Bond Strength Comparison of Three Different Self-Adhesive Resin Cement

Öz

Aim: The aim of this in vitro study was to assess the bond strength of three different self-adhesive resin cements on the post and dentin surface. Material and Methods: In the present study, 15 extracted human maxillary canine teeth with single and straight roots were used. After the clinical crowns were removed from cemento-enamal junction, root canals were prepared with Reciproc R25 (VDW GmbH, Munich, Germany) files. The smear layer of roots were removed using 17% EDTA followed by 5.25% NaOCl and distillate water. Then all the root canals were obturated with lateral compaction technique using epoxy resin based sealer and gutta-percha. Then post space was prepared. The roots were then randomly divided into three groups according to resin cements. Fiber posts was cemented, using three different resin cement : Bifix SE (Voco GmbH,Cuxhaven, Germany), Breeze (Pentron,Wallingford,USA) , RelyX U 200 (3M ESPE,Neuss,Germany). The roots were sliced to 1mm-thick horizontal sections from the coronal and mid thirds (n: 5 root 4 slice = 20 specimen), and the push-out bond strength test applied. The data was calculated as MPa and statistically analyzed using one-way ANOVA and post-hoc Tukey test. Results: There was no statistically significant difference between the Bifix SE, and the Breeze. There was a statistically significant difference between RelyX U 200 and the other resin cements. Conclusion: The toughest of three tested resin cement was RelyX U 200 in comparison to push out bond strength. There was no difference between the bond strengths of Bifix SE and Breeze.

Anahtar Kelimeler

• Self-adhesive resin, push-out test, root canal

Üç Farklı Self-Adeziv Rezin Simanın Bağlanma Dayanımlarının Karşılaştırılması

Öz

Amaç: Bu in vitro çalışmanın amacı, üç farklı self-adeziv rezin simanın post ve dentin yüzeyine karşı bağlanma dayanımlarını push out test yöntemi ile değerlendirmektir. Gereç ve Yöntem: Bu in vitro çalışmada tek köklü ve tek kanallı 15 adet üst çene kesici dişleri kullanıldı. Kronlar mine sement sınırından uzaklaştırıldıktan sonra kök kanalları Reciproc R25 eğelerle (VDW GmbH, Munich, Germany) genişletildi. Kanal dolumu öncesinde smear tabakası % 17 EDTA akabinde % 5,25 NaOCl ve distile su kullanılarak uzaklaştırıldı. Kök kanalları lateral kompaksiyon tekniği ile epoksi rezin içerikli kanal patı ve güta-perka kullanılarak dolduruldu. Daha sonra post boşlukları hazırlandı. Kökler, kullanılan rezin simana göre rastgele 3 gruba ayrıldı (n=5). Fiber postlar, üç farklı rezin siman kullanılarak simante edildi: Bifix SE (Voco GmbH, Cuxhaven, Germany), Breeze (Pentron, Wallingford, USA) ve RelyX U 200 (3M ESPE, Neuss, Germany). Bütün köklerin koronal ve orta üçlü kısmından 1 mm kalınlığında horizontal kesitler alındı (n: 5 kök * 4 kesit = 20 örnek) ve push out bağlanma dayanımı testi uygulandı. Bütün veriler MPa'a çevrildi ve istatistiksel analizler tek yönlü ANOVA ve post hoc Tukey testleri kullanılarak yapıldı. Bulgular: Bifix SE ve Breeze arasında istatiksel olarak anlamlı bir fark bulunmazken, Rely X U 200 ve diğer rezin simanlar arasında istatiksel olarak anlamlı fark bulundu. Sonuç: Test edilen üç rezin siman arasında bağlanma dayanımı açısından en dayanıklı olanı RelyX U 200 idi. Bifix SE ve Breeze arasında bağlanma dayanımları arasında fark yoktur.

Anahtar Kelimeler

• Self-adeziv rezin, push out test yöntemi, kök kanal postları, Bifix SE, Breeze, RelyX U 200

Kaynakça

1. Morgano SM. Restoration of pulpless teeth: application of traditional principles in present and future contexts. J Pros- thet Dent. 1996; 75: 375-380.
2. Goracci C, Ferrari M. Current perspectives on post sys- tems: a literature review. Aust Dent J. 2011; 56 Suppl 1: 77-83.
3. Mumcu E, Erdemir U, Topcu FT. Comparison of micro push-out bond strengths of two fiber posts luted using sim- plified adhesive approaches. Dent Mater J. 2010; 29: 286-296.
4. Balbosh A, Kern M. Effect of surface treatment on reten- tion of glass-fiber endodontic posts. J Prosthet Dent. 2006; 95: 218-223.
5. Nergiz I, Schmage P, Ozcan M, Platzer U. Effect of length and diameter of tapered posts on the retention. J Oral Reha- bil. 2002; 29: 28-34.
6. Kececi AD, Ureyen Kaya B, Adanir N. Micro push-out bond strengths of four fiber-reinforced composite post sys- tems and 2 luting materials. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 105: 121-128.
7. Helvacioglu Kivanc B, Deniz Arisu H, Uctasli MB, Okay TC. The effect of different adhesive system applications on push-out bond strengths of glass fiber posts. J Adv Prostho- dont 2013; 5: 305-311.
8. Lad PP, Kamath M, Tarale K, Kusugal PB. Practical clin- ical considerations of luting cements: A review. J Int Oral Health, 2014; 6: 116-120.

