Evaluation of bond strength in single‐cone fillings of canals with different cross‐sections

• Published in: International endodontic journal Vol. 50; no. 2; pp. 177 - 183
• Main Authors: Pereira, R. D., Brito‐Júnior, M., Leoni, G. B., Estrela, C., Sousa‐Neto, M. D.
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01.02.2017
• Subjects: Bond strength; Computed tomography; Data processing; Dental Bonding - standards; Dental fillings; Dental roots; Dentistry; Endodontics; Gutta-Percha; Humans; Lumber; Mandible; Molar; Molars; Production methods; root canal anatomy; root canal filling; Root Canal Filling Materials - standards; Root canals; Sealing compounds; single‐cone obturation; Teeth; root canal anatomy; bond strength; root canal filling; single-cone obturation
• ISSN: 0143-2885; 1365-2591
• DOI: 10.1111/iej.12607

Aim To evaluate the effect of root canal cross‐sectional shape on single‐cone root filling bond strength, as well as to determine the percentage of gutta‐percha‐filled areas (PGFA) and sealer‐filled areas (PSFA), establishing a relationship between these variables. Methodology Distal roots of mandibular molars were selected using microcomputed tomography imaging and allocated into three groups (n = 10) according to canal shape: round, oval and long oval. The canals were prepared with an R40 reciprocating instrument and filled with matching single‐cone gutta‐percha and AH Plus sealer. Two 1‐mm‐thick dentine slices were obtained from each third of each root. PGFA and PSFA were calculated in digital images (x25 magnification) of each slice. Next, the slices were subjected to a push‐out test and the failure modes (adhesive, cohesive or mixed) were assessed. Data were analysed using parametric tests (P < 0.05). Results In the coronal (2.17 ± 0.56MPa) and middle thirds (1.78 ± 0.45MPa), the round canals were associated with higher bond strength values (P < 0.01), with no difference between the groups for the apical third (P > 0.05). Adhesive and mixed failures predominated in round canals, whilst cohesive failures were more frequent in oval and long oval canals. Round canals had significantly higher PGFA and lower PSFA than all other groups (P = 0.000). The PGFA and PSFA had a positive (r = 0.521, P = 0.000) and a negative (r = −0.523, P = 0.000) correlation with bond strength, respectively. Conclusion Bond strength values of gutta‐percha and sealer were affected by canal shape. Higher percentage of gutta‐percha‐filled area resulted in higher bond strength to dentine.