The Role of Resin Cement on Bond Strength of Glass-fiber Posts Luted Into Root Canals: A Systematic Review and Meta-analysis of In Vitro Studies

2014 ◽  
Vol 39 (1) ◽  
pp. E31-E44 ◽  
Author(s):  
R Sarkis-Onofre ◽  
JA Skupien ◽  
MS Cenci ◽  
RR Moraes ◽  
T Pereira-Cenci

SUMMARY Because there are several ways to cement glass-fiber posts (GFPs) into root canals, there is no consensus on the best strategy to achieve high bond strengths. A systematic review was conducted to determine if there is difference in bond strength to dentin between regular and self-adhesive resin cements and to verify the influence of several variables on the retention of GFPs. This report followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. In vitro studies that investigated the bond strength of GFPs luted with self-adhesive and regular resin cements were selected. Searches were carried out in the PubMed and Scopus databases. No publication year or language limit was used, and the last search was done in October 2012. A global comparison was performed between self-adhesive and regular resin cements. Two subgroup analyses were performed: 1) Self-adhesive × Regular resin cement + Etch-and-rinse adhesive and 2) Self-adhesive × Regular resin cement + Self-etch adhesive. The analyses were carried out using fixed-effect and random-effects models. The results showed heterogeneity in all comparisons, and higher bond strength to dentin was identified for self-adhesive cements. Although the articles included in this meta-analysis showed high heterogeneity and high risk of bias, the in vitro literature seems to suggest that use of self-adhesive resin cement could improve the retention of GFPs into root canals.

2016 ◽  
Vol 95 (13) ◽  
pp. 1487-1493 ◽  
Author(s):  
N. Hirose ◽  
R. Kitagawa ◽  
H. Kitagawa ◽  
H. Maezono ◽  
A. Mine ◽  
...  

An experimental cavity disinfectant (ACC) that is intended to be used for various direct and indirect restorations was prepared by adding an antibacterial monomer 12-methacryloyloxydodecylpyridinum bromide (MDPB) at 5% into 80% ethanol. The antibacterial effectiveness of ACC and its influences on the bonding abilities of resin cements were investigated. To examine the antibacterial activity of unpolymerized MDPB, the minimum inhibitory and bactericidal concentrations (MIC and MBC) were determined for Streptococcus mutans, Lactobacillus casei, Actinomyces naeslundii, Parvimonas micra, Enterococcus faecalis, Fusobacterium nucleatum, and Porphyromonas gingivalis. Antibacterial activities of ACC and the commercial cavity disinfectant containing 2% chlorhexidine and ethanol (CPS) were evaluated by agar disk diffusion tests through 7 bacterial species and by MIC and MBC measurement for S. mutans. The effects of ACC and CPS to kill bacteria in dentinal tubules were compared with an S. mutans–infected dentin model. Shear bond strength tests were used to examine the influences of ACC on the dentin-bonding abilities of a self-adhesive resin cement and a dual-cure resin cement used with a primer. Unpolymerized MDPB showed strong antibacterial activity against 7 oral bacteria. ACC produced inhibition zones against all bacterial species similar to CPS. For ACC and CPS, the MIC value for S. mutans was identical, and the MBC was similar with only a 1-step dilution difference (1:2). Treatment of infected dentin with ACC resulted in significantly greater bactericidal effects than CPS ( P < 0.05, analysis of variance and Tukey’s honest significant difference test). ACC showed no negative influences on the bonding abilities to dentin for both resin cements, while CPS reduced the bond strength of the self-adhesive resin cement ( P < 0.05). This study clarified that the experimental cavity disinfectant containing 5% MDPB is more effective in vitro than the commercially available chlorhexidine solution to eradicate bacteria in dentin, without causing any adverse influences on the bonding abilities of resinous luting cements.


2019 ◽  
Vol 7 (3) ◽  
pp. 80 ◽  
Author(s):  
Esin Özlek ◽  
Prasanna Neelakantan ◽  
Jukka Pekka Matinlinna ◽  
Sema Belli ◽  
Mehmet Ugur ◽  
...  

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.


2020 ◽  
Vol 45 (5) ◽  
pp. 484-495
Author(s):  
LL Miotti ◽  
AC Follak ◽  
AF Montagner ◽  
RT Pozzobon ◽  
BL da Silveira ◽  
...  

