Evaluation of Various Pretreatments to Fiber Post on the Push‐out Bond Strength of Root Canal Dentin Effects of dentin surface treatments including Er,Cr:YSGG laser irradiation with different intensities on the push-out bond strength of the glass fiber posts to root dentin Effect of root canal sealers on bond strength of fibreglass posts cemented with self-adhesive resin cements. Effect of eugenol-containing sealer and post diameter on the retention of fiber reinforced composite posts The effect of light-curing access and different resin cements on apical bond strength of fiber posts. Comparison of regional bond strength in root thirds among fiber-reinforced posts luted with different cements. Push-out bond strengths of different dental cements used to cement glass fiber posts. Effect of Intracanal Irrigants on Bond Strength of Fiber Posts Cemented With a Self-adhesive Resin Cement. Effect of resin cement system and root region on the push-out bond strength of a translucent fiber post.
Introduction : The aim of this in vitro study was to compare the effect of different pretreatments ( fiber post ) with the laser‐activated irrigation ( LAI ) technique ( for removal of the smear layer ) on root canal dentin in terms of push‐out bond strength ( PBS ) in a fiber post . Methods : Fifty freshly extracted m and ibular single‐rooted premolars were prepared , and LAI was applied to all roots ( 17 % EDTA was 5 mL for 120 seconds with an erbium , chromium : yttrium‐sc and ium‐gallium‐garnet laser [ 0.50 W , 20 Hz , 25 mJ ] ) . In addition , 50 quartz fiber posts were r and omly assigned to 5 groups ( n = 10 ) according to the surface treatments as follows : group S ( s and blasting ) , group N1 and group N2 ( neodymium : yttrium‐aluminum‐garnet laser irradiation [ 2 W , 200 mJ , 10 Hz , with pulse duration s of 180 or 320 microseconds ) , group HF ( 9.7 % hydrofluoric acid etched ) , and group C ( control with no treatment ) . Dual‐cure resin cement was adhered onto the fiber posts after they were covered with a silane agent , and then the posts were placed into the canal space using a Lentulo spiral . The PBS test was performed after all specimens were transversally sectioned ( root slices of 1‐mm thickness ) . Data were analyzed with 1‐way analysis of variance/Tukey post hoc test ( & agr ; = 0.05 ) . Results : The highest PBS value was observed in group S ( middle part ) , and the lowest value was observed in group C ( apical part ) . There were no statistical differences among the groups regardless of the part . Furthermore , when the PBS values of the different parts of dentin were compared within treated groups , significant differences were observed in all groups except group N2 ( P < .05 ) . Conclusions : Within the limitations of this study , it can be concluded that the LAI technique when used with 17 % EDTA had a significant effect on the amount of smear layer removed from the root canal dentin , which was also detected in the fracture pattern ( adhesive failure [ resin‐post interface ] ) . However , the various treatments of the fiber post did not improve the PBS of the root dentin . HighlightsIt is crucial to maximize the bond strength between the root dentin and resin and between the resin and fiber post for the success of post‐core restorations . EDTA + laser‐activated irrigation significantly reduces debris or smear layers from the root dentin wall . The mechanical treatments on the fiber post surfaces can not affect the push‐out bond strength ( PBS ) ; however , other additional parameters must be evaluated . Studies on the effects of different surface treatments on the fiber post and root dentin walls together with PBS could enrich the literature Abstract Objective . Intra-canal post systems are commonly used to restore root-filled teeth . Bond strengths of the posts can be affected by various surface treatments of the post or the dentin . The aim of this study was to evaluate the effects of dentin surface treatments including erbium-chromium ; yttrium-sc and ium-gallium-garnet ( Er , Cr : YSGG ) laser irradiation with different intensities on the push-out bond strength of the glass fiber posts to root dentin . Material s and methods . Forty single-rooted human maxillary incisors were filled and post spaces were prepared . After these procedures , the specimens were divided r and omly into four groups according to the dentin surface treatments , as follows : ( i ) untreated surface ( control ) , ( ii ) 1W Er , Cr : YSGG laser application , ( iii ) 2W Er , Cr : YSGG laser application and ( iv ) 3W Er , Cr : YSGG laser application . Then the posts were cemented into the root canals using dual-cured resin cement . Bonded specimens were cut into 1-mm-thick slices and push-out tests were performed using