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dos Santos Junior WL, Santi MR, Lins RBE, Martins LRM. Effects of a relined fiberglass post with conventional and self-adhesive resin cement. Restor Dent Endod 2024; 49:e18. [PMID: 38841382 PMCID: PMC11148402 DOI: 10.5395/rde.2024.49.e18] [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: 10/28/2023] [Revised: 01/10/2024] [Accepted: 01/26/2024] [Indexed: 06/07/2024] Open
Abstract
Objectives This study was conducted to evaluate the mechanical properties of relined and non-relined fiberglass posts when cemented to root canal dentin using a conventional dual-cure resin cement or a self-adhesive resin cement. Materials and Methods Two types of resin cements were utilized: conventional and self-adhesive. Additionally, 2 cementation protocols were employed, involving relined and non-relined fiberglass posts. In total, 72 bovine incisors were cemented and subjected to push-out bond strength testing (n = 10) followed by failure mode analysis. The cross-sectional microhardness (n = 5) was assessed along the root canal, and interface analyses (n = 3) were conducted using scanning electron microscopy (SEM). Data from the push-out bond strength and cross-sectional microhardness tests were analyzed via 3-way analysis of variance and the Bonferroni post-hoc test (α = 0.05). Results For non-relined fiberglass posts, conventional resin cement exhibited higher push-out bond strength than self-adhesive cement. Relined fiberglass posts yielded comparable results between the resin cements. Type II failure was the most common failure mode for both resin cements, regardless of cementation protocol. The use of relined fiberglass posts improved the cross-sectional microhardness values for both cements. SEM images revealed voids and bubbles in the incisors with non-relined fiberglass posts. Conclusions Mechanical properties were impacted by the cementation protocol. Relined fiberglass posts presented the highest push-out bond strength and cross-sectional microhardness values, regardless of the resin cement used (conventional dual-cure or self-adhesive). Conversely, for non-relined fiberglass posts, the conventional dual-cure resin cement yielded superior results to the self-adhesive resin cement.
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Affiliation(s)
- Wilton Lima dos Santos Junior
- Operative Dentistry Division, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - Marina Rodrigues Santi
- Operative Dentistry Division, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - Rodrigo Barros Esteves Lins
- Operative Dentistry Division, Department of Restorative Dentistry, School of Dentistry, Federal University of Alagoas, Campus A. C. Simões, Maceió, Alagoas, Brazil
| | - Luís Roberto Marcondes Martins
- Operative Dentistry Division, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
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Prawatvatchara W, Angkanawiriyarak S, Klaisiri A, Sriamporn T, Thamrongananskul N. Effect of Aprotic Solvents on the Microtensile Bond Strength of Composite Core and Fiber-Reinforced Composite Posts. Polymers (Basel) 2023; 15:3984. [PMID: 37836032 PMCID: PMC10574831 DOI: 10.3390/polym15193984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 09/30/2023] [Accepted: 10/01/2023] [Indexed: 10/15/2023] Open
Abstract
This investigation evaluated the effects of aprotic solvents, i.e., tetrahydrofuran, pyridine, and morpholine, compared with hydrogen peroxide, on the surfaces of fiber-reinforced composite posts with a composite core based on the microtensile bond strength. In total, 150 FRC Postec Plus posts and 150 D.T. Light-Posts were randomly divided into three groups (non-thermocycling, 5000-cycle, and 10,000-cycle thermocycling groups). Each group was divided into five subgroups according to the post-surface treatment: C, non-treatment group; H2O2, immersed in 35% hydrogen peroxide; THF, immersed in tetrahydrofuran; PY, immersed in pyridine; and MP, immersed in morpholine. The treated specimens were placed in the bottom of a plastic cap and filled with a composite core material in preparation for the microtensile bond test. The data were evaluated using one-way ANOVA and Tukey's test (p < 0.05) as well as an independent t-test (p < 0.05). For the surface roughness, white light interferometry was used for measurement, and the mean surface roughness was analyzed via one-way ANOVA and Tukey's test (p < 0.05). The results showed that, under non-thermocycling conditions, the PY subgroup with D.T. Light-Post had the highest microtensile bond strength, followed by THF, MP, H2O2, and the control groups. For FRC Postec Plus, the PY group had the highest microtensile bond strength, followed by MP, THF, H2O2, and the control groups. Although the thermocycling conditions decreased the microtensile bond strength in all groups, the PY subgroup still had the highest value. An independent t-test revealed that even under all non-thermocycling and 5000- and 10,000-cycle thermocycling conditions, D.T. Light-Post in the PY subgroup displayed significantly higher microtensile bond strengths than FRC Postec Plus in the PY subgroup. While the surface roughness of the fiber-reinforced composite posts showed that the posts treated with pyridine possessed the highest surface roughness for each material type, In conclusion, as an aprotic solvent, pyridine generates the highest microtensile bond strength between the interfaces of composite cores and fiber-reinforced composite posts.
