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Adhesion Between Fiber Posts and Resin Luting Agents:
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A Microtensile Bond Strength Test and an SEM te tio
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Investigation Following Different Treatments of the
Post Surface
Elisa Magnia/Claudia Mazzitellia/Federica Papacchinia/Ivana Radovicb/Cecilia Goraccic/
Ivanovic Coniglioa/Marco Ferrarid

Purpose: (1) To evaluate the interfacial strength between FRC Postec posts and three luting agents (Multilink, Variolink
II, and MultiCore Flow) following different surface treatments, and (2) to observe the effect of sandblasting (Rocatec
Pre) on the surface morphology of methacrylate-based fiber posts.

Materials and Methods: The posts received one of the following surface treatments: (1) sandblasting, (2) sandblasting
+ silanization, (3) silanization or (4) no treatment. The three luting agents were bonded to the post and the post-ce-
ment bond strength was evaluated with the microtensile test. SEM observation of sandblasted and nontreated posts
was performed. Post-cement interfaces were also evaluated. Data were statistically analyzed with two-Way ANOVA with
post treatment and luting agent as factors. Tukey’s test was applied for post-hoc comparisons.

Results: Post treatment and the interaction between type of luting agent and type of post treatment were significant fac-
tors for bond strength (p < 0.001). The type of luting agent did not significantly influence bond strength (p = 0.07). Sand-
blasting + silanization performed better than sandblasting or no treatment (p < 0.001). Silanization resulted in
significantly higher bond strengths than no treatment (p = 0.045). No differences were detected between sandblasting
+ silanization and silanization. SEM observation revealed an increased surface roughness and exposure of fibers in
sandblasted posts.

Conclusion: Silanization was confirmed to be a reliable method for improving the bond strength of resin luting agents
to fiber posts. Bond strength of resin luting agents to fiber posts was not influenced by the type of luting agent. The
sandblasting procedure modified the methacrylate-based post surface texture.

Keywords: fiber posts, sandblasting, silane, microtensile bond strength.

J Adhes Dent 2007; 9: 195-202. Submitted for publication: 29.06.06; accepted for publication: 31.10.06.

T he restoration of endodontically treated teeth with fiber


posts is widely performed in the clinical practice in order
to retain a core in teeth with an extensive loss of coronal
dentin, allowing for a better distribution of loads to the tooth
than metal posts.2,13,19 Many in vitro studies have shown
that fiber posts bonded with resin cements can reduce the
structure.36 Fiber posts have an elastic modulus similar to stress concentration in root dentin and thus the occurrence
of catastrophic root fractures.1,4,8,14,20,27,32 Prospective and
retrospective clinical studies have reported that in restora-
tions placed with adhesively luted fiber posts, failure most
a Department of Dental Materials and Restorative Dentistry, Policlinico “Le commonly occurs due to debonding of the post.10,11,22
Scotte”, University of Siena, Viale Bracci, Siena, Italy.
Therefore, an enhancement of the adhesion of resin ce-
b Clinic for Pediatric and Preventive Dentistry, Faculty of Dentistry, University of
Belgrade, Serbia and Montenegro; Department of dental materials and ments to post and to root dentin is desirable.
restorative dentistry, Policlinico “Le Scotte”, University of Siena, Viale Bracci, Many studies have focused attention on different ways of
Siena, Italy. improving the interfacial strength between posts and resin
c Assistant Professor, Department of Dental Materials and Restorative Den- based materials. The surface energy characteristics of den-
tistry, Policlinico “Le Scotte”, University of Siena, Viale Bracci, Siena, Italy.
tal posts, which can be modified through various techniques,
d Dean and Professor, Department of Dental Materials and Restorative Den- have been reported to influence bonding of resin luting
tistry, Policlinico “Le Scotte”, University of Siena, Viale Bracci, Siena, Italy.
agents.3 Mechanical and chemical treatments of the post
Reprint requests: Marco Ferrari, Chairman and Professor, Department of
Restorative Dentistry and Dental Materials, University of Siena. Policlinico Le
surface12,24,25,34,38 and changes in the post matrix compo-
Scotte, Viale Bracci, 53100 Siena, Italy. Tel: +39-057-723-3131, Fax: +39-057- sition17,18 seemed to influence the bond strength of resin
723-3117. e-mail: md3972@mclink.it materials to fiber posts.

