Agarwal Sunny, Raghu Ramya, Shetty Ashish, Gautham P M, Souparnika D P
Department of Conservative Dentistry and Endodontics, Bangalore Institute of Dental Sciences and Hospital, Bengaluru, Karnataka, India.
J Conserv Dent. 2019 Sep-Oct;22(5):475-478. doi: 10.4103/JCD.JCD_90_20. Epub 2020 Aug 4.
This study aims to evaluate the effect of three endodontic chelating agents (17% ethylenediamine tetra-acetic acid [EDTA], 1% peracetic acid [PAA], 0.2% Chitosan) on the push out bond strength of gutta percha with a new bioceramic sealer (BioRoot RCS).
Forty-eight single-rooted mandibular premolars were selected and decoronated to obtain standardized root length of 15 mm. The root canals were prepared up to #30 files (Hyflex CM) and copious irrigation was done with 3 ml of 5.25% of NaOCl. According to the final irrigation, specimens were divided into three groups: Group 1 ( = 16) 0.2% chitosan, Group 2 ( = 16) 17% EDTA, and Group 3 ( = 16) 1% PAA for 1 min. Samples from each group were obturated with bioceramic sealer and gutta percha and sealed with temporary filling material. Two horizontal slices of 2 mm was obtained from the middle third of each sample ( = 32). Push out bond strength and failure modes were assessed. Kruskal-Wallis test followed by Mann-Whitney analysis was used for push out analysis. Chi square test was used to compare the modes of failure. The statistical significance level was set at = 0.05.
The highest push out bond strength was obtained with Group 1 (0.2% chitosan) followed by Group 3 (1% PAA). Group 2 (17% EDTA) showed least push out bond strength when compared to Group 1 (0.2% chitosan) and Group 3 (1% PAA). The mode of failure was mainly cohesive for all groups.
The highest push-out bond strength of BioRoot RCS was seen after treatment with 0.2% chitosan while the least was after EDTA treatment. 1% PAA treatment also favorably affected push-out bond strength of BioRoot RCS.
本研究旨在评估三种根管螯合剂(17%乙二胺四乙酸[EDTA]、1%过氧乙酸[PAA]、0.2%壳聚糖)对牙胶与新型生物陶瓷封闭剂(BioRoot RCS)之间推出粘结强度的影响。
选取48颗单根下颌前磨牙,截冠以获得15mm的标准化根长。根管预备至#30锉(Hyflex CM),并用3ml 5.25%的次氯酸钠进行大量冲洗。根据最终冲洗情况,将标本分为三组:第1组(n = 16)为0.2%壳聚糖,第2组(n = 16)为17% EDTA,第3组(n = 16)为1% PAA,处理1分钟。每组样本用生物陶瓷封闭剂和牙胶进行充填,并用临时充填材料密封。从每个样本中部三分之一处获取两片2mm厚的水平切片(n = 32)。评估推出粘结强度和失败模式。采用Kruskal-Wallis检验,随后进行Mann-Whitney分析进行推出分析。采用卡方检验比较失败模式。统计学显著性水平设定为α = 0.05。
第1组(0.2%壳聚糖)获得最高的推出粘结强度,其次是第3组(1% PAA)。与第1组(0.2%壳聚糖)和第3组(1% PAA)相比,第2组(17% EDTA)显示出最低的推出粘结强度。所有组失败模式主要为内聚破坏。
用0.2%壳聚糖处理后,BioRoot RCS的推出粘结强度最高,而用EDTA处理后最低。1% PAA处理也对BioRoot RCS的推出粘结强度有有利影响。