Peña Bengoa Fernando, Magasich Arze Maria Consuelo, Macchiavello Noguera Cristobal, Moreira Luiz Felipe Nunes, Kato Augusto Shoji, Bueno Carlos Eduardo Da Silveira
Department of Endodontics, Faculty of Dentistry, Universidad Andres Bello, Viña del Mar, Chile.
Private Practice, Viña del Mar, Chile.
Restor Dent Endod. 2020 Feb 20;45(2):e19. doi: 10.5395/rde.2020.45.e19. eCollection 2020 May.
This study aimed to evaluate the effect of ultrasonic cleaning of the intracanal post space on the bond strength of fiber posts in oval canals filled with a premixed bioceramic (Bio-C Sealer [BIOC]) root canal sealer.
Fifty premolars were endodontically prepared and divided into 5 groups ( = 10), based on the type of root canal filling material used and the post space cleaning protocol. A1: gutta-percha + AH Plus (AHP) and post space preparation with ultrasonic cleaning, A2: gutta-percha + BIOC and post space preparation with ultrasonic cleaning, B1: gutta-percha + AHP and post space preparation, B2: gutta-percha + BIOC and post space preparation, C: control group. Fiber posts were cemented with a self-adhesive luting material, and 1 mm thick slices were sectioned from the middle and cervical third to evaluate the remaining filling material microscopically. The samples were subjected to a push-out test to analyze the bond strength of the fiber post, and the results were analyzed with the Shapiro-Wilk, Bonferroni, Kruskal-Wallis, and Mann-Whitney tests ( < 0.05). Failure modes were evaluated using optical microscopy.
The results showed that the fiber posts cemented in canals sealed with BIOC had lower bond strength than those sealed with AHP. The ultrasonic cleaning of the post space improved the bond strength of fiber posts in canals sealed with AHP, but not with BIOC.
BIOC decreased the bond strength of fiber posts in oval canals, regardless of ultrasonic cleaning.
本研究旨在评估超声清洁根管内桩道空间对预混生物陶瓷(Bio-C封闭剂[BIOC])根管封闭剂充填的椭圆形根管中纤维桩粘结强度的影响。
选取50颗前磨牙进行根管预备,根据所使用的根管充填材料类型和桩道空间清洁方案分为5组(每组n = 10)。A1组:牙胶尖+AH Plus(AHP),超声清洁桩道空间;A2组:牙胶尖+BIOC,超声清洁桩道空间;B1组:牙胶尖+AHP,常规预备桩道空间;B2组:牙胶尖+BIOC,常规预备桩道空间;C组:对照组。使用自粘结粘结材料粘结纤维桩,从牙根中部和颈部三分之一处切取1 mm厚的切片,显微镜下评估剩余充填材料。对样本进行推出试验以分析纤维桩的粘结强度,并采用Shapiro-Wilk检验、Bonferroni检验、Kruskal-Wallis检验和Mann-Whitney检验分析结果(P < 0.05)。使用光学显微镜评估失败模式。
结果显示,用BIOC封闭的根管中粘结的纤维桩的粘结强度低于用AHP封闭的根管中的纤维桩。桩道空间的超声清洁提高了用AHP封闭的根管中纤维桩的粘结强度,但对用BIOC封闭的根管中的纤维桩无效。
无论是否进行超声清洁,BIOC都会降低椭圆形根管中纤维桩的粘结强度。