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Table 1 Composition, batch numbers, and application mode of the materials used in the study
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Material Composition Application lica
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Postec Glass fibers ss e n c e fo r
(Ivoclar Vivadent) Matrix: urethane dimethacrylate, triethylene glycol
Batch no. H31059 dimethacrylate -
Additional contents: ytterbium trifluoride, highly dis-
persed silicon dioxide

Rocatec Pre Aluminum oxide, particle size 110 μm Sandblasting at a distance of 1 cm at


(3M ESPE) 2.8 bar for 5 s
Batch no. 080

Total etch Phosphoric acid (37% wt in water), silicon dioxide, Apply on post surface 60 s, rinse
(Ivoclar Vivadent) pigments
Batch no. H27115

Monobond-S 1% 3-methacryloxypropyltrimethoxysilane (3-MPS), Apply to the post surface,


(Ivoclar Vivadent) ethanol/water-based solvent air dry after 60 s
Batch no. H34023

Multilink Automix Matrix: dimethacrylate, HEMA Dispense from the automix syringe,
(Ivoclar Vivadent) Fillers: barium glass, ytterbium trifluoride, spheroid light cure
Batch no. H25710 mixed oxide. Particle size 0.25-3.0 μm. Total volume of
fillers ca 40%

Variolink II Matrix: bis-GMA, urethane dimethacrylate, triethylene Mix base and catalyst 1:1 for 10 s,
(Ivoclar Vivadent) glycol dimethacrylate apply, light cure
Fillers: barium glass, ytterbium trifluoride, Ba-Al-fluo-
Base: rosilicate glass, spheroid mixed oxide. Particle size
Batch no. H24901 0.04-3.0 μm. Total volume of inorganic matter 46.7%
Catalyst: (base), 43.6% (catalyst)
Batch no. H33173 Additional contents: catalysts, stabilizers, pigments

MultiCore Flow Matrix: bis-GMA, urethane dimethacrylate, triethylene Dispense from the automix syringe,
(Ivoclar Vivadent) glycol dimethacrylate light cure
Batch no. H20666 Fillers: barium glass, ytterbium trifluoride, Ba-Al-fluo-
rosilicate glass, highly dispersed silicon dioxide. Parti-
cle size 0.04-25 μm. Total volume of fillers 47%.

Recent studies have shown that sandblasting is able to The null hypotheses tested were that (1) neither the post sur-
increase the interfacial strength between fiber posts and face treatment nor the type of resin luting agent affects the
resin luting agents34 as well as post retention.5 Rocatec Pre post-cement bond strength and that (2) sandblasting does
(3M ESPE; Seefeld, Germany) is a laboratory sandblasting not change the surface characteristics of methacrylate-
powder consisting of 110-μm aluminum oxide particles that based fiber posts.
can be blasted to obtain a clean and activated surface with
an increased roughness. In a recent investigation, this pro-
cedure has been reported to be effective in improving the ad- MATERIALS AND METHODS
hesion between zirconium oxide posts and a resin cement.6
Little is currently known on the effect that this treatment Seventy-six fiber posts (FRC Postec, size 3, Ivoclar Vivadent;
alone or in combination with other post surface treatments Schaan, Liechtenstein) with a coronal diameter of 2.0 mm
could exert on methacrylate-based fiber posts and on their were used in this study. The posts were divided into four
interfacial strength with resin cements. groups according to the different surface treatments per-
The purpose of this study was to evaluate the interfacial formed. In group 1 (n = 20), the posts were sandblasted with
strength between fiber posts and three different resin luting aluminum oxide particles (Rocatec Pre, 3M ESPE; Seefeld,
agents following different treatments of post surface. The Germany). In group 2 (n = 18) sandblasting with aluminum
study also aimed to observe the effect of sandblasting on oxide particles (Rocatec Pre) was followed by the application
the surface morphology of methacrylate-based fiber posts. of a silane coupling agent (Monobond-S, Ivoclar-Vivadent). In

196 The Journal of Adhesive Dentistry


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group 3 (n = 18), the posts received only silane application rP

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(Monobond-S). In group 4 (n = 20), no surface treatment was ub

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performed and it served as control.
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Prior to silane application in groups 2 and 3 and prior to te ot n

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the luting procedure in groups 1 and 4, the posts were P ss e n c e
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cleaned with phosphoric acid gel (Total Etch, Ivoclar-Vi-
vadent) as recommended by the manufacturer and then
rinsed with water. The chemical composition, batch num-
bers, and the application modes of all the materials used in
the study are shown in Table 1.