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Affiliation(s)
- Wisarut Prawatvatchara
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok 10330, Thailand
| | | | - Awiruth Klaisiri
- Division of Restorative Dentistry, Faculty of Dentistry, Thammasat University, Pathumthani 12120, Thailand;
| | - Tool Sriamporn
- Division of Prosthodontics, College of Dental Medicine, Rangsit University, Pathumthani 12000, Thailand;
| | - Niyom Thamrongananskul
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok 10330, Thailand
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Machry RV, Bergoli CD, Schwantz JK, Brondani LP, Pereira-Cenci T, Pereira GKR, Valandro LF. Longevity of metal-ceramic single crowns cemented onto resin composite prosthetic cores with self-adhesive resin cement: an update of a prospective analysis with up to 106 months of follow-up. Clin Oral Investig 2023; 27:1071-1078. [PMID: 36030454 DOI: 10.1007/s00784-022-04693-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 08/18/2022] [Indexed: 11/03/2022]
Abstract
OBJECTIVES To evaluate the longevity of metal-ceramic single crowns cemented onto resin composite prosthetic cores using a self-adhesive resin cement in a prospective clinical descriptive study. METHODS A total of 152 teeth were endodontically treated and received resin composite prosthetic cores and metal-ceramic crowns cemented with a self-adhesive resin cement. The patients included in the sample were recalled for clinical and radiography evaluation in an up-to-106-month period after the final cementation procedures, with an average of 62 months of follow-up. 91.5% of the sample (142 teeth) were evaluated regarding the treatment survival rate, analyzed considering the loss of crown retention (crown debonding) and tooth loss as the primary outcome. In addition, post debonding, and root fracture occurrences were also recorded as secondary outcomes to evaluate the success rate of the prosthetic treatment. The aesthetic parameters were also evaluated according to the FDI criteria. The Kaplan-Meier method and Cox regression with 95% confidence interval were applied for the statistical analysis. RESULTS Regarding the primary outcome, the metal-ceramic crowns cemented with self-adhesive resin cement presented a high survival rate (91.5%), with 8 crown debondings and 3 tooth losses (1 due to caries and 2 due to periodontal disease) occurring after the evaluation period. For secondary outcomes, 9 root fractures and 4 post debondings occurred, generating a success rate of 72%. All crowns had a score 1 on the FDI criteria, indicating that they were clinically excellent or very good regarding the aesthetic parameters. CONCLUSION The metal-ceramic crowns luted with a self-adhesive resin cement presented a survival rate of 91.5% after an average of 62 months of follow-up. Furthermore, the restorations remained aesthetically satisfactory over time, without changes that would indicate prosthetic retreatment. A success rate of 72% was obtained considering the secondary outcome, mainly related to intraradicular retainer failures (root fractures or post debonding). CLINICAL SIGNIFICANCE The self-adhesive resin cement is clinically indicated for cementation of metal-ceramic crowns onto resin composite prosthetic cores.
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Affiliation(s)
- Renan Vaz Machry
- Post-Graduate Program in Oral Science, School of Dentistry, Federal University of Santa Maria, UFSM Campus, 1000 Roraima Av., T Street, Building 26F, Room 2386, Santa Maria, Rio Grande Do Sul State, 97105-900, Brazil
| | - César Dalmolin Bergoli
- Post-Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Gonçalves Chaves Street 457, Pelotas, Rio Grande Do Sul State, 96015-560, Brazil
| | - Julia Kaster Schwantz
- Post-Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Gonçalves Chaves Street 457, Pelotas, Rio Grande Do Sul State, 96015-560, Brazil
| | - Lucas Pradebon Brondani
- Post-Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Gonçalves Chaves Street 457, Pelotas, Rio Grande Do Sul State, 96015-560, Brazil
| | - Tatiana Pereira-Cenci
- Post-Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Gonçalves Chaves Street 457, Pelotas, Rio Grande Do Sul State, 96015-560, Brazil
| | - Gabriel Kalil Rocha Pereira
- Post-Graduate Program in Oral Science, School of Dentistry, Federal University of Santa Maria, UFSM Campus, 1000 Roraima Av., T Street, Building 26F, Room 2386, Santa Maria, Rio Grande Do Sul State, 97105-900, Brazil
| | - Luiz Felipe Valandro
- Post-Graduate Program in Oral Science, School of Dentistry, Federal University of Santa Maria, UFSM Campus, 1000 Roraima Av., T Street, Building 26F, Room 2386, Santa Maria, Rio Grande Do Sul State, 97105-900, Brazil.
