The effects of different root canal irrigation protocols and artificial aging procedures on the bond strength between dentin and hybrid ceramic posts

Abstract The purpose of this study is to investigate the effects of different root canal irrigation protocols applied to the dentin and artificial aging procedures on the micro pushout bond strength (mPBS) between dentin and hybrid ceramic posts. Seventy-five single-rooted mandibular premolar teeth...

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Main Authors: Celalettin Topbaş, Şevki Çınar, Bike Altan, Dursun Ali Şirin, Mehmet Ali Fildişi
Format: Article
Language:English
Published: BMC 2022-12-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-022-02571-x
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author Celalettin Topbaş
Şevki Çınar
Bike Altan
Dursun Ali Şirin
Mehmet Ali Fildişi
author_facet Celalettin Topbaş
Şevki Çınar
Bike Altan
Dursun Ali Şirin
Mehmet Ali Fildişi
author_sort Celalettin Topbaş
collection DOAJ
description Abstract The purpose of this study is to investigate the effects of different root canal irrigation protocols applied to the dentin and artificial aging procedures on the micro pushout bond strength (mPBS) between dentin and hybrid ceramic posts. Seventy-five single-rooted mandibular premolar teeth were divided into 5 groups (Gr1-5). 50 of the teeth were used for the mPBS tests (n = 10), whereas 25 were used for the smear layer examinations (n = 5). Post space were prepared and irrigated with different irrigation-protocols in each group. (Gr1:[SS], Gr2:[NaOCl] + SS, Gr3:[EDTA] + NaOCl + SS, Gr4:[MA] + NaOCl + SS, Gr5:[Ch] + NaOCl + SS). Post and core pattern were fabricated with pattern resin and a fiber post, after scanning, the posts were milled with Vita Enamic resin ceramic block, and cemented. After 7 days the roots were sliced at thicknesses of 1 mm; half of them were subjected to mPBS test, while the other half were tested after undergoing mechanical cycling for artificial aging. For data analysis, the Shapiro-Wilk test was utilized to test normal distributions, 3-way analysis of variance was used to compare mPBS, and Tukey’s HSD test was conducted for multiple comparisons. SEM analysis was performed for examination of failure modes and smear layer removal. Different root canal irrigation protocols affected mPBS significantly. While Gr4 had the highest mPBS, Gr1 had the lowest. Regarding to different zones, the highest mPBS was in coronal zone, and the lowest one was in the apical zone. The aging procedure also led to a statistically-significant decrease in mPBS. Most frequent failure modes were cohesive failure in dentin and mixed failure. Irrigation with 7%MA (Gr4) showed better performance than 17% EDTA (Gr3) in smear layer removal, especially at the apical zone of the tooth. This is critical for the success of root canal treatment and increased the mPBS to a higher extent in all zones of the tooth.
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spelling doaj.art-78d3f9d866f848e79fe730b8e61133152022-12-22T04:18:56ZengBMCBMC Oral Health1472-68312022-12-0122111010.1186/s12903-022-02571-xThe effects of different root canal irrigation protocols and artificial aging procedures on the bond strength between dentin and hybrid ceramic postsCelalettin Topbaş0Şevki Çınar1Bike Altan2Dursun Ali Şirin3Mehmet Ali Fildişi4Department of Endodontics, Faculty of Dentistry, University of Health SciencesDepartment of Prosthodontics, Faculty of Dentistry, University of Health SciencesDepartment of Prosthodontics, Faculty of Dentistry, University of Health SciencesDepartment of Endodontics, Faculty of Dentistry, University of Health SciencesDepartment of Restorative Dentistry, Faculty of Dentistry, Medipol UniversityAbstract The purpose of this study is to investigate the effects of different root canal irrigation protocols applied to the dentin and artificial aging procedures on the micro pushout bond strength (mPBS) between dentin and hybrid ceramic posts. Seventy-five single-rooted mandibular premolar teeth were divided into 5 groups (Gr1-5). 50 of the teeth were used for the mPBS tests (n = 10), whereas 25 were used for the smear layer examinations (n = 5). Post space were prepared and irrigated with different irrigation-protocols in each group. (Gr1:[SS], Gr2:[NaOCl] + SS, Gr3:[EDTA] + NaOCl + SS, Gr4:[MA] + NaOCl + SS, Gr5:[Ch] + NaOCl + SS). Post and core pattern were fabricated with pattern resin and a fiber post, after scanning, the posts were milled with Vita Enamic resin ceramic block, and cemented. After 7 days the roots were sliced at thicknesses of 1 mm; half of them were subjected to mPBS test, while the other half were tested after undergoing mechanical cycling for artificial aging. For data analysis, the Shapiro-Wilk test was utilized to test normal distributions, 3-way analysis of variance was used to compare mPBS, and Tukey’s HSD test was conducted for multiple comparisons. SEM analysis was performed for examination of failure modes and smear layer removal. Different root canal irrigation protocols affected mPBS significantly. While Gr4 had the highest mPBS, Gr1 had the lowest. Regarding to different zones, the highest mPBS was in coronal zone, and the lowest one was in the apical zone. The aging procedure also led to a statistically-significant decrease in mPBS. Most frequent failure modes were cohesive failure in dentin and mixed failure. Irrigation with 7%MA (Gr4) showed better performance than 17% EDTA (Gr3) in smear layer removal, especially at the apical zone of the tooth. This is critical for the success of root canal treatment and increased the mPBS to a higher extent in all zones of the tooth.https://doi.org/10.1186/s12903-022-02571-xEDTAMaleic acidMicro-pushout bond strengthVita EnamicPost
spellingShingle Celalettin Topbaş
Şevki Çınar
Bike Altan
Dursun Ali Şirin
Mehmet Ali Fildişi
The effects of different root canal irrigation protocols and artificial aging procedures on the bond strength between dentin and hybrid ceramic posts
BMC Oral Health
EDTA
Maleic acid
Micro-pushout bond strength
Vita Enamic
Post
title The effects of different root canal irrigation protocols and artificial aging procedures on the bond strength between dentin and hybrid ceramic posts
title_full The effects of different root canal irrigation protocols and artificial aging procedures on the bond strength between dentin and hybrid ceramic posts
title_fullStr The effects of different root canal irrigation protocols and artificial aging procedures on the bond strength between dentin and hybrid ceramic posts
title_full_unstemmed The effects of different root canal irrigation protocols and artificial aging procedures on the bond strength between dentin and hybrid ceramic posts
title_short The effects of different root canal irrigation protocols and artificial aging procedures on the bond strength between dentin and hybrid ceramic posts
title_sort effects of different root canal irrigation protocols and artificial aging procedures on the bond strength between dentin and hybrid ceramic posts
topic EDTA
Maleic acid
Micro-pushout bond strength
Vita Enamic
Post
url https://doi.org/10.1186/s12903-022-02571-x
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