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Effects of Silane Application on Luting Fiber Posts

Using Self-adhesive Resin Cement


Ariene Arcas Lemea / André Luis Pinhob / Luciano de Souza Gonçalvesc /
Lorenço Correr-Sobrinhod / Mario Alexandre Coelho Sinhoretie

Purpose: To evaluate the effects of different glass-fiber post surface treatments on the bond strength to root
dentin.
Materials and Methods: Fifty bovine incisors were used in this study. After removing the crowns, the teeth were
endodontically treated. The roots were randomly divided into five groups according to post surface treatment.
The groups were as follows: CO (Control) – no treatment; G1 – RelyX Ceramic Primer (silane) only; G2 – silane
and Solobond M; G3 – silane and Scotchbond Adhesive; G4 – silane and Excite. For post cementation, RelyX
Unicem was used according to the manufacturer’s recommendation and the roots were stored in a light-proof
container with 100% relative humidity for 24 h. The specimens were transversally sectioned. Subsequently, the
cervical, middle, and apical regions of the root were positioned in a push-out device and tested at 0.5 mm/min
using a universal testing machine (Instron). The data were statistically analyzed with two-way ANOVA and Tukey’s
post-hoc test. The fractured specimens were then observed under a stereoscopic loupe at 60X magnification.
Results: No significant difference in bond strength was found among the groups that received a silane or silane
plus an adhesive system (p > 0.05). However, the CO (no silane) showed the lowest bond strength. Regarding
G1, G2, G3, and G4, the cervical region of the root canal attained better bond strengths than did the middle or
apical regions. The most frequent failure mode occurred at the cement/dentin interface.
Conclusion: Silane application may be necessary to improve the adhesion of fiber posts luted with the self-adhe-
sive resin cement evaluated here. The application of an adhesive layer between the fiber post and resin cement
did not have any influence on the bond strength when the silane coupling was previously used.
Keywords: bond strength, fiber post, push-out, resin cements.

J Adhes Dent 2013; 15: 269–274. Submitted for publication: 04.08.11; accepted for publication: 08.06.12
doi: 10.3290/j.jad.a28881

F iber posts are becoming increasingly popular in den-


tal practice for several reasons. They have a modulus
of elasticity closer to dentin than to ceramic or metal
adhesive systems associated with resin cements, which
enables a more homogeneous stress distribution in
the root.1 Furthermore, with the use of fiber posts, a
posts and cores.26 In addition, they can be luted with lower number of catastrophic root fractures have been
found.4,29
Because the epoxy resin surrounding fibers has a high
a PhD Student, Department of Restorative Dentistry, Dental Materials, Pi- cross-linking density, the bond to a methacrylate-based
racicaba Dental School, University of Campinas, Piracicaba, SP, Brazil. Idea,
hypothesis, experimental design, performed experiments, wrote manuscript. resin is not possible or nearly nonexistant.20 This is based
b Dentist, Department of Restorative Dentistry, Dental Materials, Piracicaba
on the fact that bis-GMA- (bis-phenol-A diglycidyl dimeth-
Dental School, University of Campinas, Piracicaba, SP, Brazil. Performed acrylate) and TEG-DMA-based (triethylene glycol dimeth-
experiments in partial fulfillment of requirements for a degree. acrylate) resins are incapable of penetrating into the sur-
c Professor, Biomaterials Division, Uberaba Dental School, University of Uber- face of prefabricated fiber posts, so the phenomenon
aba, Uberaba, SP, Brazil. Idea, hypothesis, experimental design, contributed
substantially to discussion.
of interdiffusion cannot occur.20 However, even with few
d
quartz or glass fibers exposed at the fiber-post surface,23
Professor, Department of Dental Materials, Piracicaba Dental School, Univer-
sity of Campinas, Piracicaba, SP, Brazil. Idea, proofread manuscript. the silanization procedure has been described as an im-
e Professor, Department of Restorative Dentistry, Piracicaba Dental School,
portant pretreatment to increase the bond strength to
University of Campinas, Piracicaba, SP, Brazil. Idea, hypothesis, experimen- resin cements. Silanes have a dual reactivity, because the
tal design, performed statistical evaluation, proofread manuscript. organic functional part (vinyl, allyl, amino, and isocyanato)
can polymerize with an organic matrix, while the alkoxy
Correspondence: Ariene Arcas Leme, Department of Restorative Dentistry, groups (methoxy and ethoxy) reacts with an inorganic sub-
Dental Materials, Piracicaba Dental School, State University of Campinas-UNI- strate.21 Thus, this procedure has been recommended as
CAMP, Limeira Av. 901, PO Box 52, Piracicaba, São Paulo; Brazil 13414-903.
Tel: +55-19-9769-5653. e-mail: arienearcasleme@gmail.com a pre-treatment for the fiber-post surface.

