1
|
Elalfy NSM, Elbasty RS. Effect of Er: YAG laser and different surface treatment methods on the push-out bond strength of glass fiber post to self adhesive resin cement. Lasers Med Sci 2025; 40:80. [PMID: 39920511 PMCID: PMC11805825 DOI: 10.1007/s10103-025-04317-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2024] [Accepted: 01/23/2025] [Indexed: 02/09/2025]
Abstract
To compare the push-out bond strength of adhesive resin cement and glass fiber posts (GFP) at different root levels after exposure to Er: YAG laser irradiation compared to other conventional surface treatment procedures. A total of 24 mandibular premolars were decoronated, root canal treatment was done, post spaces were prepared, and roots were mounted in acrylic resin blocks. Fiber posts were divided into four groups (n = 6) according to surface treatment methods: (1) silane only (control group), (2) Er: YAG laser 1.5 W + silane, (3) 30% hydrogen peroxide + silane, (4) sandblasting with 50 μm aluminum oxide particles + silane. GFP were cemented using self-adhesive resin cement. Scanning electron microscope images with 500x magnification were taken for all groups. Push-out test was performed using a universal testing machine at different root levels. The difference between groups was statistically significant with laser group recording the highest mean ± SD value of push-out bond strength (5.668042 ± 1.16 MPa), followed by the H2O2 group, then the control group, meanwhile the lowest value was recorded with Sand-blasting group. There were no statistically significant differences between the Control group and Er: YAG group; Control group and sandblasted group. The difference between the radicular regions was not statistically significant, with the middle region recorded the highest push-out bond strength (4.746851 ± 0.73 MPa). GPF surface treatment using an Er: YAG laser is effective as it increases the retention to resin cement, while sandblasting decreases fiber post retention to resin cement. The hydrogen peroxide and the control groups give similar bond strength. The middle and apical regions of GFP have better retention to resin cement than the coronal one.
Collapse
|
2
|
Abdul Hadi Ahmed R, Mohammed Ali Hussein B. Effect of Laser Treatment of Root Dentine on Retention of Dental Fiber Post in Endodontically Treated Teeth: An In Vitro Study. J Lasers Med Sci 2024; 15:e28. [PMID: 39188935 PMCID: PMC11345800 DOI: 10.34172/jlms.2024.28] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2024] [Accepted: 05/19/2024] [Indexed: 08/28/2024]
Abstract
Introduction: The most common causes of fiber post-failure are inadequate restorations and dislodgement. This study aimed to evaluate fiber post-bond strength to dentin following Er,Cr:YSGG laser irradiation. Methods: A total of 65 human mandibular premolars with single roots were included. The 14 mm root length was instrumented with the rotary system using the crown-down technique. Gutta-percha was used for obturation, followed by conventional post space preparation. The samples were divided into two major groups: control (A) and Er,Cr:YSGG (2780 nm) laser group (B). The laser group was subdivided into (B1) 1.25 W, (B2) 1.5 W, and (B3) 1.75 W. All laser groups were set at 20 Hz, 10% and 30% water/air ratio. Fiber posts were cemented with selfadhesive cement. Each sample was divided horizontally into two slices, coronal and apical. The universal testing equipment was used to conduct a push-out test. All groups were examined by SEM and temperature changes. The statistical analysis was performed by using one-way ANOVA and Tukey HSD tests. Results: SEM images of all laser groups revealed the elimination of the smear layer and opened dentinal tubules, which was particularly noticeable in the apical region with no thermal risk to the periodontal tissue. In the push-out test, all laser groups had highly significant (P<0.001) increases in the bond strength of fiber post to dentin. The failure mode of the control group was a predominantly adhesive failure, whereas the laser groups were a predominantly mixed type. Conclusion: The three laser protocols can be used safely in the surface treatment of the fiber post space of endodontically treated teeth. Laser help to increase the bond strength of fiber post to dentin, especially in the apical area.
