Adhesion of Epiphany self-etch sealer to dentin treated with intracanal irrigating solutions.

Department of Restorative Sciences, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.
Journal of endodontics (Impact Factor: 2.95). 02/2011; 37(2):228-30. DOI: 10.1016/j.joen.2010.11.016
Source: PubMed

ABSTRACT This in vitro study assessed the adhesion of Epiphany self-etch (SE) root canal sealer to dentin treated with different irrigation regimens.
Flat dentin surfaces were obtained from human third molar teeth; smear layer was created on each sample. Five groups of 10 samples each were conditioned with one of the following regimens: (1) deionized water for 10 minutes; (2) 5% sodium hypochlorite (NaOCl) for 10 minutes; (3) 5% NaOCl for 10 minutes and then 10% sodium ascorbate (Na-Ascr) for 10 minutes; (4) 5% NaOCl for 10 minutes and then 2% chlorhexidine (CHX) for 5 minutes; or (5) 5% NaOCl for 10 minutes and then 10% Na-Ascr for 10 minutes, followed by 2% CHX for 5 minutes. The conditioned dentin surfaces were dried with absorbent paper points. The Epiphany SE sealer was placed on each dentin surface with the use of hollow stainless steel tubes with specific diameter and height. The samples were stored in 100% humidity at 37°C for 7 days and then tested for shear bond strength in a universal testing machine.
Shear bond strength data were analyzed by one-way analysis of variance and Tukey post hoc tests (P < .05). There were statistically significant differences among the groups.
NaOCl decreased the bond strength of Epiphany SE sealer to dentin, whereas the use of Na-Ascr reversed this negative effect of NaOCl. CHX had neither negative nor positive influence on the bond strength.

  • [Show abstract] [Hide abstract]
    ABSTRACT: This study assessed the influence of different endodontic chemical substances on the adhesion of the Epiphany SE/Resilon system (with and without resinous solvent) to radicular dentin walls, using the push-out test and scanning electron microscopy (SEM). Forty-eight root canals of human canines were prepared biomechanically with ProTaper rotary files (crown-down technique) and the radicular dentin was treated with either 17% EDTA, 2% chlorhexidine gel (CHX) or 2.5% NaOCl (control). The root canals were filled with Resilon cones and Epiphany SE sealer with and without resinous solvent. Six groups of eight canals each had their roots sectioned transversally to obtain 1-mm thick slices. Data were subjected to statistical analysis by ANOVA and Tukey's tests. The specimens treated with 17% EDTA (1.59 ± 0.91) presented higher bond strength (P < 0.05) than those treated with 2.5% NaOCl (0.93 ± 0.27) and 2% CHX (0.92 ± 0.22). Significantly higher bond strength (P < 0.05) was observed when the Epiphany SE was prepared with (1.37 ± 0.78) than without (0.92 ± 0.33) solvent. Adhesive failures were predominant in all groups. SEM analysis showed greater homogeneity of the filling mass when the solvent was added to the sealer. Treatment of root canal walls with 17% EDTA, and addition of a resinous solvent to Epiphany SE produced the highest adhesion to radicular dentin. Microsc. Res. Tech., 2014. © 2014 Wiley Periodicals, Inc.
    Microscopy Research and Technique 04/2014; · 1.59 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To assess the effects of different final irrigants on the bond strength of bonded root filling materials, Epiphany/Resilon and Epiphany self-etch (SE)/Resilon. The root canals of eighty single-rooted extracted human teeth were prepared. After the smear layer was removed using 17% EDTA, the samples were randomly divided into eight groups. In groups 1 and 2, no additional irrigant was used after EDTA. In the other groups, final irrigation was performed with 2.5% NaOCl (groups 3 and 4), 2% chlorhexidine (CHX) (groups 5 and 6), and normal saline (groups 7 and 8). The root canals were obturated with Epiphany/Resilon in groups 1, 3, 5 and 7 and obturated with Epiphany SE/Resilon in groups 2, 4, 6 and 8. After the middle thirds of the roots were horizontally sectioned, the push-out bond strength of root filling materials was assessed using the universal testing machine. The data were analyzed using Mann-Whitney and Kruskal-Wallis tests. The significance level was set at p<0.05. There was no significant difference between the push-out bond strength of Epiphany/Resilon and Epiphany SE/Resilon (p>0.05). Considering the irrigation protocols, final irrigation with 2.5% NaOCl was associated with a significantly lower bond strength of both filling materials than the other irrigants (p<0.05). EDTA, CHX and normal saline had similar effects on the bond strengths of filling materials (p>0.05). Final irrigation of the root canals with 2.5% NaOCl following application of EDTA had a negative effect on the bond strength of Epiphany and Epiphany SE obturation systems.
    Journal of dentistry (Tehran, Iran). 05/2013; 10(4):296-302.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Preparation and disinfection of the root canal aims to remove organic and inorganic tissue from within the root canal, reduce the number of microorganisms, neutralize endotoxins inside the dentin, and prepare the root canal for proper obturation. These aims can be achieved in many cases to a degree that promises a high chance of success through a combination of mechanical preparation and chemical disinfection—in other words, irrigation and medication. Preparation and disinfection both physically and chemically act on the lumen of the root canal itself, trying to remove as much infected material as possible, but also act on the surrounding dentin and all of its components including the dentinal tubules. The chemomechanical process attempts to remove the adhering biofilm as well as microorganisms and their by-products. It is important to investigate the effect of various treatment options on root canal dentin, the periodontal ligament, and the surrounding alveolar bone. When mechanical processes and chemical agents are applied to a substrate such as dentin, this implies that the dentin will be altered or modified in structure, composition, and/or physical properties. This review aims to summarize the present knowledge on the effects of mechanical instrumentation and chemical irrigation on the root canal dentin and surrounding tissues.
    Endodontic Topics 09/2013; 29:55-86.