Santander-Rengifo Flor M, Castillo-Andamayo Diana E, Tay Lidia Y, López-Gurreonero Carlos, Cornejo-Pinto Alberto, Cervantes-Ganoza Luis A, Cayo-Rojas César F
Faculty of Stomatology, Universidad Peruana Cayetano Heredia, Lima, Peru.
School of Stomatology, Universidad Privada San Juan Bautista, Lima and Ica, Peru.
J Int Soc Prev Community Dent. 2022 Nov 7;13(1):42-53. doi: 10.4103/jispcd.JISPCD_292_21. eCollection 2023 Jan-Feb.
The use of chemical agents in the surface treatment of glass fiber posts can improve their bond strength to the root canal. The aim of this study was to assess the bond strength and failure mode of glass fiber posts that received different surface treatments prior to silanization.
In this cross-sectional and experimental study, 50 human lower premolar roots were randomly divided into five groups and subsequently prepared to receive the cementation of a fiberglass post prior to silanization. They were distributed as group 1 (with 24% hydrogen peroxide), group 2 (with 37% phosphoric acid), group 3 (with 1.23% acidulated phosphate fluoride for 2 minutes), group 4 (with 1.23% acidulated phosphate fluoride for 6 minutes), and group 5 (without pretreatment). After cementation, the roots were sectioned into two discs for each cervical, middle, and apical region. Bond strength was assessed using the technique. Adhesive, mixed, and cohesive failure modes were also assessed. For data analysis, ANOVA and Tukey's tests were used, as well as Pearson's chi-square test. A significance of < 0.05 was considered in all statistical analyses.
When comparing the bond strength of root regions, significant differences were obtained in groups pretreated with phosphoric acid ( = 0.018) and acidulated phosphate fluoride for 2 and 6 minutes ( = 0.001 and = 0.000, respectively). Furthermore, significant differences were obtained between posts treated only with silane and those that received phosphoric acid pretreatment ( = 0.006) and acidulated phosphate fluoride for 6 minutes ( = 0.001). Significant association of mixed failure mode was observed with hydrogen peroxide ( = 0.014) and phosphoric acid ( = 0.006) pretreatments. Cohesive failure was significantly associated with acidulated phosphate fluoride pretreatment for 2 minutes ( = 0.032) and with posts that did not receive treatment prior to silanization ( = 0.000).
Posts treated only with silane and pretreated with hydrogen peroxide and acidulated phosphate fluoride for 2 minutes presented significantly higher bond strength with respect to those pretreated with phosphoric acid and acidulated phosphate fluoride for 6 minutes. However, acidulated phosphate fluoride for 2 minutes and silane were associated with a better bonding type.
在玻璃纤维桩表面处理中使用化学试剂可提高其与根管的粘结强度。本研究的目的是评估在硅烷化之前接受不同表面处理的玻璃纤维桩的粘结强度和失效模式。
在这项横断面实验研究中,将50颗人类下颌前磨牙牙根随机分为五组,随后在硅烷化之前准备好接受玻璃纤维桩的粘结。分组如下:第1组(用24%过氧化氢处理)、第2组(用37%磷酸处理)、第3组(用1.23%含氟磷酸处理2分钟)、第4组(用1.23%含氟磷酸处理6分钟)和第5组(未进行预处理)。粘结后,将牙根在每个颈部、中部和根尖区域切成两片。使用该技术评估粘结强度。还评估了粘结、混合和内聚失效模式。数据分析采用方差分析和Tukey检验以及Pearson卡方检验。所有统计分析中,显著性水平设定为P < 0.05。
比较牙根不同区域的粘结强度时,在用磷酸预处理的组(P = 0.018)以及用含氟磷酸处理2分钟和6分钟的组(分别为P = 0.001和P = 0.000)中获得了显著差异。此外,仅用硅烷处理的桩与接受磷酸预处理的桩(P = 0.006)以及用含氟磷酸处理6分钟的桩(P = 0.001)之间存在显著差异。观察到混合失效模式与过氧化氢预处理(P = 0.014)和磷酸预处理(P = 0.006)有显著关联。内聚失效与用含氟磷酸预处理2分钟(P = 0.032)以及在硅烷化之前未接受处理的桩(P = 0.000)显著相关。
仅用硅烷处理以及用过氧化氢和含氟磷酸预处理2分钟的桩相对于用磷酸和含氟磷酸预处理6分钟的桩表现出显著更高的粘结强度。然而,用含氟磷酸预处理2分钟和硅烷处理与更好的粘结类型相关。