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Moon HK, Won JE, Ryu JJ, Shim JS. The Effect of the Initiator/Activator/Accelerator Ratio on the Degree of Conversion, Film Thickness, Flow, and Cytotoxicity of Dual-Cured Self-Adhesive Resin Cements. MATERIALS (BASEL, SWITZERLAND) 2024; 17:3572. [PMID: 39063864 PMCID: PMC11278755 DOI: 10.3390/ma17143572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2024] [Revised: 07/15/2024] [Accepted: 07/16/2024] [Indexed: 07/28/2024]
Abstract
Although self-adhesive resin cements are convenient and less technique-sensitive materials for dental clinicians, they exhibit a lower degree of conversion due to acidic components in their composition. Supplementation of the initiator, accelerator, and activator in self-adhesive resin cements has been suggested to compensate for the lower degree of conversion. This study aimed to evaluate the effects of different combinations of self-curing initiators, self-curing activators, and accelerators on the degree of conversion (DC) of self-adhesive resin cements. A dual-cured self-adhesive resin was prepared using six combinations of initiators, activators, and accelerators. The change in the DC over time was evaluated with and without light curing. The film thickness, flow properties, and cytotoxicity of each formulation were assessed. The results showed that all supplemental components had an effect on increasing the DC, but a greater increase in the DC was observed in the following order: activator, accelerator, and initiator. The cytotoxicity of the resin cements was related to the DC values, as resin cements with lower DC values exhibited higher cytotoxicity. The film thickness met the ISO standards for all groups. The results suggest that utilizing an activator is the most effective approach to enhance the DC in self-adhesive resin cement and that cytotoxicity tended to increase with lower DC values, whereas film thickness and flow properties demonstrated no correlation with DC values.
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Affiliation(s)
- Hyun Kyung Moon
- Department of Biomedical Sciences, College of Medicine, Korea University Guro Hospital, Seoul 08308, Republic of Korea;
| | - Jong-Eun Won
- Institute for Clinical Dental Research, Department of Dentistry, Korea University Guro Hospital, Seoul 08308, Republic of Korea;
| | - Jae Jun Ryu
- Department of Prosthodontics, Korea University Anam Hospital, Seoul 02841, Republic of Korea
| | - Ji Suk Shim
- Institute for Clinical Dental Research, Department of Dentistry, Korea University Guro Hospital, Seoul 08308, Republic of Korea;
- Department of Prosthodontics, Korea University Guro Hospital, Seoul 08308, Republic of Korea
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Alvarenga M, Machado L, Prado A, Veloso S, Monteiro G. Self-adhesive resin cement versus conventional cements on the failure rate of indirect single-tooth restorations: A systematic review and meta-analysis of randomized clinical trials. J Prosthet Dent 2024:S0022-3913(24)00308-1. [PMID: 38797576 DOI: 10.1016/j.prosdent.2024.04.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Revised: 04/24/2024] [Accepted: 04/26/2024] [Indexed: 05/29/2024]
Abstract
STATEMENT OF PROBLEM Cementation is one of the most critical steps that influence the failure rates of indirect restorations. Self-adhesive resin cements arose out of the need for technical simplification of this procedure to reduce the risk of operative errors, with good acceptance by clinicians. How the failure rate of indirect single-tooth restorations cemented with self-adhesive resin cements compares with the failure rate of those cemented conventionally is unclear. PURPOSE The purpose of this systematic review and meta-analysis of randomized clinical trials was to compare self-adhesive resin cements versus conventional cements on the failure rates of indirect restorations. MATERIAL AND METHODS The review was registered at the International Prospective Register of Systematic Reviews (PROSPERO - CRD42020215577). The search strategy was adapted for 5 databases (PubMed, The Cochrane Library, EMBASE, Web of Science, and LILACS) and 1 nonpeer-reviewed literature source (clinicaltrials.gov). The strategy was guided by the problem/population, intervention, comparison, outcome (PICO) question: adults indicated for indirect restorations -P, self-adhesive resin cement -I, conventional cement-C, failure rates-O. The risk of bias was assessed using the Cochrane risk of bias (RoB2) tool and guidelines. Meta-analysis merged the results from included studies by pooling the hazard ratios and standard errors, available or estimated. The certainty of evidence was assessed by using the classification of recommendations, evaluation, development, and evaluation (GRADE) approach. RESULTS Nine randomized clinical trials were included in qualitative and quantitative analysis. Eight studies detected nonsignificant differences in failure rates between cements. Only 1 study reported a significantly higher failure rate on single-tooth ceramic crowns luted with self-adhesive resin cement. Nonsignificant differences were detected after the results from all studies had been pooled. CONCLUSIONS Based on clinical evidence, self-adhesive resin cements can be recommended for the cementation of indirect single-tooth restorations with a similar risk of failure to conventional cements.