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Leme et al

Table 1 Manufacturer, lot, and compositions of resin cement and adhesive systems used

Material Manufacturer/Lot Composition


RelyX Unicem 3M ESPE; St Paul, MN, USA / Methacrylate monomers containing phosphoric acid groups,
338573 methacrylate monomers, initiator, stabilizers

RelyX Ceramic Primer 3M ESPE / 6XK Pre-hydrolyzed, single-phase silane, ethanol (70%-80%),
water (20%-30%)21

Solobond M VOCO; Cuxhaven, Germany / Bis-GMA, HEMA, phosphate methacrylates, butylated hydroxytoluene,
640977 acetone, camphorquinone, amine, accelerator

Excite Ivoclar Vivadent; Schaan, Phosphonic acid acrylate, HEMA, bis-GMA, dimethacrylate,
Liechtenstein / L11777 highly dispersed silica, ethanol, catalysts, stabilizers

Adper Scotchbond Multi 3M ESPE / 5PJ bis-GMA, HEMA, initiators, stabilizers


Purpose Adhesive

Bis-GMA: bis-phenol-A diglycidyl dimethacrylate; HEMA: hydroxyethyl methacrylate.

The possibility that silane coupling agents may be MATERIALS AND METHODS
weakened due to hydrolysis has been suggested.2,16,22,27
Therefore, the application of a hydrophobic unfilled resin Fifty freshly extracted bovine incisors with mature apices
layer (ie, a bond layer utilizing a three step total-etch were selected for the study. The teeth were cleaned
and two step self-etch adhesive systems) has been pro- and cut perpendicularly along the long axis below the
posed to promote increased wetting of the substrate16 cementoenamel junction using a slow-speed diamond
and to protect the silane layer.12 This layer system might saw (Isomet 1000, Buehler; Lake Bluff, IL, USA) to
strengthen the silane-based bonding interphase. How- obtain 16-mm root lengths. The root canals were end-
ever, the unfilled hydrophobic resin is not the only com- odontically treated by the same operator. The working
monly applied agent on post surfaces after silanization. length was established 1 mm short of the apex using
Adhesive systems composed of a hydrophobic and hy- a #60 K File (Dentsply-Maillefer; Tulsa, OK, USA) as
drophilic monomer blend that are dissolved in organic apical master file. During instrumentation, the canals
solvents are currently applied after silanization as well. were irrigated with 1 ml of 5.25% NaOCl (Proderma;
The presence of the remaining solvent can negatively af- Piracicaba, SP, Brazil). The canals were filled with gutta-
fect the polymerization of adhesive systems,34 reducing percha and Sealer26 (Dentsply-Maillefer) endodontic
the rate of polymerization.6 sealer using the lateral condensation technique with a
A retrospective study identified debonding as the most finger spreader (Dentsply-Maillefer). The cervical open-
frequent reason for failure in the performance of fiber ings of the root canals were then sealed with a eugenol-
posts.13 There are difficulties inherent to adhesive ce- free provisional restorative material (Coltosol, Colténe;
mentation to the root dentin, such as the restricted ac- Altstätten, Switzerland) and immersed in distilled water
cess of light to initiate photoactivation of the adhesive at 37°C. After one week, the gutta-percha was removed
system and resin cement,8,9,18 inadequate dentin morph- with Gates-Glidden drills (Dentsply-Maillefer), leaving
ology13 for attaining a stable bond to the root dentin near 5 mm of space for apical sealing. The root canals were
the apical portion of the root canal,31 and a high ratio of standardized to a depth of 10 mm using size #3 post-
the bonded to unbonded surface (C-factor) at the long, thin hole drills supplied by the tapered fiber-post system
cement layer5 that can lead to gap formation.28 Therefore, (Exacto, Angelus; Londrina, PR, Brazil). The teeth were
there are doubts about the fiber post and resin cement randomly divided into 5 groups according to the glass-fi-
system regarding its bond strength, both between the ber post surface treatment: CO (control) – no treatment;
post and the resin cement and between the resin cement G1 – RelyX Ceramic Primer (silane) only; G2 – silane and
and the root dentin. The aim of this in vitro study was to Solobond M; G3 – silane and Scotchbond Adhesive; G4
investigate the push-out bond strength of glass-fiber posts – silane and Excite. The manufacturer, lot, and compo-
luted with self-adhesive resin cement using different post sition of the materials used in this study are shown in
surface treatments, specifically in the root canal. The hy- Table 1.
potheses of the present study were: (1) application of a All fiber posts were immersed in 96% ethanol, ultrason-
silane coupling agent is necessary to bond a self-adhesive ically cleaned for 5 min and dried with oil-free air for 1 min.
resin cement to the fiber post surface; (2) application of They were also randomly divided into 5 groups (n = 10)
silane plus an additional adhesive layer on the glass-fiber and treated as shown in Table 2. Four 10-s light-activation
post surface can improve the bond strength to resin ce- (1200 mW/cm2) exposures were performed at right an-
ment; (3) there are differences in the bond strength of gles using an LED source (UltraLume LED 5, Ultradent;
fiber posts in different root regions. South Jordan, UT, USA). The root canals were then rinsed
with distilled water and left moist, using absorbent paper

