Daleprane B, Nemesio de Barros Pereira C, Oréfice R L, Bueno A C, Vaz R R, Moreira A N, Magalhães C S
Oper Dent. 2014 Mar-Apr;39(2):E93-100. doi: 10.2341/12-477-L. Epub 2013 Oct 22.
This study evaluated the effect of light-curing access on the bond strength of fiber glass posts to the apical area of bovine roots using self-adhesive cement or dual-cured cement with an etch-and-rinse adhesive system.
The root canals of 60 bovine teeth were endodontically treated and filled. A 15-mm-length post space was prepared and roots were randomly divided into three groups, simulating the levels of light-curing access: coronal (C), with 15-mm post space; middle (M), in which the coronal thirds of roots were cut out, leaving a 10-mm post space; and apical (A), in which the coronal and middle thirds of roots were cut out, leaving a 5-mm post space. Fiber glass posts (Reforpost # 3, Angelus) were cemented with RelyX U100 (3M ESPE) or RelyX ARC/Scotchbond Multi Purpose Plus (SBMP) (3M ESPE) (n=10) and light-cured. After 24 hours, the apical thirds of roots were sectioned perpendicularly to the long axis and submitted to a push-out test (0.5 mm/min, 200 N). The Kruskal-Wallis test compared the three levels of light-curing access, and the Mann-Whitney test compared the cements.
The bond strength was significantly higher in the groups C (p=0.028) and M (p=0.016) when U100 was used, whereas it was similar for both cements in group A. The bond strengths of posts cemented with ARC/SBMP were significantly higher in group A compared to group C (p=0.031).
The type of cement used and the light-curing access level influenced the bond strength between glass fiber posts and root canals. The bond strength of the RelyX ARC/SBMP cement proved to be more dependent on photoactivation than was the RelyX U100 cement. The light-curing access level did not influence the apical bond strength of RelyX U100.
本研究评估了使用自粘型粘结剂或双固化粘结剂与酸蚀冲洗粘结系统时,光照固化程度对玻璃纤维桩与牛牙根尖区域粘结强度的影响。
选取60颗牛牙,对其根管进行牙髓治疗并充填。制备15毫米长的桩道,将牙根随机分为三组,模拟光照固化程度:冠部(C组),桩道长15毫米;中部(M组),切除牙根冠方三分之一,桩道长10毫米;根尖部(A组),切除牙根冠方和中部三分之一,桩道长5毫米。使用RelyX U100(3M ESPE)或RelyX ARC/Scotchbond多功能增强型粘结剂(SBMP)(3M ESPE)粘结玻璃纤维桩(Reforpost # 3,安杰卢斯公司)(每组n = 10)并光照固化。24小时后,将牙根的根尖三分之一垂直于长轴进行切片,并进行推出试验(速度0.5毫米/分钟,最大载荷200牛)。采用Kruskal-Wallis检验比较三种光照固化程度,采用Mann-Whitney检验比较两种粘结剂。
使用U100时,C组(p = 0.028)和M组(p = 0.016)的粘结强度显著更高,而A组中两种粘结剂的粘结强度相似。与C组相比,A组中使用ARC/SBMP粘结的桩的粘结强度显著更高(p = 0.031)。
所用粘结剂类型和光照固化程度影响玻璃纤维桩与根管之间的粘结强度。事实证明,RelyX ARC/SBMP粘结剂的粘结强度比RelyX U100粘结剂更依赖于光活化。光照固化程度不影响RelyX U100的根尖粘结强度。