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Affiliation(s)
- María Alvarenga
- PhD candidate, Dental Materials Research Laboratory, School of Dentistry, University of Pernambuco (UPE), Recife, PE, Brazil.
| | - Lynn Machado
- Graduate student, School of Dentistry, University of Pernambuco (UPE), Recife, PE, Brazil
| | - Amanda Prado
- Graduate student, School of Dentistry, University of Pernambuco (UPE), Recife, PE, Brazil
| | - Sirley Veloso
- Research Assistant, Dental Materials Research Laboratory, School of Dentistry, University of Pernambuco (UPE), Recife, PE, Brazil
| | - Gabriela Monteiro
- Professor, Dental Materials Research Laboratory, Faculty of Dentistry, School of Dentistry, University of Pernambuco (UPE), Recife, PE, Brazil.
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Alshabib A, AlDosary K, Algamaiah H. A comprehensive review of resin luting agents: Bonding mechanisms and polymerisation reactions. Saudi Dent J 2024; 36:234-239. [PMID: 38420009 PMCID: PMC10897588 DOI: 10.1016/j.sdentj.2023.11.010] [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: 09/07/2023] [Revised: 11/06/2023] [Accepted: 11/07/2023] [Indexed: 03/02/2024] Open
Abstract
The field of dentistry is constantly evolving and increasingly embracing minimally invasive approaches. One such approach, which is bonding to the tooth structure, particularly enamel, has been shown to offer the most predictable outcomes. However, there are instances where significant tooth loss may limit treatment options for a restorative dentist. In these scenarios, indirect restoration might be the preferred treatment option. This literature review provides a comprehensive examination of the currently available resin luting agents and their bonding requirements. It provides valuable insights for dental professionals seeking an in-depth understanding of the current state of the field and the future prospects of dental adhesion.
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Affiliation(s)
- Abdulrahman Alshabib
- Department of Restorative Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Khalid AlDosary
- Dental Department, King Abdulaziz University Hospital, King Saud University, Riyadh, Saudi Arabia
| | - Hamad Algamaiah
- Department of Restorative Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Beh YH, Halim MS, Ariffin Z. The load capacity of maxillary central incisor with simulated flared root canal restored with different fiber-reinforced composite post and cementation protocols. PeerJ 2023; 11:e16469. [PMID: 38025677 PMCID: PMC10658903 DOI: 10.7717/peerj.16469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 10/25/2023] [Indexed: 12/01/2023] Open
Abstract
Background This study aimed to evaluate the load capacity of maxillary central incisors with simulated flared root canal restored with different fiber-reinforced composite (FRC) post cemented with either self-adhesive or self-etch resin cement and its mode of fracture. Methods Sixty-five extracted maxillary incisors were decoronated, its canal was artificially flared and randomly categorized into group tFRC (tapered FRC post) (n = 22), mFRC (multi-FRC post) (n = 21), and DIS-FRC (direct individually shaped-FRC (DIS-FRC) post) (n = 22), which were further subdivided based on cementation resin. The posts were cemented and a standardized resin core was constructed. After thermocycling, the samples were loaded statically and the maximum load was recorded. Results The load capacity of the maxillary central incisor was influenced by the different FRC post system and not the resin cement (p = 0.289), and no significant interaction was found between them. Group mFRC (522.9N) yielded a significantly higher load capacity compared to DIS-FRC (421.1N). Overall, a 55% favorable fracture pattern was observed, and this was not statistically significant. Conclusion Within the limitation of the study, it can be concluded that prefabricated FRC posts outperform DIS-FRC posts in terms of the load capacity of a maxillary central incisor with a simulated flared root canal. The cementation methods whether a self-adhesive or self-etch resin cement, was not demonstrated to influence the load capacity of a maxillary central incisor with a flared root canal. There were no significant differences between the favorable and non-favorable fracture when FRC post systems were used to restored a maxillary central incisor with a flared root canal.
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Affiliation(s)
- Yew Hin Beh
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Mohamad Syahrizal Halim
- Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
| | - Zaihan Ariffin
- Prosthodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
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Raj R A, El-Shamy FM, Ajit MN, Roy K, Oak A, Ameer B. Assessment of the Push-Out Bond Strength for Glass Fiber Posts After Different Surface Treatments: An In Vitro Study. Cureus 2023; 15:e41499. [PMID: 37551249 PMCID: PMC10404346 DOI: 10.7759/cureus.41499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 06/30/2023] [Indexed: 08/09/2023] Open
Abstract
AIM The goal of the study was to assess the push-out bond strength of the glass fibre post after different surface treatments. MATERIALS AND METHODS For the purpose of the investigation, 40 mandibular premolars were chosen. After gaining access, the biomechanical preparation was completed using the step-back approach up to a size 40K file, and the canals were sealed using gutta-percha cones and the lateral condensation procedure with AH Plus sealer (epoxide-amine resin pulp canal sealer). Peeso reamers were used to remove the canal fillings, leaving 5mm of gutta-percha apically. Drills included in the package were used to prepare the post spaces so that the posts would fit in their respective post slots. These were attached to self-curing acrylic resin blocks. Fibre posts were split into four groupings of n = 10 each for surface treatment, i.e., control, hydrogen fluoride, sandblasting, and hydrogen peroxide. The cementation of posts was done by utilising dual-cure resin cement. Two millimetres of the anatomical crown were removed from each sample. Each sample's 1-mm cervical segment was taken utilising the isotope from the remaining coronal area. To perform a push-out test, at the rate of 0.5mm/min of the crosshead, every sample was inserted into a universal testing device. Each post's dislodge force from the pre-set post spacing was measured. Statistics were utilised to analyse the data. RESULTS Strongest bonds were made by silanization, followed by sandblasting (p value=0.002). The weakest bonds were made by the control group. CONCLUSION The ultimate deduction was that when glass fibre posts underwent various types of surface treatments followed by silanization, it had a significant impact on increasing their strength.
