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Effect of different irrigant activation protocols on push-out bond strength

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Abstract

The study aimed to evaluate the effect of various final irrigant activation protocols on push-out bond strength of fiber post. Thirty-two single-rooted human maxillar central teeth were sectioned below the cementoenamel junction, instrumented and obturated. Post-space preparation was performed, and roots were randomly divided into eight groups (n = 4) according to the final irrigant activation protocols; distilled water was used as an irrigant in group 1. The other groups were treated with 2.5 % NaOCl and 17 % EDTA. Conventional syringe irrigation (CSI, no activation) was used in group 2. Irrigation solutions were activated using passive ultrasonic irrigation (PUI, group 3), EndoVac apical negative pressure (ANP, group 4), diode laser (group 5), neodymium:yttrium–aluminum-garnet (Nd:YAG) laser (group 6), erbium:yttrium–aluminum-garnet (Er:YAG) laser (group 7), and Er:YAG laser using with photon-induced photoacoustic streaming (PIPS™) technique (group 8). In all groups, fiber posts (White Post DC, FGM) were luted using Panavia F 2.0 (Kuraray, Osaka, Japan). The specimens were transversally sectioned, and all slices from coronal and apical regions were subjected to push-out tests. The data were calculated as megapascals and analyzed by using two-way analysis of variance followed by post hoc Tukey honestly significant difference (HSD) tests. Removing the smear layer increased the bond strength to dentine when compared with the control group (p < 0.05). The highest bond strength was obtained in the PIPS laser-activated irrigation group (p < 0.05). Coronal root region presented significantly higher bond strength than the apical region (p < 0.05). PIPS laser-activated irrigation showed higher efficiency as a final irrigant activation protocol on push-out bond strength of fiber post.

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References

  1. Scotti N, Scansetti M, Rota R, Breschi L, Mazzoni A, Pasqualini D, Berutti E (2013) Active application of liquid etching agent improves adhesion of fibre posts to intraradicular dentine. Int Endod J 46(11):1039–1045. doi:10.1111/iej.12096

    CAS  PubMed  Google Scholar 

  2. Arisu HD, Kivanc BH, Saglam BC, Simsek E, Gorgul G (2013) Effect of post-space treatments on the push-out bond strength and failure modes of glass fibre posts. Aust Endod J 39(1):19–24. doi:10.1111/j.1747-4477.2010.00275.x

    Article  PubMed  Google Scholar 

  3. Zhang L, Huang L, Xiong Y, Fang M, Chen JH, Ferrari M (2008) Effect of post-space treatment on retention of fiber posts in different root regions using two self-etching systems. Eur J Oral Sci 116(3):280–286. doi:10.1111/j.1600-0722.2008.00536.x

    Article  PubMed  Google Scholar 

  4. Erdemir A, Ari H, Gungunes H, Belli S (2004) Effect of medications for root canal treatment on bonding to root canal dentin. J Endod 30(2):113–116. doi:10.1097/00004770-200402000-00013

    Article  PubMed  Google Scholar 

  5. Erdemir A, Eldeniz AU, Belli S, Pashley DH (2004) Effect of solvents on bonding to root canal dentin. J Endod 30(8):589–592

    Article  PubMed  Google Scholar 

  6. Ari H, Yasar E, Belli S (2003) Effects of NaOCl on bond strengths of resin cements to root canal dentin. J Endod 29(4):248–251. doi:10.1097/00004770-200304000-00004

    Article  PubMed  Google Scholar 

  7. Dimitrouli M, Gunay H, Geurtsen W, Luhrs AK (2011) Push-out strength of fiber posts depending on the type of root canal filling and resin cement. Clin Oral Investig 15(2):273–281. doi:10.1007/s00784-009-0376-z

    Article  PubMed  Google Scholar 

  8. Gu XH, Mao CY, Liang C, Wang HM, Kern M (2009) Does endodontic post space irrigation affect smear layer removal and bonding effectiveness? Eur J Oral Sci 117(5):597–603. doi:10.1111/j.1600-0722.2009.00661.x

    Article  CAS  PubMed  Google Scholar 

  9. Gu XH, Mao CY, Kern M (2009) Effect of different irrigation on smear layer removal after post space preparation. J Endod 35(4):583–586. doi:10.1016/j.joen.2009.01.006

    Article  PubMed  Google Scholar 

  10. Saber Sel D, Hashem AA (2011) Efficacy of different final irrigation activation techniques on smear layer removal. J Endod 37(9):1272–1275. doi:10.1016/j.joen.2011.06.007

    Article  Google Scholar 

  11. Guerisoli DM, Marchesan MA, Walmsley AD, Lumley PJ, Pecora JD (2002) Evaluation of smear layer removal by EDTAC and sodium hypochlorite with ultrasonic agitation. Int Endod J 35(5):418–421

    Article  CAS  PubMed  Google Scholar 

  12. Guidotti R, Merigo E, Fornaini C, Rocca JP, Medioni E, Vescovi P (2014) Er:YAG 2,940-nm laser fiber in endodontic treatment: a help in removing smear layer. Lasers Med Sci 29(1):69–75. doi:10.1007/s10103-012-1217-x

