Effect of the frequency of mechanical pulses for fatigue aging testing on push-out bond strength between glass fiber posts and root dentin

The aim of this study was to evaluate the influence of the frequency of mechanical pulses during mechanical fatigue aging on bond strength between glass fiber posts and root dentin. Fiber posts were adhesively cemented in 30 bovine roots and the core was built up with composite. All specimens were subjected to mechanical cycling (45° angle; 37 °C; 50 N; 2×10⁶ pulses) at different frequencies: 2, 4, and 8 Hz. After the fatigue, each specimen was submitted to push out test. The bond strength was calculated for data analysis (one-way ANOVA, p = 0.05). The frequency did not affect the push-out (p = 0.7). The main failure mode was between dentin and cement in all groups. The mechanical pulses were not influenced by the bond strength between root dentin and fiber posts. Thus, it is possible to decrease the time-consuming in vitro tests involving posts without damaging the reliability of the test.     

The effect of root dentin conditioning protocols on the push-out bond strength of three calcium silicate sealers

Objectives: To compare the effects of irrigation protocols on the push-out bond strength of calcium silicate materials at two different time periods (7-days and 3-months). Materials and methods: Root canals (n=300) were irrigated with one of the following (n=60): group 1 (3% NaOCl–17% EDTA); group 2 (17% EDTA–3% NaOCl); group 3 (1:1 mixture of 6% NaOCl and 18% etidronic acid); group 4 (3% NaOCl–QMix 2in1); group 5 (3% NaOCl–2% chlorhexidine). Specimens were subdivided into three subgroups (n=20): A, Endosequence BC sealer [EBC]; B, MTA Plus [MTA-P]; C, Tech Biosealer Endo [TECH]. Specimens were suspended in phosphate buffered saline [PBS] for 7 days or 3 months (n=10 per sealer). Push-out bond strength was measured and data were analyzed (P=0.05). Results: MTA-P: showed the highest bond strength at both time periods, when NaOCl+EA was used as an irrigant. This was not significantly different from the strength produced when NaOCl–QMix was used for 7 days (P>0.05). There was no significant difference between the bond strengths of the three materials when irrigated with group 1, 2 or 5 (P>0.05), but these groups showed significantly lower bond strengths than groups 3 and 4 (P<0.05). While the bond strength of EBC and MTA-P in specimens irrigated with groups 3 and 4 improved significantly with time [P<0.05], this was not true for TECH. Conclusions: Push-out bond strength of calcium silicate cements was differentially influenced by irrigation protocol and time. MTA Plus showed the highest bond strength at both time periods, when root canals were irrigated with NaOCl+EA. The bond strength of Tech Biosealer Endo did not improve with time immaterial of the irrigation protocols.     

Effect of calcium hydroxide removal techniques on the bond strength of root canal sealers

To evaluate the influence of calcium-hydroxide(CH) with different vehicles on the push-out bond strength of different canal sealers to radicular dentin. 152 decrowned single-rooted human teeth were used. After preparation of root canals with nickel-titanium rotary files, 8 roots served as control groups. Then, the roots were divided as follows: (1) Calasept and (2) Surepaste (n = 72). Roots were further subgrouped according to the CH removal techniques: (1) %17 ethylenediaminetetraacetic acid (EDTA) + rotary file, (2) %17EDTA + hand file, and (3) %17EDTA (n = 24). Eight roots from each group sectioned longitudinally, divided into two pairs and photographed by stereomicroscope (n = 16). The remaining 16 roots in CH intracanal dressing groups were further divided into 2 subgroups according to the sealer used: (1) AH-Plus-jet and (2) Apexit-Plus (n = 8). Bond strengths of the root canal sealers to root canal dentin were measured using a push-out test setup. The data were statistically analyzed using multivariate analysis of variance p = 0.05. The push-out bond strength values were significantly affected by type of vehicle and the removal techniques (p < 0.05). The mean bond strength of AH-Plus-jet was significantly higher than Apexit-Plus, regardless of type of vehicle and the removal techniques (p < 0.05). There was no difference between vehicles on CH removal (p > 0.05). When examining the removal techniques, only irrigation with %17 EDTA left significantly larger amount of residue (p < 0.05). AH-Plus-jet showed better dislocation resistance than Apexit-Plus. Type of vehicle does not play a fundamental role in the degree of persistence of CH residues on the dentin walls. Instrumentation improves the removal efficiency of CH from root canal.     