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Leme et al

points (Dentsply; Petropolis, RJ, Brazil). After this, the Table 2 Treatments applied in each group
self-adhesive resin luting agent, RelyX Unicem (3M ESPE;
St Paul, MN, USA) of shade A2 was inserted into the root Groups Fiber-post surface treatment
canal and applied on the fiber post surface, following the
manufacturer’s instructions. The fiber post was seated in Control None
the root canal using finger pressure. The excess resin ce-
ment was removed with a #5 explorer (Duflex, S.S. White; G1 A silane layer (RelyX Ceramic Primer) was applied
using a microbrush and air dried for 30 s.
Rio de Janeiro, Brazil), and the remaining resin cement
was light polymerized for 60 s from the top. After glass- G2 A silane layer was applied, air dried for 30 s,
fiber post cementation, each root was acid etched for 15 followed by a layer of an acetone-based adhesive
s on the cervical surface and rinsed for 30 s. Excess water system (Solobond M). Excess solvent was
was removed with absorbent paper points, and a core was removed, light polymerization was performed for
40 s.
constructed with resin composite (Charisma, shade A2,
Heraeus Kulzer; South Bend, IN, USA). G3 A silane layer was applied, air dried for 30
The specimens were stored in a light-proof container in s, followed by a layer of adhesive (bottle #3,
Scotchbond Multi Purpose Plus).
100% humidity at 37°C for 24 h. Each root was cut perpen-
dicularly to the long axis with a slow-speed water-cooled G4 A layer of silane was applied and air dried for 60
diamond saw (Buehler) to produce three 1-mm-thick seg- s, and the adhesive system (Excite) was applied.
ments corresponding to the cervical, middle, and apical Excess solvent was removed, light polymerization
was performed for 40 s.
regions of the root canal.
The push-out bond strength test was performed using a
universal testing machine (model 4411, Instron; Canton,
MA, USA) at a crosshead speed of 0.5 mm/min. Each slab RESULTS
was positioned with the apical surface facing the plunger
tip and in contact with only the fiber post. The push-out The results of the push-out bond strength test for all
bond strength (Bs) in MPa was calculated using the math- groups are shown in Table 3. There was a statistically
ematic formula Bs = F/π(R+r)[(R-r)2 + h2 ]0.5, where F is significant difference among the root regions (p < 0.05)
the load to failure in N, π is the constant 3.14, R is the and among the fiber-post surface treatments (p < 0.05).
coronal radius in each segment, r is the apical radius in The control group had the worst results, followed by the
each segment, and h is the thickness of the segment in silane and adhesive groups. In the control group, there
millimeters. The results in MPa were submitted to two-way was no difference among the root regions. For the other
ANOVA and Tukey’s post-hoc test with _ = 0.05. After groups, however, the cervical region showed higher
testing, the fractured specimens were observed under a strengths than did the middle or apical regions.
stereoscopic loupe at 60X magnification to identify the Examinations of the fractured specimens revealed that
failure mode. Representative specimens were sputter the most frequent failure type occurred at the resin ce-
coated with gold and observed using scanning electron ment and dentin interface (RD), followed by mixed failure
microscopy (SEM) (JEOL, JSM-5600LV; Tokyo, Japan). (mixed) and those at the fiber post and resin cement (PR)

Table 3 Mean push-out bond strength in MPa (standard deviation) by root region and failure mode (%) for all
groups

Groups Root region (MPa) Failure mode (%)


Cervical Middle Apical RD Mixed PR
Control 2.39(1.43)Ab 2.78(0.91)Ab 2.92(1.20)Ab 32 39 29

G1 9.65(3.39)Aa 4.11(1.06)Ba 4.04(2.43)Ba 62 31 7

G2 11.21(5.61)Aa 4.53(1.98)Ba 4.38(1.21)Ba 45 29 26

G3 11.23(4.99)Aa 5.96(1.71)Ba 5.12(2.60)Ba 42 34 24

G4 9.43(3.54)Aa 5.26(2.11)Ba 5.26(1.75)Ba 51 31 18

RD: failure at resin cement/dentin interface; PR: failure at the fiber post/resin cement interface. Different superscript capital letters in rows and small letters
in columns indicate statistically significant difference (p < 0.05).

