as the final rinse.
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Affiliation(s)
- Michael D Doyle
- Department of Endodontics, School of Dentistry, Medical College of Georgia, Augusta, Georgia 30912-1129, USA
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Cury AH, Goracci C, de Lima Navarro MF, Carvalho RM, Sadek FT, Tay FR, Ferrari M. Effect of Hygroscopic Expansion on the Push-Out Resistance of Glass Ionomer-Based Cements Used for the Luting of Glass Fiber Posts. J Endod 2006; 32:537-40. [PMID: 16728245 DOI: 10.1016/j.joen.2005.10.060] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2005] [Revised: 10/20/2005] [Accepted: 10/23/2005] [Indexed: 10/24/2022]
Abstract
This study examined the contribution of hygroscopic expansion of glass-ionomer (GIC) and resin modified glass-ionomer (RMGIC) luting cements to the push-out resistance of fiber posts. Glass fiber posts were luted to post spaces using different cements. Experimental specimens were stored in water, while control specimens were desiccated and stored in mineral oil to eliminate water from intraradicular dentinal tubules and/or the external environment that could have contributed to hygroscopic expansion of the cements. Thin slice push-out tests revealed no difference in retention strengths of resin composite cements that were stored in water or oil. Conversely, GIC and RMGIC cements exhibited increased retention strengths after water sorption. As unfavorable cavity geometry is taxing to dentin bond integrity in root canals, a strategy that relies on increasing the frictional resistance to post dislodgement via delayed hygroscopic expansion of glass-ionomer based materials may be a more pragmatic approach to fiber post retention.
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Affiliation(s)
- Alvaro H Cury
- Department of Restorative Dentistry and Dental Materials, University of Siena, Siena, Italy
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