Effect of Er,Cr:YSGG laser surface conditioning on the adhesion of fiber- reinforced composite and zirconia intraradicular posts to the root dentin

This study evaluated the influence of Er,Cr:YSGG laser surface conditioning on push-out bond strength of different root posts to the root dentin. Extracted (N = 27, n = 9 per group) and endodontically treated human mandibular premolars were prepared to receive the posts. Three types of posts, namely quartz fiber (D), glass fiber (S), and zirconium dioxide post (C) were luted with resin cement. The posts were randomly assigned to one of the surface conditioning method: (a) No conditioning, control (L0), (b) Er,Cr:YSGG laser at 175 mJ, 3.5 W for 60 s (L1), and (c) at 225 mJ, 4.5 W for 60 s, with 60 μs pulse duration and repetition rate was 20 Hz (L2) irradiation. Six sections (two coronal, two middle, and two apical) were made in each tooth yielding to 1 mm thick specimens. The specimens were stored in distilled water at 37?°C for 24 h and push-out bond strength (MPa) was tested in a Universal Testing Machine (1 mm/min). Data were analyzed using Kruskall–Wallis and Dunns`s post hoc tests (α = 0.05). In group D, both laser treated groups (L1:16.16 ± 19.89; L2:8.24 ± 9.26) presented significantly less bond strength compared to control group (L0:28.3 ± 16.8) (p < 0.001). Mean push-out bond strength values did not significantly differ according to the root segments (coronal, middle, and apical) (p = 0.106). Application of Er,Cr:YSGG laser, with the parameters tested, did not increase the bond strength of zirconium glass fiber and zirconium oxide posts. Laser surface conditioning decreased the bond strength of quartz fiber posts in the root canal.     

Long-term bond strength of fiber posts cement to dentin with self-adhesive or conventional resin cements

The aim of this study was to evaluate the immediate and the long-term push-out bond strength of glass fiber posts (GFP) cemented with conventional or self-adhesive dual-curing resin cements, at different root depths. Prior to cementation, the GFP (Reforpost #3, Angelus) were etched with 37% phosphoric acid for 30 s followed by silane for 1 min. Thirty canine roots were divided into two groups (n = 15) according to resin cement type: ARC – dual resin cement (RelyX ARC/3M ESPE) combined with an three-step etch-and-rinse adhesive (Adper Scotch Bond Multi-Purpose Plus 3M/ESPE) or U200 – self-adhesive resin cement (RelyX U200/3M ESPE). The manufacturer’s instructions were followed. After 48 h, the roots were cross-sectioned at three different depths, resulting in serial slices corresponding to the cervical, middle, and apical root thirds. Slices were randomly divided into two groups, according to the period of water storage prior to push-out bond strength analysis: 48 h or 180 days. The data (MPa) were analyzed using three-way ANOVA for randomized blocks (p < 0.05), which showed no significant interaction between the three factors (p = 0.716). The main study factors were also proven not significant (cement: p = 0.711; time: 0.288; root third: p = 0.646). In conclusion, root depth, cement type (self-adhesive or conventional), and storage in water for 180 days did not influence the bond strength of GFP to intracanal dentin.     

Influence of the ER,CR:YSGG laser and different irrigation methods on push-out bond strength of fiber post

Er,Cr:YSGG lasers are currently being investigated for disinfecting the root canal treatment. The aim of this study was to compare the effects of various irrigation protocols on push-out bond strength of fiber posts. Fifty maxillary anterior teeth were divided into five groups (n = 10) according to the protocol that applied into the post space. Group-1: distilled water, Group-2: 5% NaOCl, Group-3: 2% CHX, Group-4: Er,Cr:YSGG laser (1.5 W, 20 Hz, 85 air, 75 water, 26.7 J/cm²), Group-5: Er,Cr:YSGG laser (1.25 W, 50 Hz, 34 air, 24 water, 12.7 J/cm²). Fiber posts were cemented with resin cement. The remaining part of the root, three slices were obtained from each specimen and push-out test was performed. One-way ANOVA and Duncan’s test at a 5% level of significance were used for the statistical analysis. Post space irradiation with Er,Cr:YSGG laser (1.5 W 20 Hz, 85 air, 75 water, 26.7 J/cm²) increases push-out bond strength of fiber post to root canal dentin. Further investigations are needed to establish and optimize ER,Cr:YSGG laser parameters to increase the push-out bond strength of fiber posts.     

