Department of Dentistry, Samsun, Turkey.
J Endod. 2010 Mar;36(3):497-501. doi: 10.1016/j.joen.2009.11.014. Epub 2010 Jan 25.
This study evaluated the effects of three different endodontic sealers on the bond strength of a fiber post cemented with adhesive resin cement.
Forty-eight extracted maxillary central incisors were prepared with the step-back technique and randomly divided into four groups (n=12 for each group): group 1, control group (gutta-percha points only, no sealer); group 2, resin-based sealer (AH plus; Dentsply De Trey GmbH, Konstanz, Germany); group 3, zinc oxide-eugenol-based sealer (Endofill; Produits Dentaires SA, Vevey, Switzerland); and group 4, calcium hydroxide-based sealer (Sealapex; Kerr, Romulus, MI). The roots were obturated with gutta-percha using the cold lateral compaction technique. Fiber posts were cemented into the prepared post spaces with the adhesive resin cement Panavia F 2.0 (Kuraray Medical, Okayama, Japan). A push-out test was performed in a universal machine, and failure modes were observed. Morphologic changes of the root canal dentin surfaces were examined with scanning electron microscopy (SEM).
One-way analysis of variance revealed that sealers have significant effects on bond strength (p<0.05). The control group had the highest mean push-out bond strength. No statistical difference was detected between the eugenol-based sealer group and the resin-based sealer group (p>0.05). The root surfaces were covered with the smear layer and debris in all the groups after post space preparation in SEM analysis. However, some of the dentin tubules were partially open in the control and calcium hydroxide-based sealer groups after the application of the resin monomer.
The results of this study showed that the type of canal sealer and chemomechanical preparation of the root canals affect the bond strength of a fiber post cemented with resin cement.
本研究评估了三种不同根管封闭剂对使用树脂粘结剂粘结的纤维桩粘结强度的影响。
48 颗上颌中切牙采用后退法制备,并随机分为四组(每组 12 颗):第 1 组,对照组(仅使用牙胶尖,无封闭剂);第 2 组,树脂基封闭剂(AH plus;Dentsply De Trey GmbH,德国康斯坦茨);第 3 组,氧化锌丁香酚基封闭剂(Endofill;Produits Dentaires SA,瑞士弗里堡);第 4 组,氢氧化钙基封闭剂(Sealapex;Kerr,美国密歇根州罗穆卢斯)。使用冷侧压技术用牙胶尖进行根管充填。使用粘结树脂粘结剂 Panavia F 2.0(Kuraray Medical,日本冈山县)将纤维桩粘接到预备好的桩腔中。在万能试验机上进行推出试验,并观察失效模式。使用扫描电子显微镜(SEM)观察根管牙本质表面的形态变化。
单因素方差分析显示,封闭剂对粘结强度有显著影响(p<0.05)。对照组的平均推出粘结强度最高。丁香酚基封闭剂组和树脂基封闭剂组之间无统计学差异(p>0.05)。SEM 分析显示,所有组在根管预备后,根管表面均覆盖有玷污层和碎屑。然而,在对照组和氢氧化钙基封闭剂组中,一些牙本质小管在应用树脂单体后部分开放。
本研究结果表明,根管封闭剂的类型和根管的化学机械预备会影响使用树脂粘结剂粘结的纤维桩的粘结强度。