Ferrari Marco, Lettieri Eugenia, Pontoriero Denise Irene Karin, Vallittu Pekka, Ferrari Cagidiaco Edoardo
Department of Prosthodontics and Biomaterials, University of Siena, 53100 Siena, Italy.
Department of Oral Surgery, University of Siena, 53100 Siena, Italy.
Polymers (Basel). 2023 Jul 26;15(15):3180. doi: 10.3390/polym15153180.
The aim of this study was to assess adaptation and bonding to root canal dentin of discontinuous (short) glass fiber-reinforced composite to intra-radicular dentin (DSGFRC).
Seventy virgin human teeth were extracted and then endodontically treated; then samples were randomly divided into 7 groups (n = 10), based on the materials' combinations as follows: Group 1, a two-bottle universal adhesive + DSGFRC; Group 2, a single-component universal adhesive + DSGFRC; Groups 3 and 4, the same materials of Goups 1 and 2 were used but after cleaning of the canal walls with 17% EDTA and final irrigation with 5.25% NaOCl Ultrasound Activated (UA); Group 5, traditional prefabricated fiber posts were luted after being silanized with G-Multi Primer; Groups 6 and 7, like Group 5 but after ultrasonic irrigation (UA). All sample roots were cut 1 mm thick (n = 10) to be evaluated regarding root canal adaptation using a light microscope and scanning electron microscope (SEM) and push-out bond strength. These results were statistically analyzed by Kruskal-Wallis analysis of variance by ranks. The level of significance was set at < 0.05.
Bond strength forces varied between 6.66 and 8.37 MPa and no statistically significant differences were recorded among the groups. By microscopic examination, it was noted that ultrasonic irrigation increased the adaptation of the materials to the dentin surface.
Within the limitations of this in vitro study, it may be concluded that when DSGFRC was used for intracanal anchorage in the post-endodontic reconstruction, similar push-out retentive force and strength to those of traditional fiber posts cemented with particulate filler resin composite cements were achieved.
本研究的目的是评估不连续(短)玻璃纤维增强复合材料与根管内牙本质(DSGFRC)在根管牙本质上的适应性和粘结性。
拔除70颗新鲜离体人牙并进行根管治疗;然后根据材料组合将样本随机分为7组(n = 10),如下:第1组,双瓶装通用粘结剂 + DSGFRC;第2组,单组分通用粘结剂 + DSGFRC;第3组和第4组,使用与第1组和第2组相同的材料,但先用17%乙二胺四乙酸(EDTA)清洁根管壁,最后用5.25%次氯酸钠超声激活(UA)冲洗;第5组,传统预成纤维桩用G - 多功能底漆进行硅烷化处理后粘结;第6组和第7组,与第5组相同,但在超声冲洗(UA)之后。将所有样本牙根切成1毫米厚(n = 10),使用光学显微镜和扫描电子显微镜(SEM)评估根管适应性,并测试推出粘结强度。这些结果通过Kruskal - Wallis秩和方差分析进行统计学分析。显著性水平设定为<0.05。
粘结强度在6.66至8.37兆帕之间变化,各组之间未记录到统计学上的显著差异。通过显微镜检查发现,超声冲洗增加了材料与牙本质表面的适应性。
在本体外研究的局限性内,可以得出结论,当DSGFRC用于根管治疗后重建中的根管内固定时,可获得与用颗粒填料树脂复合材料粘结的传统纤维桩相似的推出固位力和强度。