The effect of intracanal placement of various medicaments on the bond strength of three calcium silicate-based cements to root canal dentin

This study aimed to evaluate the effect of intracanal placement of various medicaments on the bond strength of ProRooT MTA, Biodentine, and Endosequence root repair material (ERRM) putty. Ninety extracted human mandibular premolar teeth were decoronated and instrumented using Protaper Next rotary system and #1 to #6 Peeso reamers. The prepared teeth were randomly divided into six groups according to the intracanal medicaments: Group 1: double antibiotic paste (DAP) consisting of metronidazole and ciprofloxacin; Group 2: Triple antibiotic paste (TAP) with cefaclor; Group 3: TAPwith clindamycin; Group 4: amoxicillin and clavulanic acid (Augmentin®); Group 5: calcium hydroxide (CH); Group 6: control (no medicament) (n = 15). Parallel transverse sections were obtained in the coronal to the apical direction (4 slices/ tooth) and were divided into three subgroups according to the cements: Group A: ProRoot MTA; Group B: Biodentine; Group C: ERRM (n = 20 slices/subgroup). A push-out test was used to measure bond strength. Data were analyzed using two-way analysis of variance and Tukey’s post hoc test. The bond strength was significantly lower for DAP and TAPs than for Augmentin®, CH, or the control (p < 0.05). Biodentine and ERRM had significantly higher bond strength values than ProRooT MTA (p < 0.05) regardless of the intracanal medicaments tested, while no significant difference existed between Biodentine and ERRM (p > 0.05). While the application of DAP or TAPs decreased the bond strength, application of CH or Augmentin® did not. ERRM and Biodentine had higher bond strength values than ProRoot MTA.     

Bond strength of fiber posts and short fiber-reinforced composite to root canal dentin following cyclic loading*

The aim of this study was to evaluate the effect of cyclic loading on the bond strength of fiber posts and short fiber-reinforced composite (FRC) to root canal. One hundred single-rooted teeth were divided into two groups according to the material used for luting fiber posts: (1) Resin-core material (Gradia Core, GC Corp.) and (2) Short FRC (EverX Posterior, GC Corp.). Then the specimens were randomly assigned into three sub-groups according to the post material and the groups are indicated as follows: (1) Short FRC (EverX Posterior) used instead of post and core, (2) Fiber post (GC post, GC Corp.) cemented with resin-core (Gradia Core), (3) Fiber post (GC post, GC Corp.) cemented with short FRC (EverX Posterior), (4) Experimental fiber post cemented with resin-core (Gradia Core, GC Corp), (5) Experimental fiber post cemented with short FRC (EverX Posterior). Then the specimens were subdivided into a further two groups in accordance with the storage condition (cyclic loading and 24 h water storage-control group) (n = 10/per group). The micropush-out bond strength between root dentin and posts was measured. Data were analyzed using three-way ANOVA and Tukey HSD tests (α = 0.05). Micropush-out bond strength of the posts to dentin was significantly affected by the type of post material (p < 0.05). However, the load cycling and the resin-based luting agent used had no effect on bond strength values (p = 0.706 and p = 0.346, respectively).     

The effect of combined use of chitosan and PIPS on push-out bond strength of root canal filling materials

Adhesion of root canal filling materials to root dentin is important for the long-term success of the treatment. Push-out bond strength test is used to evaluate the adhesion capacity of root canal filling materials to root canal walls. The aim of the present study is to compare the bond strength of root canal filling materials to root dentin after irrigation with EDTA, chitosan and the combination of chitosan and PIPS irridation using push-out bond strength test. Forty-eight extracted teeth were resected until 13-mm long roots were obtained. Root canals were prepared with a size-25 OneShape instrument. Samples were divided into three groups each including 15 roots. Group 1: Canals were rinsed with 0.2% chitosan and subjected to laser irridation with PIPS at the same time. Group 2: Canals were rinsed with 0.2% chitosan. Group 3: Canals were rinsed with EDTA. All canals were filled with .06 tapered gutta-percha and AH-plus sealer. One-mm thick slices were taken from coronal, middle and apical one-thirds of the roots. Push-out bond strength was determined using a Universal Testing Machine. One root from each group was observed under SEM to evaluate the degree of smear removal. Statistical analysis was performed with Kruskall-Wallis test. Results showed that bond strength values were statistically similar in overall evaluation for all groups (p > .05). In segmental evaluation, group 1 revealed the highest bond strength in apical one-third compared to other groups (p < .05).     