a universal testing device . All specimens were loaded until fracture and the failure modes were evaluated with a stereomicroscope at 32 × magnification . Representative specimens were analyzed by scanning electron microscopy . Data were analyzed using a one-way ANOVA , Tukey and Wilcoxon tests . Results . The bond strength values ranged from 3.22–4.68 MPa . There were no statistically significant differences among the groups , regardless of the different levels . The coronal and middle levels of the post space had significantly higher bond strength values compared with the apical level ( p < 0.05 ) . Conclusion . Er , Cr : YSGG laser irradiation with different intensities did not increase the bond strength of the fiber posts to the root canal dentin walls AIM This study evaluated the effects of different root canal sealers on the bond strength of a fibreglass post cemented with self-adhesive resin cements . METHODOLOGY The root canals of 50 extracted maxillary single-rooted canine teeth were prepared with the crown-down technique and r and omly divided into five groups according to the sealer used : group 1 : control group , gutta-percha points only ( no sealer ) ; group 2 : AH Plus ( resin-based sealer ) ; group 3 : self-etch Epiphany ( resin-based sealer ) ; group 4 : Sealer 26 ( calcium hydroxide-based sealer ) ; and group 5 : Endomethasone ( zinc oxide eugenol-based sealer ) . The root canals were filled with gutta-percha , the cold lateral compaction technique , except for group 3 where Resilon was used . Post spaces were prepared , and fibreglass posts were cemented with the self-adhesive cement RelyX Unicem . Bonded specimens were sectioned into 1-mm-thick slabs , and a push-out test was performed in a universal machine . Failure modes were observed and classified into five types : ( i ) adhesive between the post and resin cement ; ( ii ) mixed , with resin cement covering 0 - 50 % of the post diameter ; ( iii ) mixed , with resin cement covering 50 - 100 % of the post surface ; ( iv ) adhesive between resin cement and root canal ; and ( v ) cohesive in dentine . Data of bond strength were su bmi tted to anova and Tukey test ( α = 0.05 ) . RESULTS No significant difference was detected between control group , AH Plus , Epiphany and Sealer 26 ( P > 0.05 ) . The Endomethasone group had significantly lower bond strength values than the other sealers ( P < 0.05 ) . The prevalence of mixed fractures and adhesive cement-dentine failure was verified in the eugenol-containing sealer group ; in the control group , the resin-based and calcium hydroxide-based sealer groups , the predominant mode of failure was the mixed type . CONCLUSION Endomethasone interfered negatively with the bond to root dentine ; however , AH Plus , Epiphany and Sealer 26 did not interfere in the bond strength of a fibreglass post cemented with self-adhesive resin cements Background : Fiber reinforced composite ( FRC ) posts are cemented with resin cements . It is reported that using resin cements in canals sealed with eugenol-containing sealers reduces the post retention . However , there is controversy on the subject . Aims : The aim was to investigate the influence of eugenol-containing sealers and the amount of dentin removal from root canal with different post diameters on retention of FRC posts . Setting s and Design : It was an in vitro study Material s and Methods : The roots of sixty teeth were cut with 14 mm distance from the apex and were instrumented to the working-length of 13 mm . The teeth were r and omly distributed into 2 groups ( n = 30 ) . Following storage in normal saline for 7 days , the sample s in both the groups were further divided into 3 subgroups ( n = 10 ) . Canals in the experimental subgroups ( I , II , III ) were obturated by gutta-percha and eugenol-containing sealer ; and in the control subgroups ( IV , V , VI ) without any sealer . After storage in normal saline for 7 days , the post space was prepared by # 3 , # 2 , and # 1 drills of DT Light-Post system . Post was cemented with Panavia-F2.0 resin-cement . A composite core was built for each sample . All sample s were thermo cycled for 1000 cycles . The sample s were tested for post retention with a mechanical testing machine . Statistical Analysis : Data were analyzed by two-way ANOVA and Tukey-HSD test . Results : There was not a significant difference in retention between FRC posts # 1 and # 2 ( P > 0.05 ) . Post # 3 was more retentive than posts # 1 and # 2 ( P < 0.05 ) . ZOE sealer significantly reduced the retention of posts ( P = 0.024 ) , however , increasing post-space diameter significantly increased post retention in canals coated with ZOE sealer ( P = 0.002 ) . Conclusions : Eugenol-containing sealer reduced the retention of FRC posts