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a b

c d
Fig 1 SEM images of the failure modes. a: failure at the resin cement/glass-fiber post adhesive interface. Note the thick adhesive
layer (*) and the occurrence of voids in the resin cement layer (arrow); b: failure at the resin cement/dentin bond interface; c: cohe-
sive failure in the resin cement; d: mixed failure.

interface. The respective failure modes for each group are No differences in push-out bond strength were found
shown in Table 3 and examples of failure types in Fig 1. among the groups that used only the silane or silane
The SEM image in Fig 1a also display the occurrence of plus an adhesive layer, thus failing to confirm the sec-
voids in the resin cement layer (arrow). Figure 2a shows ond hypothesis. This resulted in an additional step that
no sign of microdefects between the fiber post and the increased chairtime and the possibility of errors due to
Bond component of the Scotchbond Multi-Purpose Plus the formation of a thick adhesive layer, which may have
adhesive system, when this interface remained intact af- been the reason behind the increased failures between
ter the push-out test. Only a superficial interaction was the fiber post and resin cement for G3 (Fig 1a). Adhesive
observed between RelyX Unicem self-adhesive cement systems with a blend of organic solvents, hydrophobic
and root canal dentin (Fig 2b). and hydrophilic components were applied on the fiber-post
surfaces after the silane was dried. The type and concen-
tration of solvents in the adhesive system must be known.
DISCUSSION Excess solvent in the adhesive layer has been reported as
one possible reason for failure,34 as it induces the forma-
The literature indicates different protocols for glass-fiber tion of water bridges in the adhesive layer34 and leads
post surface treatment before cementation, with the to plasticization and decreased cohesive strength. How-
goal of enhancing the bond strength of fiber posts to the ever, the active application of an adhesive improves the
root dentin.17,20,23,30 In the present study, the efficacy volatilization of solvents, resulting in higher bond strength
of silane with or without the application of an adhesive values.19 In this study, all adhesive systems were applied
layer was investigated. According to the results, the ap- by pressing the microbrush against the post surface and
plication of silane is recommended, although the appli- then air drying for 30 s before light polymerization. There-
cation of an adhesive layer on the fiber-post surface did fore, the solvent volatilization led to adequate adhesive
not improve the retentive strength and it created a new polymerization, preventing adverse effects on the bond
interface that can be prone to failure. strength between the fiber post and resin cement.

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Leme et al

a b
Fig 2 SEM images of the adhesive interfaces between the glass-fiber post and Scotchbond adhesive (a) and between the resin ce-
ment and the root dentin (b). No hybrid layer was produced by the self-adhesive resin cement (*) and endodontic sealer remained
inside the dentinal tubule (arrow).