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Muacevic A, Adler JR, Ilango S, Parthasarathy R, Vishwanath S, Srinivasan S. Comparative Evaluation of Retention of Fiber Posts in Different Dentin Regions Using Various Bonding Techniques: An In Vitro Study. Cureus 2023; 15:e33971. [PMID: 36820107 PMCID: PMC9938723 DOI: 10.7759/cureus.33971] [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] [Accepted: 01/19/2023] [Indexed: 01/20/2023] Open
Abstract
Aim This study aims to evaluate the retention of fiber posts in the coronal, middle, and apical dentin regions with various bonding techniques by using fifth, sixth, and eighth-generation bonding agents and self-etch adhesive cement. Materials and methods For this study, 96 freshly extracted human incisors with straight roots were selected. Endodontic treatment of the specimens was performed. The post spaces were created immediately after obturation and the posts were luted with three different bonding agents and self-adhesive resin cement and the specimens were divided into four groups. Approximately 3 mm thick sections were made from different dentin regions of the post space and were tested for three subgroups: Subgroup I: Coronal, Subgroup II: Middle, Subgroup III: Apical. The specimens were tested on a universal testing machine. Results Statistical analysis was done using one-way analysis of variance (ANOVA) and Tukey's post hoc test using SPSS software version 17.0 (SPSS Inc., Chicago ). The intra-group comparison showed that the bond strength was more in the fifth-generation bonding agent (Cervical- 8.2574± 1.49034, Middle- 11.4800± 2.59938, Apical- 14.7108±1.82931), followed by the sixth (Cervical- 9.102± 2.76119, Middle-9.3152±2.11585, Apical- 12.9478±4.69404) and eighth-generation bonding systems (Cervical- 9.0938±2.77537, Middle- 7.1585±1.97601, Apical- 9.3726±0.73720) and the self-etch adhesive dental resin cement (Cervical- 5.1004±2.17389, Middle- 4.1574±1.28664, Apical-7.8884±1.90078). The inter-group comparison showed that the bond strength was higher in the fifth-generation bonding agent followed by sixth-generation, eighth-generation, and self-adhesive resin cement. Conclusion The present study reveals that the highest push-out bond strengths were obtained in apical sections followed by the middle and cervical areas. The bond strength was higher when using the fifth-generation bonding agent followed by the sixth, eighth, and self-adhesive resin cement. Despite many advancements, the fifth-generation bonding agent still showed superior retention in different dentin regions among various other bonding techniques.
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Bellan MC, da Cunha P, Colombino A, Bittencourt HR, Mota EG, Borges GA, Spohr AM. Retention of Manually or CAD/CAM-customized Fiberglass Posts Luted to Enlarged Root Canals with Different Resin Cements. Oper Dent 2022; 47:449-460. [PMID: 35917252 DOI: 10.2341/21-094-l] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/06/2021] [Indexed: 11/23/2022]
Abstract
The aim of this laboratory study was to evaluate the pull-out force of a prefabricated fiberglass post (PP), relined fiberglass post (RP), or milled fiberglass post (MP) luted with Multilink N (MN), RelyX Unicem 2 (RXU2) or RelyX Ultimate (RU) to enlarged root canals. The thickness of the resin cements and the presence of voids in the resin cement film were observed. The root canals of 90 bovine incisors were enlarged, endodontically treated, and randomly divided into 9 groups (n=10) according to the post type and resin cement. The specimens were scanned using micro-CT to analyze the thickness of the resin cement and the presence of voids. The specimens were submitted to mechanical cyclic loading (500,000 cycles at 50 N load) and subjected to pull-out force testing. Two-way ANOVA and Tukey's test analyzed the pull-out force and resin cement thickness data. Kruskal-Wallis and Bonferroni tests analyzed the void scores. The interaction between factors (post x resin cement) was significant (p=0.0001) for the pull-out force. Higher pull-out forces were obtained for RP and MP compared to PP. The post factor was significant (p=0.0001) for resin cement thickness, which was higher for PP (1054 μm), followed by MP (301 μm) and RP (194 μm). More void formation occurred for PP, being less for RP, differing significantly among the posts. Post customization (RP and MP) decreased resin cement thickness and void formation, favoring a higher pull-out force. Resin cements requiring an adhesive application (MN and RU) favored higher pull-out force than self-adhesive resin cement (RXU2).
