Effect of different final irrigation solutions on push-out bond strength of root canal filling material

Background: The adhesion of root canal filling material to dentin is one of the crucial factors in determining the success of endodontic treatment. However, the smear layer that forms during instrumentation serves as an interface that impedes the bonding mechanism of the filling material. A proper irrigation solution is required to remove the smear layer and provide a dentin surface that supports the bonding mechanism of the filling material in establishing good adhesion. Purpose: This study aims to evaluate and compare the bond strength of filling material with different final irrigation solutions. Methods: Mandibular premolars were prepared by a crown down, pressure-less technique and divided into three final irrigation groups (2.5% NaOCl, 17% EDTA and 20% citric acid). The root canal of each tooth was obturated using epoxy sealer and gutta-percha. A two-millimetre-thick section of the apical third portion of each group was arranged for the push-out assessment using a universal testing machine in an apical to coronal direction at 1 mm/min crosshead speed. Results: A one-way ANOVA test indicated the difference in push-out bond strength among the groups (p<0.05). A post hoc Bonferroni test presented a statistically significant difference in the bond-strength value between the 2.5% NaOCl group compared with the 20% CA group (p<0.05). Conclusion: The push-out bond strength of root canal filling material is increased by applying a chelating agent as the final irrigation solution where 20% of CA presents the highest push-out bond strength.

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Influence of Root Canal Filling Techniques on Sealer Penetration and Bond Strength to Dentin

Brazilian Dental Journal ◽

10.1590/0103-6440201602460 ◽

2017 ◽

Vol 28 (3) ◽

pp. 380-384 ◽

Cited By ~ 4

Author(s):

Luciana Martins Domingues de Macedo ◽

Yara Silva-Sousa ◽

Silvio Rocha Corrêa da Silva ◽

Samantha Schaffer Pugsley Baratto ◽

Flares Baratto-Filho ◽

...

Keyword(s):

Bond Strength ◽

Root Canal ◽

Laser Scanning Microscopy ◽

Filling Material ◽

Root Canal Filling ◽

Significant Difference ◽

Single Cone ◽

Ah Plus ◽

The Impact ◽

Push Out

Abstract The influence of root canal filling techniques on the penetration of AH Plus into dentinal tubules was evaluated using confocal laser scanning microscopy (CLSM) and the impact on the bond strength of the filling material on the root dentin was evaluated using the push-out test. Roots of the maxillary central incisors (n=40) were prepared with ProTaper Universal and assigned to four groups: lateral condensation, vertical compaction, modified Tagger hybrid and single cone. After root canal filling with gutta-percha and AH Plus, along with the addition of 0.01% fluorescein, the roots were cut into 2-mm slices. CLSM was performed on the first slice of each root third, followed by the push-out test. The second slice was analyzed under SEM. ANOVA demonstrated a statistically significant difference between the root canal filling techniques and the root thirds (p<0.05). For percent penetration, Tukey’s test showed that the vertical compaction (91.77±13.51), lateral condensation (89.18±10.91) and modified Tagger hybrid (87.53±15.42) presented the highest values, which significantly differed (p<0.05) from those of the single cone (78.19±22.46). For bond strength (MPa), lateral condensation (3.42±0.54) and vertical compaction (3.47±0.53) had the highest values (p<0.05), while the modified Tagger hybrid (2.19±0.41) and single cone (0.54±0.21) had the lowest. In conclusion, the lateral condensation, vertical compaction and Modified Tagger’s hybrid techniques resulted in greater penetration and bond strength to the intra-radicular dentin.

