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Effect of maleic acid on the bond strength of fibre posts to root dentine
Authors:Panpan Dai  Yixin Mao  Bing He  Shengbin Huang
Institution:1. Institute of Stomatology, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China;2. Department of Prosthodontics, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China;3. Protein Section, Laboratory of Metabolism, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA;4. Department of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam Movement Sciences, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the NetherlandsThese authors corresponded equally to this article
Abstract:The aim of this study was to evaluate the effect of maleic acid (MA) on both the bond strength of fibre post to root dentine and smear layer removal after post space preparation. Sixty, single‐canal premolars were endodontically treated and randomly assigned to four groups: group 1 0.9% saline solution (control]); group 2 2.5% sodium hypochlorite (NaOCl)]; group 3 17% ethylenediaminetetraacetic acid (EDTA) followed by 2.5% NaOCl]; and group 4 (7% MA followed by 2.5% NaOCl). Self‐adhesive resin cement was used to test the adhesion of a glass‐fibre post to the root dentine through a micropush‐out test. Scanning electron microscopy was performed to examine and score the treated specimens for smear layer removal, and stereomicroscopy was applied to investigate the failure modes of fibre posts. Maleic acid exhibited the highest mean bond‐strength values in the apical regions among all the groups. Most failure modes (31.9%) were adhesive‐type failures between the dentine and luting materials. Maleic acid performed statistically significantly better than the other groups regarding smear layer removal, especially in the apical region. Maleic acid is an effective irrigant that can remove the smear layer, open dentinal tubules, and act as a high‐efficiency final irrigant in activation protocols.
Keywords:irrigation  post space preparation  push‐out  resin cement  smear layer
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