Radicular canal disinfection using photon-induced photoacoustic streaming and riboflavin photosensitizer to silver diamine fluoride and diode laser bonded to fiber post: An assessment of extrusion bond strength

Abstract

Aim: The present study aimed to estimate and compare the effectiveness of different innovative canal cleansing approaches photon induced photoacoustic streaming (PIPS) Riboflavin Photosensitizer (RF), Diode Laser, and silver diamine fluoride (SDF) on push out bond strength (PBS) of fiber post cemented to radicular dentin MATERIAL AND METHODS: Forty extracted premolars were disinfected and decoronated up to the cement-o-enamel junction. Canals of all specimens were cleaned and shaped utilizing a reciprocating system. Post space was created by employing peso-reamers and samples were randomized into four groups based on methods of disinfection (n = 10). Group 1 (PIPS), group 2 (Diode Laser), group 3 (RP), and group 4 (SDF) canal disinfection. Fiber posts were cemented via Self etch resin cement (SERC) in a radicular dentin post space area and root was segmented at three levels (coronal, middle and apical). PBS analysis was performed, and a stereomicroscope was used to assess the failure mode. The means and standard deviations of PBS among studied groups were measured using one-way analysis of variance (ANOVA) after exposure. The means of bonding strength were compared by Tukey multiple comparison tests (p > 0.05).

Results: RF had the highest PBS at all three root levels, coronal (8.31 ± 0.64 MPa), middle (8.13 ± 0.11 MPa) and apical (5.68 ± 0.54 MPa) while group 4 SDF samples showed lowest PBS at all root portions, coronal (6.14 ± 0.78 MPa), middle (5.18 ± 0.15 MPa) and apical (3.15 ± 0.19 MPa), respectively. Intergroup comparison unveiled comparable PBS at all three root levels for group 1 (PIPS) and group 3 RF (p > 0.05). Intragroup comparison displayed a significant decline in PBS values from coronal, middle to the apical direction in all studied groups CONCLUSION: Disinfection of radicular dentin with Riboflavin Photosensitizer and photon-induced photoacoustic streaming bonded to fiber post have the greatest PBS at all three levels cervical, middle and apical.

Keywords: Canal disinfection; Diode laser; Photodynamic Therapy; Photon induced photoacoustic streaming; Push out bond strength; Riboflavin photosensitizer.