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The influence of different root canal irrigants on the push-out bond strength of AH plus and Bioceramic sealers

Journal of Baghdad College of Dentistry ◽

10.26477/jbcd.v33i2.2935 ◽

2021 ◽

Vol 33 (2) ◽

pp. 21-29

Author(s):

Alaa M Naeem ◽

Iman M Al-Zaka

Keyword(s):

Bond Strength ◽

Root Canal ◽

Ethylenediaminetetraacetic Acid ◽

Testing Machine ◽

Mean Value ◽

Root Canal Filling ◽

Root Canal Irrigants ◽

Significant Difference ◽

Ah Plus ◽

Push Out

Background: The bond strength of endodontic sealers with dentin is a very important property for maintaining the integrity and seal of the root canal filling. The aim of this study was to evaluate and compare the effect of various irrigants (QMix, 17% EDTA and 2.5% NaOCl) on the push-out bond strength of AH plus and Bioceramic sealers. Materials and methods: Forty eight freshly extracted maxillary first molars human teeth with striaght palatal root were used in the study. The collected samples were randomly divided into three groups of equal sample size (n=16), according to the final irrigation regimen as follows: Group (1): QMix 2 in 1, Group (2): 17% ethylenediaminetetraacetic acid, Group (3): 2.5% sodium hypochloride. All samples were instrumented using Edge file X7 rotary instrument reaching file size 40/.04 as the final master apical file. After that each group was randomly divided into two subgroups (n=8) according to the type of sealer used: AH Plus and Total Fill BC Sealer. Obturation was conducted using single cone technique with gutta percha (GP) to all experimental roots. Two-millimeter thick slices were obtained from the middle section of the root. Bond strength of sealers was measured via a universal testing machine by using stainless steel plunger. Then, the data were statistically evaluated using two-way analysis of variance (ANOVA) and post hoc test (Bonferroni’s test). Results: The push-out bond strength was significantly increased by the “irrigant” factor (P≤0.05) and by “sealer/irrigation solution” interaction (P≤0.05). Final rinse with QMix solution with BC sealer showed the highest mean value of bond strength (5.976 MPa), with a significant difference with other groups (P≤0.05), while NaOCl with AH Plus sealer showed the lowest mean value of bond strength (3.811 MPa). Conclusion: Final irrigation of the root canals with different irrigants improved the endodontic sealer's bond strength, and QMix had a positive influence on the adhesion of BC sealer.

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Comparison of Medicaments Used in Regenerative Endodontics in Terms of Dentin Microhardness and Adhesion of Mineral in Terms of Dentin Microhardness and Adhesion of Mineral Trioxide Aggregate Trioxide Aggregat

Journal of Dentistry Indonesia ◽

10.14693/jdi.v27i3.1127 ◽

2020 ◽

Vol 27 (3) ◽

Author(s):

Esma Saricam ◽

◽

Neslihan Bulak ◽

Esra Özyurt ◽

Suat Özcan ◽

...

Keyword(s):

Bond Strength ◽

Clavulanic Acid ◽

Root Canal ◽

Mineral Trioxide Aggregate ◽

Significance Level ◽

Regenerative Endodontics ◽

Significant Difference ◽

Amoxicillin Clavulanic Acid ◽

Root Canal Dentin ◽

Push Out

Eliminating microorganisms in the root canal system is important for the success of regenerative endodontics. Objective: This study evaluated the effects of different antibiotic pastes used for regenerative endodontic procedures on dentin microhardness and the push-out bond strength of mineral trioxide aggregate (MTA) to root canal dentin. Methods: Sixty-four maxillary central incisors were instrumented and randomly divided into the following four groups (n = 16) for medicament treatment: triple antibiotic paste, amoxicillin+clavulanic acid, cefaclor, and control (no dressing). After 21 days, two root segments were obtained by sectioning the roots horizontally for push-out and microhardness evaluations. MTA was placed into the root canal of the sectioned segment for the push-out test. In the microhardness evaluation, three indentations were made at 500 and 1,000 μm from the canal lumen. The arithmetic mean was then calculated for each distance. ANOVA with post hoc Scheffe test and t test were used for the statistical analyses. The significance level was set at p < 0.05. Results: No significant difference was found between the groups in terms of push-out bond strength (p > 0.05). Cefaclor and amoxicillin+clavulanic acid reduced the microhardness values of the dentin at 500 μm (p < 0.05) while cefaclor had the lowest value at 1,000 μm (p < 0.05). Conclusion: Cefaclor reduced the microhardness value more than the other medicaments did at a depth of 1,000 μm. The pastes provided similar adhesion of MTA.

