Comparative evaluation of the strength of adhesion by push-out bond strength tests on endodontic posts cemented with different resinous types of luting cements: An in vitro study
https://doi.org/10.36377/ET-0039
Abstract
INTRODUCTION. Endodontic posts play a vital role in strengthening debilitated teeth. They are luted into the radicular space using dental cements that are generally resinous. Given that the forces faced by human teeth are loading in nature and the stresses are accumulative, the bond strength of the interfaces at both the radicular dentin and luting agent and the endodontic post and the luting agent needs to be evaluated. Micro pushout bond strength (POBS) testing is done to determine these strengths. This experimental, in vitro study evaluated the adhesion strength of endodontic posts cemented with different resin-based luting agents using micro-POBS.
MATERIALS AND METHODS. A total of 30 human lower incisors were selected and divided into three groups (n=10), based on the type of adhesive resin cement used for luting. Prefabricated endodontic fiber posts were inserted into the root canals of each tooth, and different resin types of cement – Estecem II, Multilink Automix, and Relyx Ultimate. were used to cement the fiber posts. The micro-POBS test measured the bond strength of the cemented pins to the root canal dentin.
RESULTS. The results showed that the mean POBS of Group B was higher than that of Group A and Group C. The difference between the mean POBSs of Group A and Group C was not statistically significant (p>0.05).
CONCLUSION. The resin adhesive cement used can affect the POBS of endodontic posts to root canal dentin. Clinicians should choose the appropriate resin cement for cementing endodontic posts to ensure a strong and durable bond for a good clinical prognosis.
About the Authors
C. D’AmicoItaly
Cesare D’Amico – Department of Biomedical and Dental Sciences, Morphological and Functional Images
98100 Messina;
Department of Implantology, Faculty of Dentistry
1000 Tirana
A. Shalini
India
Shalini Aggarwal – Department of Conservative Dentistry and Endodontics
Pune 411018
A. Mathur
India
Ankita Mathur – Department of Dental Research Cell
Pune 411018
S. Sivillica
Italy
Simona Sivillica – Department of Medical and Surgical Science, Section of Dentistry
95123 Catania
G. R.-M. La Rosa
Italy
Giusy Rita Maria La Rosa – Department of Medical and Surgical Science, Section of Dentistry
95123 Catania
F. Gorassini
Italy
Francesca Gorassini – Multidisciplinary Department of Medical-Surgical and Dental Specialties
80100 Naples
A. G. Heboyan
Armenia
Artak G. Heboyan – Department of Prosthodontics, Faculty of Stomatology
Yerevan
L. Fiorillo
Italy
Luca Fiorillo – Department of Biomedical and Dental Sciences, Morphological and Functional Images
98100 Messina;
Department of Implantology, Faculty of Dentistry
1000 Tirana;
Department of Dental Research Cell
Pune 411018;
Multidisciplinary Department of Medical-Surgical and Dental Specialties
80100 Naples
E. Pedullà
Italy
Eugenio Pedullà – Department of Medical and Surgical Science, Section of Dentistry
95123 Catania
References
1. Poole D.F.G., Newman H.N. Dental plaque and oral health. Nature. 1971;234(5328):329–331. https://doi.org/10.1038/234329a0
2. Newbrun E. Sugar and dental caries: a review of human studies. Science. 1982;217(4558):418–423. https://doi.org/10.1126/science.7046052
3. Lo Giudice R., Nicita F., Puleio F., Alibrandi A., Cervino G., Lizio A.S., Pantaleo G. Accuracy of periapical radiography and CBCT in endodontic evaluation. Int J Dent. 2018;2018:2514243. https://doi.org/10.1155/2018/2514243
4. Kucher M., Dannemann M., Modler N., Hannig C., Weber M.T. Effects of endodontic irrigants on material and surface properties of biocompatible thermoplastics. Dent J. 2019;7(1):26. https://doi.org/10.3390/dj7010026
5. Palma P.J., Ramos J.C., Martins J.B., Diogenes A., Figueiredo M.H., Ferreira P. et al. Histologic evaluation of regenerative endodontic procedures with the use of chitosan scaffolds in immature dog teeth with apical periodontitis. J Endod. 2017;43(8):1279–1287. https://doi.org/10.1016/j.joen.2017.03.005
6. Selwitz R.H., Ismail A.I., Pitts N.B. Dental caries. Lancet. 2007;369(9555):51–59. https://doi.org/10.1016/S0140-6736(07)60031-2
7. Dental caries and fluoride. Lancet. 1981;1(8234):1351. https://doi.org/10.1016/S0140-6736(81)92526-5
8. Heboyan A., Vardanyan A., Karobari M.I., Marya A., Avagyan T., Tebyaniyan H. et al. Dental luting cements: An updated comprehensive review. Molecules. 2023;28(4):1619. https://doi.org/10.3390/molecules28041619
9. Sipahi C., Ozen J., Ural A.U., Dalkiz M., Beydemir B. The effect of two fibre impregnation methods on the cytotoxicity of a glass and carbon fibre-reinforced acrylic resin denture base material on oral epithelial cells and fibroblasts. J Oral Rehabil. 2006;33(9):666–73. https://doi.org/10.1111/j.1365-2842.2006.01648.x
10. Tay F.R., Pashley D.H. Monoblocks in root canals: a hypothetical or a tangible goal. J Endod. 2007;33(4):391–398. https://doi.org/10.1016/j.joen.2006.10.009
