Effect of three radicular dentine treatments and two luting cements on the regional bond strength of quartz fibre posts.

The purpose was to investigate by push-out tests and scanning electron microscopy (SEM)/energy-dispersive spectroscopy (EDS) the effect, after first acid etching the post space walls, of three radicular dentine treatments on the regional bond strength of quartz fibre posts placed using two heavily filled resin luting cements. The crowns of 39 extracted maxillary central incisors were sectioned transversely 2 mm coronal to the labial cement-enamel junction and the roots endodontically treated. After standardized post space preparations and etching 15 s with 32% phosphoric acid, 36 roots were randomly divided into six equal groups. Quartz fibre posts (D.T. LIGHT-POST) were placed using three radicular dentine treatments (0.9% sodium chloride (NaCl) for 60 s, 10% sodium hypochlorite (NaOCl) for 60 s, 17% ethylenediaminetetraacetic acid (EDTA) for 60 s followed by 5.25% NaOCl for 60 s) and two resin composite luting cements (ONE-STEP PLUS/DUO-LINK; ONE-STEP PLUS/LuxaCore Dual). Transverse segments (S1-S7), 1.00 mm (SD = 0.05 mm) thick, were sectioned from the coronal 8 mm of each root. Push-out bond strength tests were performed on coronal, middle and apical post space segments (S2, S4, S6) at a crosshead speed of 0.5 mm/min. Data were recorded and analyzed using a two-way mixed ANOVA design (a = 0.05). Three segments (S1, S5, S7) from roots in each group were examined using SEM/EDS. After post space preparation, acid etching and using each of the three radicular dentine treatments, the three remaining roots were sectioned longitudinally for SEM observation of the post space walls. At all root segment sites, the mean bond strengths from using 0.9% NaCl were significantly lower than for the other two radicular dentine treatments (P ≤ 0.02), and DUO-LINK cement had significantly higher mean bond strengths than LuxaCore Dual cement (P ≤ 0.01). There was a significant linear trend for reduced bond strengths from coronal to apical post space segments (P < 0.001), which was supported by the SEM/EDS observations of dentine tubule appearance and resin tag formation. Acid etching followed by either 10% NaOCl or 17% EDTA and 5.25% NaOCl dentine treatments of the post spaces provided good adhesion and resin luting cement tag infiltration of dentinal tubules in the coronal and middle segments in particular.

RCT Entities:   Population Interventions Outcomes