Luting Procedure and Microtensile Testing C


The luting procedure was performed for 18 posts in each
group. The remaining four posts (two for group 1 and two for
group 4) were processed for SEM observation as further de-
scribed. Three luting agents (Multilink, MultiCore Flow, and Fig 1 Specimen preparation for microtensile bond strength test-
Variolink II, Ivoclar-Vivadent) were bonded to the posts fol- ing. C: cement; P: post.
lowing the technique previously described by Goracci et al.12
Each post was positioned perpendicularly on a glass slab
and secured with a drop of sticky wax. A plastic matrix 10
mm in diameter was placed around the cylindrical portion of Statistical Analysis of the Microtensile Bond Strength
the post and adjusted so that the post would be exactly in Data
the middle. The luting agents were applied inside the matrix Having verified that data distribution was normal (Kol-
and adapted to the post surface. Each resin cement was mogorov-Smirnov test, p > 0.05) and that group variances
light cured for 40 s with a halogen curing light (600 mW/cm2 were homogeneous (Levene’s test, p < 0.05), the two-way
output; VIP, Bisco; Schaumburg, IL, USA) directly from the analysis of variance was applied with bond strength as the
open upper side of the matrix and through the post. Addi- dependent variable and type of post surface treatment and
tional 40-s irradiations were performed from each side of the type of luting agent as factors. Tukey’s test was applied for
cylinder prior to the removal of the matrix to ensure optimal post-hoc comparisons where needed. In all the analyses, the
polymerization of the material. The sectioning and loading level of significance was set at α = 95% and calculations
of the specimens was performed upon completion of the ce- were performed by the SPSS 11.0 software (SPSS: Chicago,
mentation procedure, in order to simulate the clinical situa- IL, USA).
tion of immediate loading following cementation of fiber Two posts each from groups 1 and 4 were examined with
posts. Five cylinders for each surface treatment/luting agent a scanning electron microscope (JSM 6060 LV, JEOL; Tokyo,
combination were mounted in a cutting machine (Isomet Japan) in order to detect differences in the surface texture
1000, Buehler; Lake Bluff, IL, USA) and sectioned longitudi- between sandblasted and untreated posts. One post from
nally under water cooling to obtain a slab of uniform thick- each group was observed longitudinally, while the other was
ness, with the post in the center and cement on each side. cross sectioned with a diamond saw (Isomet, Buehler). The
The slab was further sectioned in order to obtain beam- specimens were rinsed in deionized water, immersed in 96%
shaped specimens according to the microtensile nontrim- ethanol and air dried. Each specimen was mounted on a
ming technique. Beams were glued (Super Attak Gel, Henkel metallic stub, gold sputtered (Polaron Range SC7620, Quo-
Loctite Adesivi; Milano, Italy) to the two free sliding compo- rum Technology; Newhaven, UK), and observed under a
nents of a jig, which was mounted on a universal testing ma- scanning electron microscope (JSM 6060 LV) at different
chine (Triax 50, Controls; Milano, Italy) and loaded in tension magnifications.
at a crosshead speed of 0.5 mm/min until failure occurred Following cementation procedures, one post-cement
at either side of the post-composite interface. A schematic cylinder from each surface treatment/luting agent combi-
drawing of specimen preparation for microtensile testing is nation was randomly chosen for the SEM evaluation of the
shown in Fig 1. Failure modes were evaluated with a stere- adhesive interface. Two 1.5-mm-thick cross sections and
omicroscope (SMZ645, Nikon; Tokyo, Japan) at 40X magni- one longitudinal section through the center of the post were
fication and recorded as adhesive (at the post/cement in- cut in each cylinder (Isomet 1000). Sections were polished
terface), cohesive (within the post or the cement) or mixed with wet silicon carbide paper of increasing grit (600, 1000,
(a combination of the two modes of failure in the same in- 1200), etched with 32% phosphoric acid for 15 s (Uni-etch,
terface). Pretesting failures were also recorded (ie, failures Bisco, Lot 0500003648; Schaumburg, IL, USA), rinsed with
that occurred during the cutting or gluing procedures). Bond deionized water, immersed in 96% ethanol, and air dried.
strength was expressed in MPa, dividing the load at failure Each section was then mounted on a metallic stub, gold
in Newtons by the bonding surface area. As the bonded in- sputtered (Polaron Range SC7620), and observed under a
terface was curved, its area was calculated using a mathe- scanning electron microscope (JSM 6060 LV) at different
matical formula previously applied by Bouillaguet et al.7 magnifications.
Pretesting failures were considered as 0 MPa bond strength
values and included in the statistical analysis.

