Kirmali Omer, Kustarci Alper, Kapdan Alper, Er Kursat
Department of Prosthodontics.
Acta Odontol Scand. 2015 Jul;73(5):380-6. doi: 10.3109/00016357.2014.968872. Epub 2014 Oct 20.
Intra-canal post systems are commonly used to restore root-filled teeth. Bond strengths of the posts can be affected by various surface treatments of the post or the dentin. The aim of this study was to evaluate the effects of dentin surface treatments including erbium-chromium; yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser irradiation with different intensities on the push-out bond strength of the glass fiber posts to root dentin.
Forty single-rooted human maxillary incisors were filled and post spaces were prepared. After these procedures, the specimens were divided randomly into four groups according to the dentin surface treatments, as follows: (i) untreated surface (control), (ii) 1W Er,Cr:YSGG laser application, (iii) 2W Er,Cr:YSGG laser application and (iv) 3W Er,Cr:YSGG laser application. Then the posts were cemented into the root canals using dual-cured resin cement. Bonded specimens were cut into 1-mm-thick slices and push-out tests were performed using a universal testing device. All specimens were loaded until fracture and the failure modes were evaluated with a stereomicroscope at 32× magnification. Representative specimens were analyzed by scanning electron microscopy. Data were analyzed using a one-way ANOVA, Tukey and Wilcoxon tests.
The bond strength values ranged from 3.22-4.68 MPa. There were no statistically significant differences among the groups, regardless of the different levels. The coronal and middle levels of the post space had significantly higher bond strength values compared with the apical level (p < 0.05).
Er,Cr:YSGG laser irradiation with different intensities did not increase the bond strength of the fiber posts to the root canal dentin walls.
根管内桩系统常用于修复根管充填后的牙齿。桩的粘结强度会受到桩或牙本质各种表面处理的影响。本研究的目的是评估牙本质表面处理,包括不同强度的铒铬钇钪镓石榴石(Er,Cr:YSGG)激光照射,对玻璃纤维桩与根管牙本质之间推出粘结强度的影响。
选取40颗单根人上颌切牙进行充填并制备桩道。完成这些操作后,根据牙本质表面处理将标本随机分为四组,如下:(i)未处理表面(对照组),(ii)1W Er,Cr:YSGG激光照射,(iii)2W Er,Cr:YSGG激光照射,(iv)3W Er,Cr:YSGG激光照射。然后使用双固化树脂水门汀将桩粘结到根管内。将粘结标本切成1毫米厚的切片,使用万能测试装置进行推出试验。所有标本加载直至断裂,并用体视显微镜在32倍放大倍数下评估失败模式。通过扫描电子显微镜分析代表性标本。使用单因素方差分析、Tukey检验和Wilcoxon检验分析数据。
粘结强度值范围为3.22 - 4.68MPa。无论不同水平如何,各组之间均无统计学显著差异。桩道的冠部和中部水平与根尖部水平相比,粘结强度值显著更高(p < 0.05)。
不同强度的Er,Cr:YSGG激光照射并未增加纤维桩与根管牙本质壁之间的粘结强度。