Alandia-Román Carla Cecilia, Vincenti Sergio Augusto Freitas, Silami Francisca Daniele Jardilino, Silveira Renata Espíndola, Pinto Gustavo Col Dos Santos, Pires-de-Souza Fernanda de Carvalho Panzeri
Gen Dent. 2017 Mar-Apr;65(2):23-27.
In this study, the influence of different irrigant solutions applied before cementation on the bond strength (BS) of glass fiber posts to root dentin was evaluated. Thirty endodontically treated maxillary canines of similar length were selected and divided into 3 groups (n = 10) according to the irrigant solution used before post cementation: 1% sodium hypochlorite (NaOCl; control), 2% chlorhexidine (CHX), or a 6.5% grape seed extract (GSE) cross-linking agent. After cementation of the posts, the roots were transversely sectioned to create 2 discs (2 mm) for each of the root thirds: coronal, middle, and apical. These discs were submitted to push-out tests (0.5 mm/min) to evaluate the BS between the glass fiber posts and the root dentin. Statistical analysis was performed by a 2-way analysis of variance and a Tukey test (P < 0.05). The failure mode was evaluated in all specimens. Both the CHX and GSE groups presented significantly higher BS values than the control group in all root thirds (P < 0.05). The values of the GSE group were significantly higher than those of the CHX group in all thirds except the apical third (P < 0.05). In the control group, the BS value was highest in the cervical third. There was no significant difference in the BS values between the cervical and middle thirds when CHX was used (P > 0.05); however, the BS value diminished significantly in the apical third (P < 0.05). The highest BS value in the GSE group was found in the middle third. The results showed that the use of either GSE or CHX before adhesive cementation improved the BS of glass fiber posts to root dentin.
在本研究中,评估了粘结前应用不同冲洗液对玻璃纤维桩与牙根牙本质粘结强度(BS)的影响。选取30颗长度相似、经根管治疗的上颌尖牙,根据桩粘结前使用的冲洗液分为3组(n = 10):1%次氯酸钠(NaOCl;对照组)、2%氯己定(CHX)或6.5%葡萄籽提取物(GSE)交联剂。桩粘结后,将牙根横向切片,为每个牙根的冠部、中部和根尖三分之一制作2个厚度为2mm的圆盘。对这些圆盘进行推出试验(0.5mm/min),以评估玻璃纤维桩与牙根牙本质之间的粘结强度。采用双向方差分析和Tukey检验进行统计分析(P < 0.05)。对所有标本的失败模式进行评估。CHX组和GSE组在所有牙根三分之一处的粘结强度值均显著高于对照组(P < 0.05)。除根尖三分之一外,GSE组在所有三分之一处的值均显著高于CHX组(P < 0.05)。在对照组中,颈部三分之一处的粘结强度值最高。使用CHX时,颈部和中部三分之一之间的粘结强度值无显著差异(P > 0.05);然而,根尖三分之一处的粘结强度值显著降低(P < 0.05)。GSE组中最高的粘结强度值出现在中部三分之一处。结果表明,粘结前使用GSE或CHX均可提高玻璃纤维桩与牙根牙本质的粘结强度。