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      Bond Strength and Failure Mode of Glass Fiber Posts with Different Surface Treatments Prior to Silanization: An In Vitro Comparative Study

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          A BSTRACT

          Aim:

          The use of chemical agents in the surface treatment of glass fiber posts can improve their bond strength to the root canal. The aim of this study was to assess the bond strength and failure mode of glass fiber posts that received different surface treatments prior to silanization.

          Materials and Methods:

          In this cross-sectional and in vitro experimental study, 50 human lower premolar roots were randomly divided into five groups and subsequently prepared to receive the cementation of a fiberglass post prior to silanization. They were distributed as group 1 (with 24% hydrogen peroxide), group 2 (with 37% phosphoric acid), group 3 (with 1.23% acidulated phosphate fluoride for 2 minutes), group 4 (with 1.23% acidulated phosphate fluoride for 6 minutes), and group 5 (without pretreatment). After cementation, the roots were sectioned into two discs for each cervical, middle, and apical region. Bond strength was assessed using the push out technique. Adhesive, mixed, and cohesive failure modes were also assessed. For data analysis, ANOVA and Tukey’s post hoc tests were used, as well as Pearson’s chi-square test. A significance of P < 0.05 was considered in all statistical analyses.

          Results:

          When comparing the bond strength of root regions, significant differences were obtained in groups pretreated with phosphoric acid ( P = 0.018) and acidulated phosphate fluoride for 2 and 6 minutes ( P = 0.001 and P = 0.000, respectively). Furthermore, significant differences were obtained between posts treated only with silane and those that received phosphoric acid pretreatment ( P = 0.006) and acidulated phosphate fluoride for 6 minutes ( P = 0.001). Significant association of mixed failure mode was observed with hydrogen peroxide ( P = 0.014) and phosphoric acid ( P = 0.006) pretreatments. Cohesive failure was significantly associated with acidulated phosphate fluoride pretreatment for 2 minutes ( P = 0.032) and with posts that did not receive treatment prior to silanization ( P = 0.000).

          Conclusion:

          Posts treated only with silane and pretreated with hydrogen peroxide and acidulated phosphate fluoride for 2 minutes presented significantly higher bond strength with respect to those pretreated with phosphoric acid and acidulated phosphate fluoride for 6 minutes. However, acidulated phosphate fluoride for 2 minutes and silane were associated with a better bonding type.

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          Most cited references39

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          CRIS Guidelines (Checklist for Reporting In-vitro Studies): A concept note on the need for standardized guidelines for improving quality and transparency in reporting in-vitro studies in experimental dental research

          In vitro studies form a pivotal role in dental research contribution to a substantial evidence base. The reporting standards of these studies are not uniform thus resulting in lacunae in evidence reported. The effort of this concept note is to propose a Checklist for Reporting in vitro Studies (CRIS guidelines) that would promote quality and transparency in reporting in vitro studies.
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            The Role of Resin Cement on Bond Strength of Glass-fiber Posts Luted Into Root Canals: A Systematic Review and Meta-analysis ofIn VitroStudies

            Because there are several ways to cement glass-fiber posts (GFPs) into root canals, there is no consensus on the best strategy to achieve high bond strengths. A systematic review was conducted to determine if there is difference in bond strength to dentin between regular and self-adhesive resin cements and to verify the influence of several variables on the retention of GFPs. This report followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. In vitro studies that investigated the bond strength of GFPs luted with self-adhesive and regular resin cements were selected. Searches were carried out in the PubMed and Scopus databases. No publication year or language limit was used, and the last search was done in October 2012. A global comparison was performed between self-adhesive and regular resin cements. Two subgroup analyses were performed: 1) Self-adhesive × Regular resin cement + Etch-and-rinse adhesive and 2) Self-adhesive × Regular resin cement + Self-etch adhesive. The analyses were carried out using fixed-effect and random-effects models. The results showed heterogeneity in all comparisons, and higher bond strength to dentin was identified for self-adhesive cements. Although the articles included in this meta-analysis showed high heterogeneity and high risk of bias, the in vitro literature seems to suggest that use of self-adhesive resin cement could improve the retention of GFPs into root canals.
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              Adhesive dentistry and endodontics. Part 2: bonding in the root canal system-the promise and the problems: a review.

              One of the recent trends in endodontics has been the development of bonded obturating materials, in an effort to provide a more effective seal coronally and apically. Materials utilizing dentin adhesive technology have been borrowed from restorative dentistry and adapted to obturating materials. This review discusses the obstacles to effective bonding in the root canal system, the progress that has been made, and possible strategies for improved materials in the future. Much of the literature reviewed and many of the principles discussed are taken from the restorative dentistry literature and applied to the unique environment of the root canal system.
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                Author and article information

                Journal
                J Int Soc Prev Community Dent
                J Int Soc Prev Community Dent
                JISPCD
                Journal of International Society of Preventive & Community Dentistry
                Wolters Kluwer - Medknow (India )
                2231-0762
                2250-1002
                Jan-Feb 2023
                07 November 2022
                : 13
                : 1
                : 42-53
                Affiliations
                [1 ]Faculty of Stomatology, Universidad Peruana Cayetano Heredia, Lima, Peru
                [2 ]School of Stomatology, Universidad Privada San Juan Bautista, Lima and Ica, Peru
                [3 ]School of Stomatology, Universidad Científica del Sur, Lima, Peru
                [4 ]Faculty of Stomatology, Universidad Inca Garcilaso de la Vega, Lima, Peru
                [5 ]Postgraduate School, Grupo de Investigación Salud y Bienestar Global, Universidad Nacional Federico Villarreal, Lima, Peru
                Author notes
                Address for correspondence: Dr. César Félix Cayo-Rojas, School of Stomatology, Universidad Privada San Juan Bautista, Carretera Panamericana Sur Km. 300, La Angostura, Subtanjalla, Ica, Peru. E-mail: cesar.cayo@ 123456upsjb.edu.pe
                Article
                JISPCD-13-42
                10.4103/jispcd.JISPCD_292_21
                10155880
                97c8299f-9b9a-4087-83b4-0baaa68fe775
                Copyright: © 2022 Journal of International Society of Preventive and Community Dentistry

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 11 October 2021
                : 03 February 2022
                : 15 March 2022
                Categories
                Original Article

                acidulated phosphate fluoride,bond strength,cementation,failure mode,glass fiber posts,hydrogen peroxide,phosphoric acid,root bonding,silane

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