Push-out bond strength and SEM evaluation of new polymeric root canal fillings.
ABSTRACT The objective of this study was to compare the interfacial strengths and failure modes of new polymeric endodontic obturation systems consisting of different material combinations.
Extracted human single-rooted teeth (n = 105) were instrumented using HERO Shaper rotary instruments and obturated with different combinations of core and sealer as follows: group 1, RealSeal/Resilon; group 2, RealSeal/Herofill; group 3, Hybrid Root Seal/Resilon; group 4, Hybrid Root Seal/Herofill; group 5, MM-Seal/Resilon; group 6, MM-Seal/Herofill; group 7 (control). Failure modes of root slices (1.00 +/- 0.05-mm thick) after push-out testing were examined with stereomicroscope and scanning electron microscopy.
Hybrid Root Seal/Resilon combination had significantly greater bond strength than all the other groups (P < .001); RealSeal/Resilon combination proved to have the second highest bond strength (P < .001). Bond failure was mainly mixed failure in both adhesive and cohesive modes at the dentin/sealer interface.
The push-out bond strengths of methacrylate-based sealers (Hybrid Root Seal and RealSeal) and thermoplastic synthetic-polymer-based core material (Resilon) combinations were higher than epoxy-resin-based sealer (MM-Seal) and gutta-percha (Herofill) combination.
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ABSTRACT: Introduction This study compared the bond strength, interfacial ultrastructure, and tag penetration of resin-based sealers applied to smear-free radicular dentin using 70% isopropyl alcohol as the active final rinse. Methods Eighty root canals were prepared and assigned to 2 groups (n = 40) according to the drying protocol: paper points or 70% isopropyl alcohol. Then, roots were divided into 4 subgroups (n = 10) with respect to the sealer and obturation material: AH Plus (Dentsply De Trey GmbH, Konstanz, Germany) and gutta-percha (AH/GP), Hybrid Root SEAL (Sun Medical, Tokyo, Japan) and gutta-percha (HR/GP), Epiphany SE (Pentron Clinical Technologies, Wallingford, CT) and gutta-percha (EP/GP), and Epiphany SE and Resilon (EP/RS). Roots were sectioned, and the push-out test was performed. Failure modes were examined under stereomicroscopy and sealer penetration into the dentinal tubules under scanning electron microscopy. Data were statistically analyzed by 2-way analysis of variance post hoc Tukey tests with a significant level of 5%. Results Overall, canals dried with isopropyl alcohol showed significantly higher bond strength values (2.11 ± 1.74 MPa) than with paper points (1.81 ± 1.73 MPa) (P < .05). The HR/GP group showed lower bond strength than the AH/GP group (P < .05) but higher than the EP/GP and EP/RS groups (P < .05). The most frequent type of failure was cohesive in the AH/GP and HR/GP groups and adhesive in the EP/GP and EP/RS groups. Scanning electron microscopic evaluation revealed better adaptation of the adhesive interface in the AH/GP and HR/GP groups in comparison with the EP/GP and EP/RS groups. Conclusions A final rinse with EDTA and 70% isopropyl alcohol improved the bond strength and penetration of the sealers into dentinal tubules of the root.Journal of Endodontics 04/2014; 40(7):1-7. · 2.93 Impact Factor
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ABSTRACT: Background and aims. An ideal root canal filling material should completely seal the entire root canal space and block communication between the root canal system and its surrounding tissues; it should also be nontoxic, noncarcinogenic, non-genotoxic, biocompatible, insoluble in tissue fluids and dimensionally stable. Bonding to dentin is a promising property, which can prevent leakage and improve the sealing ability of root canal filling materials. Resilon was developed and rec-ommended initially because the existing rootcanal filling materials did not bond to root canal dentin. Since its introduction in 2004, numerous reports have been published regarding various aspects of this material. The aim of this literature review is to present investigations regarding Resilon's physical and chemical properties and leakage studies. Materials and methods. A review of the literature was performed by using electronic and hand searching methods for Resilon from May 2004 to April 2012. Results. There are many published reports regarding Resilon. The searchshowed that Resilon is composed of a parent polymer, polycaprolactone or Tone, which is a biodegradable aliphatic polyester, with filler particles consisting of bioactive glass, bismuth oxychloride and barium sulfate. It possesses some antibacterial and antifungal properties. It is a promising material for root canal filling. Despite the presence of numerous case reports and case series regarding these applications, there are few designed research studies on clinical applications of this material. Resilon has some drawbacks such as high cost. Conclusion. Resilon seals well and is a biocompatible material. However, more clinical studies are needed to confirm its efficacy compared with other materials.Journal of dental research, dental clinics, dental prospects. 01/2013; 7(3):119-130.
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ABSTRACT: AIM: To evaluate the push-out bond strength of MTA Fillapex (Angelus) and compare it with ProRoot MTA (Dentsply) and AH Plus (Dentsply). DESIGN: Thirty extracted single-rooted teeth were selected and prepared using a rotary system. The samples were divided randomly into three groups (n = 10) and obturated, respectively, with: (1) AH Plus + gutta-percha (DiaDent); (2) MTA Fillapex + gutta-percha; (3) ProRoot MTA. Each root was sectioned into 1-mm-thick slices and 30 samples for each group were obtained. The samples were subjected to push-out test. Failure modes were examined under 30× magnification. The results were analysed statistically by one-way ANOVA and Tukey's test. RESULTS: Mean push-out bond strength values were ranked as follows: ProRoot MTA > AH Plus > MTA Fillapex. Statistically significant differences were found among all groups (p < 0.05). CONCLUSION: ProRoot MTA had the highest bond strength, whilst MTA Fillapex displayed the lowest values among the groups.European Archives of Paediatric Dentistry. Official Journal of the European Academy of Paediatric Dentistry. 05/2013;