Collapse
|
3
|
Lupita C, Bojoga DE, Del Vecchio A, Stoia DI, Grozav I, Miron MI, Todea DC. Photon-Induced Photo-Acoustic Streaming vs. Shock Wave-Enhanced Emission Photo-Acoustic Streaming-The Effect of Three Final Irrigation Protocols on the Bond Strength of an Individually Formed Fiber Post. Dent J (Basel) 2024; 12:237. [PMID: 39195081 DOI: 10.3390/dj12080237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2024] [Revised: 07/19/2024] [Accepted: 07/22/2024] [Indexed: 08/29/2024] Open
Abstract
(1) Background: This study aimed to evaluate how laser-activated irrigation (LAI) influences the retention of a fiber post when used before an endodontic filling, as well as after post space preparation. (2) Materials and Methods: Sixty freshly extracted human incisors were selected. The teeth were randomly assigned to three groups-CONVENTIONAL (CONV), PIPS or SWEEPS-and treated endodontically. Each group received irrigation with 1 × 5 mL EDTA (17%) and 3 × 5 mL NaOCl (5.25%). In the first group, the irrigants were not activated, while in the second and third group, LAI was adopted using PIPS and SWEEPS protocols (Lightwalker from Fotona, Ljubliana, Slovenia). After post space preparation, each group received the same irrigation protocol initially established. Sticky posts (everStick Post, GC AUSTRIA GmbH Swiss) were individually adapted to the corresponding post spaces and cemented using dual cure resin cement (Gradia Core, GC Austria GmbH Swiss). All specimens were vertically embedded into self-curing acrylate (Duracryl plus, Spofa Dent, Europe), and each was sectioned into three segments of type A and type B samples for debonding through push-out and pull-out tests. The results were statistically analyzed. (3) Results: The pull-out test showed the superiority of the SWEEPS group, with a mean fracture force of 133.0 ± 50.7 N, followed by the PIPS group, with 102 N, with a lower standard deviation of ± 34.5 N. The CONV group registered the lowest fracture force. Concerning the push-out test, the SWEEPS group showed superior shear stress in comparison to the other two groups (13.45 ± 4.29 MPa); the CONV group was inferior, with shear tension values of 8.31 ± 4.67 MPa. (4) Conclusions: It can be stated that the SWEEPS and PIPS protocols resulted in considerably higher fiber post retention than the conventional method, whereas the SWEEPS protocol was superior to the PIPS protocol.
Collapse
Affiliation(s)
- Cassandra Lupita
- Department of Oral Rehabilitation and Dental Emergencies, Faculty of Dentistry, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Interdisciplinary Research Center for Dental Medical Research, Lasers and Innovative Technologies, 300041 Timisoara, Romania
| | - Daliana Emanuela Bojoga
- Department of Oral Rehabilitation and Dental Emergencies, Faculty of Dentistry, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Interdisciplinary Research Center for Dental Medical Research, Lasers and Innovative Technologies, 300041 Timisoara, Romania
| | - Alessandro Del Vecchio
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy
| | - Dan Ioan Stoia
- Department of Mechanics and Strength of Materials, Faculty of Mechanical Engineering, Polytechnic University of Timisoara, 300222 Timisoara, Romania
| | - Ion Grozav
- Department of Mechanics and Strength of Materials, Faculty of Mechanical Engineering, Polytechnic University of Timisoara, 300222 Timisoara, Romania
| | - Mariana Ioana Miron
- Department of Oral Rehabilitation and Dental Emergencies, Faculty of Dentistry, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Interdisciplinary Research Center for Dental Medical Research, Lasers and Innovative Technologies, 300041 Timisoara, Romania
| | - Darinca Carmen Todea
- Department of Oral Rehabilitation and Dental Emergencies, Faculty of Dentistry, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Interdisciplinary Research Center for Dental Medical Research, Lasers and Innovative Technologies, 300041 Timisoara, Romania
| |
Collapse
|
4
|
Tsolomitis P, Diamantopoulou S, Papazoglou E. Contemporary Concepts of Adhesive Cementation of Glass-Fiber Posts: A Narrative Review. J Clin Med 2024; 13:3479. [PMID: 38930007 PMCID: PMC11205216 DOI: 10.3390/jcm13123479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2024] [Revised: 06/03/2024] [Accepted: 06/07/2024] [Indexed: 06/28/2024] Open
Abstract
(1) Background: Cementation of glass fiber posts to root canals has been associated with various failures, especially debonding. This narrative review aims to present the contemporary concepts concerning the adhesive cementation of glass fiber post and to discuss the optimal management of these factors. (2) Methods: Electronic search was performed in MEDLINE/Pub Med and Google Scholar using selected keywords examining the parameters post length, surface treatment of glass fiber posts, post space preparation and dentin pretreatment, resin cement selection, adhesive systems and hybrid layer formation, and clinical techniques. (3) Results: The search led to the selection of 44 articles. Epoxy resin-based endodontic sealers are recommended and the use of temporary cement in the root canal should be avoided. The minimum length of a glass fiber post adhesively cemented to a root canal is 5 mm. Irrigating the root canals with chlorhexidine, MTAD, or EDTA (alone or in combination with NaOCl) after post space preparation seems to enhance the bond strength. Silane application on the surface of the post seems to be beneficial. Concerning resin cements and adhesive systems, the results were rather inconclusive. Finally, resin cement should be applied inside the root canal with an elongation tip and photoactivation should be delayed. (4) Conclusions: Contemporary concepts of adhesive cementation of glass fiber posts can indeed improve the bond between glass fiber posts, resin cement, and root canal dentin, however, evidence coming from long-term randomized prospective clinical trials is needed in order to obtain safer conclusions.