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Affiliation(s)
- Akhila Raj R
- Department of Conservative Dentistry and Endodontics, Amrita School of Dentistry, Amrita Viswavidyapeetham, Amrita Institute of Medical Sciences (AIMS), Kochi, IND
| | | | - Mannur Nikita Ajit
- Department of Conservative Dentistry and Endodontics, SJM Dental College and Hospital, Karnataka, IND
| | - Kasturi Roy
- Department of Conservative Dentistry and Endodontics, Chandra Dental College and Hospital, Barabanki, IND
| | - Anjali Oak
- Department of Conservative Dentistry and Endodontics, College of Dental Sciences and Research Centre, Ahmedabad, IND
| | - Bilal Ameer
- Department of Conservative Dentistry and Endodontics, SJM Dental College and Hospital, Karnataka, IND
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Dental Luting Cements: An Updated Comprehensive Review. Molecules 2023; 28:molecules28041619. [PMID: 36838607 PMCID: PMC9961919 DOI: 10.3390/molecules28041619] [Citation(s) in RCA: 40] [Impact Index Per Article: 40.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Revised: 01/27/2023] [Accepted: 02/06/2023] [Indexed: 02/11/2023] Open
Abstract
The cementation of indirect restoration is one of the most important steps in prosthetic and restorative dentistry. Cementation aims to bond the prosthetic restoration to the prepared enamel or enamel and dentine. Successful cementation protocols prevent biofilm formation at the margin between tooth and restoration and minimize mechanical and biological complications. With the advancements in dental cements, they have been modified to be versatile in terms of handling, curing, and bond strengths. This review presents updates on dental cements, focusing on the composition, properties, advantages, limitations, and indications of the various cements available. Currently, dental restorations are made from various biomaterials, and depending on each clinical case, an appropriate luting material will be selected. There is no luting material that can be universally used. Therefore, it is important to distinguish the physical, mechanical, and biological properties of luting materials in order to identify the best options for each case. Nowadays, the most commonly used dental cements are glass-ionomer and resin cement. The type, shade, thickness of resin cement and the shade of the ceramic, all together, have a tangible influence on the final restoration color. Surface treatments of the restoration increase the microtensile bond strength. Hence, the proper surface treatment protocol of both the substrate and restoration surfaces is needed before cementation. Additionally, the manufacturer's instructions for the thin cement-layer thickness are important for the long-term success of the restoration.
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Monteiro LC, Pecorari VGA, Gontijo IG, Marchi GM, Lima DANL, Aguiar FHB. PEEK and fiberglass intra-radicular posts: influence of resin cement and mechanical cycling on push-out bond strength. Clin Oral Investig 2022; 26:6907-6916. [PMID: 35881239 DOI: 10.1007/s00784-022-04645-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Accepted: 07/12/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To evaluate the bond strength of four types of posts (pre-fabricated fiberglass post, fiberglass post anatomized with composite resin, milled fiberglass post, and milled polyetheretherketone (PEEK) post), and two types of resin cements (conventional and self-adhesive) by assessing immediate bond strength and post-mechanical aging at each root third. MATERIALS AND METHODS Bovine endodontically treated roots (16 groups, n = 8) were prepared and the posts were produced and luted; the specimens of aging groups were cycled (300,000 cycles under 50 N load at 1.2 Hz frequency); six slices of each root were obtained; push-out test was performed by using a universal testing machine (500 N load at 1 mm/min cross speed); fracture pattern was classified into five levels. The statistical analyses used were three-way ANOVA, Tukey's test (for bond strength), and Fisher's test (for fracture pattern) (α < 0.05). RESULTS Differences were found between the cements for posts (conventional: p < 0.001; self-adhesive: p = 0.002), whereas no difference was found for root region (p = 0.941; p = 0.056, respectively); analysis of each root showed significant differences for cements (p < 0.001), posts (p < 0.001), and mechanical cycling (p = 0.001); in terms of double interaction, differences were found for posts and mechanical cycling (p = 0.005); no other interactions were observed (double or triple); the fracture pattern showed difference between the groups for both cements. CONCLUSIONS Milled PEEK posts seem to be a good clinical option, but they require improvement of CAD-CAM technology and advances towards their adhesion. CLINICAL RELEVANCE Milled posts are promising and can reduce clinical time for rehabilitation of extensively destroyed teeth.