Impact of conditioning regimens and time on adhesion of a fiber post to root dentin using two resin cements

The aim of this study was to evaluate the influence of irrigation protocols on the bond strength of a glass fiber post bonded to dentin using two resin cements. In 200 root-filled teeth, post space was prepared and divided into five groups (n?=?40) based on the irrigation protocol: group 1 (3% sodium hypochlorite), group 2 (3% sodium hypochlorite – 17% Ethylene diamine tetraacetic acid), group 3 (a mixture of sodium hypochlorite and etidronic acid), group 4 (sodium hypochlorite – QMix), and group 5 (distilled water). Samples were subdivided into two subgroups (n?= 10) and fiber posts were cemented using subgroup A (Self-adhesive dual-cure resin cement; SEA) or B (dual-cure resin cement following an etch-and-rinse protocol, ER). Push-out bond strength was performed after 24 h and four months (n?= 10) and failure modes were categorized. Statistical analysis of data was carried out by appropriate analyses (p < 0.05). The irrigation protocol and the resin cement had a significant impact on push-out bond strength. Subgroup A group showed lower bond strength than B at both time periods when 3% NaOCl–17% EDTA and 1:1 mixture of 6% NaOCl + 18%EA protocols were used. Three percent NaOCl used in combination with 17% EDTA or QMix significantly decreased the push-out bond strength of ER at the end of four months (p < 0.05). In conclusion, dual-cure resin cements bonded with etch-and-rinse protocol showed highest bond strength when a mixture of NaOCl and etidronic acid was used as root canal irrigant. These values were differentially influenced by time.     

Effect of cyclic loading and resin cement type used for luting fiber posts on bond strength at different root levels of crown-restored human teeth

Objective: This study aimed to evaluate the bond strength (BS) of glass fiber posts (GFP) at different root levels when luted with conventional or self-adhesive cements in crown-restored human premolars subjected, or not, to cyclic mechanical loading.

Materials and Methods: Sixty lower premolar roots were endodontically treated and prepared for a GFP system. Half of the roots (n = 30) had their posts cemented with a self-adhesive resin cement, while the remaining roots followed a three-step conditioning method: acid etch, bonding agent, and a conventional resin cement. Metal crowns were luted onto the post-core preparations and the specimens were embedded to simulate the periodontium. Half of the specimens from each group (n = 15) were submitted to cyclic loading simulations (130 N; 2.0 Hz) and then sections were obtained from each root for the pushout BS test.

Results: Independently of the cyclic loading and the root level tested, the conventional resin cement provided significantly higher values of BS (p = 0.002). For either cement or either root level, cyclic loading caused a significant decrease in BS values (p = 0.023). The Tukey test indicated that, regardless of the resin cement used or the cyclic loading, BS was highest at the middle and cervical thirds of the root (p = 0.026), and their values did not differ between themselves.

Conclusions: When used for luting GFP, self-adhesive resin cement resulted in lower pushout BS than the conventional counterpart, with cyclic loading causing a decrease in BS of the GFP to dentin for both resin cements.     

Shear bond strength to dentine of dental adhesives containing hydroxyapatite nano-fillers