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Acid Challenge on Push-Out Bond Strength of Three Different Tricalcium Silicate Cements: An In-vitro Study

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i431173 ◽

2021 ◽

pp. 72-79

Author(s):

Mattapudi Basavaiah Babu ◽

T. B. V. G. Raju ◽

N. Mahendra Varma ◽

Gowtam Dev Dondapati ◽

Srivalli Podili ◽

...

Keyword(s):

Bond Strength ◽

Critical Role ◽

Compressive Load ◽

Clinical Importance ◽

Filling Material ◽

Significant Difference ◽

The Impact ◽

Push Out ◽

Acid Challenge

Aim: To evaluate the impact of environmental pH on intra-radicular dentin push-out bond strengths of MTA, MTA HP, and Biodentine. Materials and Methodology: Freshly extracted human mandibular single-rooted premolars or maxillary anterior incisors that were either intact or contained only small carious lesions were selected.120 mid root dentins is horizontally divided into 1.0 mm thick slices and divided into 3 MTA, MTA HP, BIODENTINE groups. The compressive load is applied at a speed of 0.5 mm/min by exerting a downward pressure on the outer surface of MTA using a 1.00 mm diameter cylindrical stainless-steel plunger. Maximum load to MTA was reported in newtons at the time of dislodgement and converted to megapascals. The 1-way analysis of variance test was used to compare the push-out bond strength of the groups with the same storage time (4 or 34 days), followed by the pair-wise comparison of the Tukey post hoc test. The Student's t-test was used to evaluate 3-group means. At P = .005, the degree of significance was set. Thus the clinical importance of the present study states that considering several factors like microhardness, composition by products, particle sizes and the environmental pH plays a critical role in selection of root end filling material. Results: There was significant difference between groups (P = .001) after 4 days of PBS and Acid condition, where Bio dentine had significantly the highest bond strength. Conclusion: The strength of MTA HP, BIODENTINE, MTA materials at dentine interface increases over 30 days in the storage of PBS solution at pH 7.4, after an initial acid challenge by acetic acid of pH 5.4, which decreases initial bond strength.

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Effect of Glass Fiber Post Adaptation on Push-Out Bond Strength to Root Dentin

Brazilian Dental Journal ◽

10.1590/0103-6440201902491 ◽

2019 ◽

Vol 30 (4) ◽

pp. 350-355 ◽

Cited By ~ 1

Author(s):

Thiago Lopes de Freitas ◽

Rafael Pino Vitti ◽

Milton Edson Miranda ◽

William Cunha Brandt

Keyword(s):

Bond Strength ◽

Glass Fiber ◽

Root Canal ◽

Failure Modes ◽

Resin Cement ◽

Adhesive Failure ◽

Fiber Post ◽

Significant Difference ◽

Glass Fiber Post ◽

Push Out

Abstract The aim of this study was to evaluate the effect of different glass fiber posts (GFPs) diameters on the push-out bond strength to dentin. Forty unirradicular human teeth were endodontically treated and used for cementation of GFPs (White Post DC, FGM) with different diameters (n=10): P1 - ø 1.6 mm coronal x 0.85 mm apical; P2 - ø 1.8 mm coronal x 1.05 mm apical; P5 - ø 1.4 mm coronal x 0.65 mm apical; and PC - customized post number 0.5 with composite resin (Tetric Ceram A2, Ivoclair Vivadent). All GFPs were cemented into the root canal using a dual-curing luting composite (Variolink II, Ivoclar Vivadent). One slice (1.7 mm) of each root third of cemented GFP (cervical, middle, and apical) was submitted to push-out testing. Failure modes of all specimens were classified as: adhesive failure between resin cement and post; adhesive failure between dentin and resin cement; cohesive failure within resin cement, post or dentin; and mixed failure. The data were analyzed with two-way ANOVA and Tukey’s test (a=0.05). The highest bond strength values were presented for the P2 and PC groups. There was no statistically significant difference between the GFP thirds in each group. The groups P2, P5, and PC showed predominantly adhesive failure. For P1, the most prevalent type of failure was adhesive between resin cement and post. It may be concluded that a glass fiber post that is well adapted to the root canal presents higher bond strength values, regardless of GFP third.

