Use of final irrigants MTAD, Salvedora Perscia, Malachite green, and Ti-sapphire laser on push-out bond strength of Zirconia post

Photodiagnosis Photodyn Ther. 2023 Sep:43:103605. doi: 10.1016/j.pdpdt.2023.103605. Epub 2023 May 13.

Abstract

Aim: Evaluation of the push-out bond strength (PBS) of zirconia post-bonded to radicular dentin after using different final irrigants (MTAD, Malachite green (MG), Ti-sapphire laser and Salvadora persica (S.persica).

Material and method: Forty human permanent single-rooted were decoronated above the cement-enamel junction. An experienced endodontist performed all the root canal instrumentation using ProTaper universal rotary files. Canals were irrigated using 5.25% NaOCl solution followed by EDTA as a final sterilant. Obturation with gutta-percha using AH Plus sealer was performed. Post-space preparation was completed using Gates Glidden and specimens were randomly assigned to four groups based on the final disinfectant received (n=10). Group 1: 5.25% NaOCl + MTAD, group 2: 5.25% NaOCl + MG, group 3: 5.25% NaOCl +Ti-sapphire laser, and group 4: 5.25% NaOCl + S. persica. The chemically polymerized resin was used to lute zirconia posts. PBS and failure mode analysis were performed using a universal testing machine and stereomicroscope at 40X magnification. Data were compared between the two groups with 95% CI using one-way analysis of variance (ANOVA) with the Tukey post hoc test. p=0.05.

Results: Group4(5.25% NaOCl+ S.persica) specimens demonstrated the maximum (8.94±0.14 MPa) bond strength. Conversely, the apical third of Group 2 (5.25% NaOCl+ MG) (2.87±0.15 MPa) samples revealed the minimum bond strength scores. Intergroup comparison exposed that Group 1 (1.3% NaOCl+ MTAD), Group 3 (5.25% NaOCl+Ti-sapphire laser), and Group 4 (5.25% NaOCl+ S. persica) at all three-thirds unveiled no significant difference in PBS (p<0.05).

Conclusion: Ti-sapphire laser and Salvedora Persica possess the potential to be used as a final root canal irrigant to improve the push-out bond strength of zirconia post-to-root dentin.

Keywords: Final irrigant; MTAD; Malachite green; Photodynamic Therapy; Push out bond strength; Salvedora Persica; Ti-sapphire laser.

MeSH terms

  • Aluminum Oxide
  • Dental Pulp Cavity
  • Dentin
  • Edetic Acid
  • Epoxy Resins
  • Humans
  • Lasers
  • Materials Testing
  • Photochemotherapy* / methods
  • Photosensitizing Agents
  • Root Canal Filling Materials*
  • Root Canal Irrigants
  • Root Canal Preparation
  • Titanium

Substances

  • Root Canal Filling Materials
  • Epoxy Resins
  • malachite green
  • zirconium oxide
  • Aluminum Oxide
  • Edetic Acid
  • Photosensitizing Agents
  • Titanium
  • Root Canal Irrigants