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Affiliation(s)
- M C Bellan
- Mariá Cortina Bellan, DDS, MS, PhD, Department of Restorative Dentistry, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Pfjs da Cunha
- Patrícia Fernandes Jerzewski Sotero da Cunha, DDS, MsC, Private Practice, Porto, Alegre, Brazil
| | - Acl Colombino
- Ana Caroline Lima Colombino, DDS, Department of Restorative Dentistry, Uberaba University,Uberaba, Brazil
| | - H R Bittencourt
- Hélio Radke Bittencourt, MsC, PhD, Polytechnic School, Pontifical Catholic of Rio Grande do Sul, Porto Alegre, Brazil
| | - E G Mota
- Eduardo Gonçalves Mota, DDS, MS, PhD, Department of Restorative Dentistry, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - G A Borges
- Gilberto Antonio Borges, DDS, MS, PhD, Department of Restorative Dentistry, School of Dentistry, Uberaba University, Uberaba, Brazil
| | - A M Spohr
- *Ana Maria Spohr, DDS, MS, PhD, Pontifical Catholic University of Rio Grande do Sul Porto Alegre, Rio Grande do Sul, Brazil
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Santi MR, Lins R, Sahadi BO, Soto-Montero JR, Martins L. Comparison of the Mechanical Properties and Push-out Bond Strength of Self-adhesive and Conventional Resin Cements on Fiber Post Cementation. Oper Dent 2022; 47:346-356. [PMID: 35776956 DOI: 10.2341/21-015-l] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2021] [Indexed: 01/26/2023]
Abstract
OBJECTIVES The purpose of this study was to compare the mechanical properties and push-out bond strength of self-adhesive resin cements (SACs) and a conventional resin cement (CRC). METHODS AND MATERIALS Eighty bovine incisors were divided into four groups for cementation of a fiberglass post (Whitepost - FGM Dental Group, Coral Springs, FL) with different resin cements: three SACs (Maxcem Elite, MAX - Kerr; Calibra Universal, CAL - Dentsply; and RelyX Unicem 2, RUN - 3M Oral Care) and one CRC (RelyX Ultimate, RXU - 3M Oral Care). The groups were subdivided into two groups each (n=10) for evaluation of the push-out bond strength test (POBS) after 24 hours of water storage or after thermal aging (5000 cycles), following 24 hours of storage. The failure modes were evaluated using a stereomicroscope. Flexural strength (FS) and modulus of elasticity (EM) were determined using a three-point bending. Also, pH of the cements was measured over 48 hours and filler morphology was observed by scanning electron microscopy. Appropriate statistical analyses were performed by SPSS 21.0 (SPSS Inc., Chicago, IL, USA), with a significance level set at 5%. Results: RXU presented the highest POBS at both evaluation times. Among the SACs, RUN and CAL presented significantly lower POBS than MAX in cervical and middle-thirds at the 24-hour evaluation, and in all root regions after thermocycling. Adhesive failure between the cement and dentin were the most prevalent fractures at both times evaluated. MAX presented the lowest FS and RUN showed the highest EM. The pH reached the minimal point at the 30-minute evaluation for RXU and MAX. For RUN and CAL, the minimal pH was observed at the 60-minute evaluation. RXU and RUN presented spherical and regular filler particles, while MAX and CAL presented irregularly shaped and sized filler particles. CONCLUSIONS The mechanical behavior of SACs is not superior to CRC; however, among all the SACs evaluated, MAX presented the highest POBS and stability after thermocycling evaluation. MAX also reached the closest neutral pH after 48 hours. Therefore, SACs with low initial pH and strong neutralization reactions are recommended, because these characteristics may lead to better mechanical properties and stability.
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Affiliation(s)
- M R Santi
- *Marina Rodrigues Santi, DDS, MS, PhD student, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, SP, Brazil
| | - Rbe Lins
- Rodrigo Barros Esteves Lins, DDS, MS, PhD, Piracicaba Dental School, State University of Campinas, Piracicaba, SP, Brazil
| | - B O Sahadi
- Beatriz Ometto Sahadi, DDS, MS, PhD student, Piracicaba Dental School, State University of Campinas, Piracicaba, SP, Brazil
| | - J R Soto-Montero
- Jorge Rodrigo Soto-Montero, DDS, MS, PhD, invited professor, University of Costa Rica, School of Dentistry, Department of Restorative Dentistry, Montes de Oca, SJ, Costa Rica
| | - Lrm Martins
- Luís Roberto Marcondes Martins, DDS, MS, PhD, professor, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
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Chemical analysis of irradiated root dentin and its interaction with resin cements. Clin Oral Investig 2022; 26:4315-4325. [PMID: 35149905 DOI: 10.1007/s00784-022-04395-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 01/29/2022] [Indexed: 11/03/2022]
Abstract
OBJECTIVES To investigate the chemical changes in root dentin submitted to ionizing radiation and how it affects the interaction with resin cements. MATERIALS AND METHODS Forty human premolars were randomly divided into two groups (n = 20): non-irradiated and irradiated. They were randomly subdivided according to the type of resin cement (n = 10): conventional (RelyX ARC, 3 M ESPE) or self-adhesive (RelyX U200, 3 M ESPE). After cementation of the fiberglass posts, the roots were sectioned to be analyzed by Fourier transform infrared spectroscopy (FTIR), Raman spectroscopy, and confocal laser scanning microscopy (CLSM). The data obtained from FTIR and Raman were analyzed using two-way ANOVA followed Tukey's test (α = 0.05). For CLSM, a descriptive analysis was performed. RESULTS In the FTIR, there was a significant difference between the non-irradiated and irradiated groups for phosphate (p = 0.011), carbonate (p < 0.001), amide III (p = 0.038), and carbonate/mineral ratio (p < 0.001). Regarding the root third, there was a difference for amide I (p = 0.002), mineral/matrix ratio (p = 0.001), and amide I/CH2 (p = 0.026) between the cervical and the others. Raman spectroscopy revealed no difference between groups for 961/1458 cm-1 in the diffusion zone. CLSM showed a different interaction pattern for the two cements with the irradiated dentin from the cervical third. CONCLUSIONS Ionizing radiation altered the chemical composition of root dentin, especially in the cervical third. The resin cements showed less interaction with the irradiated root dentin. CLINICAL RELEVANCE As radiotherapy alters the chemical composition of root dentin, the interaction of resin cement with dentin can compromise the success of rehabilitation with fiberglass posts.
