Influence of different irrigation solutions on bond strength of MTA Fillapex root canal sealer

Year 2013, Volume: 30 Issue: 1, 1 - 5, 11.03.2013

Erhan Özcan İsmail Davut Çapar Ali Rıza Çetin Hale Arı Aydınbelge

Abstract

OBJECTIVE: The purpose of this in vitro study was to evaluate the effect of different irrigation solutions on bond strength of MTA Fillapex root canal sealer by using the push-out test.

MATERIALS AND METHOD: Forty extracted human permanent upper canine teeth were used. The teeth randomly divided into four groups (n=10) according to final irrigation. Group 1; 5 ml 1.3% NaOCl, Group 2; 5 ml 17% EDTA, Group 3; 5 ml 17% EDTA+5 ml 2% CHX and Group 4; 5 ml MTAD. Root canals were filled by using MTA Fillapex root canal sealer and gutta percha by means of the cold lateral condensation technique. After setting of the root canal sealer, twomillimeter thick slices were obtained from the specimens and the push-out test was performed. All data were submitted to one way ANOVA and post-hoc Tukey tests.

RESULTS: The group with MTAD had significantly lower bond strength than all of the other groups (p<0.05). No statistically significant difference was found between the other groups (p>0.05).

CONCLUSION: The bond strength of MTA Fillapex was adversely influenced by MTAD. Therefore, when using MTA Fillapex as a root canal sealer, MTAD should not be preferred for irrigation of root canals.

Keywords

Endodontics, MTA Fillapex Root Canal Sealer, MTAD, Root Canal Irrigation

Farklı irrigasyon solüsyonlarının MTA Fillapex kanal patının bağlanma dayanımı üzerine etkisi

Abstract

AMAÇ: Bu in vitro çalışmanın amacı, farklı irrigasyon solüsyonlarının MTA Fillapex kanal patının bağlanma dayanımına etkisini push-out testi ile değerlendirmektir.

GEREÇ VE YÖNTEM: Bu çalışmada 40 adet çekilmiş insan daimi üst kanin dişi kullanıldı. Dişler uygulanacak son irrigasyona göre rastlantısal olarak dört gruba ayrıldı (n=10). Grup 1: 5 ml %1.3 NaOCl, Grup 2: 5 ml %17 EDTA, Grup 3: 5 ml %17 EDTA+5 ml %2’lik CHX ve Grup 4: 5 ml MTAD. Kök kanalları MTA Fillapex kanal patı ve güta-perka ile lateral kondensasyon yöntemi kullanılarak dolduruldu. Kanal patının sertleşmesi beklendikten sonra örneklerden2 mmkalınlığında kesitler elde edildi ve push-out testi uygulandı. Elde edilen verilerin istatiksel analizi tek yönlü varyans analizi ANOVA ve Tukey post-hoc testleri ile gerçekleştirildi.

BULGULAR: MTAD solüsyonunun kullanıldığı grupta bağlanma dayanımının, test edilen diğer gruplara göre anlamlı şekilde düşük olduğu gözlendi (p<0.05). Diğer gruplar arasında istatistiksel olarak anlamlı bir fark gözlenmedi (p>0.05).

SONUÇ: Bu çalışmanın koşulları altında MTAD solüsyonun kullanımının MTA Fillapex kanal patının bağlanma dayanımını olumsuz etkilediği saptanmıştır. Bundan dolayı kök kanal patı olarak MTA Fillapex kullanılacağı zaman, kök kanalının irrigasyonu için MTAD kullanılması tavsiye edilmemelidir.