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Adhesion of real seal to human root dentin treated with different solutions

Brazilian Dental Journal ◽

10.1590/s0103-64402012000500009 ◽

2012 ◽

Vol 23 (5) ◽

pp. 521-526 ◽

Cited By ~ 3

Author(s):

Renata Baldissera ◽

Ricardo Abreu da Rosa ◽

Márcia Helena Wagner ◽

Milton Carlos Kuga ◽

Fabiana Soares Grecca ◽

...

Keyword(s):

Bond Strength ◽

Root Canal ◽

Failure Modes ◽

Chlorhexidine Gluconate ◽

The Other ◽

Significant Difference ◽

Root Dentin ◽

Bond Strengths ◽

Group 2 ◽

Push Out

The aim of this study was to evaluate the effects of different irrigants on sealer-dentin bond strength when using Real Seal. Thirty single-rooted teeth were divided into 3 groups. In one group, the teeth were irrigated with 3 mL of 2.5% NaOCl after each file change, flushed with 17% EDTA for 3 min and finally rinsed with 3 mL of 2.5% NaOCl. In the other two groups, rinse with NaOCl was replaced with 2% chlorhexidine gluconate (CHX) and 0.9% saline, respectively. Each root was sectioned transversally into apical, middle and coronal thirds to obtain 2-mm-thick slices. Each slice was filled with Real Seal and Resilon. Push-out test was used to analyze bond strength and failure modes were classified as adhesive, cohesive or mixed, according to SEM observations. The push-out test did not reveal any statistically significant difference (p>0.05) between the irrigants. However, the groups exhibited significantly different (p<0.05) bond strengths in terms of the root canal third. Higher bond strength was observed at the apical third when compared with coronal third, while middle third presented intermediary values. Fifteen specimens were analyzed by SEM (5 per group). Eleven specimens exhibited adhesive failures (5 in saline, 4 in NaOCl and 2 in CHX group); 2 cohesive failures were observed in the CHX group, and 1 mixed failure each was observed in the CHX and NaOCl groups. The tested irrigants did not influence the bond strength of Resilon and Real Seal to dentin. The apical third exhibited higher mean bond strengths and adhesive failures were predominant.

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Effect of Calcium Hypochlorite and Sodium Hypochlorite as Root Canal Irrigants on Push-Out Bond Strength of Fiber Post Cemented with Etch-and-Rinse Resin Cement: An In Vitro Study

Frontiers in Dentistry ◽

10.18502/fid.v18i18.6325 ◽

2021 ◽

Author(s):

Mahdiyeh Sheikh Ghahderijani ◽

Maryam Khoroushi ◽

Atiyeh Feiz

Keyword(s):