Collapse
Affiliation(s)
| | | | - Efstratios Papazoglou
- Department of Operative Dentistry, Dental School, National and Kapodistrian University of Athens, 11527 Athens, Greece; (P.T.); (S.D.)
| |
Collapse
|
5
|
Özcan N, Utar M, Çulhaoğlu AK, Erdoğan HG. Effect of Er:YAG laser on removal of fibre posts from root canal. AUST ENDOD J 2023; 49 Suppl 1:294-300. [PMID: 36573837 DOI: 10.1111/aej.12732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 12/11/2022] [Accepted: 12/13/2022] [Indexed: 12/28/2022]
Abstract
The aim of this study was to evaluate the efficiency of Er:YAG laser in translucent fibre post removal. 60 human single-rooted anterior teeth were divided into three groups (n = 20) according to post diameters (Exacto1-E1, Exacto2-E2, Exacto3-E3) and subdivided according to laser application. Fibre posts were cemented to endodontically treated teeth, and the specimens were sliced with a thickness of 1.0 ± 0.2 mm. Er:YAG laser was applied and the push out bond strength test was performed. Two-way analysis of variance was used to perform the statistical analysis. Push out bond strengths at apical area were significantly lower in all test groups (p < 0.05). Laser application caused increase in all radicular thirds, but it was significant for E1 and E3 groups. Laser application to the post-dentine interface enhances the connection between post and dentine.
Collapse
Affiliation(s)
- Nihal Özcan
- Department of Prosthodontics, Faculty of Dentistry, Kirikkale University, Kirikkale, Turkey
| | | | - Ahmet Kürsad Çulhaoğlu
- Department of Prosthodontics, Faculty of Dentistry, Health Sciences Gülhane University, Ankara, Turkey
| | - Hamiyet Güngör Erdoğan
- Department of Prosthodontics, Faculty of Dentistry, Lokman Hekim University, Ankara, Turkey
| |
Collapse
|
6
|
Deng Z, Huang Z, Ping L, Hu W, Yie KHR, Liu C, Zhang H, Liu J. The combined treatment of fiber post and root canal by the Er:YAG laser enhances the bond strength of composite reconstruction. Lasers Med Sci 2023; 38:146. [PMID: 37353598 DOI: 10.1007/s10103-023-03800-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 06/02/2023] [Indexed: 06/25/2023]
Abstract
Fiber post bonding failure remains an issue during crown restoration procedures. This experiment examines the bonding effect of combined Er:YAG laser treatment on both root canal and fiber post. Sixty extracted mandibular first premolars were randomly selected and divided into 6 groups (n = 10 per group): G1 (control group): root canal with 2.5% NaClO treatment, no treatment of fiber post; G2: root canal with 2.5% NaClO treatment and fiber post with airborne-particle abrasion; G3: root canal with Er:YAG laser treatment and fiber post with airborne-particle abrasion; G4: root canal with Er:YAG laser treatment, no treatment of fiber post; G5: root canal with 2.5% NaClO treatment, fiber post with Er:YAG laser irradiation; G6: combined Er:YAG laser irradiation of both root canal and fiber post. An Er:YAG laser with a wavelength of 2940 nm was used to treat the fiber post (4.5 W, 450 mJ, 10 Hz for 60 s at 100-μs pulse duration with 100% water cooling) and the root canal (1.5 W, 150 mJ, 10 Hz for 60 s at 100-μs pulse duration with 100% water cooling). When the root canal was treated with the laser, the fiber tip was inserted into the root canal to make a spiral reciprocating motion. Bond strength was analyzed by a micro push-out test. Data were analyzed using both the Tukey test and two-way ANOVA (α = 0.05). Failure modes were observed and counted through a stereo microscope. The root canal and fiber post surface analysis was performed using SEM. The bond strength of G3 and G6 were significantly enhanced compared to those of the other groups (p < 0.05). The SEM analysis showed that the smear layers of groups with root canals subjected to Er:YAG laser irradiation were significantly reduced compared to those of the control group (G1). In groups with fiber posts treated with Er:YAG laser irradiation, the surfaces of the fiber posts exhibited greater surface roughness and a certain degree of epoxy matrix removal. Through the combined Er:YAG laser irradiation of both root canal and fiber post, the bond strength between them was significantly enhanced, which was superior to the individual treatment of either fiber posts or root canal.
Collapse
Affiliation(s)
- Zhennan Deng
- School and Hospital of Stomatology, Wenzhou Medical University, 268#, Xueyuan West Road, Lucheng District, , Wenzhou City, 325027, Zhejiang Province, China
| | - Zhuo Huang
- School and Hospital of Stomatology, Wenzhou Medical University, 268#, Xueyuan West Road, Lucheng District, , Wenzhou City, 325027, Zhejiang Province, China
| | - Linchao Ping
- Department of Stomatology, Jiaxing Hospital of T.C.M, Jiaxing, 314000, China
| | - Wenjia Hu
- School and Hospital of Stomatology, Wenzhou Medical University, 268#, Xueyuan West Road, Lucheng District, , Wenzhou City, 325027, Zhejiang Province, China
| | - Kendrick Hii Ru Yie
- School and Hospital of Stomatology, Wenzhou Medical University, 268#, Xueyuan West Road, Lucheng District, , Wenzhou City, 325027, Zhejiang Province, China
| | - Chongxing Liu
- School and Hospital of Stomatology, Wenzhou Medical University, 268#, Xueyuan West Road, Lucheng District, , Wenzhou City, 325027, Zhejiang Province, China
| | - Hualin Zhang
- College of Stomatology, Ningxia Medical University, 804#, Shengli South Street, Xingqing District, Yinchuan City, 750004, Ningxia Province, China.