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Affiliation(s)
- Lara Christie Monteiro
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, Bairro Areão13.414-093, Piracicaba, SP, Brazil.
| | | | - Isabela Guerra Gontijo
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, Bairro Areão13.414-093, Piracicaba, SP, Brazil
| | - Giselle Maria Marchi
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, Bairro Areão13.414-093, Piracicaba, SP, Brazil
| | - Débora Alves Nunes Leite Lima
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, Bairro Areão13.414-093, Piracicaba, SP, Brazil
| | - Flávio Henrique Baggio Aguiar
- Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira, 901, Bairro Areão13.414-093, Piracicaba, SP, Brazil
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Geng T, Pan Y, Liu ZZ, Yuan C, Wang P, Meng X. Time-dependent Microhardness Gradients of Self-adhesive Resin Cements Under Dual- and Self-curing Modes. Oper Dent 2020; 45:E280-E288. [PMID: 33215201 DOI: 10.2341/19-006-l] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/15/2019] [Indexed: 11/23/2022]
Abstract
CLINICAL RELEVANCE Acid-functional monomers in self-adhesive resin cements may decrease their self-curing polymerization ability. Light irradiation optimizes polymerization performance. SUMMARY Purpose: The aim of this study was to investigate Knoop microhardness of self-adhesive resin cements under dual- and self-curing modes in simulated canals for describing the polymerization behavior.Methods and Materials: Slots in lightproof silicone cylinders with one open end were filled with the following eight materials: a traditional resin cement (Duolink), a core build-up resin material (MultiCore Flow), and six self-adhesive resin cements (RelyX Unicem 2, G-Cem Automix, Maxcem, Biscem, Multilink Speed, and PermaCem 2.0). The resins were exposed to light through the open end and then stored in a lightproof box. The Knoop hardness gradient for each resin was measured after 1 hour and 120 hours. Surface readings were obtained at 1-mm intervals from 1 mm to 10 mm away from the open ends. The data were analyzed by two-way analysis of variance and the Student-Newman-Keuls test (α=0.05).Results: All the resin materials had stable Knoop hardness numbers (KHNs) at a certain depth; their KHNs in the self-curing mode did not change (p>0.05). The region above this certain depth was regarded as having undergone the dual-curing mode, and the KHN decreased gradually with depth (p<0.05). Between 1 and 120 hours postexposure, the ratio of the KHN at a 5-mm depth (self-cured) to that at a 1-mm depth (dual-cured) increased in Duolink and MultiCore Flow. However, the ratios of the six adhesive resin cements varied.Conclusion: Without light, most self-adhesive resin cements differed from traditional dual-cured resin materials in terms of Knoop micro-hardness, and they had a lesser capacity for chemical-induced curing.
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Rawashdeh RY, Sawafta R, Malkawi HI. Dental Materials Incorporated with Nanometals and Their Effect on the Bacterial Growth of Staphylococcus aureus. Int J Nanomedicine 2020; 15:4325-4331. [PMID: 32606680 PMCID: PMC7308144 DOI: 10.2147/ijn.s251573] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Accepted: 05/12/2020] [Indexed: 11/23/2022] Open
Abstract
PURPOSE The purpose of this study was to investigate the effect of different commercially used dental materials (RelyX Luting Plus and Dyract Extra) mixed with either a metallic ionic solution or a colloidal suspension of metallic nanoparticles. Both the solution and the suspension contained a mixture of silver, copper, and lithium ions. METHODS The metal/ion-incorporated dental materials were prepared into disk-shaped samples and tested against the growth of Staphylococcus aureus. The susceptibility of bacteria against the antibacterial dental disks was tested using two methods: counting the colony-forming units per milliliter and disk diffusion (Kirby-Bauer). The incorporated materials (Dyract and Rely cement) were tested for ion release using flame atomic absorption spectroscopy. RESULTS Assessment showed efficient antibacterial activity of metal ion-incorporated Rely luting cement, exhibited by the formation of inhibition zones larger than those formed by the standard antibiotic, as well as a reduction in bacterial number of sevenfold after incubation for 24 hours. Dyract material incorporated with nanoparticles showed no significant clear zones and had no inhibiting effect on bacterial colony numbers after incubation for 24 hours. The release of silver, copper, and lithium metal ions depended on the type of both dental material and the incorporated nanoagents. The metal ion-incorporated Rely Plus cement released the highest levels of metal ions, which was attributed to its antibacterial efficiency. CONCLUSION Rely Plus cement incorporated with the nanoparticle suspension demonstrated high antibacterial potency, due to the release of the highest concentrations of silver, copper, and lithium metal ions. This work is the first direct comparative study of dental materials with different forms of nanomixtures (metallic nanoparticles and soluble metallic ions) and their antibacterial effects after incubation with bacterial culture for 24 hours.
