Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Influence of Different Irrigation Solutions on the Push-Out Bond Strength of Fiber Posts to Root Dentin and Root Canal Dentin Microhardness: Methodological Study
Farklı İrrigasyon Solüsyonlarının Fiber Postların Kök Kanal Dentinine Bağlanma Mukavemeti ve Dentin Mikrosertliği Üzerindeki Etkisi: Metadolojik Çalışma
Yelda ERDEM HEPŞENOĞLUa, Şeyda ERŞAHANa, Burcu YILMAZb, Aysu AYDINOĞLUc, Kadir SAĞIRd, Afife Binnaz HAZAR YORUÇc
aDepartment of Endodontics, İstanbul Medipol University Faculty of Dentistry, İstanbul, Türkiye b
bDepartment of Prosthetic Dentistry, İstanbul Medipol University Faculty of Dentistry, İstanbul, Türkiye
cDepartment of Metallurgical and Materials Engineering, Yıldız Technical University Faculty of Chemical and Metallurgical Engineering, İstanbul, Türkiye
dDepartment of Materials Science and Technology, Turkish-German University, Faculty of Science, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(1):83-91
doi: 10.5336/dentalsci.2022-92121
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aimed to compare the effect of sodium hypochlorite (NaOCl), chlorhexidine (CHX), ethylene daimine tetra acetic acid (EDTA) and etidronic acid (HEBP) solutions and their combinations on a push-out bond strength of fiber posts to root canal dentin and on root dentin microhardness. Material and Methods: Sixty human maxillary central incisors were sectioned below the cementoenamel junction, the roots were endodontically treated and were divided into 6 groups (n=10) according to the final irrigation protocol: (1) Distilled water, (2) CHX, (3) HEBP-NaOCl combination, (4) HEBP, (5) 2.5 % NaOCl, (6) 17% EDTA. The fiber posts were then cemented with self-etching resin cement. Bonded specimens were cut (1-mm-thick), the first slice of the coronal 3rd was used for dentin microhardness analysis, and other slices were used for the push-out bond strength test. The data were statistically analyzed by using Shapiro-Wilk, Oneway ANOVA, and the Games-Howell test. Results: The lowest microhardness was observed in HEBP-NaOCl and NaOCl (p<0.05). CHX, HEBP, and EDTA resulted in less reduction in microhardness as compared to other groups (p<0.05). HEBP-NaOCl and NaOCl showed significantly higher mean bond strength to root dentin in the cervical thirds than in other groups (p<0.05). Conclusion: With regard to the push-out bond strength of the fiber post to dentin, NaOCl and HEBP-NaOCl increased bond strength compared to other groups. NaOCl and HEBP-NaOCl have lower microhardness of dentin. Compared to HEBP, EDTA increases microhardness and does not make a significant difference in push-out bond strength. Therefore, it is recommended to use HEBP alone.

Keywords: Etidronic acid; root canal treatment; sodium hypochlorite
ÖZET
 Amaç: Bu çalışmanın amacı, sodyum hipoklorit (NaOCl), klorheksidin [chlorhexidine (CHX)], etilen diamin tetra asetik asit (EDTA) ve etidronik asit (HEBP) solüsyonlarının fiber postların kök kanalına dentinine bağlanma mukavemeti ve kök dentin mikrosertliğine etkisini değerlendirmektir. Gereç ve Yöntemler: Altmış adet insan üst çene santral kesici dişi mine sement sınırının altından kesilerek, kökler endodontik olarak tedavi edildikten sonra irrigasyon protokolüne göre 6 gruba (n=10) ayrılmıştır: (1) Distile su, (2) CHX, (3) HEBP-NaOCl kombinasyonu, (4) HEBP, (5) %2,5 NaOCl, (6) %17 EDTA. Fiber postlar self-etch rezin siman ile dişlere simante edilmiştir ve örneklerden 1 mm kalınlığında kesitler alınarak, koronal üçlüdeki ilk kesit dentin mikrosertliği analizi için ve diğer kesitler push-out bağlanma gücü testi için kullanılmıştır. Veriler, Shapiro-Wilk, One-way ANOVA, Games-Howell testi kullanılarak istatistiksel olarak analiz edilmiştir. Bulgular: En düşük mikrosertlik HEBP-NaOCl ve NaOCl'de gözlenmiştir (p<0,05). CHX, HEBP ve EDTA, diğer gruplara kıyasla mikrosertlikte daha az azalma ile sonuçlanmıştır (p<0,05). Servikal bölgede HEBP-NaOCl ve NaOCl, diğer gruplara göre anlamlı derecede daha yüksek bağlanma kuvveti göstermiştir (p<0,05). Sonuçlar: Fiber postun dentine bağlanma kuvvetiyle ilgili olarak, NaOCl ve HEBP-NaOCl, diğer gruplara kıyasla bağlanma gücünü artırmıştır. Çalışmanın sonuçları değerlendirildiğinde, NaOCl ve HEBP-NaOCl, daha düşük dentin mikrosertliğine sahip olduğu görülmüştür. HEBP ile karşılaştırıldığında, EDTA kullanımı mikrosertliği artırmış ve push-out bağlanma gücünde önemli bir fark oluşturmamıştır. Bu nedenle HEBP'nin tek başına kullanılması tavsiye edilir.

