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      Effect of root dentin conditioning using different chelating agents on pushout bond strength of MTA-fillapex and bioroot RCS: An in vitro study

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          Abstract

          Context:

          The success of endodontic therapy depends on proper biomechanical preparation and obturation.

          Aim:

          To evaluate and compare the pushout bond strength (POBS) of MTA Fillapex (MF) and BioRoot RCS (BRCS) sealers in endodontically treated teeth with different irrigants-5.25% Sodium hypochlorite (NaOCl), 17% ethylenediaminetetraacetic acid (EDTA) and 0.2% Chitosan.

          Materials and Methods:

          60 premolars were divided into three groups. Each group was then subdivided into A and B. The three groups were Group 1A: 17% EDTA + 5.25% NaOCl with MF sealer ( n = 10); Group 1B: 17% EDTA + 5.25% NaOCl with BRCS sealer ( n = 10); Group 2A: 0.2% Chitosan + 5.25% NaOCl with MF sealer ( n = 10); Group 2B: 0.2% Chitosan + 5.25%NaOCl with BRCS sealer ( n = 10); Group 3A: 5.25% NaOCl + MF sealer ( n = 10); and Group 3B: 5.25% NaOCl + BRCS sealer ( n = 10). After obturation, they were sectioned horizontally (1.5 mm thick). The POBS was studied using a universal testing machine (Autograph AG-1). The sample size was calculated using the statistical package G * Power (3.1.5).

          Results:

          It was found that the POBS of BRCS was higher when the root canal was irrigated with 0.2% Chitosan + 5.25% NaOCl. Thus, Group 2B showed significantly higher POBS than Group 2A.

          Conclusion:

          The irrigation regimen of Chitosan with NaOCl was found to have better debriding effect on the root canal. Of the two sealers, BRCS showed the higher bond strength values than MF.

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          Most cited references25

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          Clinical implications and microbiology of bacterial persistence after treatment procedures.

          Apical periodontitis is an infectious disease caused by microorganisms colonizing the root canal system. For an optimal outcome of the endodontic treatment to be achieved, bacterial populations within the root canal should be ideally eliminated or at least significantly reduced to levels that are compatible with periradicular tissue healing. If bacteria persist after chemomechanical preparation supplemented or not with an intracanal medication, there is an increased risk of adverse outcome of the endodontic treatment. Therefore, bacterial presence in the root canal at the time of filling has been shown to be a risk factor for posttreatment apical periodontitis. About 100 species/phylotypes have already been detected in postinstrumentation and/or postmedication samples, and gram-positive bacteria are the most dominant. However, it remains to be determined by longitudinal studies if any species/phylotypes persisting after treatment procedures can influence outcome. This review article discusses diverse aspects of bacterial persistence after treatment, including the microbiology, bacterial strategies to persist, the requisites for persisting bacteria to affect the outcome, and future directions of research in this field.
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            Chemistry and application of chitin and chitosan

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              Effects of sodium hypochlorite and RC-prep on bond strengths of resin cement to endodontic surfaces.

              There is concern that the use of sodium hypochlorite (NaOCl) and RC-Prep may lower the bond strength of resin cements. The objective of this study was to evaluate the effect of 5% NaOCl and RC-Prep treatment on the bond strength of a resin cement, C&B Metabond. Control roots (group 1) were biomechanically prepared using 0.9% NaCl as an irrigant; group 2, roots with 5% NaOCl; group 3, roots with RC-Prep; group 4, roots with 0.9% NaCl followed by 10% ascorbic acid; group 5, roots with 5% NaOCl followed by 10% ascorbic acid (pH 4); group 6, roots with 5% NaOCl followed by 10% neutral sodium ascorbate; and group 7, roots with RC-Prep followed by 10% ascorbic acid. All roots were then filled with C&B Metabond, incubated in water for 24 h, and then cross-sectioned into six 1-mm thick slabs representing cervical and middle root dentin. The slabs were trimmed and tested for tensile bond strength. The results demonstrated that both 5% NaOCl and RC-Prep produced significantly (p < 0.05) large reductions in resin-dentin bond strengths, and the reductions could be completely reversed by the application of either 10% ascorbic acid or 10% sodium ascorbate.
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                Author and article information

                Journal
                J Conserv Dent
                J Conserv Dent
                JCD
                Journal of Conservative Dentistry : JCD
                Wolters Kluwer - Medknow (India )
                0972-0707
                0974-5203
                Mar-Apr 2021
                09 October 2021
                : 24
                : 2
                : 195-198
                Affiliations
                [1]Department of Conservative Dentistry and Endodontics, St. Gregorios Dental College, Ernakulam, Kerala, India
                Author notes
                Address for correspondence: Dr. Jesline Maria Jose, Department of Conservative Dentistry and Endodontics, St. Gregorios Dental College, Ernakulam - 686 681, Kerala, India. E-mail: josejesline56@ 123456gmail.com
                Article
                JCD-24-195
                10.4103/JCD.JCD_574_20
                8562834
                34759589
                d77baef8-5b67-4dcf-b3e7-0de389d5bd29
                Copyright: © 2021 Journal of Conservative Dentistry

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 19 November 2020
                : 12 January 2021
                : 19 February 2021
                Categories
                Original Research

                Dentistry
                pushout bond strength,root dentin conditioning,sealers
                Dentistry
                pushout bond strength, root dentin conditioning, sealers

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