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Cayo-Rojas C, Santander-Rengifo F, Castillo-Andamayo D, Tay L, López-Gurreonero C, Cornejo-Pinto A, Cervantes-Ganoza L. Bond strength and failure mode of glass fiber posts with different surface treatments prior to silanization: An in vitro comparative study. J Int Soc Prev Community Dent 2022; 13:42-53. [PMID: 37153932 PMCID: PMC10155880 DOI: 10.4103/jispcd.jispcd_292_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 02/03/2022] [Accepted: 03/15/2022] [Indexed: 11/11/2022] Open
Abstract
Aim The use of chemical agents in the surface treatment of glass fiber posts can improve their bond strength to the root canal. The aim of this study was to assess the bond strength and failure mode of glass fiber posts that received different surface treatments prior to silanization. Materials and Methods In this cross-sectional and in vitro experimental study, 50 human lower premolar roots were randomly divided into five groups and subsequently prepared to receive the cementation of a fiberglass post prior to silanization. They were distributed as group 1 (with 24% hydrogen peroxide), group 2 (with 37% phosphoric acid), group 3 (with 1.23% acidulated phosphate fluoride for 2 minutes), group 4 (with 1.23% acidulated phosphate fluoride for 6 minutes), and group 5 (without pretreatment). After cementation, the roots were sectioned into two discs for each cervical, middle, and apical region. Bond strength was assessed using the push out technique. Adhesive, mixed, and cohesive failure modes were also assessed. For data analysis, ANOVA and Tukey's post hoc tests were used, as well as Pearson's chi-square test. A significance of P < 0.05 was considered in all statistical analyses. Results When comparing the bond strength of root regions, significant differences were obtained in groups pretreated with phosphoric acid (P = 0.018) and acidulated phosphate fluoride for 2 and 6 minutes (P = 0.001 and P = 0.000, respectively). Furthermore, significant differences were obtained between posts treated only with silane and those that received phosphoric acid pretreatment (P = 0.006) and acidulated phosphate fluoride for 6 minutes (P = 0.001). Significant association of mixed failure mode was observed with hydrogen peroxide (P = 0.014) and phosphoric acid (P = 0.006) pretreatments. Cohesive failure was significantly associated with acidulated phosphate fluoride pretreatment for 2 minutes (P = 0.032) and with posts that did not receive treatment prior to silanization (P = 0.000). Conclusion Posts treated only with silane and pretreated with hydrogen peroxide and acidulated phosphate fluoride for 2 minutes presented significantly higher bond strength with respect to those pretreated with phosphoric acid and acidulated phosphate fluoride for 6 minutes. However, acidulated phosphate fluoride for 2 minutes and silane were associated with a better bonding type.
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9
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Jacob SE, Zubair SM, Thomas MS, Jathanna V, Shenoy R. Effect of surface treatment on the dislocation resistance of prefabricated esthetic fiber posts bonded with self-adhesive resin cement: A systematic review and meta-analysis. J Conserv Dent 2021; 24:113-123. [PMID: 34759575 PMCID: PMC8562830 DOI: 10.4103/jcd.jcd_656_20] [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: 12/29/2020] [Revised: 06/04/2021] [Accepted: 06/06/2021] [Indexed: 11/10/2022] Open
Abstract
Background: This systematic review aimed to determine the presence of any in vitro proof to validate the utilization of surface treatments to advance the bond strength of fiber posts to intraradicular dentin with self-adhesive resin cements. Methodology: Laboratory studies that assessed the push-out or pull-out bond strength of the prefabricated esthetic posts whose surface was treated with either chemical or physical treatment or a combination and bonded using self-adhesive resin cement within root canal model were included for this systematic review. The review began after obtaining the registration number from the International Prospective Register of Systematic Reviews (PROSPERO ID-CRD42020165009). Study reporting was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Relevant articles were identified using a literature database search in Web of Science, Scopus, PubMed, and EBSCO. Besides this, handsearch was also done to ensure complete capture of the articles. Results: Fifteen articles were then selected and included in this study, out of which four were excluded for meta-analysis due to usage of the artificial substrate. It was shown that an additional step of surface treatment of esthetic fiber post did not result in significant improvement in dislocation resistance. Assessment of risk of bias categorized the available research into high risk and medium risk. The results showed heterogeneity. Conclusion: The use of additional steps such as chemical, mechanical, or a combination of post surface treatment does not have any added benefit. However, the results must be interpreted with caution due to methodological shortcomings.
