Department of Operative Dentistry, Endodontics, and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
J Endod. 2010 Jan;36(1):130-4. doi: 10.1016/j.joen.2009.09.008.
The present study evaluated the effect of a reducing agent on the bond strength of deproteinized root canal dentin surfaces when using a self-adhesive versus dual-cured cement. Regional differences were also evaluated.
A total of 45 bovine incisor roots were divided into 3 groups: irrigation with physiologic solution (control), 10-minute deproteinization with 5% NaOCl, and 10-minute deproteinization with 5% NaOCl followed by 10 minutes of 10% ascorbic acid. Fiber posts were cemented with either RelyX U100 or RelyX ARC (with SingleBond 2 or Clearfil SE Bond). The push-out bond strength was evaluated after 24 hours of storage. Data were submitted to three-way analyses of variance and Dunnett T3 tests (alpha = 0.05).
No differences between cements were observed within the testing conditions, regardless of the adhesive (P < .05). Deproteinization reduced bond strengths. Subsequent treatment with ascorbic acid was capable of reversing bond strength value changes to levels similar to those of controls. Regional radicular differences were also found, where coronal > middle > apical.
The reducing agent was capable of reversing the effect of dentin deproteinization, and RelyX U100 behaved similarly to RelyX ARC.
本研究评估了还原剂对使用自粘接与双固化水泥时脱蛋白根管牙本质表面粘结强度的影响。还评估了区域差异。
共 45 个牛切牙牙根分为 3 组:生理盐水冲洗(对照组)、5%次氯酸钠 10 分钟脱蛋白、5%次氯酸钠 10 分钟脱蛋白后 10 分钟 10%抗坏血酸。纤维桩用 RelyX U100 或 RelyX ARC(用 SingleBond 2 或 Clearfil SE Bond)粘结。在储存 24 小时后评估推出粘结强度。数据进行三因素方差分析和 Dunnett T3 检验(alpha = 0.05)。
无论使用哪种粘结剂,在测试条件下,两种水泥之间均无差异(P <.05)。脱蛋白处理降低粘结强度。随后用抗坏血酸处理能够使粘结强度值的变化恢复到与对照组相似的水平。还发现根管区域差异,即冠部>中部>根尖部。
还原剂能够逆转牙本质脱蛋白的作用,RelyX U100 的行为与 RelyX ARC 相似。