- General Hospital of Ningxia Medical University, Yinchuan, 750004, China.
| | - Jinsong Liu
- School and Hospital of Stomatology, Wenzhou Medical University, 268#, Xueyuan West Road, Lucheng District, , Wenzhou City, 325027, Zhejiang Province, China.
| |
Collapse
|
7
|
Huang Q, Li Z, Lyu P, Zhou X, Fan Y. Current Applications and Future Directions of Lasers in Endodontics: A Narrative Review. Bioengineering (Basel) 2023; 10:bioengineering10030296. [PMID: 36978686 PMCID: PMC10044917 DOI: 10.3390/bioengineering10030296] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Revised: 02/09/2023] [Accepted: 02/13/2023] [Indexed: 03/02/2023] Open
Abstract
The utilization of lasers has been regarded as a novel technique for the purposes of clinical use in the dental field. Recently, numerous studies have been conducted on the potential applications of laser therapy in endodontics. Moreover, due to their ablation, penetrability, and disinfection capabilities, lasers have performed well with respect to endodontic treatments, including root canal treatment, vital pulp therapy (pulp capping and pulpotomy), dentinal hypersensitivity treatment, and management of dental pain related to pulp and periradicular disease. In particular, the superiorities of laser-aided pulp therapy are emphasized through condensed clinical controlled trials, and histological studies, in this review. Moreover, the ingenious use of laser applications with respect to aiding in the acceleration of root development and the extraction of foreign matters (i.e., broken files and fiber posts) in canals has quickly become the cutting-edge trend of current research. This review offers a summary and discussion of the current literature on all the aforementioned laser applications. Moreover, the characteristics of laser devices, including erbium lasers, neodymium-doped lasers, CO2 lasers, and diode lasers, are detailed and discussed here, providing useful references for laser application in endodontics. We also focus on the different wavelengths with respect to the lasers that are applied in endodontics. High-power lasers perform well as operative instruments; in addition, low-level lasers lead to the regulation of pulp inflammation, and the promotion of pulp healing. This narrative review provides a summary of the advanced applications of lasers in conjunction with various devices in the practice of endodontics, and aims to inspire innovative perspectives on lasers in the context of the treatment of dental diseases, especially pulp diseases, in the future.
Collapse
|
8
|
Souza-Filho CBD, Moris ICM, Colucci V, Faria ACL, Gomes ÉA. Is the Er:YAG laser affect the surface characteristics and bond strength of Y-TZP? Braz Dent J 2022; 32:83-92. [PMID: 35019023 DOI: 10.1590/0103-6440202104739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 10/28/2021] [Indexed: 11/21/2022] Open
Abstract
This study evaluated the surface characteristics and bond strength of Y-TZP treated with Er:YAG laser at different focal distances. 120 Y-TZP blocks were divided into five groups (n=24), according to the surface treatment: no treatment (C-); sandblasting with silica-coated aluminum oxide particles (C+); and Er:YAG laser application at focal distances of 1mm (Er:YAG-1), 4mm (Er:YAG-4), and 7mm (Er:YAG-7). Surface characteristics were analyzed using Vickers microhardness, confocal laser microscope, scanning electron microscopy (SEM), and X-ray diffractometer (XRD). For the bond strength test, 100 Y-TZP blocks were subdivided into two subgroups (n=10), according to the resin cement used: with (MDP+) or without 10-methacryloyloxydecyl dihydrogen phosphate (MDP-). The Vickers microhardness and surface roughness were analyzed by one-way ANOVA and bond strength by two-way ANOVA and Tukey's test for both (α=0.05). Vickers microhardness differences were not observed between the groups (p>0.05); C+ showed higher surface roughness values. SEM images showed micromorphological differences between the groups. The XRD data detected tetragonal crystals for C- and, for the other groups, tetragonal and monoclinic peaks. For bond strength, no statistically difference significance were observed among the cements with or without MDP (p>0.05) but showed significant difference between the surface treatments (C+ > C- = Er:YAG1 > Er:YAG4 = Er:YAG7) (p<0.05). Suggested that the Er:YAG laser cannot replace conventional treatment with aluminum oxide particles and the presence of MDP in the resin cement had no influence on the bond strength.
