Department of Restorative Dentistry, School of Dentistry, Araraquara, São Paulo State University (UNESP), Araraquara, São Paulo, Brazil.
School of Dentistry, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Mato Grosso do Sul, Brazil.
Eur J Oral Sci. 2023 Aug;131(4):e12939. doi: 10.1111/eos.12939. Epub 2023 Jun 9.
This study evaluated the effects of irrigating solutions containing 5% boric acid + 1% citric acid or 1% peracetic acid + high concentration hydrogen peroxide on root cleaning and bond strength of cementation systems after 24 h and 6 months of glass fiber post cementation. One hundred and twenty roots were endodontically treated. The specimens were randomized into one of four treatments (n = 10): DW (distilled water); NaOCl + EDTA (2.5% sodium hypochlorite solution + 17% EDTA); PA + HP (1% peracetic acid solution + high concentration of hydrogen peroxide); BA + CA (5% boric acid associated with 1% citric acid). The cleaning efficacy in the cervical, middle, and apical thirds of the post-space, and the push-out bond strength at 24 h and 6 months after post cementation were evaluated by Kruskal-Wallis and two-way ANOVA tests, respectively. BA + CA showed statistically significantly superior cleaning efficacy compared to the other solutions. This irrigation protocol also resulted in higher bond strength at 24 h and 6 months, regardless of the root third considered, and this was statistically significantly higher than those seen for DW and PA + HP. For BA + CA irrigation protocol, type 1 adhesive failure was the most prevalent. Post-space irrigation with BA + CA provided both higher cleaning efficacy and better bond strength.
本研究评估了在玻璃纤维桩黏固后 24 小时和 6 个月时,使用含有 5%硼酸+1%柠檬酸或 1%过氧乙酸+高浓度过氧化氢的冲洗液对根管清洁和黏固系统黏结强度的影响。120 个根管经牙髓治疗。将标本随机分为四组(n=10):DW(蒸馏水);NaOCl+EDTA(2.5%次氯酸钠溶液+17% EDTA);PA+HP(1%过氧乙酸溶液+高浓度过氧化氢);BA+CA(5%硼酸联合 1%柠檬酸)。通过 Kruskal-Wallis 和双向 ANOVA 检验分别评估黏固后 24 小时和 6 个月时桩腔颈、中、根尖三分之一处的清洁效果和推出黏结强度。与其他溶液相比,BA+CA 显示出统计学上更优的清洁效果。无论考虑根的哪个部位,这种冲洗方案在 24 小时和 6 个月时均产生更高的黏结强度,与 DW 和 PA+HP 相比,这一结果具有统计学意义。对于 BA+CA 冲洗方案,最常见的是 1 型黏附性失败。BA+CA 进行桩腔冲洗可提供更高的清洁效果和更好的黏结强度。