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      The Effect of BC Sealer, AH-Plus and Dorifill on Push-out Bond Strength of Fiber Post

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          Abstract

          Introduction:

          Dentinal canal walls are in direct contact with endodontic sealers prior to post space preparation and luting cements after post space preparation. This direct contact may affect the bond strength of intraradicular posts to root dentin. This study aimed to assess the effect of three different sealers on the bond strength of fiber posts to root dentin.

          Methods and Materials:

          The canals of 56 extracted single-rooted human premolars after selection and decoronation were prepared. For obturation of the canals, specimens were randomly divided into four groups ( n=14) according to the type of sealer used in conjunction with gutta-percha: group 1 (control) without any sealer; group 2 with AH-Plus sealer (resin based); group 3 with Dorifill sealer (ZOE-based); and group 4 with BC Sealer (calcium silicate-based). Nine mm-deep post space was prepared in the canal of each specimen. Intraradicular fiber posts were cemented using dual-cure resin cement (Panavia F2.0). Sections of 1 mm thickness were made at the coronal, middle and apical thirds of the post space of each specimen. The push-out bond strength of post to root dentin was measured in a universal testing machine. The data were analyzed using one-way ANOVA and post-hoc Tukey’s test.

          Results:

          The mean push-out bond strength in the coronal third was significantly lower in Dorifill group compared to AH-Plus ( P=0.004). This value was significantly lower in BC Sealer group than AH-Plus ( P=0.000) and control group ( P=0.03). In middle and apical thirds, the mean push-out bond strength was not significantly different among the four groups ( P=0.407, P=0.065, respectively). The mean push-out bond strength was significantly lower in apical than coronal third in AH-Plus group ( P=0.001).

          Conclusion:

          Application of BC Sealer and Dorifill decreased the mean push-out bond strength of intracanal post to root dentin in the coronal third in comparison to AH-Plus.

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          Most cited references45

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          State of the art etch-and-rinse adhesives.

          The aim of this study was to explore the therapeutic opportunities of each step of 3-step etch-and-rinse adhesives. Etch-and-rinse adhesive systems are the oldest of the multi-generation evolution of resin bonding systems. In the 3-step version, they involve acid-etching, priming and application of a separate adhesive. Each step can accomplish multiple goals. Acid-etching, using 32-37% phosphoric acid (pH 0.1-0.4) not only simultaneously etches enamel and dentin, but the low pH kills many residual bacteria. Some etchants include anti-microbial compounds such as benzalkonium chloride that also inhibits matrix metalloproteinases (MMPs) in dentin. Primers are usually water and HEMA-rich solutions that ensure complete expansion of the collagen fibril meshwork and wet the collagen with hydrophilic monomers. However, water alone can re-expand dried dentin and can also serve as a vehicle for protease inhibitors or protein cross-linking agents that may increase the durability of resin-dentin bonds. In the future, ethanol or other water-free solvents may serve as dehydrating primers that may also contain antibacterial quaternary ammonium methacrylates to inhibit dentin MMPs and increase the durability of resin-dentin bonds. The complete evaporation of solvents is nearly impossible. Manufacturers may need to optimize solvent concentrations. Solvent-free adhesives can seal resin-dentin interfaces with hydrophobic resins that may also contain fluoride and antimicrobial compounds. Etch-and-rinse adhesives produce higher resin-dentin bonds that are more durable than most 1 and 2-step adhesives. Incorporation of protease inhibitors in etchants and/or cross-linking agents in primers may increase the durability of resin-dentin bonds. The therapeutic potential of etch-and-rinse adhesives has yet to be fully exploited. Copyright © 2010 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
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            Post placement and restoration of endodontically treated teeth: a literature review.

            The restoration of endodontically treated teeth is a topic that is extensively studied and yet remains controversial from many perspectives. This article reviews the major pertinent literature on this topic, with an emphasis on major decision-making elements in post placement and restoration of endodontically treated teeth. Recommendations are made for treatment planning, materials, and clinical practices from restorative and endodontic perspectives.
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              Antibacterial activity of endodontic sealers by modified direct contact test against Enterococcus faecalis.

              The antibacterial effectiveness of 7 different endodontic sealers, AH Plus, Apexit Plus, iRoot SP, Tubli Seal, Sealapex, Epiphany SE, and EndoRez against Enterococcus faecalis was studied in vitro. A modified direct contact test was used. Bacteria in suspension were exposed to the materials for 2-60 minutes by using sealers that were freshly mixed or set for 1, 3, and 7 days. The pH values and contact angles of sterile water on sealers at different times after setting were also measured. Fresh iRoot SP killed all bacteria in 2 minutes, AH Plus in 5 minutes, EndoRez in 20 minutes, and Sealapex and Epiphany in 60 minutes. Freshly mixed Apexit Plus and Tubli Seal failed to kill all bacteria at 60 minutes. For 1-day and 3-day samples, iRoot SP and EndoRez had the strongest antibacterial activity, followed by Sealapex and Epiphany; Tubli Seal and AH Plus did n'ot show any significant antibacterial activity. Of all the samples, Apexit Plus had the lowest antimicrobial activity. The pH of the sealers could not alone explain their antibacterial effect. Fresh iRoot SP, AH Plus, and EndoRez killed E. faecalis effectively. IRoot SP and EndoRez continued to be effective for 3 and 7 days after mixing. Sealapex and EndoRez were the only ones with antimicrobial activity even at 7 days after mixing.
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                Author and article information

                Journal
                Iran Endod J
                Iran Endod J
                IEJ
                Iranian Endodontic Journal
                Iranian Center for Endodontic Research (Tehran, Iran )
                1735-7497
                2008-2746
                Fall 2017
                : 12
                : 4
                : 443-448
                Affiliations
                [a ] Department of Endodontics, Dental School, Tehran University of Medical Sciences, International Campus, Tehran, Iran;
                [b ] Dental Student, Dental School, Tehran University of Medical Sciences, International Campus, Tehran, Iran;
                [c ] Department of Prosthodontics, Dental School, Tehran University of Medical Sciences, International Campus , Tehran, Iran;
                [d ] Dental Research Center, Tehran University of Medical Sciences, Tehran, Iran
                Author notes
                [* ]Corresponding author: Farzaneh Farid; Department of Prosthodontics, Dental School, Tehran University of Medical Sciences, International Campus, Tehran, Iran. Tel: +98-21 55851149, E-mail: f.farid@Yahoo.com
                Article
                10.22037/iej.v12i4.15863
                5722117
                29225639
                eb00c584-c161-44bb-94ff-56227a20ca53

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, ( http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 2 April 2017
                : 5 August 2017
                : 20 August 2017
                Categories
                Original Article

                Dentistry
                bond strength,endodontic sealer,fiber post,resin cement
                Dentistry
                bond strength, endodontic sealer, fiber post, resin cement

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