Effect of Root Canal Irrigants on Fiber Post Bonding Using Self-adhesive Composite Cements.

R. Jitumori, B. Bittencourt, A. Reis, J. Gomes, G. Gomes
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引用次数: 8

Abstract

PURPOSE To evaluate the effect of different irrigation solutions on the bonding of self-adhesive composite cements to the root canal during fiber-post cementation. MATERIALS AND METHODS One hundred twenty single-rooted human teeth were endodontically treated. The post spaces were prepared and specimens were randomly divided into ten groups, according to the combination of the factors: post space irrigation (distilled water, 2.5% NaOCl, 17% EDTA, 26% polyacrylic acid, and 17% EDTA + 2.5% NaOCl) and self-adhesive composite cement (RelyX U200 [3M Oral Care] and Multilink Speed [Ivoclar Vivadent]). The proportion of open dentinal tubules was evaluated by SEM. After fiber post cementation, six slices were obtained from each root (coronal, middle, and apical thirds) for evaluation of push-out bond strength (BS), nanoleakage (NL), and Vickers microhardness (VHN) of the composite cement. Data from open dentinal tubules were submitted to Kruskal-Wallis and Student-Newman-Keuls tests (α = 0.05). Data from BS, NL, and VHN were evaluated by two-way ANOVA and Tukey's test (α = 0.05). RESULTS Irrigation with EDTA, polyacrylic acid, and EDTA + NaOCl increased the proportion of open dentinal tubules. For RelyX U200, NaOCl, distilled water and EDTA resulted in the highest BS and VHN values, while for Multi- link Speed, these values were higher only for distilled water. Both composite cements presented lower BS and VHN with polyacrylic acid. NL did not differ between experimental groups (p > 0.05). CONCLUSION For both composite cements tested, distilled water showed better results in push-out and microhardness tests.
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根管冲洗剂对自粘复合胶结剂纤维桩粘接的影响。
目的评价不同灌洗液对纤维桩固接过程中自粘复合胶合剂与根管结合的影响。材料与方法对120颗单根人牙进行根管治疗。准备好牙槽,根据牙槽灌洗(蒸馏水、2.5% NaOCl、17% EDTA、26%聚丙烯酸、17% EDTA + 2.5% NaOCl)和自粘复合水泥(RelyX U200 [3M Oral Care]和Multilink Speed [Ivoclar Vivadent])的组合因素,将标本随机分为10组。扫描电镜观察开放牙本质小管的比例。纤维桩胶结后,从每个根(冠状、中间和根尖三分之一)取6片,评估复合水泥的推出粘结强度(BS)、纳米渗漏(NL)和维氏显微硬度(VHN)。开放牙本质小管的数据进行Kruskal-Wallis检验和Student-Newman-Keuls检验(α = 0.05)。BS、NL和VHN的数据采用双因素方差分析和Tukey检验(α = 0.05)。结果EDTA、聚丙烯酸、EDTA + NaOCl灌洗均可提高牙髓小管开放比例。对于RelyX U200, NaOCl、蒸馏水和EDTA导致BS和VHN值最高,而对于Multi- link Speed,这些值只有蒸馏水更高。两种复合水泥均表现出较低的BS和VHN。NL在各试验组间差异无统计学意义(p > 0.05)。结论两种复合水泥均以蒸馏水进行推出和显微硬度测试。
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