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Affiliation(s)
- Shweta Elizabeth Jacob
- Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Mangalore, Affiliated to Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Sabah Mohd Zubair
- Research Assistant, Kasturba Medical College, Mangalore, Affiliated to Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Manuel Sebastian Thomas
- Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Mangalore, Affiliated to Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Vinod Jathanna
- Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Mangalore, Affiliated to Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Ramya Shenoy
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Mangalore, Affiliated to Manipal Academy of Higher Education, Manipal, Karnataka, India
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Surface modification of glass fiber-reinforced composite posts to enhance their bond strength to resin-matrix cements: an integrative review. Clin Oral Investig 2021; 26:95-107. [PMID: 34713360 DOI: 10.1007/s00784-021-04221-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 10/05/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Endodontically treated teeth usually can reveal an extensive loss of dental structure and require the use of intraradicular posts to provide adequate support and retention. Retention of the post depends on the surface treatment of the endodontic post itself and on the root canal dentin as well as on the type of resin-matrix cement. PURPOSE The main aim of this study was to conduct an integrative review on the influence of different surface treatment methods of glass fiber-reinfored resin composite (GFRC) posts on their push-out bond strength to resin-matrix cements in endodontically treated teeth rehabiliation. METHOD A literature search was performed on PubMed (via National Library of Medicine) regarding articles published within the last 10 years, using the following combination of search terms: "intracanal post" OR "endodontic post" OR "root canal post" OR "intraradicular post" OR "glass fiber" AND "resin cement" AND "adhesion" OR "bond strength" OR "shear bond strength" OR "push out". RESULTS Results from the selected studies recorded the highest push-out bond strength around 22.5 MPa) on GFRC posts to resin-matrix cements when the surfaces were pre-treated by grit-blasting with silicate followed by silane conditioning. However, high values of push-out bond strength (21.5 MPa) were also noticed for GFRC posts after etching with hydrogen peroxide followed by silance conditioning. Thus, the highest values of bond strength of endodontic posts to the resin-matrix cements were recorded when a combined physico-chemical approach was assessed. Non-treated surfaces showed the lowest bond strength values between 5 to and 9 MPa. Surface analyses of GFRC posts showed an increased roughness after grit-blasting or etching that promoted a mechanical interlocking of the adhesive and resin-matrix cements. CONCLUSION The combined treatment of glass fiber-reinforced resin composite post surfaces by physical and chemical methods can promote the increase in roughness and chemical functionalization of the surfaces prior to cementation., That results in a high mechanical interlocking of the resin-matrix cements and a stable retention of the teeth root intracanal posts. CLINICAL RELEVANCE Combining chemical and physical modification methods of surfaces can provide the most promising adhesion-enhancing pathways of GFRC posts to resin-matrix cements, that can decrease the risk of clinical failures by fracture and detachment of endodontic posts.
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Machry RV, Cadore-Rodrigues AC, Packaeser MG, Lorenzett E, Burgo TADL, Pereira GKR, Valandro LF. Influence of surface treatment of resin composite substrate on the load-bearing capacity under fatigue of lithium disilicate monolithic simplified restorations. J Mech Behav Biomed Mater 2021; 124:104792. [PMID: 34488172 DOI: 10.1016/j.jmbbm.2021.104792] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 08/20/2021] [Accepted: 08/22/2021] [Indexed: 10/20/2022]
Abstract
This study evaluated the influence of surface treatments of resin composite substrate on the fatigue behavior of adhesively cemented lithium disilicate glass-ceramic simplified restorations. CAD/CAM lithium disilicate ceramic blocks were shaped into discs (N = 60, Ø = 10 mm; thickness = 1.0 mm). Resin composite discs (N = 60, Ø = 10 mm, thickness = 2 mm) were allocated into four groups considering the "surface treatment" factor: Ctrl - no surface treatment; Bur - grinding with coarse diamond bur (#3101G, KG Sorensen); PA - etching with 37% phosphoric acid (15 s); AA - air abrasion with alumina particles (45 μm, 10 mm distance, 2.8 bars, 10 s). The surface topography, the roughness, the fractal dimension (estimated by the box-counting method) and the contact angle analyses were performed after the surface treatments. The lithium disilicate discs were etched (5% hydrofluoric acid, 20 s), silanized and adhesively cemented (Multilink N, Ivoclar Vivadent) on the resin composite discs. The samples (bonded restoration set) were subjected to a step-stress fatigue test at 20 Hz, 10,000 cycles/step with a step-size of 100 N applied on the ceramic surface, having ceramic up and resin composite down. Fractographic analysis was performed. The fatigue data (Fatigue Failure Load - FFL; and Cycles for Failure - CFF) were analyzed by Kaplan Meier with Mantel-Cox log-rank post-hoc tests (α = 0.05). No statistical difference for fatigue performance could be found among the groups (FFL means: 820-867 N; CFF means: 53,195-61,090 cycles). The bur group showed higher surface roughness and contact angle values. The PA group has the highest average fractal dimension. Therefore, the resin composite surface treatment induces topographical changes, however, it has no effect on the fatigue behavior of lithium disilicate restorations.