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Affiliation(s)
| | | | - Hanan I Malkawi
- Department of Biological Sciences, Faculty of Science, Yarmouk University, Irbid, Jordan
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Haritha J, Rao MRN, Padmaja BI, Reddy NR, Babu NS, Karthik KVGC. Management of short clinical crowns by utilizing horizontal groove retentive technique in crown/tooth or both with different luting cements - An analysis on extracted teeth. J Family Med Prim Care 2020; 9:1640-1646. [PMID: 32509665 PMCID: PMC7266182 DOI: 10.4103/jfmpc.jfmpc_939_19] [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: 10/24/2019] [Revised: 02/12/2020] [Accepted: 02/20/2020] [Indexed: 11/09/2022] Open
Abstract
Purpose: The aim of the present study was to compare and evaluate the retention of dislodged crowns by addition of one horizontal circumferential groove (HCG) to preparation and/or casting and with two luting cements. Materials and Methods: A total of 80 recently extracted human maxillary first molar teeth of appropriate sizes were collected and mounted in the resin blocks using surveyor. Standardized full coverage tooth preparations were prepared and impressions were obtained. Dies were prepared for casting and were then subjected to tensile loading using UTM. The data obtained was statistically analyzed. Results: Obtained values were statistically analyzed using ANOVA, STUDENT “t” TEST and BONFERRONI TEST. The results showed that the mean tensile force (TF) was in the range from 49.05 to 264.87 for group A and 255.06 to 588.60 for group B. The highest TF was recorded for subgroup 3B, whereas the lowest for subgroup 1A. Conclusion: Within the limitations of the study, it was concluded that by addition of one HCG to tooth preparation or casting and to both showed significant increase in retention, when compared to control groups. The highest retention value was obtained for sample with groove on the internal surface of crown luted with SARC.
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Affiliation(s)
- J Haritha
- Department of Prosthodontics Crown and Bridge, Proddatur, Kadapa, India
| | - M Reddi Narasimha Rao
- Department of Prosthodontics Crown and Bridge and Implantology, C.K.S. Theja Institute of Dental Sciences and Research, Tirupathi, Andhra Pradesh, India
| | - B Indira Padmaja
- Department of Prosthodontics Crown and Bridge and Implantology, C.K.S. Theja Institute of Dental Sciences and Research, Tirupathi, Andhra Pradesh, India
| | - N Raja Reddy
- Department of Prosthodontics Crown and Bridge and Implantology, C.K.S. Theja Institute of Dental Sciences and Research, Tirupathi, Andhra Pradesh, India
| | - N Suresh Babu
- Department of Prosthodontics Crown and Bridge and Implantology, C.K.S. Theja Institute of Dental Sciences and Research, Tirupathi, Andhra Pradesh, India
| | - K V Guru Charan Karthik
- Department of Prosthodontics Crown and Bridge, Army College of Dental Sciences, Secunderabad, Telangana, India
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Özlek E, Neelakantan P, Matinlinna JP, Belli S, Ugur M, Kavut I. Adhesion of Two New Glass Fiber Post Systems Cemented with Self-Adhesive Resin Cements. Dent J (Basel) 2019; 7:E80. [PMID: 31374874 PMCID: PMC6784462 DOI: 10.3390/dj7030080] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2019] [Revised: 06/21/2019] [Accepted: 07/09/2019] [Indexed: 11/18/2022] Open
Abstract
The aim of this in vitro study was to evaluate the adhesion strength of two new fiber post systems (FiberSite™ Post and Cytec™ Blanco Post) cemented with two different adhesive resin cements (Panavia™ SA and Maxcem™ Elite). Root canals of sixty extracted human mandibular premolars were prepared using ProTaper Universal™ rotary files (Dentsply Sirona Endodontics, York, PA, USA). The root canals were irrigated with 5.25% sodium hypochlorite (NaOCl) during instrumentation. After root canal preparation, the canals were irrigated with 2 mL of 17% EDTA (1 min), followed by 2 mL of 5.25% (5 min) NaOCI, and 2 mL saline. The root canals were dried with paper points and divided randomly into two study groups (n = 30) according to the type of post system: Group 1, FiberSite™ Post (MegaDental, Partanna, Italy); and group 2, Cytec™ Blanco Post (Hahnenkratt, Königsbach-Stein, Germany), with one of the two adhesive resin cements: Subgroup A, Panavia™ SA Cement Plus Automix (Kuraray, Osaka, Japan); subgroup B, Maxcem™ Elite (Kerr, Orange, CA, USA). Following thermocycling, the adhesion strength was evaluated using the push-out adhesion (bond) strength test. Fractographic analysis was performed using stereomicroscope. The data were analyzed using two-way analysis of variance (p = 0.05). The adhesion strength values of both the posts were significantly higher when cemented with subgroup B (Maxcem™ Elite). The highest adhesion strength value was demonstrated by group 1B (FiberSite™ post cemented with Maxcem™ Elite cement). The type of post did not have a significant impact on the bond strength values for either cement material.