    Article  PubMed  Google Scholar 

  13. DiVito E, Peters OA, Olivi G (2012) Effectiveness of the erbium:YAG laser and new design radial and stripped tips in removing the smear layer after root canal instrumentation. Lasers Med Sci 27(2):273–280. doi:10.1007/s10103-010-0858-x

    Article  CAS  PubMed  Google Scholar 

  14. Marchesan MA, Brugnera-Junior A, Souza-Gabriel AE, Correa-Silva SR, Sousa-Neto MD (2008) Ultrastructural analysis of root canal dentine irradiated with 980-nm diode laser energy at different parameters. Photomed Laser Surg 26(3):235–240. doi:10.1089/pho.2007.2136

    Article  PubMed  Google Scholar 

  15. Faria MI, Souza-Gabriel AE, Marchesan MA, Sousa-Neto MD, Silva-Sousa YT (2008) Ultrastructural evaluation of radicular dentin after Nd:YAG laser irradiation combined with different chemical substances. Gen Dent 56(7):641–646

    PubMed  Google Scholar 

  16. Gutarts R, Nusstein J, Reader A, Beck M (2005) In vivo debridement efficacy of ultrasonic irrigation following hand-rotary instrumentation in human mandibular molars. J Endod 31(3):166–170

    Article  PubMed  Google Scholar 

  17. Capar ID, Ozcan E, Arslan H, Ertas H, Aydinbelge HA (2014) Effect of different final irrigation methods on the removal of calcium hydroxide from an artificial standardized groove in the apical third of root canals. J Endod 40(3):451–454. doi:10.1016/j.joen.2013.10.019

    Article  PubMed  Google Scholar 

  18. Garcia Lda F, Naves LZ, Correr-Sobrinho L, Consani S, Pires-De-Souza Fde C (2010) Bond strength of a self-adhesive resinous cement to root dentin irradiated with a 980-nm diode laser. Acta Odontol Scand 68(3):171–179. doi:10.3109/00016351003636390

    Article  PubMed  Google Scholar 

  19. Garcia Lda F, Naves LZ, Farina AP, Walker CM, Consani S, Pires-de-Souza Fde C (2011) The effect of a 980 nm diode laser with different parameters of irradiation on the bond strength of fiberglass posts. Gen Dent 59(1):31–37, quiz 38–39, 80

    PubMed  Google Scholar 

  20. George R, Meyers IA, Walsh LJ (2008) Laser activation of endodontic irrigants with improved conical laser fiber tips for removing smear layer in the apical third of the root canal. J Endod 34(12):1524–1527. doi:10.1016/j.joen.2008.08.029

    Article  PubMed  Google Scholar 

  21. de Groot SD, Verhaagen B, Versluis M, Wu MK, Wesselink PR, van der Sluis LW (2009) Laser-activated irrigation within root canals: cleaning efficacy and flow visualization. Int Endod J 42(12):1077–1083. doi:10.1111/j.1365-2591.2009.01634.x

    Article  PubMed  Google Scholar 

  22. Peters OA, Bardsley S, Fong J, Pandher G, Divito E (2011) Disinfection of root canals with photon-initiated photoacoustic streaming. J Endod 37(7):1008–1012. doi:10.1016/j.joen.2011.03.016

    Article  PubMed  Google Scholar 

  23. Zhu X, Yin X, Chang JW, Wang Y, Cheung GS, Zhang C (2013) Comparison of the antibacterial effect and smear layer removal using photon-initiated photoacoustic streaming aided irrigation versus a conventional irrigation in single-rooted canals: an in vitro study. Photomed Laser Surg 31(8):371–377. doi:10.1089/pho.2013.3515

    Article  PubMed Central  PubMed  Google Scholar 

  24. Arslan H, Ayranci LB, Karatas E, Topcuoglu HS, Yavuz MS, Kesim B (2013) Effect of agitation of EDTA with 808-nanometer diode laser on removal of smear layer. J Endod 39(12):1589–1592. doi:10.1016/j.joen.2013.07.016

    Article  PubMed  Google Scholar 

  25. Pashley DH, Ciucchi B, Sano H, Horner JA (1993) Permeability of dentin to adhesive agents. Quintessence Int 24(9):618–631

    CAS  PubMed  Google Scholar 

  26. Vichi A, Grandini S, Ferrari M (2002) Comparison between two clinical procedures for bonding fiber posts into a root canal: a microscopic investigation. J Endod 28(5):355–360. doi:10.1097/00004770-200205000-00002

    Article  PubMed  Google Scholar 

  27. Boone KJ, Murchison DF, Schindler WG, Walker WA 3rd (2001) Post retention: the effect of sequence of post-space preparation, cementation time, and different sealers. J Endod 27(12):768–771

    Article  CAS  PubMed  Google Scholar 

  28. Zmener O, Pameijer CH, Serrano SA, Palo RM, Iglesias EF (2009) Efficacy of the NaviTip FX irrigation needle in removing post instrumentation canal smear layer and debris in curved root canals. J Endod 35(9):1270–1273. doi:10.1016/j.joen.2009.05.001