The aim of this study was to compare the effect of hydroxyapatite (HAP) nano-rods (HAP_rods) and HAP nano-sticks (HAP_sticks) added to commercial adhesives on the macro-shear bond strength (SBS) to dentine and morphology of the adhesive–dentine interface. HAP was added to Single Bond Universal (SBU, 3M ESPE) and Te-Econom Bond (TeE; Ivoclar Vivadent), in the form of water suspensions to avoid agglomeration of nano-particles and to achieve HAP concentrations of 0.5, 1.0 and 1.5 wt%. Following a ‘total-etch’ or a ‘self-etch’ protocol, the adhesives were applied to flat dentine surface of 162 intact human, third molars (N = 6/group). Composite (Z250, 3M ESPE) was built-up using a split stainless steel mould, 3 mm in diameter. SBS was tested using a universal testing machine at 1 mm/min until fracture. Data were statistically analysed using two-way and one-way analysis of variance with Tukey’s post-test (α = 0.05). HAP_rods had no significant effect on SBS of the tested adhesives while HAP_sticks improved bond strength to dentine only of adhesives applied following the ‘total-etch’ total-etch protocol. SBS values of SBU containing 1% HAP_sticks (15.10 ± 2.96 MPa) and TeE containing 0.5% HAP_sticks applied following the total-etch protocol (12.96 ± 4.48 MPa) were higher than those of their respective control groups (10.36 ± 2.68 and 7.97 ± 3.64 MPa). Samples with higher SBS showed more ‘mixed’ failures. HAP nano-fillers may improve bond strength of total-etch adhesives without an adverse effect on adhesive dispersion on dentine and its ability to infiltrate dentinal tubules.     

The effect of post surface silanization and luting agents on the push-out bond strengths of adhesively inserted fiber reinforced posts

The effect of silane treatment on the push-out bond strengths of three different luting agents to fiber-reinforced composite (FRC) posts after thermocycling was evaluated.Sixty single-rooted human maxillary central incisors were sectioned below the cemento-enamel junction, and the roots were endodontically treated. RelyX Fiber Posts (size #2) were inserted using etch-and-rinse, self-etch, and self-adhesive luting agents (cementing agents). For half of the specimen in each group, the fiber posts were treated with a silane coupling agent. Bonded specimens were cut (2-mm-thick sections) and push-out tests were performed (crosshead speed, 0.5 mm/min). Failure modes were evaluated using a stereomicroscope at original magnification ×40.For each luting agent the use of silane did not result in any statistically significant difference at any level of the root compared to those of the control groups except for Variolink II and RelyX Unicem luting agents in apical root section (p<0.05; one-way ANOVA). The post hoc analysis showed that regardless of the pre-treatment procedures, Variolink II achieved significantly higher bond strengths than Panavia F 2.0 and RelyX Unicem in all root sections (p<0.05).The use of a silane coupling agent had no influence on bond strengths depending on the luting agent used, whereas the type of luting agent (etch-and-rinse, self-etch, and self-adhesive) appeared to be a significant influence on the push-out bond strength values independent of the pre-treatment used. Therefore, pre-treatment of fiber posts with a silane coupling agent does not seem to be mandatory, which saves time in the clinical situation.     

气体加压技术对两步法自酸蚀粘接系统树脂牙本质粘接效果的影响

探讨使用不同压力气体吹拂两步法自酸蚀粘接剂对树脂牙本质粘接界面微观形貌及微拉伸粘接强度的影响。20颗离体的完整无龋第3磨牙去除冠釉,按粘接过程中气体吹拂处理方法不同随机分为4组(处理剂和粘合剂均轻吹;处理剂强吹,粘合剂轻吹;处理剂轻吹,粘合剂强吹;处理剂和粘合剂均强吹。轻吹气压为0.1MPa,强吹气压为0.3 MPa),每组5颗牙。各组粘接完成后,37℃水浴24 h,每颗牙切出1片薄片状试件利用场扫描电子显微镜(SEM)观察4组粘接界面微观形貌(n=5),另外每颗牙制成8根长方体形试件测试微拉伸强度(μTBS)(n=40)。SEM观察显示,第1组的粘接剂层最厚,树脂突最短小稀疏;第2组和第3组的粘接剂层较薄,树脂突更长更致密更均匀;第4组的粘接剂层最薄,但是树脂突更长更致密更均匀。第2组的μTBS最高(41.32±3.76)MPa,其次为第3组(31.17±4.80)MPa、第1组(26.24±5.21)MPa,第4组最低(14.89±2.31)MPa。在两步法自酸蚀粘接中,采用气体加压技术吹拂处理剂可显著提高树脂牙本质粘接强度。     

Effect of the interfacial area measurement parameters on the push-out strength between fiber post and dentin

