Gritti Giovana Cunha, Cavalcante Salma Ivanna Araújo, Maia-Filho Etevaldo Matos, Bauer José, Bandéca Matheus Coêlho, Gavini Giulio, Carvalho Ceci Nunes
Universidade Ceuma - UNICEUMA, São Luis, MA, Brazil.
Universidade Federal do Maranhão - UFMA, Discipline of Dental Materials, São Luis, MA, Brazil.
Braz Oral Res. 2017 Aug 31;31:e76. doi: 10.1590/1807-3107BOR-2017.vol31.0076.
To evaluate the influence of rewetting solutions on bond strength to root dentin of conventional gutta-percha (GP) or niobium phosphate glass-based gutta-percha (GNb) associated with a bioceramic sealer. The root canals of 80 human mandibular premolars were prepared using nickel-titanium instruments and irrigation with sodium hypochlorite and EDTA. The teeth were randomly divided into four groups according to the gutta-percha used: GNb or GP associated with EndoSequence BC Sealer (BC) and the solution for rewetting dentin before filling (distilled water; phosphate buffer saline solution - PBS; simulated body fluid - SBF; or no solution). The root canals were filled with a single cone using warm vertical condensation. Micropush-out bond strengths associated with the filling materials in slices from middle root thirds was determined 30 days after root filling. The failure mode was analyzed with stereoscopic lens. The data were statistically analyzed by two-way ANOVA and Holm-Sidak test (p < 0.05). There was significant difference in the types of gutta-percha (p < 0.001) and in the different rewetting solutions (p = 0.003). The interaction between gutta-percha and rewetting solutions was not significant (p = 0.53). The SBF solution provided an increase in bond strength for both gutta-percha solutions. The GNb+BC (3.42 MPa) association increased bond strength when compared with GP+BC (2.0 MPa). The use of SBF as a dentin rewetting solution increased bond strength in the groups studied. Association of GNb with bioceramic sealer was beneficial, increasing the bond strength to dentin when compared with the association with GP.
为评估再湿溶液对与生物陶瓷封闭剂联合使用的传统牙胶(GP)或磷酸铌玻璃基牙胶(GNb)与牙根牙本质粘结强度的影响。使用镍钛器械对80颗人下颌前磨牙的根管进行预备,并用次氯酸钠和乙二胺四乙酸冲洗。根据所用牙胶将牙齿随机分为四组:GNb或GP与EndoSequence BC封闭剂(BC)联合使用,以及充填前用于再湿牙本质的溶液(蒸馏水;磷酸盐缓冲盐水溶液 - PBS;模拟体液 - SBF;或不使用溶液)。采用热垂直加压法用单根牙胶尖充填根管。根管充填30天后,测定牙根中1/3切片中与充填材料相关的微推出粘结强度。用立体显微镜分析失败模式。数据采用双向方差分析和Holm-Sidak检验进行统计学分析(p < 0.05)。牙胶类型(p < 0.001)和不同再湿溶液(p = 0.003)之间存在显著差异。牙胶和再湿溶液之间的相互作用不显著(p = 0.53)。SBF溶液使两种牙胶溶液的粘结强度均增加。与GP+BC(2.0 MPa)相比,GNb+BC(3.42 MPa)联合使用可提高粘结强度。在本研究组中,使用SBF作为牙本质再湿溶液可提高粘结强度。与GP联合使用相比,GNb与生物陶瓷封闭剂联合使用有益,可增加与牙本质的粘结强度。