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Affiliation(s)
- Esin Özlek
- Department of Endodontics, Faculty of Dentistry, The University of Van Yuzuncu Yil, Van 65090, Turkey
| | - Prasanna Neelakantan
- Discipline of Endodontology, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
| | - Jukka Pekka Matinlinna
- Dental Materials Science, Discipline of Applied Oral Sciences, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | - Sema Belli
- Department of Endodontics, Faculty of Dentistry, The University of Selcuk, Konya 42250, Turkey
| | - Mehmet Ugur
- Department of Prosthodontics, Faculty of Dentistry, The University of Van Yuzuncu Yil, Van 65090, Turkey
| | - Idrıs Kavut
- Department of Prosthodontics, Faculty of Dentistry, The University of Van Yuzuncu Yil, Van 65090, Turkey
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Mehl C, Zhang Q, Lehmann F, Kern M. Retention of zirconia on titanium in two-piece abutments with self-adhesive resin cements. J Prosthet Dent 2018; 120:214-219. [DOI: 10.1016/j.prosdent.2017.11.020] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2017] [Revised: 11/11/2017] [Accepted: 11/13/2017] [Indexed: 02/04/2023]
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Da Silva NR, Aguiar GCR, Rodrigues MDP, Bicalho AA, Soares PBF, Veríssimo C, Soares CJ. Effect of Resin Cement Porosity on Retention of Glass-Fiber Posts to Root Dentin: An Experimental and Finite Element Analysis. Braz Dent J 2017; 26:630-6. [PMID: 26963208 DOI: 10.1590/0103-6440201300589] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2015] [Accepted: 11/01/2015] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to evaluate the effect of porosity of self-adhesive resin on the stress distribution, post retention and failure mode of fiber post cemented to human root dentin. Ten human central upper incisors with circular root canal were selected. They were sectioned with 15 mm and were endodontically filled. The roots were scanned using micro-CT after post space preparation for root filling remaining evaluation. Fiber posts were cemented using self-adhesive resin cement (Rely X U200, 3M-ESPE). Two 1-mm-thick slices from the cervical, medium and apical thirds were scanned for resin cement bubbles volume measurements and submitted to a push-out test (PBS). Three operators using stereomicroscopy and confocal laser microscopy classified the failure mode. Stress distributions during the push-out test were analyzed using 3D finite element analysis. PBS values (MPa) were submitted to one-way ANOVA and Tukey's post hoc tests and the failure modes using the Kappa coefficient to assess inter-operator agreement. Chi-square test was used to determine significant differences between the methods ( = 0.05). Push-out bond strength was significantly affected by the bubbles presence in all root depth (p<0.05). The stress concentration was higher when the bubbles were present. Adhesive dentin/resin cement interface failure was the most frequent type of failure. Confocal microscopy was better than stereomicroscopy for failure analysis. Bubbles generated during resin cement insertion into the root canal negatively affect the stress distribution and the bond strength. The use of confocal microscopy is recommended for failure analysis.
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Affiliation(s)
- Natércia Rezende Da Silva
- Department of Restorative Dentistry and Dental Materials, BIAOR - Biomechanics Research Group, Dental School, UFU - Universidade Federal de Uberlandia, Uberlandia, MG, Brazil
| | - Grazielle Crystine Rodrigues Aguiar
- Department of Restorative Dentistry and Dental Materials, BIAOR - Biomechanics Research Group, Dental School, UFU - Universidade Federal de Uberlandia, Uberlandia, MG, Brazil
| | - Monise de Paula Rodrigues
- Department of Restorative Dentistry and Dental Materials, BIAOR - Biomechanics Research Group, Dental School, UFU - Universidade Federal de Uberlandia, Uberlandia, MG, Brazil
| | - Aline Aredes Bicalho
- Department of Restorative Dentistry and Dental Materials, BIAOR - Biomechanics Research Group, Dental School, UFU - Universidade Federal de Uberlandia, Uberlandia, MG, Brazil
| | - Priscilla Barbosa Ferreira Soares
- Department of Oral and Maxillofacial Surgery and Implantology, BIAOR - Biomechanics Research Group, Dental School, UFU - Universidade Federal de Uberlandia, Uberlandia, MG, Brazil
| | - Crisnicaw Veríssimo
- Department of Restorative Dentistry and Dental Materials, BIAOR - Biomechanics Research Group, Dental School, UFU - Universidade Federal de Uberlandia, Uberlandia, MG, Brazil
| | - Carlos José Soares
- Department of Restorative Dentistry and Dental Materials, BIAOR - Biomechanics Research Group, Dental School, UFU - Universidade Federal de Uberlandia, Uberlandia, MG, Brazil
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ANDRIOLI ARV, COUTINHO M, VASCONCELLOS AAD, MIRANDA ME. Relining effects on the push-out shear bond strength of glass fiber posts. REVISTA DE ODONTOLOGIA DA UNESP 2016. [DOI: 10.1590/1807-2577.14815] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction The correct use of glass fiber posts in endodontically treated teeth is essential for the clinical success of restorative treatment. Objective This study evaluated the push-out shear bond strength of relined (R) or non-relined (NR) glass fiber posts, cemented with self-adhesive resin cement [RelyXTM U100 (U100)] and conventional resin cement [RelyXTM ARC (ARC)]. Material and method Sixty human single-rooted teeth were endodontically treated and divided into ARC-NR; U100-NR; ARC-R; U100-R groups. The teeth were sectioned into cervical, middle and apical thirds, and subjected to the push-out test. Bond strength was analyzed by the Friedman test; cement and post types were compared by the Mann Whitney test. The pattern of failures was evaluated with digital camera through images at 200x magnification, and was classified as adhesive (at the cement/dentin or cement/post interface), cohesive (cement or post), and mixed failures. Result In ARC-NR, bond strength values were higher in the cervical third; in U100-NR and ARC-R they were similar between the thirds. In U100-R, in the cervical and middle thirds the bond strength values were similar, and there was lower value in the apical third. For non-relined glass fiber posts, the highest mean bond strength values were observed with self-adhesive resin cement. Whereas, relined posts cemented with conventional resin cement had stronger cement layer in comparison with non-relined fiber posts. Conclusion The post relining technique was efficient in ARC-R. ARC-NR and U100-R showed improved bond strength in the cervical region of canal walls. The main failures were adhesive at the cement-post interface.