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Table 2 Means and standard deviations of bond strength values in all the experimental groups.
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Treatment lica
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Cement Sandblasting Sandblasting Silane Noetreatment
ss e n c e fo r
+ silane

Multilink 14.51 (5.08)CD 22.23 (5.63)A 17.50 (11.28)ABCD 19.42 (10.52)ABC


[31] [35] [28] [26]

Variolink II 16.08 (5.56)BCD 17.03 (8.36)ABCD 19.75 (8.67)AB 12.73 (7.23)CD


[41] [45] [40] [32]

MultiCore 15.81 (8.27)BCD 20.03 (7.14)AB 17.08 (9.68)ABCD 13.40 (6.01)CD


Flow [41] [42] [37] [38]

Different superscript letters indicate statistically significant differences. The number of specimen tested is reported in square brackets

Table 3 Failure distribution in the experimental groups

Cement Surface treatment Failure

Adhesive Cohesive Mixed Pretesting Total

sandblasting 29 2 31
Multilink sandblasting+silane 27 8 35
silane 22 6 28
no treatment 24 2 26
sandblasting 36 5 41

Variolink II sandblasting+silane 30 14 1 45
silane 34 5 1 40
no treatment 29 3 32
sandblasting 37 4 41

MultiCore Flow sandblasting+silane 27 13 1 1 42


silane 30 5 2 37
no treatment 35 3 38

RESULTS treatment are plotted in Fig 2. The interaction between type


of cement and type of post treatment was a significant fac-
Interfacial Strength tor for bond strength (p < 0.001). Significant interactions are
Mean values and standard deviations of the interfacial reported in Table 2. None of the surface treatments signifi-
strength data for all the experimental groups are reported in cantly improved the bond strength of Multilink to the posts
Table 2. Failure modes are showed in Table 3. The two-way compared to the control group. Nevertheless, in combina-
ANOVA showed that the type of luting agent was not a sig- tion with Multilink, the sandblasting + silane procedure gave
nificant factor for bond strength (p = 0.07). Conversely, the significantly better results than the sandblasting and result-
type of post surface treatment significantly influenced bond ed in higher bond strengths compared to the use of the
strength (p < 0.001), with sandblasting + silane yielding sig- silane even if the differences were not statistically signifi-
nificantly better results than sandblasting alone (p < 0.001) cant. The silanization of the post surface significantly influ-
and no treatment (p < 0.001). Silanization resulted in sig- enced the interfacial strength only for Variolink II compared
nificantly higher bond strengths than no treatment (p = to the control group, but the bond strengths achieved did not
0.045). No significant differences in bond strength were de- significantly differ from the other treatments. As regards
tected between sandblasting + silane and silane groups. MultiCore Flow, the combination between sandblasting and
Mean bond strength values according to the post surface silanization allowed for the highest interfacial strengths and

198 The Journal of Adhesive Dentistry


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40
te otn

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ss e n c e
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[M Pa]

30

20

10

No treatment Sandblasting
Silane Sandblasting + silane
Fig 3a SEM micrograph of untreated post surface
(250x, bar = 100 μm).
Fig 2 Means and standard deviations according to surface
treatment.

significantly improved the bond strength of this material to


the post surface compared to the no treatment group.
Among all experimental groups, Multilink in combination
with sandblasting + silane exhibited the highest bond
strength. Conversely, Variolink II associated with no treat-
ment of the post surface resulted in the lowest interfacial
strength.

SEM Evaluation
SEM observation revealed the efficacy of the sandblasting
treatment in modifying the fiber post surface. The resin ma-
trix appeared removed from the surface of the sandblasted
post, resulting in an enhancement of the surface roughness
Fig 3b SEM micrograph of sandblased post surface
and in a greater exposure of the glass fibers in comparison (250x, bar = 100 μm).
to the untreated post (Fig 3a and 3b). No signs of damage
to the exposed glass fibers were present (Fig 3b). Cross-sec-
tional views showed that the action of sandblasting extend-
ed to a depth of 25 μm and the exposed glass fibers ap-
peared still partially embedded in the resin matrix, which
was only moderately removed by the sandblasting procedure
(Fig 3c).
The observation of the bonded specimens revealed that
all the investigated materials penetrated into the microre-
tentions on sandblasted and subsequently silanized posts.
This finding was particularly evident when the cross sections
were observed (not shown). When sandblasting was not fol-
lowed by silanization, Variolink II showed the worst adapta-
tion to the post surface (Fig 4). Although the silanization
alone resulted in a continuity of the bonded interface for all
the luting materials, no signs of post surface roughness and
consequent micromechanical interlocking were observed in
these specimens (not shown). The lack of surface treatment Fig 3c SEM micrograph of cross-sectional view of a sandblasted
resulted in inferior adaptation of all the investigated luting post (1000X, bar = 10 μm).
agents to the post surface. When the interface area was ob-
served longitudinally, both Variolink II and MultiCore Flow ex-
hibited areas of poor contact with the post surface (Figs 5a
and 5b). Although Multilink adapted better than the other two
materials to the untreated post, a discontinuity of the bond-
ed interface was observed for this cement as well (Fig 5c).

