Dwiandhany Wahyuni Suci, Sanon Kittisak, Shimada Yasushi, Abdou Ahmed
Department of Conservative Dentistry, Faculty of Dentistry, Hasanuddin University, Jl. Perintis Kemerdekaan KM. 10, Makassar, South Sulawesi, 90245, Indonesia.
Department of Operative Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henri Dunant Road, Pathumwan, Bangkok, 10330, Thailand.
Odontology. 2025 Aug 6. doi: 10.1007/s10266-025-01169-3.
Solvent evaporation in root canal dentin is challenging due to the narrow root canals and increasing the distance might impede effective solvent evaporation hindering the bond strength in the root canal particularly in the apical region. Therefore, this study aims to evaluate the effectiveness of solvent evaporation techniques and photo-irradiation strategies in improving adhesion to root canal dentin. Post cavities were bonded with (a) Clearfil SE Bond 2 + Dual Cure Activator [SEB] and (b) Clearfil Universal Bond Quick ER [UBQ]. Each group was divided based on solvent evaporation (three-way syringe tip [TST], micro-surgical tip [MST], and combination method [TMT]) and photo-irradiation strategy (standard tip and endo tip). A 0.6 mm beams were prepared from apical and coronal root part after 24 h of water storage for a microtensile bond strength test. The data were analyzed using a three-way ANOVA and Tukey's HSD test. Weibull survival analysis was conducted (α = 0.05). A scanning electron microscope was used to analyze the fracture surface and examination of adhesive interface. Higher bond strength resulted for the coronal root region compared to the apical root region. For SEB samples photo-irradiated with ST, solvent evaporation using MST and TMT resulted in significantly higher bond strengths in the apical regions. For UBQ, variations in photo-irradiation and solvent evaporation did not affect bond strength. Air bubbles were observed at the adhesive interface particularly in the apical region. Using a smaller air blowing tip to evaporate the remaining solvent in the contact-cure system improved the bond strength to root canal dentin. However, using a photo-irradiation tip with a smaller diameter is not recommended.
由于根管狭窄,根管牙本质中的溶剂蒸发具有挑战性,增加距离可能会阻碍有效的溶剂蒸发,从而影响根管中的粘结强度,尤其是在根尖区域。因此,本研究旨在评估溶剂蒸发技术和光照射策略对改善与根管牙本质粘结的有效性。用(a)Clearfil SE Bond 2 +双固化活化剂[SEB]和(b)Clearfil通用粘结快速ER[UBQ]粘结桩腔。每组根据溶剂蒸发(三通注射器尖端[TST]、显微手术尖端[MST]和联合方法[TMT])和光照射策略(标准尖端和根管内尖端)进行划分。储存24小时水后,从根尖和冠根部分制备0.6毫米的梁用于微拉伸粘结强度测试。使用三因素方差分析和Tukey's HSD检验分析数据。进行威布尔生存分析(α = 0.05)。使用扫描电子显微镜分析断裂表面并检查粘结界面。与根尖根区域相比,冠根区域的粘结强度更高。对于用ST光照射的SEB样品,使用MST和TMT进行溶剂蒸发在根尖区域产生了显著更高的粘结强度。对于UBQ,光照射和溶剂蒸发的变化不影响粘结强度。在粘结界面观察到气泡,尤其是在根尖区域。在接触固化系统中使用较小的吹气尖端蒸发剩余溶剂可提高与根管牙本质的粘结强度。然而,不建议使用直径较小的光照射尖端。