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Influence of root dentin treatment on the push-out bond strength of fiber posts. Odontology 2016; 105:170-177. [PMID: 27206914 DOI: 10.1007/s10266-016-0252-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2016] [Accepted: 04/30/2016] [Indexed: 10/21/2022]
Abstract
The aim of the present study was to assess whether different dentin conditioning protocols with different acids [phosphoric acid, ethylene diamine tetra acetic acid (EDTA), and polyacrylic acid (PAA)] influence the bond strength of fiber posts along the radicular depth when luted with self-adhesive resin cement. Twenty single-rooted teeth were randomly divided into four experimental groups (n = 5) according to dentin treatment: Group 1: no treatment; Group 2: etching with 35 % phosphoric acid for 10 s; Group 3: 17 % EDTA application for 60 s; and Group 4: conditioning with 25 % PAA for 30 s. RelyX Fiber Posts were luted with the self-adhesive resin cement RelyX Unicem 2 Automix (3M ESPE). Roots were transversally sectioned into nine 1-mm thick specimens, three corresponding to each root third and a push-out test was performed. Data were analyzed by two-way ANOVA and Tukey test (p < 0.05). Failure mode was determined and specimens with representative failures for each group were observed under scanning electron microscopy. According to the results, dentin treatment influenced the bond strength (p < 0.001), whereas the root third did not (p > 0.05). Fiber posts luted after treating dentin with phosphoric acid, and PAA exhibited the highest push-out bond strength values, while the lowest were obtained after EDTA application. Intermediate results were obtained when dentin was not conditioned. In conclusion, the bond strength of the self-adhesive resin cement RelyX Unicem 2 improves when root dentin is treated with 35 % phosphoric acid or 25 % PAA, before fiber posts luting irrespective of the root depth.
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In vitro evaluation of the bond strength of composite resin foundation materials to dentin. J Prosthet Dent 2015; 114:529-35. [DOI: 10.1016/j.prosdent.2015.04.022] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Revised: 04/30/2015] [Accepted: 04/30/2015] [Indexed: 11/20/2022]
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Santana FR, Soares CJ, Silva JA, Alencar AHG, Renovato SR, Lopes LG, Estrela C. Effect of Instrumentation Techniques, Irrigant Solutions and Artificial accelerated Aging on Fiberglass Post Bond Strength to Intraradicular Dentin. J Contemp Dent Pract 2015; 16:523-30. [PMID: 26329405 DOI: 10.5005/jp-journals-10024-1716] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To evaluate the effect of instrumentation techniques, irrigant solutions and specimen aging on fiberglass posts bond strength to intraradicular dentine. MATERIALS AND METHODS A total of 120 bovine teeth were prepared and randomized into control and experimental groups resulting from three study factors (instrumentation techniques, irrigant solutions, specimen aging). Posts were cemented with RelyX U100. Samples were submitted to push-out test and failure mode was evaluated under a confocal microscope. RESULTS In specimens submitted to water artificial aging, nickel-titanium rotary instruments group presented higher bond strength values in apical third irrigated with NaOCl or chlorhexi-dine. Irrigation with NaOCl resulted in higher bond strength than ozonated water. Artificial aging resulted in significant bond strength increase. Adhesive cement-dentin failure was prevalent in all the groups. CONCLUSION Root canal preparation with NiTi instruments associated with NaOCl irrigation and ethylenediaminetetra acetic acid (EDTA) increased bond strength of fiberglass posts cemented with self-adhesive resin cement to intraradicular dentine. Water artificial aging significantly increased post-Clinical significance: The understanding of factors that may influence the optimal bond between post-cement and cement-dentin are essential to the success of endodontically treated tooth restoration.