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Fig 4 Representative SEM image of the interface between the Fig 5a SEM micrograph of interface between untreated post (p)
sandblasted post (P) and Variolink II (V) (500X, bar = 50 μm). and Variolink (V) (500 x, bar 50 μm).
Areas of poor adhesion along the interface are indicated by aster-
isks.

DISCUSSION

The use of different surface treatments and the interaction


between the type of treatment and the type of cement sig-
nificantly affected the bond strength between fiber posts and
resin luting agents. Moreover, SEM investigation revealed a
significant effect of sandblasting with Rocatec Pre on the sur-
face morphology of methacrylate-based posts. Thus, both
null hypotheses tested in this study have to be rejected.
The combination of a simple laboratory mechanical treat-
ment, ie, sandblasting, followed by a chair-side chemical
treatment, ie, silanization, significantly improved the mi- Fig 5b SEM micrograph of interface between untreated post (p)
crotensile bond strength of resin luting agents to the post, and MultiCore Flow (MF) (500 x, bar 50 μm).
compared to the results of sandblasting alone or when no
treatment of the post surface was performed. Sandblasting
with aluminum oxide particles is meant to provide plastic de-
formation and roughening of a treated surface, resulting in
an increased surface area and a volume loss.15 This proce-
dure has been shown to improve the retention of glass fiber
posts in root canals.5 The Rocatec Pre powder used in the
present study consists of 110-μm aluminum oxide particles;
this powder was previously demonstrated to increase the
surface roughness of zirconium oxide posts, leading to a sig-
nificant improvement of the interfacial strength between the
post and a resin cement.6 Previous studies employed small-
er particles for sandblasting fiber posts,5,34,35 and the par-
ticle size is considered to be a factor contributing to the vol-
ume loss16 and to the surface distortion.31 A recent study37 Fig 5c
demonstrated that sandblasting with 30-μm silicon oxide
did not affect the flexural strength of fiber posts and it may Fig 5c SEM micrograph of the interface between untreated post
be questioned whether the use of particles larger than Ro- (P) and Multilink (ML) (500X, bar = 50 μm) .
catec Pre’s could weaken the post and impair its mechani-
cal properties. According to the SEM observation performed
in this study, Rocatec Pre did not seem to alter the post mor- The morphological and dimensional changes produced
phology dramatically (Fig 3b). However, further investiga- by the sandblasting procedure vary in function of pressure
tions are needed in order to assess the effect of different and duration.15,16,31 Different ranges of duration and pres-
particles size on the morphology and mechanical behavior sure have been reported in the literature when the proce-
of fiber posts. dure was applied to fiber posts.5,34,35,37 Since clear infor-

200 The Journal of Adhesive Dentistry


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mation regarding the most appropriate sandblasting condi- blasting alone. This finding is in agreement with
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tions is still lacking, the manufacturer’s recommendations ub
by Monticelli et al,25 which reported that the application
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were followed in this study and the sandblasting procedure a silane on the post surface etched with hydrogen peroxide ti
was performed at 2.8 bar for 5 s. According to the manu- te strength be-on
yielded a significant increase in the interfacial ot

