Push-out bond strength and SEM evaluation of new polymeric root canal fillings

• Published in: Oral surgery, oral medicine, oral pathology, oral radiology and endodontics Vol. 107; no. 6; pp. 879 - 885
• Main Authors: Onay, Emel Olga, DDS, PhD, Ungor, Mete, DDS, PhD, Ari, Hale, DDS, PhD, Belli, Sema, DDS, PhD, Ogus, Ersin, PhD
• Format: Journal Article Conference Proceeding
• Language: English
• Published: New York, NY Mosby, Inc 01.06.2009; Elsevier
• Subjects: Biological and medical sciences; Composite Resins - chemistry; Dental Bonding; Dental Pulp Cavity - ultrastructure; Dental Restoration Failure; Dental Stress Analysis; Dentistry; Humans; Medical sciences; Otorhinolaryngology. Stomatology; Root Canal Filling Materials - chemistry; Root Canal Obturation; Stress, Mechanical; Surgery; Evaluation; Scanning electron microscopy; Treatment; Strength; Dental canal; Rootfilling
• ISSN: 1079-2104; 1528-395X
• DOI: 10.1016/j.tripleo.2009.01.023

Objective The objective of this study was to compare the interfacial strengths and failure modes of new polymeric endodontic obturation systems consisting of different material combinations. Study design Extracted human single-rooted teeth (n = 105) were instrumented using HERO Shaper rotary instruments and obturated with different combinations of core and sealer as follows: group 1, RealSeal/Resilon; group 2, RealSeal/Herofill; group 3, Hybrid Root Seal/Resilon; group 4, Hybrid Root Seal/Herofill; group 5, MM-Seal/Resilon; group 6, MM-Seal/Herofill; group 7 (control). Failure modes of root slices (1.00 ± 0.05-mm thick) after push-out testing were examined with stereomicroscope and scanning electron microscopy. Results Hybrid Root Seal/Resilon combination had significantly greater bond strength than all the other groups ( P < .001); RealSeal/Resilon combination proved to have the second highest bond strength ( P < .001). Bond failure was mainly mixed failure in both adhesive and cohesive modes at the dentin/sealer interface. Conclusion The push-out bond strengths of methacrylate-based sealers (Hybrid Root Seal and RealSeal) and thermoplastic synthetic-polymer-based core material (Resilon) combinations were higher than epoxy-resin−based sealer (MM-Seal) and gutta-percha (Herofill) combination.