Influence of Initial Root Canal Treatment on Intratubular Penetrability and Bond Strength of Nonsurgical Retreatment: An InVitro Study.

Autor:	Hadid GG; Postgraduate Student, Departament of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil., Ventura MA; Postgraduate Student, Departament of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil., Ramirez I; Postgraduate Student, Departament of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil., Assis HC; Postgraduate Student, Departament of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil., Camargo RV; Postgraduate Student, Departament of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil., Sousa-Neto MD; Professor, Departament of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil., Mazzi-Chaves JF; Professor, Departament of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil. Electronic address: jardel.chaves@usp.br., Lopes-Olhê FC; Professor, Departament of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	Journal of endodontics [J Endod] 2024 Oct; Vol. 50 (10), pp. 1495-1504. Date of Electronic Publication: 2024 Jul 31.
DOI:	10.1016/j.joen.2024.07.010
Abstrakt:	Introduction: To assess the effect of combinations of two different endodontic sealers used in initial and endodontic retreatment on the bond strength of the secondary obturation and the penetrability of the sealers. Methods: Forty-eight mandibular premolars were used, receiving standardized endodontic access and biomechanical preparation. Twenty-four teeth received AH Plus sealer (AHP) in primary obturation and the others received Bio-C Sealer (BCS). Retreatment protocol was performed with an R50 instrument. The samples were further subdivided into four groups (n = 12) based on the combination of primary/secondary obturation sealers: AHP/AHP; AHP/BCS; BCS/AHP; and BCS/BCS. Four samples from each subgroup received the addition of fluorophores to the sealer for penetrability analysis using laser scanning confocal fluorescence microscopy. The root portion on the 8 push-out samples was sectioned into 6 slices of 1.0 mm. Bond strength (BS) was assessed using a universal testing machine until displacement of the filling mass. Failure pattern was evaluated under a stereomicroscope (20× magnification). BS data were analyzed using two-way analysis of variance followed by Tukey's test (P < .05), and the association between the failure pattern and BS value was assessed using the chi-square test (P < .05). Penetrability was qualitatively evaluated. Results: The highest BS values were observed in the AHP/AHP (4.54 ± 1.5 MPa) and BCS/AHP (5.00 ± 1.0 MPa) groups (P < .05), with a higher percentage of adhesive failures to the filling material for all groups. Laser scanning confocal fluorescence microscopy images indicated greater penetrability of AHP compared to BCS, both in initial treatment and retreatment. Conclusion: AHP sealer exhibited higher BS and greater penetrability compared to BCS sealer. (Copyright © 2024 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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