Kermanshah Hamid, Bolhari Behnam, Sedaghat Faraz, Omrani Ladan Ranjbar
Associate Professor, Department of Operative Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Associate Professor, Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
J Dent (Tehran). 2017 Jan;14(1):55-61.
The main disadvantage of fiber posts is their low bond strength to root canal wall. The aim of the present study was to assess the effect of different root canal post space treatments on push-out bond strength of fiber posts to root canal dentin.
After post space preparation in 40 endodontically treated human premolars, the teeth were randomly divided into four experimental groups: Group 1: control group, group 2: Endsolv R, group 3: ultrasonic cleaning, group 4: Clearfil Repair. Afterwards, the posts were bonded with Panavia F 2.0 bonding cement. The bond strength of fiber posts to root canal wall in the middle part of canal was evaluated following thermocycling using push-out test. Data were analyzed using one-way ANOVA and Tamhane's multiple comparisons test. The failure mode of each group was determined under a stereomicroscope.
There was a significant difference in the mean push-out bond strength among the groups (P<0.05). The lowest bond strength was noted in the control group. The control group had significant differences with ultrasonic and Clearfil Repair groups (P<0.05). The bond strength of Endsolv R group increased; however, it was not significant (P>0.05).
It seems that ultrasonic cleaning and Clearfil Repair can modify the root canal wall and significantly increase the bond strength of fiber posts.
纤维桩的主要缺点是其与根管壁的粘结强度低。本研究的目的是评估不同根管桩道处理对纤维桩与根管牙本质推出粘结强度的影响。
在40颗经根管治疗的人类前磨牙制备桩道后,将牙齿随机分为四个实验组:第1组:对照组,第2组:Endsolv R,第3组:超声清洁,第4组:Clearfil Repair。之后,用Panavia F 2.0粘结剂粘结桩。在热循环后,使用推出试验评估根管中部纤维桩与根管壁的粘结强度。数据采用单因素方差分析和Tamhane多重比较检验进行分析。在体视显微镜下确定每组的失败模式。
各组间平均推出粘结强度有显著差异(P<0.05)。对照组的粘结强度最低。对照组与超声清洁组和Clearfil Repair组有显著差异(P<0.叭)。Endsolv R组的粘结强度有所增加,但不显著(P>0.05)。
似乎超声清洁和Clearfil Repair可以改变根管壁并显著提高纤维桩的粘结强度。