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Affiliation(s)
- Renan Vaz Machry
- Post-Graduate Program in Oral Science, Prosthodontic Unit, Faculty of Odontology, Federal University of Santa Maria, Brazil.
| | - Ana Carolina Cadore-Rodrigues
- Post-Graduate Program in Oral Science, Prosthodontic Unit, Faculty of Odontology, Federal University of Santa Maria, Brazil.
| | - Maria Gabriela Packaeser
- Post-Graduate Program in Oral Science, Prosthodontic Unit, Faculty of Odontology, Federal University of Santa Maria, Brazil.
| | - Ezequiel Lorenzett
- Post-Graduate Program in Physics, Physics Department, Federal University of Santa Maria, Brazil.
| | | | - Gabriel Kalil Rocha Pereira
- Post-Graduate Program in Oral Science, Prosthodontic Unit, Faculty of Odontology, Federal University of Santa Maria, Brazil.
| | - Luiz Felipe Valandro
- Post-Graduate Program in Oral Science, Prosthodontic Unit, Faculty of Odontology, Federal University of Santa Maria, Brazil.
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Imai D, Mine A, Ezaki R, Nakatani H, Matsumoto M, Hagino R, Yumitate M, Yamanaka A, Ban S, Miura J, Van Meerbeek B, Higashi M, Yatani H. Does the bonding effectiveness of a fiber post/resin composite benefit from mechanical or chemical treatment? Seven methods for saliva-contaminated surfaces. J Prosthodont Res 2021; 66:288-295. [PMID: 34349083 DOI: 10.2186/jpr.jpr_d_21_00015] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE This study examined four cleaning methods and three chemical treatments for artificial saliva-contaminated fiber posts in terms of bonding durability to resin composite core materials. METHODS Non-contaminated fiber posts (Tokuyama FR Post, Tokuyama Dental) and those contaminated (GC Fiber Post, GC) with artificial saliva (Saliveht Aerosol, Teijin Pharma) were used. Washing and drying (WD), alcohol cleaning (AlC), H3PO4 etching (P/WD), alumina blasting (B/D) for decontamination and silanization (Clearfil Ceramic Primer Plus, Kuraray Noritake Dental, Si), resin priming (HC Primer, Shofu, MMA), and bonding resin application (Clearfil Universal Bond Quick, Kuraray Noritake Dental, BR) for chemical treatment were performed. The treated fiber post was planted inside a cylindrical tube and filled with resin composite (DC Core Automix ONE, Kuraray Noritake Dental). The specimen was sectioned, and a push-out test was performed after 24 h, 1 month, and 3 months. The fracture surface was observed using a scanning electron microscope (SEM). RESULTS Adhesion between the non-contaminated fiber post and resin composite did not improve by silanization and decreased by alumina blasting. SEM observations revealed a fractured glass fiber by alumina blasting. Saliva contamination decreased the bond strength between the fiber post and resin composite; however, recovery was achieved by WD, Alc, P/WD, and B/D. Compared to Si, BR (P = 0.009) was effective in restraining the long-term durability of bonding, whereas MMA (P = 0.99) was not. CONCLUSIONS The application of bonding resin after alcohol cleaning is the most convenient and effective clinical procedure for fiber post surface treatment.