11. Perdigão J., Gomes G., Augusto V. The effect of dowel space on the bond strengths of fiber posts. J Prosthodont. 2007;16(3):154–164. https://doi.org/10.1111/j.1532-849X.2006.00166.x
12. Goracci C., Tavares A.U., Fabianelli A., Monticelli F., Raffaelli O., Cardoso P.C. et al. The adhesion between fiber posts and root canal walls: comparison between microtensile and push-out bond strength measurements. Eur J Oral Sci. 2004;112(4):353–361. https://doi.org/10.1111/j.1600-0722.2004.00146.x
13. Baldea B., Furtos G., Antal M., Nagy K., Popescu D., Nica L. Push-out bond strength and SEM analysis of two self-adhesive resin cements: An in vitro study. J Dent Sci. 2013;8(3):296–305. https://doi.org/10.1016/j.jds.2013.01.007
14. Lee J.J., Nettey-Marbell A., Cook A.Jr., Pimenta L.A., Leonard R., Ritter A.V. Using extracted teeth for research: The effect of storage medium and sterilization on dentin bond strengths. J Am Dent Assoc. 2007;138(12):1599–1603. https://doi.org/10.14219/jada.archive.2007.0110
15. Iandolo A., Pisano M., Abdellatif D., Amato A., Giordano F., Buonavoglia A. et al. Effectiveness of different irrigation techniques on post space smear layer removal: SEM evaluation. Prosthesis. 2023;5(2):539–549. https://doi.org/10.3390/prosthesis5020037
16. Roberts H.W., Leonard D.L., Vandewalle K.S., Cohen M.E., Charlton D.G. The effect of a translucent post on resin composite depth of cure. Dent Mater. 2004;20(7):617–622. https://doi.org/10.1016/j.dental.2003.10.004
17. Noè G., Toffoli A., Foce E., Di Febo G., Carnevale G., Bonfiglioli R. et al. Vertical edgeless preparation: Periodontal dominance in prosthetic crown preparation. Prosthesis. 2023;5(2):358–367. https://doi.org/10.3390/prosthesis5020026
18. Santos F.C.D., Banea M.D., Carlo H.L., De Barros S. Test methods for bond strength of glass fiber posts to dentin: A review. J Adhes. 2016;93(1-2):159–186. https://doi.org/10.1080/00218464.2016.1184094
19. Van Meerbeek B., Yoshihara K., Yoshida Y., Mine A., De Munck J., Van Landuyt K.L. State of the art of self-etch adhesives. Dent Mater. 2011;27(1):17–28. https://doi.org/10.1016/j.dental.2010.10.023
20. Yildirim T., Taşdemir T., Orucoglu H. The evaluation of the influence of using MTA in teeth with post indication on the apical sealing ability. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108(3):471–474. https://doi.org/10.1016/j.tripleo.2009.04.036
21. Liberman R., Gorfil C., Ben-Amar A. Reduction of microleakage in class II composite resin restorations using retentive pins. J Oral Rehabil. 1996;23(4):240–243. https://doi.org/10.1111/j.1365-2842.1996.tb00847.x
22. Habib S.R., Ansari A.S., Khan A.S., Alamro N.M., Alzaaqi M.A., Alkhunefer Y.A. et al. Push-out bond strength of endodontic posts cemented to extracted teeth: An invitro evaluation. Materials. 2022;15(19):6792. https://doi.org/10.3390/ma15196792
23. Giannini M., Makishi P., Ayres A.P., Vermelho P.M., Fronza B.M., Nikaido T., Tagami J. Self-etch adhesive systems: a literature review. Braz Dent J. 2015;26(1):3–10. https://doi.org/10.1590/0103-6440201302442
24. Bouillaguet S., Troesch S., Wataha J.C., Krejci I., Meyer J.M., Pashley D.H. Microtensile bond strength between adhesive cements and root canal dentin. Dent Mater. 2003;19(3):199–205. https://doi.org/10.1016/s0109-5641(02)00030-1
25. Haller B., Götze W., Weiss G. Parapulpal pins and their effects on the fracture resistance of pin-retained cores. J Oral Rehabil. 1991;18(5):459–469. https://doi.org/10.1111/j.1365-2842.1991.tb01691.x
26. Ferrari M., Mannocci F., Vichi A., Cagidiaco M.C., Mjör I.A. Bonding to root canal: structural characteristics of the substrate. Am J Dent. 2000;13(5):255–260.
27. Rathke A., Haj-Omer D., Muche R., Haller B. Effectiveness of bonding fiber posts to root canals and composite core build-ups. Eur J Oral Sci. 2009;117(5):604–610. https://doi.org/10.1111/j.1600-0722.2009.00668.x
28. Wang Z., Ji Y., Zhang F. Bond strengths of an epoxy resin-based fiber post with four adhesive systems. Quintessence Int. 2010;41(9):e173–180.
29. Montanari M., Fiorillo L., Cervino G., Sambataro S., Herford A.S., Cicciù M. The Effect of Different Condition of Pulpal Pressure on Microtensile Bond Strength of Several Dentin Bonding Agents on Deep and Superficial Dentin. Materials. 2021;14(20):6200. https://doi.org/10.3390/ma14206200
30. Dionysopoulos P., Skolianos S., Papadogiannis Y. A study of the microstructure of some dental retention pins and prefabricated root canal posts. J Oral Rehabil. 1995;22(1):29–35. https://doi.org/10.1111/j.1365-2842.1995.tb00207.x
Review
For citations:
D’Amico C., Shalini A., Mathur A., Sivillica S., La Rosa G.R., Gorassini F., Heboyan A.G., Fiorillo L., Pedullà E. Comparative evaluation of the strength of adhesion by push-out bond strength tests on endodontic posts cemented with different resinous types of luting cements: An in vitro study. Endodontics Today. 2024;22(3):236-243. https://doi.org/10.36377/ET-0039