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根管预备后使用不同冲洗剂对自酸蚀树脂水门汀推出粘结强度的影响

Effect of Different Irrigants Applied After Post Space Preparation on Push-Out Bond Strength of a Self-Etch Resin Cement.

作者信息

Jalali Hamid, Farid Farzaneh, Kulivand Sudabeh, Nokar Saeed, Dadgar Kosar

机构信息

Assistant Professor, Department of Prosthodontics, Tehran University of Medical Sciences, Tehran, Iran.

Postgraduate Student of Prosthodontics, Department of Prosthodontics, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Dent (Tehran). 2018 Jul;15(4):222-229.

Abstract

OBJECTIVES

The aim was to investigate the effect of intracanal irrigants and agents on the bond strength of intraradicular fiber posts to dentin.

MATERIALS AND METHODS

Root canals of 72 decoronated single-rooted premolars were cleaned, shaped, and obturated with gutta-percha and AH26. The specimens were incubated at 37°C and 100% humidity for seven days. Next, the coronal 10 mm of the canals were prepared to receive size 2 D.T. Light fiber post, and the specimens were randomly allocated into six groups according to the irrigants used after post space preparation: normal saline (control group), 5.25% sodium hypochlorite (NaOCl)/15 seconds, 17% ethylenediaminetetraacetic acid (EDTA)/60 seconds, 2% chlorhexidine (CHX)/5 minutes, MTAD/5 minutes, and acid-etching/15 seconds. All canals were rinsed with normal saline and dried. Fiber posts were cemented using Panavia F2.0. After 24 hours, two mid-root slices of 1mm thickness were obtained from each specimen. Push-out bond strength test was performed in a universal testing machine at 0.5mm/minute. The maximum applied load was recorded, and the bond strength was calculated in megapascal (MPa). Data were analyzed by one-way analysis of variance (ANOVA) and Tukey's test.

RESULTS

The mean shear bond strengths of etched (53.21±12.11 MPa), MTAD (52.47±14.75 MPa) and EDTA (49.08±10.19 MPa) groups were significantly higher than that of the control group (39.82±10.04 MPa). The difference was marginally significant for CHX group (49.8±13.57 MPa) and not significant for NaOCl group (47.15±17.64 MPa).

CONCLUSIONS

Etching or irrigating the root canals with MTAD or EDTA after post space preparation increases the bond strength of Panavia F2.0 to dentin.

摘要

目的

本研究旨在探讨根管冲洗剂及药物对根管内纤维桩与牙本质粘结强度的影响。

材料与方法

选取72颗去冠的单根前磨牙,清理、预备根管,并用牙胶尖和AH26进行充填。将标本置于37°C、湿度100%的环境中孵育7天。接下来,预备根管冠方10mm以容纳2号D.T. Light纤维桩,根据桩道预备后使用的冲洗剂将标本随机分为六组:生理盐水(对照组)、5.25%次氯酸钠(NaOCl)/15秒、17%乙二胺四乙酸(EDTA)/60秒、2%氯己定(CHX)/5分钟、MTAD/5分钟以及酸蚀/15秒。所有根管均用生理盐水冲洗并干燥。使用Panavia F2.0粘结纤维桩。24小时后,从每个标本上获取两片厚度为1mm的根中切片。在万能试验机上以0.5mm/分钟的速度进行推出粘结强度测试。记录施加的最大载荷,并以兆帕(MPa)为单位计算粘结强度。数据采用单因素方差分析(ANOVA)和Tukey检验进行分析。

结果

酸蚀组(53.21±12.11 MPa)、MTAD组(52.47±14.75 MPa)和EDTA组(49.08±10.19 MPa)的平均剪切粘结强度显著高于对照组(39.82±10.04 MPa)。CHX组(49.8±13.57 MPa)的差异接近显著,而NaOCl组(47.15±17.64 MPa)的差异不显著。

结论

桩道预备后用酸蚀或MTAD或EDTA冲洗根管可提高Panavia F2.0与牙本质的粘结强度。

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