Collapse
Affiliation(s)
| | - Izabela C M Moris
- School of Dentistry, University of Ribeirão Preto (UNAERP), Ribeirão Preto, São Paulo, Brazil
| | - Vivian Colucci
- School of Dentistry, University of Ribeirão Preto (UNAERP), Ribeirão Preto, São Paulo, Brazil
| | - Adriana Cláudia Lapria Faria
- Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeirão Preto, University of São Paulo (FORP-USP), Ribeirão Preto, São Paulo, Brazil
| | - Érica A Gomes
- School of Dentistry, University of Ribeirão Preto (UNAERP), Ribeirão Preto, São Paulo, Brazil
| |
Collapse
|
9
|
Surface modification of glass fiber-reinforced composite posts to enhance their bond strength to resin-matrix cements: an integrative review. Clin Oral Investig 2021; 26:95-107. [PMID: 34713360 DOI: 10.1007/s00784-021-04221-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 10/05/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Endodontically treated teeth usually can reveal an extensive loss of dental structure and require the use of intraradicular posts to provide adequate support and retention. Retention of the post depends on the surface treatment of the endodontic post itself and on the root canal dentin as well as on the type of resin-matrix cement. PURPOSE The main aim of this study was to conduct an integrative review on the influence of different surface treatment methods of glass fiber-reinfored resin composite (GFRC) posts on their push-out bond strength to resin-matrix cements in endodontically treated teeth rehabiliation. METHOD A literature search was performed on PubMed (via National Library of Medicine) regarding articles published within the last 10 years, using the following combination of search terms: "intracanal post" OR "endodontic post" OR "root canal post" OR "intraradicular post" OR "glass fiber" AND "resin cement" AND "adhesion" OR "bond strength" OR "shear bond strength" OR "push out". RESULTS Results from the selected studies recorded the highest push-out bond strength around 22.5 MPa) on GFRC posts to resin-matrix cements when the surfaces were pre-treated by grit-blasting with silicate followed by silane conditioning. However, high values of push-out bond strength (21.5 MPa) were also noticed for GFRC posts after etching with hydrogen peroxide followed by silance conditioning. Thus, the highest values of bond strength of endodontic posts to the resin-matrix cements were recorded when a combined physico-chemical approach was assessed. Non-treated surfaces showed the lowest bond strength values between 5 to and 9 MPa. Surface analyses of GFRC posts showed an increased roughness after grit-blasting or etching that promoted a mechanical interlocking of the adhesive and resin-matrix cements. CONCLUSION The combined treatment of glass fiber-reinforced resin composite post surfaces by physical and chemical methods can promote the increase in roughness and chemical functionalization of the surfaces prior to cementation., That results in a high mechanical interlocking of the resin-matrix cements and a stable retention of the teeth root intracanal posts. CLINICAL RELEVANCE Combining chemical and physical modification methods of surfaces can provide the most promising adhesion-enhancing pathways of GFRC posts to resin-matrix cements, that can decrease the risk of clinical failures by fracture and detachment of endodontic posts.
Collapse
|
10
|
Zamanian AH, Hakimaneh SMR, Mojahedi SM, Taghavi Damghani F, Shayegh F, Shayegh SS. Efficiency of Erbium-Doped Yttrium Aluminum Garnet Laser in Debonding Cemented Glass Fiber Posts: an in vitro Study. JOURNAL OF DENTISTRY (SHIRAZ, IRAN) 2021; 22:1-7. [PMID: 33681416 PMCID: PMC7921767 DOI: 10.30476/dentjods.2020.83933.1062] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Statement of the Problem: The efficacy of erbium-doped yttrium aluminum garnet (Er; YAG) laser on the debonding properties of certain post materials has remained largely unexplored. Purpose: This study aimed to investigate the effect of Er; YAG laser irradiation on debonding of cemented glass fiber posts in root canal treated teeth. Materials and Method: In this in vitro study, forty root canal treated mandibular premolar teeth were used in this study. Glass fiber posts were bonded using Panavia F 2.0 cement in the root canal space, and samples were divided into two groups. In the test group, samples were exposed to laser radiation of 7W, 350mJ, frequency of 20Hz and discontinued washing spray. In the control group, samples were left untouched. In each group, samples were sectioned into 1.5mm thick slices from the coronal, middle, and apical thirds of the root (N=120). Tensile bond strengths were evaluated using the push-out test and the failure patterns were evaluated using scanning electron microscopy (SEM). To compare the laser and non-laser groups at each location, independent sample t test was applied, and to compare bond strength between the locations in each group, one-way ANOVA and Tukey’s HSD post hoc was applied. Results: A significant difference in tensile strength was observed between the laser-irradiated group and control group; tensile bond strength was much higher in the control group (p<0.001). The highest frequency of fractures was observed at the cement-dentin interface. Given the used parameters, complete debonding was not achieved in the laser-irradiated group. Conclusion: Laser radiation reduced the bond strength of glass fiber posts to resin cement without complete debonding.