Bond Strength ◽

Root Canal ◽

Resin Cement ◽

Calcium Hypochlorite ◽

Root Canal Irrigants ◽

Fiber Posts ◽

Etch And Rinse ◽

Significant Difference ◽

Push Out ◽

Group 1

Objectives: Calcium hypochlorite (CH) has been recently used as a root canal irrigant. The aim of the present study was to compare the effect of CH and sodium hypochlorite (SH), as root canal irrigants, on the push-out bond strength of fiber posts cemented with an etch-and-rinse resin cement. Materials and Methods: In this experimental in-vitro study, 40 human anterior teeth with similar root lengths were randomly divided into five groups (N=8) according to the protocol of root canal irrigation as follows: group 1: saline (control); group 2: 2.5% SH; group 3: 5.25% SH; group 4: 2.5% CH; group 5: 5% CH. Before post placement, the post space was irrigated using the same irrigation protocol, and after that, they were irrigated by distilled water. Fiber posts were cemented with All-Bond 3 bonding and Dou-Link Universal cement. After thermocycling (1000 cycles, 5- 55°C), a push-out test was performed, and data were analyzed using one-way analysis of variance and Tukey's post-hoc test with SPSS version 23 (α=0.05). Results: The highest and lowest mean bond strengths were detected in groups 2 and 5, respectively. There was no significant difference between group 1 and the SH groups (P>0.05), but the difference between group 1 and the CH groups was significant (P<0.001). There was a significant difference between SH groups and CH groups (P<0.001). Conclusion: Compared to SH, as a root canal irrigant, CH decreased the push-out bond strength of fiber posts cemented with an etch-and-rinse resin cement.

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Evaluation of the Influence of the Nd:YAG Laser and Different Irrigants on the Bond Strength of the Adhesion of the Fiber Posts to Root Dentin using a Self-etching Adhesive System

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1226 ◽

2013 ◽

Vol 4 (3) ◽

pp. 170-174

Author(s):

Cesar Rogério Pucci ◽

Carlos Rocha Gomes Torres ◽

Cláudio Antonio Talge Carvalho ◽

Ana Julia Farias Lacerda ◽

Marina Gullo ◽

...

Keyword(s):

Bond Strength ◽

Sodium Hypochlorite ◽

Nd:Yag Laser ◽

Root Canal ◽

Adhesive System ◽

Root Canal Filling ◽

Yag Laser ◽

Fiber Posts ◽

Significant Difference ◽

Root Dentin

ABSTRACT Aim The aim of this study was to investigate the effects of pretreatment of different irrigating solutions with and without the application the Nd: YAG laser on the bond strength (RU) of the adhesion of the fiberglass post relined with resin composite to the root dentin. Materials and methods Sixty-six single bovine incisor roots were divided into 6 groups according to irrigating solution and with/without the apllication of the Nd: YAG laser after root canal filling: S- saline; C-2% chlorhexidine solution, H-2.5% sodium hypochlorite; SL-saline + laser, CL-2% chlorhexidine + laser; HL-2.5% sodium hypochlorite + laser (all n = 11). The roots were standardized up to a file # 80 and root-filled with gutta-percha (Dentsply) and Sealer 26 (Dentsply) by lateral condensation. The root canal filling was partly removed. Afterward, root canals were irrigated with 5 ml of the selected irrigant and the fiberglass post were cemented with epoxy resin curing dual Bifix QM (VOCO) and a self-etch adhesive system Futurabond DC (VOCO). All roots were sectioned transversely, and the push-out tested was performed. The bond strength means were analyzed by the analysis of variance and Tukey test (α= 5%). Results The following bond strength MPa values—were recorded for each group: group C—7.77(±1.8)a, LC—6.46 (±2.2)a, S7.33 (±2.2)a, LS 7.35 (±1.68)a, H 5.43 (±1,3)b, LH 5.13 (±1,6)b. A signifcant bond strenght decrease was noticed with the use of 2.5% NaOCl (p < 0.05). No statistical significant difference were found with our without the apllication of the Nd:YAG laser (p > 0.05). Conclusion Regardless the irrigant tested, the use of Nd: YAG laser can be indicated prior to cementation of fiberglass without loss in bond strength. How to cite this article Pucci CR, Lacerda AJF, Gullo M, Xavier ACC, Torres CRG, Martinho FC, Carvalho CAT. Evaluation of the Influence of the Nd:YAG Laser and Different Irrigants on the Bond Strength of the Adhesion of the Fiber Posts to Root Dentin using a Self-etching Adhesive System. World J Dent 2013;4(3):170-174.

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Impacts of contracted endodontic cavities compared to traditional endodontic cavities in premolars

10.21203/rs.2.13635/v3 ◽

2020 ◽

Author(s):

Xia Juan ◽

Wang weidong ◽

Li Zhengmao ◽

Lin Bingpeng ◽

Zhang Qian ◽

...