9. Ferracane JL, Stansbury JW, Burke FJ. Self-adhesive resin cements - chemistry, properties and clinical considerations. J Oral Rehabil. 2011; 38: 295-314.
10. Ebert J, Leyer A, Gunther O, Lohbauer U, Petschelt A, Frankenberger R, et al. Bond strength of adhesive cements to root canal dentin tested with a novel pull-out approach. J Endod. 2011; 37: 1558-1561.
11. Cohen BI, Pagnillo MK, Newman I, Musikant BL, Deutsch AS. Retention of three endodontic posts cemented with five dental cements. J Prosthet Dent. 1998; 79: 520-525.
12. Duncan JP, Pameijer CH. Retention of parallel-sided tita- nium posts cemented with six luting agents: an in vitro study. J Prosthet Dent. 1998; 80: 423-428.
13. Rosin M, Splieth C, Wilkens M, Meyer G. Effect of ce- ment type on retention of a tapered post with a self-cutting double thread. J Dent. 2000; 28: 577-582.
14. Rosenstiel SF, Land MF, Crispin BJ. Dental luting agents: A review of the current literature. J Prosthet Dent. 1998; 80: 280-30
15. Ferrari M, Mannocci F, Vichi A, Cagidiaco MC, Mjor IA. Bonding to root canal: structural characteristics of the substrate. Am J Dent. 2000; 13: 255-260.
16. Radovic I, Monticelli F, Goracci C, Vulicevic ZR, Ferrari M. Self-adhesive resin cements: a literature review. J Adhes Dent. 2008; 10: 251-258.
17. Goracci C, Tavares AU, Fabianelli A, Monticelli F, Raf- faelli O, Cardoso PC, 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: 353-361.
18. 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: 533-541.
19. Piwowarczyk A, Lauer HC, Sorensen JA. In vitro shear bond strength of cementing agents to fixed prosthodontic re- storative materials. J Prosthet Dent. 2004; 92: 265-273.
20. Bateman GJ, Lloyd CH, Chadwick RG, Saunders WP. Re- tention of quartz-fibre endodontic posts with a self-adhesive dual cure resin cement. Eur J Prosthodont Restor Dent. 2005; 13: 33-37.
21. Zorba YO, Erdemir A, Turkyilmaz A, Eldeniz AU. Effects of different curing units and luting agents on push-out bond strength of translucent posts. J Endod. 2010; 36: 1521-1525.
22. Stona P, Borges GA, Montes MA, Junior LH, Weber JB, Spohr AM. Effect of polyacrylic acid on the interface and bond strength of self-adhesive resin cements to dentin. J Ad- hes Dent. 2013; 15: 221-227.
23. Van Landuyt KL, Yoshida Y, Hirata I, Snauwaert J, De Munck J, Okazaki M, et al. Influence of the chemical struc- ture of functional monomers on their adhesive performance. J Dent Res. 2008; 87: 757-761.
24. Aw TC, Nicholls JI. Polymerization shrinkage of dense- ly-filled resin composites. Oper Dent. 2001; 26: 498-504.
25. Schwartz RS, Robbins JW. Post placement and resto- ration of endodontically treated teeth: a literature review. J Endod. 2004; 30: 289-301.
26. Li LL, Wang ZY, Bai ZC, Mao Y, Gao B, Xin HT, et al. Three-dimensional finite element analysis of weakened roots restored with different cements in combination with titanium alloy posts. Chin Med J (Engl), 2006; 119: 305-311.
27. Fokkinga WA, Kreulen CM, Vallittu PK, Creugers NH. A structured analysis of in vitro failure loads and failure modes of fiber, metal, and ceramic post-and-core systems. Int J Prosthodont. 2004; 17: 476-482.
28. Salameh Z, Sorrentino R, Papacchini F, Ounsi HF, Tash- kandi E, Goracci C, et al. Fracture resistance and failure pat- terns of endodontically treated mandibular molars restored using resin composite with or without translucent glass fiber posts. J Endod. 2006; 32: 752-755.
29. Cagidiaco MC, Goracci C, Garcia-Godoy F, Ferrari M. Clinical studies of fiber posts: a literature review. Int J Prost- hodont. 2008; 21: 328-336.