Collapse
Affiliation(s)
- Amir Hossein Zamanian
- Postgraduate Student, Dept. of Prosthodontics, Faculty of Dentistry, Shahed University, Tehran, Iran
| | | | - Seyed Masoud Mojahedi
- Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Farnaz Taghavi Damghani
- Postgraduate Student, Dept. of Prosthodontics, Faculty of Dentistry, Shahed University, Tehran, Iran
| | | | | |
Collapse
|
11
|
Davoudi A, Shadmehr E, Savoj M, Akhavan-Khaleghi M, Tabesh M, Zakizade M, Ebadian B. Laser Treatment of Fiber Post and Final Push-Out Bond Strength: A Systematic Review and Meta-Analysis. PHOTOBIOMODULATION PHOTOMEDICINE AND LASER SURGERY 2020; 39:321-333. [PMID: 33275497 DOI: 10.1089/photob.2020.4809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Purpose: This review article tries to answer this question: "What are the effects of laser surface treatment of fiber posts (FPs), compared with other surface roughening methods, on bond strength of cemented FPs?" Methods: Search was carried out in six electronic databases by focusing on defined key words. Related titles and abstracts, up to March 2019, were collected, read, and selected for quality assessments. A total of 2408 articles were included in the study at the initial stage of the searching phase. Results: Finally, seven studies were recognized to be reliable to be reviewed and meta data analysis in the study. All the studies were in vitro with a total of 340 samples. None of the Er:YAG (-0.27, 95% CI: -2.29 to 1.76; p = 0.79) and Er,Cr:YSGG (-0.04, 95% CI: -1.43 to 1.35; p = 0.95) treated samples showed any significant overall mean differences in final push-out bond strength (PBS) compared with the control groups. Conclusions: Laser pretreatment of FP surfaces might not be effective in providing high PBS. FP surface are susceptible to damage of high-level laser irradiation and might show decreased bond strength.
Collapse
Affiliation(s)
- Amin Davoudi
- Department of Prosthodontics, Dental Implants Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Elham Shadmehr
- Department of Endodontics, School of Dentistry, UCSF Preventive & Restorative Dental Science, San Francisco, California, USA
| | - Melika Savoj
- Dental Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mehrdad Akhavan-Khaleghi
- Department of Prosthodontics, Dental Implants Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mahtab Tabesh
- Dental Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mehrnaz Zakizade
- Department of Orthodontics, Dental School, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Behnaz Ebadian
- Department of Prosthodontics, Dental Implants Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
| |
Collapse
|
12
|
Wan S, Tan Y, Xie J, Huang X, Guo L. The effect of a root-dentin pretreatment technique combining PIPS with MTAD aiming to improve the bond strength of glass fiber post. Microsc Res Tech 2020; 83:824-833. [PMID: 32187772 DOI: 10.1002/jemt.23474] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Revised: 02/16/2020] [Accepted: 03/08/2020] [Indexed: 11/07/2022]
Abstract
The aim of this study was to evaluate the combined effect of MTAD and photon-induced photoacoustic streaming (PIPS) technique on the smear layer removal and the bond strength of glass fiber post. Fifty-five human mandibular premolars were chosen. After root canal therapy and post space preparation, the teeth were equally divided to five groups according to the methods of root-dentin pretreatment: G1: distilled water (control); G2: 2.5% NaOCl+17% EDTA; G3: MTAD; G4: PIPS; G5: MTAD+PIPS. One sample was randomly selected from each group, and scanning electron microscope (SEM) was used to observe the microscopic morphology of the coronal, middle and apical level of the root-dentin. The remaining ten samples from each group were glued to glass fiber posts, and the bond strength was assessed by push-out test. SEM evaluation showed that the most complete smear layer removal was found in MTAD + PIPS group, especially in coronal third. Push-out test results exhibited that there was a statistically significant interaction between the experimental groups and root canal third (p < .0005). Significant differences could be found among five groups (p < .05): G5 > G4 > G3 > G2 > G1. G5 had the highest bond strength. In conclusion, post space pretreatments with MTAD or PIPS technique can significantly remove smear layer and improve the bond strength of glass fiber post, and combination of them works best.