n
nc e
ss etreatment
facturer, the sandblasting time was adjusted, as the post tween post and core materials over the etching
fo r
surface was smaller than 1 cm2 (for which 15 s are recom- alone. In the study by Monticelli et al,25 the combination be-
mended). The reduction of the sandblasting time in order to tween hydrogen peroxide etching and silanization resulted
obtain milder effects on the blasted substrate was previ- in significantly higher bond strengths compared to silane ap-
ously described15 and has been recently reported to be one plication. The latter finding contrasts with the results of the
of the effective adjustments of the sandblasting conditions present study, since no significant differences in bond
in order to avoid overly pronounced dimensional changes strength were detected between the use of silane alone or
when the procedure was applied on fiber posts.5 The man- combined with sandblasting. It may be speculated that
ual rotation of the post during the sandblasting procedure sandblasting had a milder effect than hydrogen peroxide
should have ensured an adequate and uniform roughening etching. Consequently, the effect of increased surface area
of the post. The possible presence of small, inadequately air- available for reacting with the silane may not be compara-
abraded areas on the post surface should not have affect- ble to the dissolution of the resin matrix and the exposure
ed the outcome of the study, as no significant differences in of five layers of fibers resulting from hydrogen peroxide etch-
bond strength were detected between the sandblasted and ing.25 Moreover, the SEM observation confirmed that the
no-treatment groups. adaptation of the resin cements to the post surface was not
SEM observation confirmed that Rocatec Pre is able to im- different between the silanized posts and posts that were
prove the surface roughness of the methacrylate-based FRC sandblasted prior to silane application, despite the pres-
Postec posts and to expose glass fibers without damaging ence of an increased surface roughness in the latter (not
them (Fig 3b). This mild effect on the post surface texture shown).
could be considered an advantage compared to more ag- Three different resin luting agents were used in this study.
gressive procedures, such as etching with hydrofluoric acid, Variolink II and Multilink are two resin cements suitable for
recently reported to alter the post structure radically, dam- luting different types of indirect restorations. MultiCore Flow
aging the glass fibers, and depriving them of their resin em- is claimed by the manufacturer to be effective for both lut-
bedding.38 ing and core buildup. According to the statistical analysis,
Despite the increased surface area available for bonding the type of cement did not significantly affect the interfacial
the resin luting agent, sandblasting treatment did not sig- strength. This could be explained by the fact that only ma-
nificantly improve the interfacial strength between post and terials recommended by the fiber post’s manufacturer were
resin luting agents when it was not followed by the silane ap- used, in order to ensure compatibility between the resin ma-
plication. Sahafi et al34 reported that sandblasting signifi- trix of the posts and the resin cement. This could account for
cantly increased shear bond strength between fiber posts the similar performance among the materials when the
and resin cements. In the present investigation the mi- same type of post surface treatment was performed. Taking
crotensile bond strength test instead of the shear strength this last point into account, it may be advisable for the clin-
test was performed. This method has been widely accepted ician to use MultiCore Flow, since this material can be used
for the evaluation of interfacial strengths between various as both the cement and the core material. Even though this
substrates.30 Moreover, in the study by Sahafi et al,34 a luting agent did not produce the highest bond strengths, its
ground post surface was sandblasted with 50-μm aluminum clinical use could offer some advantages. The post place-
oxide particles, while in this study 110-μm aluminum oxide ment procedure could be easier and less time consuming.
particles were blasted onto an intact post surface. This dif- Moreover, using the same composite resin as both the ce-
ference in the experimental conditions could have account- ment and the core results in fewer interfaces between dif-
ed for the discrepancy in the results. Nevertheless, the study ferent types of materials and therefore in fewer critical areas
by Sahafi et al34 showed that the combination of sand- where fracture can occur.
blasting and silanization allowed for the highest interfacial In the present investigation, adhesives were not used for
strengths between posts and cements, which is consistent the treatment of the post surface. Ferrari et al9 have recently
with the results of the present investigation. reported that an intermediate adhesive layer does not im-
Silane coupling agents are commonly used in dental prac- prove bond strength of core materials to FRC Postec posts.
tice in order to improve the adhesion of resin-based materi- On the other hand, another study reported that the post
als to prosthodontic substrates.21,26,33 These agents seem treatment with sodium ethoxide followed by different
to be able to bridge resins and OH-covered inorganic sub- silane/adhesive combinations exhibited a significant im-
strates.28 Silanes have been reported to enhance the sur- provement of interfacial strengths between a hybrid com-
face wettability and the chemical union between resin- based posite and fiber posts.23 Further investigations should be
materials and glass fibers,29 and to increase the interfacial performed in order to evaluate the effect of an intermediate
strength between fiber posts and resin core materials.12 The adhesive layer on bond strength of resin cements to sand-
partial removal of the resin matrix due to sandblasting in- blasted FRC Postec posts.
creased the number of exposed glass fibers and conse- The interfacial strength between post and luting agents
quentially the surface area available for reacting with the was evaluated immediately after the bonding procedure. It
silane, allowing for higher interfacial strengths than sand- has been reported that the bond strength of resin cements

Vol 9, No 2, 2007 201


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16.
t fo of dental alloys: vol-
Kern M, Thompson VP. Sandblasting and silica-coating
decreased after thermocycling, depending on the surface r composition.

