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Morphological and bond strength evaluation of different resin cements to root dentin
Authors:Kerstin Bitter  Sebastian Paris  Cindy Pfuertner  Konrad Neumann  rej M Kielbassa
Institution:Department of Operative Dentistry and Periodontology, University School of Dental Medicine, CharitéCentrum 3, Charité-Universitätsmedizin Berlin, Germany;;Clinic for Conservative Dentistry and Periodontology, University School of Dental Medicine, Christian Albrechts University, Kiel, Germany;;Department of Biometry, and Clinical Epidemiology, Campus Mitte, CharitéCentrum 4, Charité-Universitätsmedizin Berlin, Germany
Abstract:This study correlated the morphological characteristics with the bond strengths of various resin cements used for bonding fiber posts to root canal dentin. Fifty glass-fiber posts (FRC Postec Plus) were luted into the root canals of extracted human anterior teeth using five resin cements ( n  = 10): Panavia F 2.0, PermaFlo DC, Variolink II, RelyX Unicem, and Clearfil Core. Before insertion of the post, the adhesive systems were labeled with fluorescein and the resin cement was labeled with rhodamine isothiocyanate. The roots were sectioned into three slices (of 2 mm thickness), and each slice was analyzed using confocal laser scanning microscopy in dual fluorescence mode to determine hybrid layer thickness, the number of resin tags, and the number of broken tags. Bond strengths were measured using a micro push-out test. Bond strengths to root canal dentin, as well as the morphological characteristics, were significantly affected by the materials. However, these factors did not correlate. The self-adhesive resin cement, which showed the formation of a hybrid layer and resin tags only sporadically, had the highest bond strengths. These results indicate that chemical interactions between the adhesive cement and hydroxyapatite may be more crucial for root dentin bonding than the ability of the same material to hybridize dentin.
Keywords:confocal laser scanning microscopy  fiber posts  fluorescence  luting cement  root canal dentin
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