cemented with resin cement . Removing more dentin from root-canals treated with eugenol-containing sealer for placing larger diameter posts caused an increase in post retention PURPOSE This study evaluated the effect of light-curing access on the bond strength of fiber glass posts to the apical area of bovine roots using self-adhesive cement or dual-cured cement with an etch- and -rinse adhesive system . MATERIAL S AND METHODS The root canals of 60 bovine teeth were endodontically treated and filled . A 15-mm-length post space was prepared and roots were r and omly divided into three groups , simulating the levels of light-curing access : coronal ( C ) , with 15-mm post space ; middle ( M ) , in which the coronal thirds of roots were cut out , leaving a 10-mm post space ; and apical ( A ) , in which the coronal and middle thirds of roots were cut out , leaving a 5-mm post space . Fiber glass posts ( Reforpost # 3 , Angelus ) were cemented with RelyX U100 ( 3 M ESPE ) or RelyX ARC/Scotchbond Multi Purpose Plus ( SBMP ) ( 3 M ESPE ) ( n=10 ) and light-cured . After 24 hours , the apical thirds of roots were sectioned perpendicularly to the long axis and su bmi tted to a push-out test ( 0.5 mm/min , 200 N ) . The Kruskal-Wallis test compared the three levels of light-curing access , and the Mann-Whitney test compared the cements . RESULTS The bond strength was significantly higher in the groups C ( p=0.028 ) and M ( p=0.016 ) when U100 was used , whereas it was similar for both cements in group A. The bond strengths of posts cemented with ARC/SBMP were significantly higher in group A compared to group C ( p=0.031 ) . CONCLUSIONS The type of cement used and the light-curing access level influenced the bond strength between glass fiber posts and root canals . The bond strength of the RelyX ARC/SBMP cement proved to be more dependent on photoactivation than was the RelyX U100 cement . The light-curing access level did not influence the apical bond strength of RelyX U100 AIM To compare regional bond strength in different thirds of the root canal , among glass fiber-reinforced ( FRC ) endodontic posts luted with different cements , using the push-out test . MATERIAL AND METHODS Sixty extracted human anterior teeth were endodontically treated with gutta-percha and AH Plus sealer . The crown portion was removed , and a dowel space was prepared . Prepared teeth were r and omly assigned to one of six groups ( n = 10 ) for luting glass FRC Postec posts , with one of the six cement systems ( Ketac Cem Aplicap , Relyx Unicem Aplicap , Variolink II/Excite DCS , Panavia F/ED Primer , C&B cement/All-Bond 2 , and Multilink/Multilink Primer A/B ) , using an alignment technique . Specimens were embedded in resin , and each root was sectioned into six 1-mm thick serial slices . A push-out test was performed to measure regional bond strengths and to identify the type of failure . RESULTS The highest bond strength values were found in the cervical third and the lowest in the apical third . Highest values were obtained using Variolink II , Panavia F , and Multilink resin cements followed by C&B resin cement and Relyx Unicem ionomer resin cement ; Ketac-cem ionomer cement showed the lowest value . CONCLUSION Highest bond strength values were obtained in the cervical third and with resin cements STATEMENT OF PROBLEM Since the introduction of glass fiber posts , irreversible vertical root fractures have become a rare occurrence ; however , adhesive failure has become the primary failure mode . PURPOSE The purpose of this study was to evaluate the push-out bond strength of glass fiber posts cemented with different luting agents on 3 segments of the root . MATERIAL AND METHODS Eighty human maxillary canines with similar root lengths were r and omly divided into 8 groups ( n=10 ) according to the cement assessed ( Rely X luting , Luting and Lining , Ketac Cem , Rely X ARC , Biscem , Duo-link , Rely X U100 , and Variolink II ) . After st and ardized post space preparation , the root dentin was pretreated for dual-polymerizing resin cements and untreated for the other cements . The mixed luting cement paste was inserted into post spaces with a spiral file and applied to the post surface that was seated into the canal . After 7 days , the teeth were sectioned perpendicular to their long axis into 1-mm-thick sections . The push-out test was performed at a speed of 0.5 mm/min until extrusion of the post occurred . The results were evaluated by 2-way ANOVA and the all pairwise multiple comparison procedures ( Tukey test ) ( α=.05 ) . RESULTS ANOVA showed that the type of interaction between cement and root location significantly influenced the push-out strength ( P<.05 ) . The highest push-out strength results with root location were