Collapse
Affiliation(s)
- Shu Wan
- Department of prosthodontics, Hospital of Stomatology Affiliated to Southwest Medical University, LuZhou, China
| | - Yujie Tan
- Department of prosthodontics, Hospital of Stomatology Affiliated to Southwest Medical University, LuZhou, China
| | - Jing Xie
- Department of prosthodontics, Hospital of Stomatology Affiliated to Southwest Medical University, LuZhou, China
| | - Xiaoyu Huang
- Department of prosthodontics, Hospital of Stomatology Affiliated to Southwest Medical University, LuZhou, China
| | - Ling Guo
- Department of prosthodontics, Hospital of Stomatology Affiliated to Southwest Medical University, LuZhou, China
| |
Collapse
|
13
|
Rezaei-Soufi L, Tapak L, Forouzande M, Fekrazad R. Effects of motion direction and power of Er,Cr:YSGG laser on pull-out bond strength of fiber post to root dentin in endodontically-treated single-canal premolar teeth. Biomater Res 2019; 23:17. [PMID: 31788326 PMCID: PMC6858750 DOI: 10.1186/s40824-019-0165-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Accepted: 09/20/2019] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Inadequate retention and gradual debonding of intracanal post from root dentin is a major cause of failure of endodontically treated teeth restored with fiber post. MAIN BODY This study aimed to assess the effect of surface treatment of quartz fiber posts with different powers and motion directions of Er,Cr:YSGG laser on their pull-out bond strength to root dentin in endodontically treated premolar teeth. In this study, 105 fiber posts were divided into 7 groups according to their surface treatment with different powers of Er,Cr:YSGG laser at 2780 nm wavelength, 20 Hz frequency and 150 μs pulse duration in circumferential (C) or longitudinal (L) motion directions: Control group (no treatment), 0.5 W laser in longitudinally (L0.5), 1.0 W laser in longitudinally (L1), 1.5 W laser in longitudinally (L1.5), 0.5 W laser in circumferentially (C0.5), 1.0 W laser in circumferentially (C1) and 1.5 W laser in circumferentially (C1.5). After cementation, pull-out bond strength was measured in Newton (N). Each sample was inspected under a stereomicroscope at × 25 magnification to determine the mode of failure. Two samples of each group were inspected under a scanning electron microscope (SEM). Data were analyzed using two-way ANOVA and Tukey's test with significant level of 0.05. The pull-out bond strength of 0.5 W groups had significant differences with the control group (P = 0.009). The bond strength of 1.0 W and 1.5 W groups were not significantly different (P = 0.630) but were higher than the control and 0.5 W groups (P < 0.001). Motion direction of laser irradiation had no significant effect on the bond strength (P = 0.384). The interaction effect of power and motion direction of laser irradiation had no significant effect on the bond strength (P = 0.092). CONCLUSION Fiber posts treated with 0.5, 1.0 and 1.5 W Er,Cr:YSGG laser showed higher bond strength to dentin compared to posts with no surface treatment. However, the motion directions of laser irradiation had no significant effect on the bond strength. In order to minimize damage to post surface and achieving maximum bond strength, longitudinal surface treatment of posts with 1.0 W power of Er,Cr:YSGG laser is recommended.
Collapse
Affiliation(s)
- Loghman Rezaei-Soufi
- Department of Restorative Dentistry, Dental Research Center, Dental Faculty, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Leili Tapak
- Department of Biostatistics, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mahsa Forouzande
- Department of Restorative Dentistry, Dental Faculty, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Reza Fekrazad
- Department of Periodontology, Laser Research Center in Medical Sciences, Dental Faculty, AJA University of Medical Sciences, Tehran, Iran
| |
Collapse
|
14
|
Borges CC, Palma-Dibb RG, Rodrigues FCC, Plotegher F, Rossi-Fedele G, de Sousa-Neto MD, Souza-Gabriel AE. The Effect of Diode and Er,Cr:YSGG Lasers on the Bond Strength of Fiber Posts. Photobiomodul Photomed Laser Surg 2019; 38:66-74. [PMID: 31393231 DOI: 10.1089/photob.2019.4668] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: Laser irradiation modifies the topography and composition of dentin surface aiming to increase the retention of bonded posts. Objective: To assess the effect of dentin irradiation with Er,Cr:YSGG or diode lasers on the bond strength of fiber posts using self-adhesive resin cement. Materials and methods: Sixty bovine root canals were root-canal treated, post spaces were prepared, and subsequently fiber posts were cemented. The samples were distributed according to the surface treatment: distilled water (control), Er,Cr:YSGG (1.5 W, 20 sec), or diode (1.5 W, 20 sec) lasers. Bond strengths were assessed by pull-out (n = 10) or push-out testing (n = 10). Pearson's correlation was calculated. Failure mode after testing and the depth of tags in the dentinal tubules were analyzed by confocal laser microscopy. Data were submitted to analysis of variance and Tukey's test. A p < 0.05 was considered significant. Results: In the push-out test, Er,Cr:YSGG laser had significantly different higher values (5.43 ± 0.10 MPa) compared to the control (4.79 ± 0.05 MPa). Diode laser values were not significantly different from the other groups (5.12 ± 0.27 MPa). In the pull-out test, there were no significant differences between Er,Cr:YSGG (6.86 ± 2.16 MPa) and diode (8.43 ± 1.77 MPa) lasers, and both had significant differences compared to the control (4.18 ± 1.29 MPa). No correlation was found. Adhesive failures were predominant in all groups, and no significant differences in tag penetration among the groups were found. Conclusions: The Er,Cr:YSGG laser increases the bond strength of resin cement and fiber post to dentin in both tests, compared to control group without laser treatment. Diode laser only enhanced bonding for pull-out test.