Keyword(s):

Root Canal ◽

Fracture Resistance ◽

Testing Machine ◽

Filling Material ◽

Root Canal Filling ◽

Surface Areas ◽

Significant Difference ◽

3D Printed ◽

Post Hoc

Abstract Background: This study aims to compare the percentage of dentin removed, instrumentation efficacy, root canal filling and load at fracture between contracted endodontic cavities, and traditional endodontic cavities on root canal therapy in premolars. Methods: Forty extracted intact human first premolars were imaged with micro-CT and randomly assigned to the contracted endodontic cavity (CEC) or traditional endodontic cavity (TEC) groups. CEC was prepared with the aid of a 3D-printed template, canals were prepared with a 0.04 taper M-Two rotary instrument, and cavities were restored with resin. Specimens were loaded to fracture in an Instron Universal Testing Machine after a fatigue phase. The data were analyzed by the independent samples T test and Mann-Whitney U test, appropriate post hoc tests. Results: In the premolars tested in vitro, the percentage of dentin removed in the premolars with two dental roots in the CEC group (3.85% ± 0.42%) was significantly smaller (P < 0.05) than in the TEC group (4.94% ± 0.5%). The untouched canal wall (UCW) after instrumentation for TECs (16.43% ± 6.56%) was significantly lower (P< .05) than the UCW (24.42% ± 9.19%) for CECs in single-rooted premolars. No significant differences were observed in the increased canal volume and surface areas in premolars between the TEC and CEC groups (P > 0.05). CECs conserved coronal dentin in premolars with two dental roots but no impact on the instrument efficacy. There were no differences between the CEC groups and the TEC groups in the percentage of filling material and voids (P > 0.05). In addition, the mean load at failure of premolars did not significantly differ between the CEC and TEC groups and there was no significant difference in the type of fracture (P > 0.05). Conclusion: The results of this study suggest that CEC could not improve the fracture resistance of the endodontically treated premolars. The instrumentation efficacy and the percentage of filling material did not significantly differ between CECs and TECs in premolars. Keywords: 3D-printed template, contracted endodontic cavities, instrumentation efficacy, root canal filling, fracture resistance

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Micro-push-out bond strength of Mineral—based root canal sealer in canals with different tapers.

Journal Of Oral Research ◽

10.17126/joralres.2021.015 ◽

2021 ◽

Vol 10 (1) ◽

pp. 1-7

Author(s):

Nunna Vasavi ◽

◽

Kantheti Sirisha ◽

Keyword(s):

Bond Strength ◽

Root Canal ◽

Testing Machine ◽

Root Canal Sealer ◽

Rotary Instruments ◽

Significant Difference ◽

Ah Plus ◽

Bond Strengths ◽

The Difference ◽

Push Out

Objective: The aim of this study was to assess the micro-push-out bond strength of a mineral-based root canal sealer, BioRoot RCS in canals prepared by K3XF rotary systems of two different tapers. Material and Methods: Eighty caries free maxillary central incisors were used in this study. The samples were allocated into 4 groups (n=20) according to the root canal sealer and taper of the rotary instruments. The samples were obturated using single cone obturation technique. From each root 1mm thick slices at coronal, middle and apical thirds were collected using hard tissue microtome under continuous water coolant. Push-out tests were done for these sections using a Universal testing machine (INSTRON 8801) at a crosshead speed of 1mm/min. One-way analysis of variance (ANOVA) was used to compare the bond strengths within groups and Tukey’s multiple post hoc analysis was used for pair-wise comparison of bond strengths. Results: AH Plus exhibited higher micro-push-out bond strength than BioRootRCS though they did not differ significantly (p>0.05). Preparation of root canals with 6% taper rotary instruments showed higher bond strength than 4% though they did not differ significantly (p>0.05). Conclusion: There was no significant difference between micro-push-out bond strength values of BioRoot RCS and AH Plus. The bond strength values were high in 6% taper canals than 4% canals though the difference was not significant statistically.

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