obtained with Luting and Lining ( S3 ) ( 19.5 ±4.9 MPa ) , Ketac Cem ( S2 ) ( 18.6 ±5.5 MPa ) , and Luting and Lining ( S1 ) ( 18.0 ±7.6 MPa ) . The lowest mean values were recorded with Variolink II ( S1 ) ( 4.6 ±4.0 MPa ) , Variolink II ( S2 ) ( 1.6 ±1.5 MPa ) , and Rely X ARC ( S3 ) ( 0.9 ±1.1 MPa ) . CONCLUSIONS Self-adhesive cements and glass ionomer cements showed significantly higher values compared to dual-polymerizing resin cements . In all root segments , dual-polymerizing resin cements provided significantly lower bond strength . Significant differences among root segments were found only for Duo-link cement OBJECTIVE The aim of this study was to evaluate the effect of five intracanal irrigants on bond strength of fiber posts cemented with newer self-adhesive resin cement . METHODS A total of 60 extracted , single-rooted human premolars , sectioned at 14 mm , were prepared with the ProTaper Universal system with a size F3 instrument and filled with an F3 master cone and AH Plus . The root canal filling was partially removed , leaving 4 mm of apical gutta-percha . Specimens were r and omly assigned to five groups ( n=12 ) , according to the solution used for dentin surface treatment before fiber post cementation , as follows : EDTA 17 % ( EDTA ) ; QMix ( QM ) ; SmearClear ( SC ) ; 2.5 % sodium hypochlorite ( NaOCl ) , and 0.9 % saline solution ( SS ) . Ultrasonic activation was performed ( three times , 20 seconds each ) , and root canals were dried with paper points . Fiber posts were cemented with RelyX U200 . In one specimen per group , rhodamine B dye was mixed with RelyX U200 to provide adequate fluorescence for confocal laser scanning microscopy ( CLSM ) assessment . Specimens were transversally sectioned and three slices were obtained , one for each root third . Next , a push-out test was performed . A stereomicroscope and CLSM were used to analyze the failure modes and to illustrate the pattern of infiltration of RelyX U200 into dentinal tubules , respectively . Bond strength means were calculated , and analysis of variance and Bonferroni tests were used for statistical analysis . RESULTS SS showed the highest mean bond strength values ( 11.5±5.3 ) , superior to QM ( 5.1±3.1 ) and SC ( 5.1±3.3 ) . NaOCl presented intermediary bond strength values ( 9.7±5.0 ) , similar to EDTA ( 7.7±2.9 ) and SS . QM and SC showed the lowest mean bond strength ( p<0.05 ) . Adhesive failures between cement/dentin were predominant ( 53.9 % ) . CONCLUSION SS and NaOCl associated with ultrasonic activation seem to be adequate solutions for root canal cleaning before fiber post cementation with self-adhesive resin cement , whereas chelating solutions , such as EDTA , QM , and SC , cause a decrease in bond strength OBJECTIVES This study evaluated the bond strength of luting systems for bonding glass fiber posts to root canal dentin . The hypothesis tested was that there are no differences in bond strength of glass fiber posts luted with different cement systems . METHODS Forty bovine incisors were r and omly assigned to five different resin cement groups ( n=8 ) . After endodontic treatment and crown removal , translucent glass fiber posts were bonded into the root canal using five different luting protocol s ( self-cured cement and etch- and -rinse adhesive system ; dual-cured cement and etch- and -rinse adhesive system ; self-cured cement and self-etch adhesive system ; dual-cured cement and self-etch adhesive system ; and dual-cured self-adhesive cement ) . Push-out bond strength was evaluated at three different radicular levels : cervical , middle , and apical . The interface between resinous cement and the post was observed using a stereoscopic microscope . RESULTS Analysis of variance showed a statistically significant difference among the cements ( p<0.05 ) and the root canal thirds ( p<0.05 ) . The self-adhesive resinous cement had lower values of retention . CONCLUSIONS The resin cements used with etch- and -rinse and self-etch adhesive systems seem to be adequate for glass fiber post cementation
In conclusion , this review suggests that the use of NaOCl/EDTA results in the retention of FGPs and may thus be recommended as a post-space cleaning method influencing the luting procedure
The presence of residues within the root canal after post-space preparation can influence the bond strength between resin cement and root dentin when using fiberglass posts ( FGPs ) .
Currently , there is no consensus in the literature regarding what is the best solution for the removal of debris after post-space preparation .
This systematic review involved " in vitro " studies to investigate if cleaning methods of the root canal after post-space preparation can increase the retention of FGPs evaluated by the push-out test .