Alsubait Sara Abdulrahman
Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
Saudi Dent J. 2021 Nov;33(7):718-723. doi: 10.1016/j.sdentj.2020.04.002. Epub 2020 Apr 10.
To evaluate the effect of BC HiFlow, a new calcium silicate-based endodontic sealer, compared with a resin epoxy-based sealer after 2 different times of cementation on the pull-out bond strength of glass-fiber-reinforced composite posts cemented with a self-adhesive resin cement (RelyX Unicem).
Sixty human maxillary central incisors were decoronated, prepared and obturated with gutta-percha and sealer. Roots were distributed into 5 groups according to the sealer and time of post cementation: (1) AH Plus sealer with immediate post fixation, (2) BC HiFlow with immediate post fixation, (3) AH Plus and post fixation after 7 days, (4) BC HiFlow and post fixation after 7 days, and (5) fiber post fixation in canals obturated with gutta-percha only (no sealer). After 1 week of post cementation, the pull-out test was performed and the failure mode was examined under a digital microscope. Data were analyzed using ANOVA followed by Tukey's post hoc and tests (p < .05).
With immediate post cementation, AH Plus group showed significantly higher pull-out retentive strength than the BC HiFlow and control groups (p = .009 and p < .001, respectively). There was no significant difference between the groups when the posts were cemented 7 days after obturation (p = .726). The time of post cementation had a significant influence on the canals obturated with AH Plus (p = .003). The time did not significantly affect the canals obturated with BC HiFlow (p = .289). The prominent type of failure was mixed mode in all groups.
BC HiFlow sealer did not affect the pull-out bond strength of glass-fiber-reinforced composite posts cemented with a self-adhesive resin cement immediately after or 7 days after obturation. For immediate post cementation, AH Plus increased the pull-out bond in comparison to BC HiFlow.
评估新型硅酸钙基根管封闭剂BC HiFlow与树脂环氧基封闭剂相比,在两种不同粘结时间后,对用自粘结树脂水门汀(RelyX Unicem)粘结的玻璃纤维增强复合桩的拔出粘结强度的影响。
选取60颗人上颌中切牙,去除冠部,预备根管,并用牙胶和封闭剂进行充填。根据封闭剂和桩粘结时间将牙根分为5组:(1)AH Plus封闭剂并立即粘结桩,(2)BC HiFlow封闭剂并立即粘结桩,(3)AH Plus封闭剂且7天后粘结桩,(4)BC HiFlow封闭剂且7天后粘结桩,(5)仅用牙胶充填根管后粘结纤维桩(无封闭剂)。桩粘结1周后,进行拔出试验,并在数码显微镜下检查失败模式。数据采用方差分析,随后进行Tukey事后检验和检验(p <.05)。
立即粘结桩时,AH Plus组的拔出保持强度显著高于BC HiFlow组和对照组(分别为p =.009和p <.001)。充填7天后粘结桩时,各组之间无显著差异(p =.726)。粘结桩的时间对用AH Plus充填的根管有显著影响(p =.003)。该时间对用BC HiFlow充填的根管无显著影响(p =.289)。所有组中主要的失败类型为混合模式。
BC HiFlow封闭剂在充填后立即或7天后,对用自粘结树脂水门汀粘结的玻璃纤维增强复合桩的拔出粘结强度无影响。对于立即粘结桩,与BC HiFlow相比,AH Plus增加了拔出粘结力。