Effect of laser irradiation on push-out bond strength of dental fiber posts to composite resin core buildups: A systematic review and meta-analysis

Impact of different surface treatment methods on bond strength between fiber post and composite core material

PURPOSE

To assess the impact of different surface treatments on the push-out bond strength between fiber post and a composite resin core material.

MATERIAL AND METHODS

Seventy-two glass-fiber posts were randomly assigned into six groups according to the method of surface treatment: Control (no treatment), silane, sandblasting, hydrofluoric acid, hydrogen peroxide, and hydrogen peroxide with sandblasting. Two posts from each group were inspected under a scanning electron microscope to assess the surface modifications and 10 posts were employed for the push-out test. Each post was placed vertically in the middle of a cylindrical putty matrix and a dual-cure composite resin material was applied for core build-up. Two discs of each specimen were cut using a low-speed diamond saw (total 120 discs). The push-out test was executed using a universal testing machine at a crosshead speed of 0.5 mm/min. Statistical analysis was performed using one-way ANOVA and Tukey's test (p ≤ 0.05). The mode of failure of each disc was evaluated under SEM.

RESULTS

The sandblasting and hydrofluoric acid groups presented significantly higher bond strength than control and hydrogen peroxide groups. The hydrogen peroxide groups exhibited significantly the lowest bond strength of all groups. There was no significant difference between the control and silane groups. All groups showed predominantly adhesive failure except the hydrogen peroxide with sandblasting, where the cohesive failure of the post was predominant.

CONCLUSIONS

Sandblasting and hydrofluoric acid surface treatments demonstrated superior results to silane and hydrogen peroxide. The combined method of hydrogen peroxide and sandblasting could weaken the fiber post and lead to clinical fractures.