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Affiliation(s)
- Dai Imai
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Atsushi Mine
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Ryoma Ezaki
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Hayaki Nakatani
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Mariko Matsumoto
- Department of Restorative Dentistry, Hokkaido University Graduate School of Dental Medicine, Hokkaido.,BIOMAT & University Hospitals Leuven, Department of Oral Health Sciences, KU Leuven (University of Leuven), Leuven
| | - Ryosuke Hagino
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Masahiro Yumitate
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Azusa Yamanaka
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Shintaro Ban
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Jiro Miura
- Division for Interdisciplinary Dentistry, Osaka University Dental Hospital, Osaka
| | - Bart Van Meerbeek
- BIOMAT & University Hospitals Leuven, Department of Oral Health Sciences, KU Leuven (University of Leuven), Leuven
| | - Mami Higashi
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
| | - Hirofumi Yatani
- Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Osaka
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Push-Out Bond Strength Evaluation of Fiber-Reinforced Composite Resin Post Cemented with Self-Adhesive Resin Cement Using Different Adhesive Bonding Systems. MATERIALS 2021; 14:ma14133639. [PMID: 34209908 PMCID: PMC8269643 DOI: 10.3390/ma14133639] [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: 01/09/2021] [Revised: 06/21/2021] [Accepted: 06/25/2021] [Indexed: 11/17/2022]
Abstract
The purpose of this in vitro study was to evaluate the push-out bond strength of fiber-reinforced resin posts using self-adhesive cements with different adhesive systems. A total of 50 single-rooted human maxillary premolars with fully developed apices and 15–16 mm straight root canals were selected. The teeth were divided into 10 groups with coronal and apical parts according to the adhesive bonding system and luting material used: one universal adhesive with MDP-containing self-adhesive resin cement; another universal adhesive with MDP-containing self-adhesive resin cement; universal primer with MDP-containing self-adhesive resin cement; universal primer with dual-cure resin cement; MDP-containing self-adhesive resin cement only (Control). Each specimen was subjected to a fatigue load of 600,000 cycles using a chewing simulator with sliding movement and cut horizontally for push-out bond strength testing. Statistical evaluation consisted of a one-way ANOVA test using SPSS v23.0. The highest bond strength (7.05 MPa) was obtained in the coronal part of the Single Bond universal group treated with MDP-containing self-adhesive resin cement and the lowest strength (4.77 MPa) was observed in apical part of MDP-containing self-adhesive resin cement group (Control). However, the one-way ANOVA results showed no significant difference between all 10 groups (p > 0.05). The self-adhesive cement without adhesive bonding showed no statistically different value compared to self-adhesive cements with adhesive bonding.
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Silva E, Pereira C, Limeira F, Affonso P, Moreira A, Magalhães C. Bond strength according to the moment of fiber post cutting fixed with self-adhesive cement to the root dentin. J Clin Exp Dent 2021; 13:e56-e60. [PMID: 33425232 PMCID: PMC7781217 DOI: 10.4317/jced.57671] [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: 07/23/2020] [Accepted: 09/23/2020] [Indexed: 11/05/2022] Open
Abstract
Background The fiber posts require a cut in the coronal portion to adjust it to the available clinical space. The cutting of posts cemented may generate tension via bur vibrations of drill on the bonding interface, with the possibility of decreasing the bond strength. Thus, this study aimed to evaluate if the moment of cutting the fiber posts has an effect on its bond strength when fixed with self-adhesive resin cement. Material and Methods Thirty-six bovine teeth were randomly divided into three groups after endodontic treatment and post space preparation (n = 12): IAC- the fiber posts were cutting immediately after cementation; ACR - the fiber posts were cutting after coronal reconstruction with resin; Control - the fiber posts were not cut. The fiber posts were cemented with self-adhesive cement (RelyX U200 - 3M ESPE). After 24 h, the teeth were sectioned perpendicularly and the push-out test was performed in a universal testing machine at a speed of 0.5 mm/min, until failure. Data were analyzed using two-way ANOVA and Tukey's post-hoc test. Results The effect of moment of fiber posts cutting (p = 0.44) and the interaction between the factors moment of post cutting and third root (p = 0.81) had no significant. The root third factor showed a significant effect (p = 0.01). The bond strength in the apical third was significantly lower than in the middle (p = 0.00) and coronal (p = 0.01) thirds. Conclusions The moment of post cutting has no effect on the bond strength of fiber posts fixed with self-adhesive cement to the root canal. Key words:Fiber post, self-adhesive resin cement, push-out bond strength, operative dentistry.
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Affiliation(s)
- Emerson Silva
- Post-Graduate Program in Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Carolina Pereira
- Professor, Department of Restorative Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Francisco Limeira
- Professor, Dentistry graduation, Faculty President Antônio Carlos, Teófilo Otoni, Minas Gerais, Brazil
| | - Pollyanna Affonso
- Undergraduate student, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Allyson Moreira
- Professor, Department of Restorative Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Cláudia Magalhães
- Professor, Department of Restorative Dentistry, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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GRUBER YL, JITUMORI RT, BAKAUS TE, REIS A, GOMES JC, GOMES GM. Effect of the application of different concentrations of EDTA on the adhesion of fiber posts using self-adhesive cements. Braz Oral Res 2021; 35:e012. [DOI: 10.1590/1807-3107bor-2021.vol35.0012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2020] [Accepted: 07/27/2020] [Indexed: 11/22/2022] Open
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