Bond strength of root canal filling with radicular dentin previously treated with either photobiomodulation or photodynamic therapy: Effect of disinfection protocols.

Photodiagnosis Photodyn Ther

Applied Medical Science Dept. CC, King Saud University, P.O Box 10219, Riyadh, 11433, Saudi Arabia; Biomedical Engineering Department, Faculty of Engineering, Helwan University, P.O. Box 11795, Helwan, 11792, Egypt.

Published: June 2020

AI Article Synopsis

  • The study evaluated how different disinfection protocols and sealers affect the bond strength of root canal filling materials in root dentin treated with laser therapies (PBT and PDT).
  • Researchers used 120 root canals, applying various irrigation techniques and sealers, and measured bond strength through push-out tests, analyzing results with statistical methods.
  • Findings concluded that 17% EDTA and Chlorhexidine improved bond strength when using AH Plus compared to MTA Fillapex, while no significant differences were found in the effectiveness of the laser treatments.

Article Abstract

Purpose: The aim of the present study was to establish an assessment regarding the efficacy of final disinfection protocols and sealers on the bond strength (BS) of root canal (RC) filling materials on root dentin which has already been treated with photobiomodulation (PBT) or photodynamic therapy (PBT) respectively.

Methods: One-hundred and twenty root canals were included in the present study. The selected teeth were cleaned and shaped to accept the obturation. The prepared specimens were subjected to laser therapy (PBT and PDT) and were randomized into three groups (n = 20/group) on the basis of irrigation technique: Group 1: distilled water (DW) + ultrasonic irrigation (UI); Group 2: 17 % EDTA; Group 3: 0.2 % Chlorhexidine digluconate (CHx) respectively. Each specific group was further divided into two subgroups (n = 10), based on endodontic sealing agent incorporated during obturation: AH Plus or MTA Fillapex. The push-out test was used to gauge the BS, whereas the evaluation was done with the help of two-way ANOVA which was followed by a subsequent Tukey post-hoc test. The chi-square test was used to calculate the mode of failure in the selected specimens (α = 5%).

Results: The final irrigation protocols of 17 % EDTA and CHX helped to enhance the BS of RC filling material with either sealer agent used (p < 0.05), whereas, AH Plus reported an increase in the values of BS as compared to its counterpart, MTA Fillapex (p < 0.05). Increased values of cohesive failure were associated with all the groups, irrespective of the tested final irrigation protocols and RC sealer agents (p < 0.05). There was no significant difference between the laser therapies among all the groups (p < 0.05).

Conclusions: The use of 17 % EDTA and CHX and sealing material AH Plus increased the BS of the obturation on radicular dentin previously subjected to either of the mentioned laser therapies. Furthermore, no significant effect on the BS was observed with the use of lasers in the study.

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http://dx.doi.org/10.1016/j.pdpdt.2020.101733DOI Listing

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