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Affiliation(s)
- Fernanda Ribeiro Santana
- Department of Stomatologic Sciences, School of Dentistry Federal University of Goias, GO, Brazil
| | - Carlos José Soares
- Department of Dental Materials and Operative Dentistry School of Dentistry, Federal University of Uberlandia, Uberlandia MG Brazil
| | - Júlio Almeida Silva
- Department of Stomatologic Sciences, School of Dentistry Federal University of Goias, GO, Brazil
| | | | - Sara Rodrigues Renovato
- Department of Stomatologic Sciences, School of Dentistry Federal University of Goias, GO, Brazil
| | - Lawrence Gonzaga Lopes
- Department of Prevention and Oral Rehabilitation, School of Dentistry, Federal University of Goias, GO, Brazil
| | - Carlos Estrela
- Professor, Department of Stomatologic Sciences, School of Dentistry Federal University of Goias , Praca Universitaria s/n, Sector Universitario CEP: 74605-220 Goiania, GO, Brazil, e-mail:
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Effect of surface treatments on the flexural properties and adhesion of glass fiber-reinforced composite post to self-adhesive luting agent and radicular dentin. Odontology 2014; 104:60-7. [DOI: 10.1007/s10266-014-0184-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2014] [Accepted: 10/16/2014] [Indexed: 10/24/2022]
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Khoroushi M, Mazaheri H, Tarighi P, Samimi P, Khalighinejad N. Effect of antioxidants on push-out bond strength of hydrogen peroxide treated glass fiber posts bonded with two types of resin cement. Restor Dent Endod 2014; 39:303-9. [PMID: 25383350 PMCID: PMC4223101 DOI: 10.5395/rde.2014.39.4.303] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2014] [Accepted: 07/27/2014] [Indexed: 12/02/2022] Open
Abstract
Objectives Hydrogen peroxide (H2O2) surface treatment of fiber posts has been reported to increase bond strength of fiber posts to resin cements. However, residual oxygen radicals might jeopardize the bonding procedure. This study examined the effect of three antioxidant agents on the bond strength of fiber posts to conventional and self-adhesive resin cements. Materials and Methods Post spaces were prepared in forty human maxillary second premolars. Posts were divided into five groups of 8 each: G1 (control), no pre-treatment; G2, 10% H2O2 pre-treatment; G3, G4 and G5. After H2O2 application, Hesperidin (HES), Sodium Ascorbate (SA) or Rosmarinic acid (RA) was applied on each group respectively. In each group four posts were cemented with Duo-Link conventional resin cement and the others with self-adhesive BisCem cement. Push-out test was performed and data were analyzed using 2-way ANOVA and tukey's post-hoc test (α = 0.05). Results There was a statistically significant interaction between the cement type and post surface treatment on push-out bond strength of fiber posts (p < 0.001, F = 16). Also it was shown that different posts' surface treatments significantly affect the push-out bond strength of fiber posts (p = 0.001). H2O2 treated posts (G2) and control posts (G1) cemented with Duo-link showed the highest (15.96 ± 5.07MPa) and lowest bond strengths (6.79 ± 3.94) respectively. Conclusions It was concluded that H2O2 surface treatment might enhance the bond strength of fiber posts cemented with conventional resin cements. The effect of antioxidants as post's surface treatment agents depends on the characteristics of resin cements used for bonding procedure.
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Affiliation(s)
- Maryam Khoroushi
- Department of Operative Dentistry, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran. ; Dental Materials Research Center, Isfahan University of Medical Science, Isfahan, Iran
| | - Hamid Mazaheri
- Dental Materials Research Center, Isfahan University of Medical Science, Isfahan, Iran
| | - Pardis Tarighi
- Department of Operative Dentistry, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran. ; Department of Operative Dentistry and Torabinejad Dental Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Pouran Samimi
- Department of Operative Dentistry, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Navid Khalighinejad
- Dental Materials Research Center, Isfahan University of Medical Science, Isfahan, Iran
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Santana FR, Soares CJ, Ferreira JM, Valdivi ADCM, Souza JBD, Estrela C. Effect of root canal sealer and artificial accelerated aging on fibreglass post bond strength to intraradicular dentin. J Clin Exp Dent 2014; 6:e350-6. [PMID: 25593655 PMCID: PMC4282900 DOI: 10.4317/jced.51465] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2014] [Accepted: 05/01/2014] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES To evaluate the effect of root canal sealers (RCS) and specimen aging on the bond strength of fibre posts to bovine intraradicular dentin. MATERIAL AND METHODS 80 teeth were used according the groups - Sealapextm, Sealer 26®, AH Plus® and specimens aging - test with no aging and with aging. The canals prepared were filled using one of each RCS. The posts were cemented. Roots were cross-sectioned to obtain two slices of each third. Samples were submitted to push-out test. Failure mode was evaluated under a confocal microscope. The data were analysed by ANOVA, Tukey's, and Dunnet tests (α = 0.05). RESULTS No significant difference was detected among RCS. Aged control presented higher bond strength than immediate control. The aging did not result significant difference. Adhesive cement-dentin failure was prevalent in all groups. CONCLUSIONS RCS interfered negatively with bonding of fibreglass posts cemented with self-adhesive resin cement to intraradicular dentin. Key words:Fibreglass post, bond strength, root dentin, endodontic sealer, aging.
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Affiliation(s)
- Fernanda-Ribeiro Santana
- DDS, MSc, PhD. Department of Stomatologic Sciences, School of Dentistry, Federal University of Goiás, GO, Brazil
| | - Carlos-José Soares
- DDS, MSc, PhD. Operative Dentistry and Dental Materials Department, School of Dentistry, Federal University of Uberlândia, Uberlândia, MG, Brazil
| | - Josemar-Martins Ferreira
- DDS, MSc, PhD, Post-graduate student. School of Dentistry, Federal University of Uberlândia, MG, Brazil
| | | | - João-Batista-de Souza
- DDS, MSc, PhD. Department of Prevention and Oral Rehabilitation, School of Dentistry, Federal University of Goiás, GO, Brazil
| | - Carlos Estrela
- DDS, MSc, PhD. Department of Stomatologic Sciences, School of Dentistry, Federal University of Goiás, GO, Brazil
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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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