Clinical Relevance Conventional multistep resin cements presented higher adhesive performance to dentin than simplified self-adhesive cements, which is an important criterion for indirect restoration prognosis. SUMMARY This study aimed to conduct a systematic review of the literature on laboratory studies assessing bonding performance to dentin of conventional and self-adhesive resin cements, in cementing indirect restorations. This review was reported according to the PRISMA Statement. Of a total of 518 studies, 36 were screened full text and reviewed according to exclusion criteria. Nineteen papers were included in the systematic review and meta-analyses, according to the following inclusion criteria: studies that evaluated the bond strength to dentin of indirect restorations cemented with dual conventional or self-adhesive resin cements and those that presented bond strength data in MPa as an outcome. Statistical analyses were conducted using Rev-Man 5.1. Comparisons were performed with random effects models at 5% significance level. A global analysis comparing conventional and self-adhesive cements and three subgroup analyses comparing immediate and long-term results were performed. Global analysis showed a difference between groups, with conventional resin cements presenting higher bond strength results than self-adhesive resin cements, in immediate and long-term time periods (both p=0.03). Immediate and longterm bond strength results were different for self-adhesive cements, favoring immediate bond strength (p=0.03), but immediate and long-term bond strength results for conventional resin cements were not different (p=0.06). Medium or high risk of bias was found in all studies. Conventional multistep resin cements showed superior overall adhesive performance compared with simplified self-adhesive resin cements when used to cement indirect restorations to dentin.


2015 ◽  
Vol 16 (7) ◽  
pp. 559-564 ◽  
Author(s):  
Matheus Coelho Bandéca ◽  
Adriano Augusto Melo de Mendonça ◽  
Etevaldo Matos Maia Filho ◽  
Fausto da Silva Bramante ◽  
Darlon Martins Lima ◽  
...  

ABSTRACT This study evaluated the influence of relining fiber posts on the bond strength (BS) of resin cements in the root canal. Forty bovine teeth were divided in four groups (n = 10)G1 (ARC)—fiber post cemented with resin cement RelyX ARC; G2 (ARC+Z350)—relined fiber post cemented with RelyX ARC; G3 (U200)—fiber post cemented with self-adhesive cement RelyX U200; G4 (U200+Z350)—relined fiber post cemented with RelyX U200. The roots were sectioned in six 1.2-mm slices and the push-out test was performed. Data were analyzed by three-way analysis of variance (ANOVA), and Tukey's test (α = 0.05). For the conventional resin cement, there was no significant difference between groups G1-ARC (15.5 ± 3.8) and G2-ARC+Z350 (16.1 ± 4.5). For the self-adhesive cement, the results revealed higher BS values for relined posts G4-U200 + Z350 (19.9 ± 7.9) as compared to non-relined posts G3-U200 (14.4 ± 4.5). For both cements, in groups of relined posts, the apical and the cervical thirds presented similar BS. Relining enhances the performance of the self-adhesive resin cement, and the interaction between relining and root third influences the BS to the conventional resin cement. How to cite this article Conde DM, Rodrigues VP, de Fátima Carvalho Souza S, Bauer JRO, da Silva Bramante F, Lima SNL, Filho EMM, Bandeca MC, de Mendonça AAM, Lima DM. Influence of Relining Post on the Bond Strength of Resin Cements. J Contemp Dent Pract 2015;16(7):559-564.


2016 ◽  
Vol 45 (4) ◽  
pp. 227-233
Author(s):  
Adriana Rosado Valente ANDRIOLI ◽  
Margareth COUTINHO ◽  
Andréa Araújo de VASCONCELLOS ◽  
Milton Edson MIRANDA

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.


2015 ◽  
Vol 26 (2) ◽  
pp. 141-145 ◽  
Author(s):  
Marcela G. Borges ◽  
André L. Faria-e-Silva ◽  
Paulo C. F. Santos-Filho ◽  
Fernanda P. Silva ◽  
Luís R. M. Martins ◽  
...  

Despite several advantages associated with pre-fabricated glass-fiber posts, the coronal portion of these posts must be cut to allow their use in various clinical situations. However, cutting the cemented post can generate stress on the bonding interface and affect the bond strength. The aim of this study was to investigate the effect the of fiber post cutting on the bond strength of root canals. Sixty bovine incisor roots were included in resin cylinders with simulated periodontal ligaments. Glass-fiber posts were luted using regular resin cement RelyX ARC (3M ESPE) or self-adhesive cement RelyX Unicem (3M ESPE). The posts were cut prior to cementation, immediately after luting or after building up the core (n=10). After storage for 24 h, the samples were cut and subject to push-out testing using a mechanical testing machine (EMIC DL 2000). Data were analyzed using two-way ANOVA (resin cement x moment of post cutting) and Tukey's post hoc test (α=0.05). The moment of fiber post cutting did not affect the bond strength when Unicem was used. However, the bond strength was reduced when ARC was used and when the post was cut immediately. In conclusion, the moment of fiber post cutting may affect the retention of root canal posts when a regular resin cement is used.