A previous study observed that if a silane layer is ap- polymerization in the cervical region than in the middle
plied, airborne-particle abrasion is not necessary.33 How- and apical regions.8,18 In addition, the dentin substrate
ever, silane combined with an acidic primer has been in the cervical region is more prone to adhesion than is
shown to increase the microshear bond strength when the apical region.11 Another difficulty in the apical region
luting to ceramics.32 In G1, RelyX Unicem was applied in is the thicker and more compacted smear layer, which is
intimate contact with the silanized post, as opposed to difficult to remove even after phosphoric-acid etching.31
the groups treated with adhesive systems, which were not When the self-adhesive resin cement is used, the etch-
composed of acidic monomers. Although RelyX Unicem ing procedure is not performed prior to luting. As such,
is not a conventional self-etching adhesive system, its the bond relies predominantly on the interaction between
composition still includes phosphate monomers, which the material and smear layer. Examinations of the failure
can lead to behavior similar to that observed with those mode showed that the most fragile point of the fiber post
acidic adhesive systems. Compared to the other groups, and the resin cement luted to the root dentin was the
the group without silane attained the worst result with cement/dentin interface. The self-adhesive resin cement
the highest rate of failures between the resin cement RelyX Unicem is incapable of forming a truly hybrid layer
and fiber post. Aiming to better simulate clinical condi- in the root dentin3,7 the way that adhesive systems can.10
tions, all luting procedures were carried out in root dentin A significant interaction was obtained between the resin
specimens. Using this approach, it was difficult ensure cement and dentin when the luting procedure with RelyX
that all the failures would occur only at the investigated Unicem was performed under pressure.14 In SEM images
interface (ie, between fiber post and resin cement). Thus, of the fractured specimens, it was possible to observe
it can be speculated that if significant adhesion were dentinal tubules without tag formation (Fig 2b), with the
obtained between the resin cement and root dentin, the bond relying only on a superficial interaction between the
failure mode would be predominantly between the fiber resin cement and root dentin. However, in another study,
post and resin cement. This result is in agreement with the best bond strength was observed when the self-adhe-
that of another study which concluded that although the sive resin cement was used, compared to luting materi-
self-adhesive cement RelyX Unicem is capable of adhering als associated with etch-and-rinse adhesive systems. The
to fiber-post surfaces through methacrylated phosphoric authors justified this with occurrence of fractures in resin
esters, silanization was able to improve the bond of this tags.3 Previous studies have reported on the difficulty self-
material to the post.17 In contrast, a recent study24 found adhesive cements have in crossing the thick smear layer
no difference regarding silane application for luting fiber formed during root canal preparation.3,15 Voids were also
posts using RelyX Unicem. present in the resin cement layer (Fig 1a), which could
The second hypothesis was partially accepted. No dif- be related to the viscosity of the material. These voids
ference in regional bond strength was observed for the act as potential sites of stress concentration and crack
control group, which attained the worst results for all three propagation.
root canal regions evaluated. For the experimental groups A good bond between the fiber post and resin cement
(G1 to G4), the cervical region of the root displayed bet- or core resin is expected to ensure the quality of the
ter bond strengths than did the middle or apical regions; final restoration. Although only one pre-hydrolyzed silane
these results corroborate those of other studies.5,25 The was tested, fiber-post silanization is recommended when
higher bond strength in the cervical region could be the using RelyX Unicem self-adhesive resin cement. Further
result of higher light intensity initiating better resin cement studies are necessary to verify the effect of different si-

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Leme et al

lane coupling agents with other self-adhesive resin ce- 14. Goracci C, Cury AH, Cantoro A, Papacchini F, Tay FR, Ferrari M. Micro-
tensile bond strength and interfacial properties of self-etching and self-
ments. In this study, the weakest point was observed at adhesive resin cements used to lute composite onlays under different
the interface between the resin cement and the root den- seating forces. J Adhes Dent 2006;8:327-335.
tin. Further studies are needed to investigate the bonding 15. Goracci C, Sadek FT, Fabianelli A, Tay FR, Ferrari M. Evaluation of
the adhesion of fiber posts to intraradicular dentin. Oper Dent 2005;
mechanisms of these materials to substrates in order to 30:627-635.
elucidate and promote better bond strengths. 16. Hooshmand T, van Noort R, Keshvad A. Bond durability of the resin-
bonded and silane treated ceramic surface. Dent Mater 2002;18:
179-188.
17. Jongsma LA, Kleverlaan CJ, Feilzer AJ. Influence of surface pretreatment
CONCLUSIONS of fiber posts on cement delamination. Dent Mater 2010;26:901-907.
18. Kim YK, Kim SK, Kim KH, Kwon TY. Degree of conversion of dual-cured
Within the limitations of this study, it can be concluded resin cement light-cured through three fibre posts within human root
that the bonding of the self-adhesive resin cement to the canals: An ex vivo study. Int Endod J 2009;42:667-674.
19. Loguercio AD, Loeblein F, Cherobin T, Ogliari F, Piva E, Reis A. Effect
glass-fiber post was improved by application of the si- of solvent removal on adhesive properties of simplified etch-and-rinse
lane coupling agent on the post surface. The application systems and on bond strengths to dry and wet dentin. J Adhes Dent
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and resin cement did not have any influence on the bond 20. Mannocci F, Sherriff M, Watson TF, Vallittu PK. Penetration of bonding
resins into fibre-reinforced composite posts: A confocal microscopic
strength when the silane coupling was previously used. study. Int Endod J 2005;38:46-51.
21. Matinlinna JP, Lassila LV, Özcan M, Yli-Urpo A, Vallittu PK. An introduc-
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ACKNOWLEDGMENTS 22. Matinlinna JP, Lassila LV, Vallittu PK. Evaluation of five dental si-
The authors are grateful to Angelus, 3M ESPE, VOCO, and Ivoclar lanes on bonding a luting cement onto silica-coated titanium. J Dent
2006;34:721-726.
Vivadent for providing the materials for research.
23. Monticelli F, Toledano M, Tay FR, Sadek FT, Goracci C, Ferrari M. A
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274 The Journal of Adhesive Dentistry


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