Keywords

Endodonti, Kök Kanal İrrigasyonu, MTAD, MTA Fillapex Kök Kanal Patı

References

• Shipper G, Ørstavik D, Teixeira FB, Trope M. An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon). J Endod 2004;30:342-7.
• Gogos C, Economides N, Stavrianos C, Kolokouris I, Kokorikos I. Adhesion of a new methacrylate resin-based sealer to human dentin. J Endod 2004;30:238-40.
• Ørstavik D, Eriksen HM, Beyer-Olsen EM. Adhesive properties and leakage of root canal sealers in vitro. Int Endod J 1983;16:59-63.
• Saleh IM, Ruyter IE, Haapasalo MP, Ørstavik D. Adhesion of endodontic sealers: scanning electron microscopy and energy dispersive spectroscopy. J Endod 2003;29:595-601.
• Camilleri J. Modificaion of mineral trioxide aggregate. Physical and mechanical properties. Int Endod J 2008;41:843-9.
• Nair PN, Duncan HF, Pitt Ford TR, Luder HU. Histological, ultrastructural and quantitative investigations on the response of healthy human pulps to experimental capping with mineral trioxide aggregate: a randomized controlled trial. Int Endod J 2008;41:128-50.
• Scarparo RK, Haddad D, Acasigua GA, Fossati AC, Fachin EV, Grecca FS. Mineral trioxide aggregate-based sealer: analysis of tissue reactions to a new endodontic material. J Endod 2010;36:1174-8.
• Tang HM, Torabinejad M, Kettering JD. Leakage evaluation of root end filling materials using endotoxin. J Endod 2002;28:5-7.
• Assmann E, Scarparo RK, Bottcher DE, Grecca FS. Dentin bond strength of two mineral trioxide aggregate-based and one epoxy resinbased sealers. J Endod 2012;38:219-21.
• McComb D, Smith DC. A preliminary scanning electron microscopic study of root canals after endodontic procedures. J Endod 1975;1:238-42.
• Baumgartner JC, Mader CL. A scanning electron microscopic evaluation of four root canal irrigation regimens. J Endod 1987;13:147-57.
• Jeansonne MJ, White RR. A comparison of 2.0% chlorhexidine gluconate and 5.25% sodium hypochlorite as antimicrobial endodontic irrigants. J Endod 1994;20:276-8.
• White RR, Hays GL, Janer LR. Residual antimicrobial activity after canal irrigation with chlorhexidine. J Endod 1997;23:229-31.
• Torabinejad M, Khademi AA, Babagoli J, Cho Y, Johnson WB, Bozhilov K, et al. A new solution for the removal of the smear layer. J Endod 2003;29:170-5.
• Lalh MS, Titley K, Torneck CD, Friedman S. The shear bond strength of glass ionomer cement sealers to bovine dentine conditioned with common endodontic irrigants. Int Endod J 1999;32:430-5.
• Saleh IM, Ruyter IE, Haapasalo M, Ørstavik D. The effects of dentine pretreatment on the adhesion of root-canal sealers. Int Endod J 2002;35:859-66.
• Shokouhinejad N, Sharifian MR, Jafari M, Sabeti MA. Push-out bond strength of Resilon/Epiphany self-etch and gutta-percha/AH26 after different irrigation protocols. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:e88-92.
• Hashem AA, Ghoneim AG, Lutfy RA, Fouda MY. The effect of different irrigating solutions on bond strength of two root canal-filling systems. J Endod 2009;35:537-40.
• Bitter K, Meyer-Lueckel H, Priehn K, Kanjuparambil JP, Neumann K, Kielbassa AM. Effects of luting agent and thermocycling on bond strengths to root canal dentine. Int Endod J 2006;39:809-18.
• Dogan H, Qalt S. Effects of chelating agents and sodium hypochlorite on mineral content of root dentin. J Endod 200127:578-80.
• Vilanova WV, Carvalho-Junior JR, Alfredo E, Sousa-Neto MD, SilvaSousa YT. Effect of intracanal irrigants on the bond strength of epoxy resin-based and methacrylate resin-based sealers to root canal walls. Int Endod J 2012;45:42-8.
• Goracci C, Grandini S, Bossu M, Bertelli E, Ferrari M. Laboratory assessment of the retentive potential of adhesive posts: a review. J Dent 2007;35:827-35.
• Çekiç I. Ergün G, Lassila LVJ. Farklı kompozit materyallerinin dentine bağlanma dayanımının farklı adeziv sistemler ile değerlendirilmesi. GÜ Diş Hek Fak Derg 2006;23:177-81.
• Drummond JL, Sakaguchi RL, Racean DC, Wozny J, Steinberg AD. Testing mode and surface treatment effects on dentin bonding. J Biomed Mater Res 1996;32:533-41.
• Skidmore LJ, Berzins DW, Bahcall JK. An in vitro comparison of the intraradicular dentin bond strength of Resilon and gutta-percha. J Endod 2006;32:963-6.
• Gesi A, Raffaelli O, Goracci C, Pashley DH, Tay FR, Ferrari M. Interfacial strength of Resilon and gutta-percha to intraradicular dentin. J Endod 2005;31:809-13.
• Gettleman BH, Messer HH, ElDeeb ME. Adhesion of sealer cements to dentin with and without the smear layer. J Endod 1991;17:15-20.
• Zmener O, Spielberg C, Lamberghini F, Rucci M. Sealing properties of a new epoxy resin-based root-canal sealer. Int Endod J 1997;30:332-4.
• Tay FR, Hosoya Y, Loushine RJ, Pashley DH, Weller RN, Low DC. Ultrastructure of intraradicular dentin after irrigation with BioPure MTAD. II. The consequence of obturation with an epoxy resin-based sealer. J Endod 2006;32:473-7.
• Sagsen B, Ustun Y, Demirbuga S, Pala K. Push-out bond strength of two new calcium silicate-based endodontic sealers to root canal dentine. Int Endod J 2011;44:1088-91.
• Neelakantan P, Subbarao C, Subbarao CV, De-Deus G, Zehnder M. The impact of root dentine conditioning on sealing ability and push-out bond strength of an epoxy resin root canal sealer. Int Endod J 2011;44:491-8.
• Nassar M, Awawdeh L, Jamleh A, Sadr A, Tagami J. Adhesion of Epiphany self-etch sealer to dentin treated with intracanal irrigating solutions. J Endod 2011;37:228-30.
• Carrilho MR, Carvalho RM, de Goes MF, di Hipólito V, Geraldeli S, Tay FR, et al. Chlorhexidine preserves dentin bond in vitro. J Dent Res 2007;86:90-4.