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treatment.26 Therefore, further investigations are needed to
ume loss, morphology and changes in the surface Pu Dent
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Mater. 1993 May;9(3):151-161.
assess the effect of surface treatments on the durability of 17.
cat
Le Bell AM, Lassila LV, Kangasniemi I, Vallittu PK. Bonding of fibre-rein-
the bond between fiber posts and resin luting agents. forced composite post to root canal dentin. J Dent 2005;33:533-539. on
i
te P. Bonding of com-
ot

n
Another limitation of this study is related to the high ce- 18. ss e c e
Le Bell AM, Tanner J, Lassila LV, Kangasniemi I, Vallittu
fo r
posite resin luting cement to fiber-reinforced composite rootncanal posts. J
ment thickness around the post due to the diameter of the Adhes Dent 2004;6:319-325.
cylindrical plastic matrix. Such a thick cement layer does not 19. Mannocci F, Ferrari M, Watson TF. Intermittent loading of teeth restored
represent clinical conditions and could have increased the using quartz fiber, carbon-quartz fiber, and zirconium dioxide ceramic root
canal posts. J Adhes Dent 1999;1:153-158.
risk of air voids within the material, leading to an increase of 20. Martinez-Insua A, da Silva L, Rilo B, Santana U. Comparison of the fracture
cohesive failures under load. resistances of pulpless teeth restored with a cast post and core or carbon-
fiber post with a composite core. J Prosthet Dent 1998;80:527-532.
21. Matinlinna JP, Lassila LV, Ozcan M, Yli-Urpo A, Vallittu PK. An introduction
to silanes and their clinical applications in dentistry. Int J Prosthodont
CONCLUSIONS 2004;17:155-164.
22. Monticelli F, Grandini S, Goracci C, Ferrari M. Clinical behavior of translu-
Within the limits of the present investigation, despite the in- cent-fiber posts: a 2-year prospective study. Int J Prosthodont
2003;16:593-596.
creased surface roughness produced by the sandblasting
23. Monticelli F, Osorio R, Toledano M, Goracci C, Tay FR, Ferrari M. Improving
procedure, the application of a silane coupling agent on the the quality of the quartz fiber postcore bond using sodium ethoxide etch-
post surface is confirmed to be a fundamental clinical step ing and combined silane/adhesive coupling. J Endod 2006;32:447-451.
for improving the bond strength of resin cements to FRC 24. Monticelli F, Toledano M, Tay FR, Cury AH, Goracci C, Ferrari M. Post-sur-
face conditioning improves interfacial adhesion in post/core restorations.
Postec posts. Moreover, the luting agent chosen – whether Dent Mater 2006;22:602-609.
Variolink II, Multilink and MultiCore Flow – for bonding FRC 25. Monticelli F, Toledano M, Tay FR, Sadek FT, Goracci C, Ferrari M. A simple
Postec posts is irrelevant, as the type of cement does not af- etching technique for improving the retention of fiber posts to resin com-
fect the post-cement bond strength. posites. J Endod 2006;32:44-47.
26. Nagai T, Kawamoto Y, Kakehashi Y, Matsumura H. Adhesive bonding of a
lithium disilicate ceramic material with resin-based luting agents. J Oral Re-
habil 2005;32:598-605.
REFERENCES 27. Newman MP, Yaman P, Dennison J, Rafter M, Billy E. Fracture resistance of
endodontically treated teeth restored with composite posts. J Prosthet
1. Akkayan B, Gulmez T. Resistance to fracture of endodontically treated Dent 2003;89:360-367.
teeth restored with different post systems. J Prosthet Dent 2002;87:431- 28. Pape PG, Plueddemann EP. Methods for improving the performance of
437. silane coupling agents. J Adhesion Sci Technol 1991; 5: 831-842.
2. Asmussen E, Peutzfeldt A, Heitmann T. Stiffness, elastic limit, and strength 29. Park SJ, Jin JS. Effect of silane coupling agent on interphase and perfor-
of newer types of endodontic posts. J Dent 1999;27:275-278. mance of glass fibers/unsaturated polyester composites. J Coll Inter Sci
3. Asmussen E, Peutzfeldt A, Sahafi A. Bonding of resin cements to post ma- 2001; 242:174-179.