2016 ◽  
Vol 17 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Lourenço Correr-Sobrinho ◽  
Daniele M da Silveira-Pedrosa ◽  
Luis RM Martins ◽  
Mário AC Sinhoreti ◽  
Manoel D Sousa-Neto ◽  
...  

ABSTRACT Aim To evaluate the push-out bond strength (BS) of direct anatomic posts (DAPs) and conventional fiber posts (CFPs) cemented with different luting agents in different thirds of flared root canals. Materials and methods A total of 60 human single-rooted canine teeth were transversally sectioned 16 mm from the radicular apex. After endodontic treatment, canals were flared with diamond burs. Samples were divided into six groups according to post type and luting agent: DAP and RelyX U100 (RXU); DAP and RelyX ARC (RXA); DAP and RelyX Luting 2 (RXL); CFP and RXU; CFP and RXA; CFP and RXL. Roots were sectioned transversely into six 1-mm-thick slices. The push-out test was performed and failure modes were observed. Results The DAP groups (7.23 ± 2.05) showed highest BS values (p < 0.05) when compared with CFP (5.93 ± 1.76). RelyX U100 (8.17 ± 1.70) showed higher BS values (p < 0.05) than RXA (6.46 ± 1.38), and RXL (5.10 ± 1.65) showed the lowest values. Bond strength on the apical third was statistically lower (p < 0.05) than that on the other thirds of the root canals. There was a predominance of adhesive failure for all groups. Conclusion The DAPs improved retention in flared root canals, and RXU was the most effective luting agent. The apical third showed the lowest BS values. Clinical significance The relining procedure of fiber posts with composite and the proper selection of luting resin cement are important for increasing bonding effectiveness in flared root canals. How to cite this article da Silveira-Pedrosa DM, Martins LRM, Sinhoreti MAC, Correr-Sobrinho L, Sousa-Neto MD, Costa ED Jr, de F Pedrosa-Filho C, de Carvalho JR Jr. Push-out Bond Strength of Glass Fiber Posts Cemented in Weakened Roots with Different Luting Agents. J Contemp Dent Pract 2016;17(2): 119-124.


2019 ◽  
Vol 48 ◽  
Author(s):  
Marciano de Freitas BORGES ◽  
Gabriela Simões TEIXEIRA ◽  
Anelise Fernandes MONTAGNER ◽  
Alexandre Henrique SUSIN

Abstract Introduction Glass-fiber posts are used in order to improve the retention of restorations in endodontically treated teeth. Objective To evaluate the bond strength of glass-fiber posts submitted to different surface treatments and cemented to the root canal dentin with self-adhesive resin cement. Material and method Thirty roots of human canines were prepared and divided according to two factors: surface treatments (silane, 35% hydrogen peroxide, or sodium bicarbonate) and root thirds (cervical and middle thirds). The glass-fiber posts were cemented with self-adhesive resin cement (RelyX U200). After 24 h, the specimens were prepared for microtensile bond strength test (hourglass format), fracture pattern and micromorphological assessment by scanning electronic microscopy, in order to measure the cement line. Result The data (MPa and µm) were submitted to two-way ANOVA and Tukey’s test (α = 5%). The surface treatments influenced the bond strength of the posts cemented with self-adhesive resin cement (p<0.00). The mean bond strength (standard deviations) differed according to the region of root dentin (p<0.00): the cervical region (Control: 19.16MPa (3.71); Silane: 25.65MPa (4.04); Hydrogen peroxide: 24.43MPa (3.16); Sodium bicarbonate: 37.42MPa (8.27)) showed higher bond strength values than the middle third of the root (Control: 14.66MPa (4.65); Silane: 12.52MPa (5.03); Hydrogen peroxide: 10.64MPa (3.33); Sodium bicarbonate: 10.87MPa (2.49)). Conclusion Treatment of the glass-fiber post surface with chemical and physical agents increased the bond strength of the cement-post-dentin interface in the cervical third and the treatment with Sodium bicarbonate showed better results in bond strength.


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