    Article  PubMed  Google Scholar 

  29. Topcuoglu HS, Tuncay O, Demirbuga S, Dincer AN, Arslan H (2014) The effect of different final irrigant activation techniques on the bond strength of an epoxy resin-based endodontic sealer: a preliminary study. J Endod 40(6):862–866. doi:10.1016/j.joen.2013.10.012

    Article  PubMed  Google Scholar 

  30. Gutknecht N, Franzen R, Meister J, Vanweersch L, Mir M (2005) Temperature evolution on human teeth root surface after diode laser assisted endodontic treatment. Lasers Med Sci 20(2):99–103. doi:10.1007/s10103-005-0347-9

    Article  PubMed  Google Scholar 

  31. Calt S, Serper A (2002) Time-dependent effects of EDTA on dentin structures. J Endod 28(1):17–19. doi:10.1097/00004770-200201000-00004

    Article  PubMed  Google Scholar 

  32. Macedo RG, Verhaagen B, Wesselink PR, Versluis M, van der Sluis LW (2014) Influence of refreshment/activation cycles and temperature rise on the reaction rate of sodium hypochlorite with bovine dentine during ultrasonic activated irrigation. Int Endod J 47(2):147–154. doi:10.1111/iej.12125

    Article  CAS  PubMed  Google Scholar 

  33. Santos JN, Carrilho MR, De Goes MF, Zaia AA, Gomes BP, Souza-Filho FJ, Ferraz CC (2006) Effect of chemical irrigants on the bond strength of a self-etching adhesive to pulp chamber dentin. J Endod 32(11):1088–1090. doi:10.1016/j.joen.2006.07.001

    Article  PubMed  Google Scholar 

  34. Akgungor G, Akkayan B (2006) 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 95(5):368–378. doi:10.1016/j.prosdent.2006.02.027

    Article  CAS  PubMed  Google Scholar 

  35. Aksornmuang J, Nakajima M, Foxton RM, Tagami J (2006) Effect of prolonged photo-irradiation time of three self-etch systems on the bonding to root canal dentine. J Dent 34(6):389–397. doi:10.1016/j.jdent.2005.09.001

    Article  CAS  PubMed  Google Scholar 

  36. Soares CJ, Castro CG, Santos Filho PC, da Mota AS (2007) Effect of previous treatments on bond strength of two self-etching adhesive systems to dental substrate. J Adhes Dent 9(3):291–296

    CAS  PubMed  Google Scholar 

  37. Kuhn K, Rudolph H, Luthardt RG, Stock K, Diebolder R, Hibst R (2013) Er:YAG laser activation of sodium hypochlorite for root canal soft tissue dissolution. Lasers Surg Med 45(5):339–344. doi:10.1002/lsm.22143

    Article  PubMed  Google Scholar 

  38. Blanken J, De Moor RJ, Meire M, Verdaasdonk R (2009) Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 1: a visualization study. Lasers Surg Med 41(7):514–519. doi:10.1002/lsm.20798

    Article  PubMed  Google Scholar 

  39. Blanken J, Verdaasdonk R (2007) Cavitation as a working mechanism of the Er, Cr:YSGG laser in endodontics: a visualization study. J Oral Laser Appl 7:97–106

    Google Scholar 

  40. George R, Walsh LJ (2008) Apical extrusion of root canal irrigants when using Er:YAG and Er, Cr:YSGG lasers with optical fibers: an in vitro dye study. J Endod 34(6):706–708. doi:10.1016/j.joen.2008.03.003

    Article  PubMed  Google Scholar 

  41. Zorba YO, Erdemir A, Turkyilmaz A, Eldeniz AU (2010) Effects of different curing units and luting agents on push-out bond strength of translucent posts. J Endod 36(9):1521–1525. doi:10.1016/j.joen.2010.04.026

    Article  PubMed  Google Scholar 

  42. Scotti N, Forniglia A, Bergantin E, Paolino DS, Pasqualini D, Berutti E (2014) Fibre post adaptation and bond strength in oval canals. Int Endod J 47(4):366–372. doi:10.1111/iej.12156

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

This research, as part of the doctoral thesis of Dr. Şefika Nur Akyüz Ekim, was supported by the Scientific Research Projects Coordination Center (project no: 2012/93) of Kirikkale University, Kirikkale, Turkey. The authors would also like to thank Dr. Zafer Kazak for his kindness in helping and for supplying the laser devices from Medikadent/Turkey.

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Authors and Affiliations

  1. Department of Endodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey

    Sefika Nur Akyuz Ekim

  2. Department of Endodontics, Faculty of Dentistry, Kirikkale University, Kirikkale, Turkey

    Ali Erdemir

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  1. Sefika Nur Akyuz Ekim
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Correspondence to Sefika Nur Akyuz Ekim.

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Akyuz Ekim, S.N., Erdemir, A. Effect of different irrigant activation protocols on push-out bond strength. Lasers Med Sci 30, 2143–2149 (2015). https://doi.org/10.1007/s10103-015-1772-z

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  • DOI: https://doi.org/10.1007/s10103-015-1772-z

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