terials: influence of surface energy characteristics. J Adhes Dent 30. Pashley DH, Carvalho RM, Sano H, Nakajima M, Yoshiyama M, Shono Y, et
2005;7:231-234. al. The microtensile bond test: a review. J Adhes Dent 1999;1:299-309.
4. Asmussen E, Peutzfeldt A, Sahafi A. Finite element analysis of stresses in 31. Peutzfeldt A, Asmussen E. Distortion of alloy by sandblasting. Am J Dent
endodontically treated, dowel-restored teeth. J Prosthet Dent 1996;9:65-66.
2005;94:321-329. 32. Rosentritt M, Sikora M, Behr M, Handel G. In vitro fracture resistance and
5. Balbosh A, Kern M. Effect of surface treatment on retention of glass-fiber marginal adaptation of metallic and tooth-coloured post systems. J Oral
endodontic posts. J Prosthet Dent 2006;95:218-223. Rehabil 2004;31:675-681.
6. Bitter K, Priehn K, Martus P, Kielbassa AM. In vitro evaluation of push-out 33. Sadan A, Blatz MB, Soignet D. Influence of silanization on early bond
bond strengths of various luting agents to tooth-colored posts. J Prosthet strength to sandblasted densely sintered alumina. Quintessence Int
Dent 2006;95:302-310. 2003;34:172-176.
7. Bouillaguet S, Troesch S, Wataha JC, Krejci I, Meyer JM, Pashley DH. Mi- 34. Sahafi A, Peutzfeldt A, Asmussen E, Gotfredsen K. Bond strength of resin
crotensile bond strength between adhesive cements and root canal cement to dentin and to surface-treated posts of titanium alloy, glass fiber,
dentin. Dent Mater 2003;19:199-205. and zirconia. J Adhes Dent 2003;5:153-162.
8. De Santis R, Prisco D, Apicella A, Ambrosio L, Rengo S, Nicolais L. Carbon 35. Sahafi A, Peutzfeldt A, Asmussen E, Gotfredsen K. Retention and failure
fiber post adhesion to resin luting cement in the restoration of endodonti- morphology of prefabricated posts. Int J Prosthodont 2004;17:307-312.
cally treated teeth. J Mater Sci Mater Med 2000;11:201-206. 36. Schwartz RS, Robbins JW. Post placement and restoration of endodonti-
9. Ferrari M, Goracci C, Sadek FT, Monticelli F, Tay FR. An investigation of the cally treated teeth: a literature review. J Endod 2004;30:289-301.
interfacial strengths of methacrylate resin-based glass fiber post-core 37. Valandro LF, Özcan M, de Melo RM, Galhano GA, Baldissara P, Scotti R,
build-ups. J Adhes Dent 2006;8:239-245. Bottino MA. Effect of silica coating on flexural strength of fiber posts. Int J
10. Ferrari M, Vichi A, Garcia-Godoy F. Clinical evaluation of fiber-reinforced Prosthodont 2006;19:74-76.
epoxy resin posts and cast post and cores. Am J Dent 2000;13:15B-18B. 38. Vano M, Goracci C, Monticelli F, Tognini F, Gabriele M, Tay FR, et al. The ad-
11. Ferrari M, Vichi A, Mannocci F, Mason PN. Retrospective study of the clini- hesion between fibre posts and composite resin cores: the evaluation of
cal performance of fiber posts. Am J Dent 2000;13:9B-13B. microtensile bond strength following various surface chemical treatments
12. Goracci C, Raffaelli O, Monticelli F, Balleri B, Bertelli E, Ferrari M. The adhe- to posts. Int Endod J 2006;39:31-39.
sion between prefabricated FRC posts and composite resin cores: mi-
crotensile bond strength with and without post-silanization. Dent Mater
2005;21:437-444.
13. Goto Y, Nicholls JI, Phillips KM, Junge T. Fatigue resistance of endodonti-
cally treated teeth restored with three dowel-and-core systems. J Prosthet
Dent 2005;93:45-50.
14. Hayashi M, Takahashi Y, Imazato S, Ebisu S. Fracture resistance of pulpless Clinical relevance: Based on the results of this study, the
teeth restored with post-cores and crowns. Dent Mater 2006;22:477-485. application of a silane coupling agent is recommended in
15. Kern M, Thompson VP. Sandblasting and silica coating of a glass-infiltrated order to improve the bond strength of resin luting agents
alumina ceramic: volume loss, morphology, and changes in the surface
composition. J Prosthet Dent 1994;71:453-461.
to FRC Postec posts.

202 The Journal of Adhesive Dentistry

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