Anahtar Kelimeler: Etidronik asit; kök kanal tedavisi; sodyum hipoklorit
REFERENCES:
  1. Al-Omiri MK, Mahmoud AA, Rayyan MR, Abu-Hammad O. Fracture resistance of teeth restored with post-retained restorations: an overview. J Endod. 2010;36(9):1439-49. [Crossref]  [PubMed] 
  2. Binus S, Koch A, Petschelt A, Berthold C. Restoration of endodontically treated teeth with major hard tissue loss--bond strength of conventionally and adhesively luted fiber-reinforced composite posts. Dent Traumatol. 2013;29(5):339-54. [Crossref]  [PubMed] 
  3. Cecchin D, Farina AP, Guerreiro CA, Carlini-Júnior B. Fracture resistance of roots prosthetically restored with intra-radicular posts of different lengths. J Oral Rehabil. 2010;37(2):116-22. [Crossref]  [PubMed] 
  4. Ekren O. Farklı post-kor sistemlerinin kırılma dayanımının in-vitro olarak değerlendirilmesi [In-vitro evaluation of fracture resistance of different post-core systems]. Atatürk Üniversitesi Diş Hekim Fakültesi Derg. 2017;27(1):43-7. [Crossref] 
  5. Elnaghy AM. Effect of QMix irrigant on bond strength of glass fibre posts to root dentine. Int Endod J. 2014;47(3):280-9. [Crossref]  [PubMed] 
  6. Görüş Z, Meşe A, Evran OE, Çetindağ MT. Diş hekimliğinde kullanılan fiber post sistemleri [Dental fıber post systems]. Atatürk Üniversitesi Diş Hekim Fakültesi Derg. 2019;29(3):519-25. [Crossref] 
  7. Aleisa K, Alghabban R, Alwazzan K, Morgano SM. Effect of three endodontic sealers on the bond strength of prefabricated fiber posts luted with three resin cements. J Prosthet Dent. 2012;107(5):322-6. [Crossref]  [PubMed] 
  8. Yaman BC, Ozer F, Takeichi T, Karabucak B, Koray F, Blatz MB. Effect of thermomechanical aging on bond strength and interface morphology of glass fiber and zirconia posts bonded with a self-etch adhesive and a self-adhesive resin cement to natural teeth. J Prosthet Dent. 2014;112(3):455-64. [Crossref]  [PubMed] 
  9. Pereira TC, Dijkstra RJB, Petridis X, Sharma PK, van de Meer WJ, van der Sluis LWM, et al. Chemical and mechanical influence of root canal irrigation on biofilm removal from lateral morphological features of simulated root canals, dentine discs and dentinal tubules. Int Endod J. 2021;54(1):112-29. [Crossref]  [PubMed]  [PMC] 
  10. Mamoun J. Post and core build-ups in crown and bridge abutments: Bio-mechanical advantages and disadvantages. J Adv Prosthodont. 2017;9(3):232-7. [Crossref]  [PubMed]  [PMC] 
  11. Coelho A, Amaro I, Rascão B, Marcelino I, Paula A, Saraiva J, et al. Effect of cavity disinfectants on dentin bond strength and clinical success of composite restorations-a systematic review of in vitro, in situ and clinical studies. Int J Mol Sci. 2020;22(1):353. [Crossref]  [PubMed]  [PMC] 
  12. Rath PP, Yiu CKY, Matinlinna JP, Kishen A, Neelakantan P. The effect of root canal irrigants on dentin: a focused review. Restor Dent Endod. 2020;45(3):e39. [Crossref]  [PubMed]  [PMC] 
  13. Baca P, Junco P, Arias-Moliz MT, González-Rodríguez MP, Ferrer-Luque CM. Residual and antimicrobial activity of final irrigation protocols on Enterococcus faecalis biofilm in dentin. J Endod. 2011;37(3):363-6. [Crossref]  [PubMed] 
  14. Mohammadi Z, Yaripour S, Shalavi S, Palazzi F, Asgary S. Root canal irrigants and dentin bonding: an update. Iran Endod J. 2017;12(2):131-6. [PubMed]  [PMC] 
  15. Lantigua Domínguez MC, Feliz Pedrinha V, Oliveira Athaide da Silva LC, Soares Ribeiro ME, Loretto SC, de Almeida Rodrigues P. Effects of different irrigation solutions on root fracture resistance: an in vitro study. Iran Endod J. 2018;13(3):367-72. [PubMed]  [PMC] 
  16. De-Deus G, Zehnder M, Reis C, Fidel S, Fidel RA, Galan J Jr, et al. Longitudinal co-site optical microscopy study on the chelating ability of etidronate and EDTA using a comparative single-tooth model. J Endod. 2008;34(1):71-5. [Crossref]  [PubMed] 
  17. Arias-Moliz MT, Ordinola-Zapata R, Baca P, Ruiz-Linares M, Ferrer-Luque CM. Antimicrobial activity of a sodium hypochlorite/etidronic acid irrigant solution. J Endod. 2014;40(12):1999-2002. [Crossref]  [PubMed] 
