Influence of endodontic post type (glass fiber, quartz fiber or gold) and luting material on push-out bond strength to dentin in vitro.

OBJECTIVES

To determine the influence of post type and luting material on bond strength to dentin.

METHODS

The root canals of extracted human upper central incisors were instrumented and post space was prepared using the respective drills for each post system. Glass fiber posts (Luscent Anchor, Dentatus [LA]) were luted using three dual-curing adhesive systems (Excite DSC/Variolink II, Vivadent [VL2]; EnaBond/EnaCem, Micerium [ENA]; Prime & Bond NT/Calibra, DentSply DeTrey [CAL]). A different brand of glass fiber post (EasyPost, DentSply Maillefer [EP]) and quartz fiber post (DT Light Post, VDW [DT]) were luted using CAL. Gold posts (Perma-dor, VDW) were luted either adhesively following tribo-chemical silicate coating (Rocatec, ESPE-Sil, 3M ESPE; CAL) or conventionally using glass ionomer cement (Ketac Cem, 3M ESPE). Three slices of 2mm height were cut perpendicular to the post from each restored root. Bond strength was determined by pushing out the post using a universal testing machine (/1449, Zwick).

RESULTS

For all experimental groups combined, bond strength increased from the coronal to the apical section (Friedman test: P<0.001). Significant differences were observed among the fiber posts (DT/CAL>LA/CAL; Mann-Whitney U-test with Bonferroni-Holm adjustment: P<0.05; EP/CAL ranging in between) but not among luting materials (LA/VL2, LA/ENA, LA/CAL: n.s.). The gold posts were equivalent to DT/CAL with both luting procedures.

SIGNIFICANCE

Selection of post type may be more important for bond strength than luting material. Bond strength of fiber posts was equivalent but not superior to adhesively or conventionally luted gold posts.