PurposeTo verify the influence of different instruments and operators on the bonding interfacial area and on the push-out bond strength values.Material and methodsFifteen anterior human teeth (n=15) were selected, cleaned and standardized to 15 mm length. Root canals were prepared in 12 mm and the fiber posts were cemented using the RelyX U-100 cement. Three slices were obtained per tooth (N=45) and submitted to the push-out bond strength test. The bonding interfacial area (mm²) of each specimen was calculated based on the disc slice dimensions: coronal and apical diameter and height. The bonding area of each specimen was used to calculate the bond strength (Mpa). The dimensions were analyzed by different operators, using two instruments: G1 – Operator A with a digital caliper; G2 – Operator A with a stereomicroscope; G3 – Operator B with a digital caliper; G4 – Operator B with a digital stereomicroscope; G5 – Operator C with a digital caliper; G6 – Operator C with a stereomicroscope. The mean area was submitted to inter-operator and intra-operator analyses, while the mean area and mean of bond strength were submitted to the 2-way ANOVA with repeated measures and the Tukey test (α=0.05).ResultsThe inter-operator kappa was 0.83 to the digital caliper and 0.91 to the stereomicroscope, while the intra-operator kappa was 0.76. The operator and the measurement instrument influenced the interfacial bonding area (p=0.000 and p=0.001) and the push-out bond strength values (p=0.000 and p=0.000, respectively) of the disc slices.ConclusionThe final push-out bond strength values are influenced by the measuring instrument and by the measurer operator.     

Prime-and-rinse approach for improving the enamel micro-tensile bond strengths of self-etch adhesives

The study investigated the effects of prime-and-rinse approach using 15% MDP (10-methacryloyloxydecyl dihydrogen phosphate)-containing primer on the enamel micro-tensile bond strengths (MTBS) of (ultra-) mild self-etch adhesives, enamel surfaces and enamel-resin interfaces. The buccal enamel surfaces of 69 human third molars were polished and randomly assigned to three groups: Group A (control, self-etch approach): Polished enamel surfaces were not further pre-treated. The enamel surfaces were acid-etched (Group B, (selective) enamel etching) or primed with 15% MDP-containing primer (Group C, prime-and-rinse approach) for 15?s and thoroughly water-sprayed. The enamel surfaces were applied with self-etch adhesives and placed with composite resins (Adper Easy One?+?Filtek Z350 (3?M ESPE); Clearfil S3 Bond?+?Clearfil Majesty (Kuraray-Noritake Co.); G Bond?+?Gradia Direct (GC); iBond?+?Charisma (Heraeus-Kulzer)), respectively. The specimens were prepared for MTBS test and scanning/transmission electron microscopy observations. Compared with group A, groups B and C produced significantly higher enamel MTBS (p?<?.01), regardless of the adhesives used. Groups B and C possessed similar enamel MTBS (p?>?.05). The SEM findings showed that smear layer remained on the polished enamel surface was completely removed by acid etching and almost completely removed by prime-and-rinse approach. The TEM microphotographs reveal that smear layer was detectable at the resin-enamel interface in group A, not in groups B and C. The novel prime-and-rinse approach using MDP-containing primer before the application of (ultra-) mild self-etch adhesives could greatly increase the enamel MTBS. That might be an alternative to selective enamel etching.     

Effect of adhesive type and composite viscosity on the dentin bond strength

Objectives: Evaluate the influence of composite resins viscosity and type of cure of the adhesive systems on the bond strength of composite resins submitted to artificial aging.

Methods: Dentin specimens (n = 240) were divided into 2 groups: Group GC: GrandioSO, and Group GF: GrandioSO Heavy Flow. These groups were subdivided into 6: FM: Futurabond M – light cured, FDCC: Futurabond Dual Cure – chemical cured, FDCL: Futurabond Dual Cure – light cured, CS3: Clearfil S3 – light cured, CDCC: Clearfil Dual Cure – chemical cured, and CDCL: Clearfil Dual Cure – light cured. Resin blocks were build up on the dentin surface. Half of samples on each group were cut to obtain resin/dentin sticks (1 × 1 mm). The other half was first submitted to thermomechanical aging. The dentin/resin sticks were submitted to microtensile bond strength test and the results were analyzed using three-way ANOVA and Tukey’s test (α = 5%).