  18. Tartari T, Guimarães BM, Amoras LS, Duarte MA, Silva e Souza PA, Bramante CM. Etidronate causes minimal changes in the ability of sodium hypochlorite to dissolve organic matter. Int Endod J. 2015;48(4):399-404. [Crossref]  [PubMed] 
  19. Yadav HK, Yadav RK, Chandra A, Tikku AP. A scanning electron microscopic evaluation of the effectiveness of etidronic acid, SmearClear and MTAD in removing the ıntracanal smear layer. J Dent (Shiraz). 2017;18(2):118-26. [PubMed]  [PMC] 
  20. Zaparolli D, Saquy PC, Cruz-Filho AM. Effect of sodium hypochlorite and EDTA irrigation, individually and in alternation, on dentin microhardness at the furcation area of mandibular molars. Braz Dent J. 2012;23(6):654-8. [Crossref]  [PubMed] 
  21. Akgungor G, Akkayan B. Influence of dentin bonding agents and polymerization modes on the bond strength between translucent fiber posts and three dentin regions within a post space. J Prosthet Dent. 2006;95(5):368-78. [Crossref]  [PubMed] 
  22. Wang L, Pinto TA, Silva LM, Araújo DF, Martins LM, Hannas AR, et al. Effect of 2% chlorhexidine digluconate on bond strength of a glass-fibre post to root dentine. Int Endod J. 2013;46(9):847-54. [Crossref]  [PubMed] 
  23. Moreira DM, Almeida JF, Ferraz CC, Gomes BP, Line SR, Zaia AA. Structural analysis of bovine root dentin after use of different endodontics auxiliary chemical substances. J Endod. 2009 Jul;35(7):1023-7. [Crossref]  [PubMed] 
  24. Taşman F, Cehreli ZC, Oğan C, Etikan I. Surface tension of root canal irrigants. J Endod. 2000;26(10):586-7. [Crossref]  [PubMed] 
  25. Akcay I, Sen BH. The effect of surfactant addition to EDTA on microhardness of root dentin. J Endod. 2012;38(5):704-7. [Crossref]  [PubMed] 
  26. Dineshkumar MK, Vinothkumar TS, Arathi G, Shanthisree P, Kandaswamy D. Effect of ethylene diamine tetra-acetic acid, MTAD?, and HEBP as a final rinse on the microhardness of root dentin. J Conserv Dent. 2012;15(2):170-3. [Crossref]  [PubMed]  [PMC] 
  27. Browne JT, Ng YL, Odlyha M, Gulabivala K, Bozec L. Influence of root maturity or periodontal involvement on dentinal collagen changes following NaOCl irrigation: an ex vivo study. Int Endod J. 2020;53(1):97-110. [Crossref]  [PubMed] 
  28. Navarro-Escobar E, González-Rodríguez MP, Ferrer-Luque CM. Cytotoxic effects of two acid solutions and 2.5% sodium hypochlorite used in endodontic therapy. Med Oral Patol Oral Cir Bucal. 2010;15(1):e90-4. [Crossref]  [PubMed] 
  29. Wright PP, Kahler B, Walsh LJ. Alkaline sodium hypochlorite irrigant and its chemical İnteractions. Materials (Basel). 2017;10(10):1147. [Crossref]  [PubMed]  [PMC] 
  30. Pérez-Heredia M, Ferrer-Luque CM, González-Rodríguez MP, Martín-Peinado FJ, González-López S. Decalcifying effect of 15% EDTA, 15% citric acid, 5% phosphoric acid and 2.5% sodium hypochlorite on root canal dentine. Int Endod J. 2008;41(5):418-23. [Crossref]  [PubMed] 
  31. Stelzer R, Schaller HG, Gernhardt CR. Push-out bond strength of RealSeal SE and AH Plus after using different irrigation solutions. J Endod. 2014;40(10):1654-7. [Crossref]  [PubMed] 
  32. Farag HA, Etman WM, Alhadainy HA, Darrag AM. Effect of different irrigating protocols on push out bond strength of Resilon/Epiphany obturation system. Tanta Dent J. 2015;12(4):241-8. [Crossref] 
  33. Rejula F, Mohan D, Sunith M, Gopal S, Swamy DF, Yadahalli RP, et al. Assessment of root canal smear layer removal efficacy of ethylenediaminetetraacetic acid, etidronic acid, and chlorhexidine using scanning electron microscope. Microscope. 2017;4(4):275-8. [Crossref] 
  34. Bouillaguet S, Troesch S, Wataha JC, Krejci I, Meyer JM, Pashley DH. Microtensile bond strength between adhesive cements and root canal dentin. Dent Mater. 2003;19(3):199-205. [Crossref]  [PubMed] 
  35. Nagas E, Uyanik O, Durmaz V, Cehreli ZC. Effect of plunger diameter on the push-out bond values of different root filling materials. Int Endod J. 2011;44(10):950-5. [Crossref]  [PubMed] 

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