Santana Fernanda Ribeiro, Soares Carlos José, Silva Júlio Almeida, Alencar Ana Helena Gonçalves, Renovato Sara Rodrigues, Lopes Lawrence Gonzaga, Estrela Carlos
Department of Stomatologic Sciences, School of Dentistry Federal University of Goias, GO, Brazil.
Department of Dental Materials and Operative Dentistry School of Dentistry, Federal University of Uberlandia, Uberlandia MG Brazil.
J Contemp Dent Pract. 2015 Jul 1;16(7):523-30. doi: 10.5005/jp-journals-10024-1716.
To evaluate the effect of instrumentation techniques, irrigant solutions and specimen aging on fiberglass posts bond strength to intraradicular dentine.
A total of 120 bovine teeth were prepared and randomized into control and experimental groups resulting from three study factors (instrumentation techniques, irrigant solutions, specimen aging). Posts were cemented with RelyX U100. Samples were submitted to push-out test and failure mode was evaluated under a confocal microscope.
In specimens submitted to water artificial aging, nickel-titanium rotary instruments group presented higher bond strength values in apical third irrigated with NaOCl or chlorhexi-dine. Irrigation with NaOCl resulted in higher bond strength than ozonated water. Artificial aging resulted in significant bond strength increase. Adhesive cement-dentin failure was prevalent in all the groups.
Root canal preparation with NiTi instruments associated with NaOCl irrigation and ethylenediaminetetra acetic acid (EDTA) increased bond strength of fiberglass posts cemented with self-adhesive resin cement to intraradicular dentine. Water artificial aging significantly increased post-Clinical significance: The understanding of factors that may influence the optimal bond between post-cement and cement-dentin are essential to the success of endodontically treated tooth restoration.
评估预备技术、冲洗液及样本老化对玻璃纤维桩与根管内牙本质粘结强度的影响。
共制备120颗牛牙,根据三个研究因素(预备技术、冲洗液、样本老化)随机分为对照组和试验组。使用RelyX U100粘结桩。样本进行推出试验,并在共聚焦显微镜下评估失败模式。
在经过人工水老化的样本中,镍钛旋转器械组在使用次氯酸钠(NaOCl)或洗必泰冲洗的根尖三分之一处表现出更高的粘结强度值。使用NaOCl冲洗比使用臭氧水产生更高的粘结强度。人工老化导致粘结强度显著增加。所有组中粘结剂与牙本质之间的失败均较为普遍。
使用镍钛器械进行根管预备并联合NaOCl冲洗和乙二胺四乙酸(EDTA)可提高用自粘结树脂粘结剂粘结的玻璃纤维桩与根管内牙本质的粘结强度。人工水老化显著增加了桩的粘结强度。临床意义:了解可能影响桩-粘结剂与粘结剂-牙本质之间最佳粘结的因素对于根管治疗后牙齿修复的成功至关重要。