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纤维桩采用不同的粘结策略粘结于硅酸钙基根管封闭剂封闭的根管牙本质。

Fiber post cemented using different adhesive strategies to root canal dentin obturated with calcium silicate-based sealer.

机构信息

Department of Operative Dentistry and Endodontics, Faculty of Dentistry, Mahidol University, 6 Yothi street Ratchathewi, Bangkok, 10400, Thailand.

出版信息

BMC Oral Health. 2024 Oct 25;24(1):1290. doi: 10.1186/s12903-024-04963-7.

Abstract

BACKGROUND

Calcium silicate-based sealer has favorable properties for root canal filling, including hydroxyapatite formation during the setting process. However, this process can cause difficulty during post space preparation when the sealer is set. Additionally, the remaining sealer could interfere with the bond strength of fiber post to root canal dentin. The different adhesive strategies and fiber post cementation time may affect the bond strength of the fiber post. Thus, the objective of this study was to evaluate the effect of etching modes of Scotchbond™ Universal Plus adhesive and post cementation time on the push-out bond strength of a fiber post cemented in root canals obturated with calcium silicate-based sealer.

METHODS

Fifty-four teeth were randomly allocated to 6 groups (n = 9) based on etching modes: self-etch (SE) or etch-and-rinse (ER); post space preparation and cementation time: immediate (Im) or 7-day delayed (De): Im-Im, Im-De, and De-De. The root canals were obturated with calcium silicate-based sealer and the post space preparation was performed. The fiber post was cemented using RelyX™ Universal resin cement according to each group's design. For the push-out bond strength test, 1-mm slices of the coronal, middle, and apical regions were tested using a universal testing machine. The failure mode analysis was determined using a stereomicroscope. The data was analyzed with three-way analysis of variance.

RESULTS

No negative effects of etching modes, post space preparation or cementation time on push-out bond strength were detected (p > 0.05). Additionally, the root canal region also did not significantly affect the bond strength (p > 0.05).

CONCLUSION

No significant differences were observed between the etching modes, post space preparation and cementation time and among root canal regions.

CLINICAL RELEVANCE

The different etching modes of adhesive and post cementation time did not affect the bond strength of fiber post in calcium silicate filled-root canal.

摘要

背景

硅酸钙基封剂具有良好的根管填充性能,包括在凝固过程中形成羟基磷灰石。然而,当封剂凝固时,这一过程会给后期牙本质预备带来困难。此外,剩余的封剂可能会干扰纤维桩与根管牙本质的粘结强度。不同的粘结策略和纤维桩粘结时间可能会影响纤维桩的粘结强度。因此,本研究旨在评估 Scotchbond Universal Plus 粘结剂的蚀刻模式和纤维桩粘结时间对硅酸钙基封剂填充根管的纤维桩推出粘结强度的影响。

方法

54 颗牙齿随机分为 6 组(n=9),根据蚀刻模式分为自酸蚀(SE)或酸蚀-冲洗(ER);预备和粘结时间:即刻(Im)或 7 天延迟(De):Im-Im、Im-De 和 De-De。根管用硅酸钙基封剂填充,预备纤维桩。根据每组设计,用 RelyX Universal 树脂粘结剂粘结纤维桩。用万能试验机对冠、中、根尖 1mm 切片进行推出粘结强度测试。用立体显微镜观察失效模式。用三因素方差分析对数据进行分析。

结果

未发现蚀刻模式、预备时间和粘结时间对推出粘结强度有负面影响(p>0.05)。此外,根管区域也没有显著影响粘结强度(p>0.05)。

结论

粘结剂的蚀刻模式、预备时间和粘结时间以及根管区域之间没有明显差异。

临床意义

不同的粘结剂蚀刻模式和纤维桩粘结时间对硅酸钙填充根管内纤维桩的粘结强度没有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a3c/11515198/564f8e3d4d09/12903_2024_4963_Fig1_HTML.jpg

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