Collapse
Affiliation(s)
- Caroline Cristina Borges
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Regina Guenka Palma-Dibb
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Flávia Cássia Cabral Rodrigues
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Fernanda Plotegher
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | | | - Manoel Damião de Sousa-Neto
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | | |
Collapse
|
15
|
Pelozo LL, Silva-Neto RD, Corona SAM, Palma-Dibb RG, Souza-Gabriel AE. Dentin pretreatment with Er:YAG laser and sodium ascorbate to improve the bond strength of glass fiber post. Lasers Med Sci 2018; 34:47-54. [DOI: 10.1007/s10103-018-2579-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2018] [Accepted: 06/29/2018] [Indexed: 12/13/2022]
|
16
|
Mechanical properties and superficial characterization of a milled CAD-CAM glass fiber post. J Mech Behav Biomed Mater 2018; 82:187-192. [PMID: 29609139 DOI: 10.1016/j.jmbbm.2018.03.035] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Accepted: 03/26/2018] [Indexed: 11/23/2022]
Abstract
Computer-aided design and computer-aided manufacturing (CAD-CAM) technology may be used to produce custom intraradicular posts, but studies are lacking. The purpose of this in vitro study was to evaluate the flexural properties (strength and modulus), failure mode, superficial morphology, and roughness of two CAD-CAM glass fiber posts (milled at different angulations) compared with a commercially available prefabricated glass fiber post. Three groups were tested (n = 10): PF (control group)- prefabricated glass fiber post; C-Cd-diagonally milled post; and C-Cv-vertically milled post. A 3-dimensional virtual image was obtained from a prefabricated post, which guided the posterior milling of posts from a glass fiber disk (Trilor Blanks; Bioloren). Surface roughness and morphology were evaluated using confocal laser microscopy. Flexural strength and modulus were evaluated with the 3-point bend test. Data were submitted to one-way analysis of variance followed by the Student-Newman-Keuls post hoc test (α = 0.05). The fractured surfaces were evaluated with scanning electron microscopy. The superficial roughness was highest for PF and similar for the experimental groups. Morphological analysis shows different sizes and directions of the glass fibers along the post. The flexural strength was highest for PF (900.1 ± 30.4 > C-Cd - 357.2 ± 30.7 > C-Cv 101.8 ± 4.3 MPa) as was the flexural modulus (PF 19.3 ± 2.0 GPa > C-Cv 10.1 ± 1.9 GPa > C-Cd 7.8 ± 1.3 GPa). A CAD-CAM milled post seems a promising development, but processing requires optimizing, as the prefabricated post still shows better mechanical properties and superficial characteristics.
Collapse
|
17
|
Mathew S, Raju IR, Sreedev CP, Karthick K, Boopathi T, Deepa NT. Evaluation of Push out Bond Strength of Fiber Post after Treating the Intra Radicular Post Space with Different Post Space Treatment Techniques: A Randomized Controlled In vitro Trial. J Pharm Bioallied Sci 2017; 9:S197-S200. [PMID: 29284963 PMCID: PMC5731012 DOI: 10.4103/jpbs.jpbs_156_17] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Objective The aim of this study was to evaluate the push out bond strength after treating the post space with different irrigation procedures. Study Design The study sample comprised of 60 recently extracted premolars. These teeth were placed in 5.25% sodium hypochlorite solution for 5 min and then washed under tap water. De-coronated samples were biomechanically prepared until F3 ProTaper and obturated using AH-Plus and 30# (6%) gutta-percha. The specimens were allowed to set for 24 h and then post space was prepared. The teeth were randomly assigned into three experimental groups based on the treatment technique: Group A - control, Group B - sodium hypochlorite and ethylene diamine tetra acetic acid (EDTA) and Group C - diode laser and EDTA. The samples were sectioned horizontally and push out bond strength was evaluated. The stereomicroscopic examination was done for evaluating the failure mode. One-way ANOVA variance followed by Tukey's post-hoc test was used for statistical analysis using SPSS software. Results Use of diode laser does not enhance the bond strength of fiber post. Conclusion Diode laser at a very low pulse can be used as an irrigant adjuvant to vaporize the cement residues. Using diode laser does not enhance the bond strength. EDTA as final irrigant increases the bond strength of fiber post.
Collapse
Affiliation(s)
- Sebeena Mathew
- Department of Conservative and Endodontics, KSR Institute of Dental Science and Research, Thokkavadi, Tiruchengode, Namakkal, Tamil Nadu, India
| | - Iswarya R Raju
- Department of Conservative and Endodontics, KSR Institute of Dental Science and Research, Thokkavadi, Tiruchengode, Namakkal, Tamil Nadu, India
| | - C P Sreedev
- Department of Conservative and Endodontics, KSR Institute of Dental Science and Research, Thokkavadi, Tiruchengode, Namakkal, Tamil Nadu, India
| | - K Karthick
- Department of Conservative and Endodontics, KSR Institute of Dental Science and Research, Thokkavadi, Tiruchengode, Namakkal, Tamil Nadu, India
| | - T Boopathi
- Department of Conservative and Endodontics, KSR Institute of Dental Science and Research, Thokkavadi, Tiruchengode, Namakkal, Tamil Nadu, India
| | - N T Deepa
- Department of Conservative and Endodontics, KSR Institute of Dental Science and Research, Thokkavadi, Tiruchengode, Namakkal, Tamil Nadu, India
| |
Collapse
|