The effect of canal cleansing protocols on cementation of a fiber post to saliva-contaminated root canals


YAMAN B. C. , Irmak O., ORHAN E. O. , Karabucak B., Ozer F., Blatz M. B.

JOURNAL OF ADHESION SCIENCE AND TECHNOLOGY, vol.31, no.1, pp.71-81, 2017 (Journal Indexed in SCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 31 Issue: 1
  • Publication Date: 2017
  • Doi Number: 10.1080/01694243.2016.1204146
  • Title of Journal : JOURNAL OF ADHESION SCIENCE AND TECHNOLOGY
  • Page Numbers: pp.71-81
  • Keywords: Contamination, decontamination, fiber post, resin cement, saliva, ADHESIVE RESIN CEMENTS, MICROTENSILE BOND STRENGTH, SELF-ADHESIVE, GLASS-FIBER, BOTTLE ADHESIVES, LUTING CEMENTS, IN-VITRO, DENTIN, SYSTEMS, ENAMEL

Abstract

Objective: This study investigated the effect of saliva contamination and cleansing effect of a self-etching primer (SEP), phosphoric acid (PA), chlorhexidine (CHX), and ethanol (EtOH) on the microtensile bond strength (TBS) of a fiber post cemented with a self-adhesive resin cement (SAC) to root canal dentin.Material and methods: Sixty human lower premolar roots were randomly divided into 10 groups: (1) no saliva contamination, no cleansing (Control); (2) no saliva contamination, cleansing with SEP (NC-SEP); (3) no saliva contamination, cleansing with PA (NC-PA); (4) no saliva contamination, cleansing with CHX (NC-CHX); (5) no saliva contamination, cleansing with EtOH (NC-EtOH); (6) with saliva contamination, no cleansing (SC-NC); (7) with saliva contamination, cleansing with SEP (SC-SEP); (8) with saliva contamination, cleansing with PA (SC-PA); (9) with saliva contamination, cleansing with CHX (SC-CHX); (10) with saliva contamination, cleansing with EtOH (SC-EtOH). After cementation of posts, the roots were transversally sectioned to obtain six slices (n=36) followed by TBS test. Data were analyzed with ANOVA and Tukey HSD tests (p=0.05).Results: Saliva contamination and cleansing methods had a significant effect on TBS values (p<0.0001). All cleansing agents improved bond strengths when compared with Control and SC-NC. Cleansing with CHX and ethanol showed lower TBS values than phosphoric acid and SEP, regardless of saliva contamination (p<0.05).Conclusions: Saliva contamination negatively affected bonding performance of SAC to root dentin. However; SEP, PA, CHX and EtOH can be used on contaminated dentin surfaces to optimize bonding performance of self-adhesive cements.