Results: ANOVA showed significant influence for adhesive (p = 0.0000) and aging (p = 0.0001). No significant influence of the composite viscosity on bond strength was observed (ANOVA: p = 0.0861). For adhesive, the results of Tukey’s test (MPa) were CDCC: 13.44 (±5.13)a; FM: 14,01 (±2.71)a; CDCL: 14.51 (±4.98)a; FDCC: 18.66 (±7.13)b; CS3: 18.80 (±6.50)b; FDCL: 19.18 (±7.39)b. For aging: AGED: 14.99 (±6.32)a; NOT AGED: 17.87 (±5.97)b.

Conclusion: Composite resin viscosities did not influence on the bond strength. Type of cure of the adhesives had influence on the bond strength. Thermomechanical aging decreased the bond strength.     

Fracture resistance of endodontically treated maxillary incisors restored with zirconia posts: effect of the internal plateau preparation

ABSTRACT

We report on a new approach to increase the fracture resistance of endodontically treated teeth. We propose a preparation of horizontal internal plateau (IP) in dentine and the use of retentive zirconia posts to achieve a more favourable load transmission. The aim of our work was to investigate the effect of the IP depth and the post diameter on the fracture resistance and the failure mode of maxillary central incisors. Seventy-two teeth were, divided into six groups of 12. IP 4?mm in diameter and 0, 1 or 2?mm in depth was prepared and zirconia posts of two diameters luted. Specimens were loaded until failure and fractures were classified as reparable or not. Two-way ANOVA, Tukey’s HSD test and Poisson regression were used for statistical analysis (α?=?0.05). Significantly improved fracture resistance and predominantly favourable failure modes were found when 2-mm deep IP is prepared.     

The effect of canal cleansing protocols on cementation of a fiber post to saliva-contaminated root canals

Objective: This study investigated the effect of saliva contamination and cleansing effect of a self-etching primer (SEP), phosphoric acid (PA), chlorhexidine (CHX), and ethanol (EtOH) on the microtensile bond strength (μTBS) of a fiber post cemented with a self-adhesive resin cement (SAC) to root canal dentin.

Material and methods: Sixty human lower premolar roots were randomly divided into 10 groups: (1) no saliva contamination, no cleansing (Control); (2) no saliva contamination, cleansing with SEP (NC-SEP); (3) no saliva contamination, cleansing with PA (NC-PA); (4) no saliva contamination, cleansing with CHX (NC-CHX); (5) no saliva contamination, cleansing with EtOH (NC-EtOH); (6) with saliva contamination, no cleansing (SC-NC); (7) with saliva contamination, cleansing with SEP (SC-SEP); (8) with saliva contamination, cleansing with PA (SC-PA); (9) with saliva contamination, cleansing with CHX (SC-CHX); (10) with saliva contamination, cleansing with EtOH (SC-EtOH). After cementation of posts, the roots were transversally sectioned to obtain six slices (n = 36) followed by μTBS test. Data were analyzed with ANOVA and Tukey HSD tests (p = 0.05).

Results: Saliva contamination and cleansing methods had a significant effect on μTBS values (p < 0.0001). All cleansing agents improved bond strengths when compared with Control and SC-NC. Cleansing with CHX and ethanol showed lower μTBS values than phosphoric acid and SEP, regardless of saliva contamination (p < 0.05).

Conclusions: Saliva contamination negatively affected bonding performance of SAC to root dentin. However; SEP, PA, CHX and EtOH can be used on contaminated dentin surfaces to optimize bonding performance of self-adhesive cements.     

Effect of hot-etching treatment on shear bond strength of zirconia to resin cement

ABSTRACT

The purpose of this study was to evaluate the effect of hot-etching surface treatment on the shear bond strength between zirconia ceramics and resin cement. Ceramic cylinders were divided randomly into 10 groups (n?=?10) according to different surface treatments (blank control; airborne particle abrasion; hot-etching for 10?min; hot-etching for 30?min; hot-etching for 60?min) and whether or not performed thermal cycling fatigue test. Flat enamel surfaces, were prepared from human permanent incisors and were bonded to the zirconia discs. All specimens were subjected to shear bond strength test by a universal testing machine. All data were statistically analysed using one-way analysis of variance and multiple comparison least significant difference tests (α?=?0.05). Hot-etching for 60?min treatment produced higher bond strengths than the other treatment. Surface treatment of zirconia with a hot-etching solution might enhance surface roughness and bond strength between zirconia and resin cement.