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Tanta Dental Journal 10 (2013) 116e122
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Effect of different surface treatments of luted fiber posts on push out


bond strength to root dentin
S.E. Sultan*, A.M. Korsiel, M.S. Kamel, W.M. Etman
Conservative Dentistry Dep., Faculty of Dentistry, Tanta University, Egypt

Abstract

Purpose: The purpose of this in vitro study was to evaluate the influence of different post surface treatments on the micro push out
bond strength of a luting agent to a fiber post.
Materials and methods: Sixty freshly extracted single rooted upper central incisor teeth were selected, cut perpendicular to the
long axis at the labial cemento-enamel junction. All root canals were instrumented, obturated, the post spaces were prepared to a
depth of 11 mm. The specimens were classified into five groups according to the surface treatment performed to the post. Group 1:-
no surface treatments (control group), Group 2:-surface treatment with chloroform, Group 3:-surface treatment as in group 2 in
addition to the application of silane coupling agent (Calibra), Group 4:-surface treatment by sandblasting using 50 mm alumina
particles, Group 5:-surface treatment as in group 4 in addition to the application of silane coupling agent (Calibra), A dual-
polymerizing resin luting agent (Calibra) was used for cementation of posts. Three segments (1 mm each) from the cervical 1/3
of each root were obtained. Micro push out test was performed on a universal testing machine at a cross-head speed of 1.0 mm/min
until bond failure occurred. Data were analyzed with 1-way ANOVA.
Results: Micro push out bond strength of the luting agent to the post was significantly affected by surface treatment (P < 0.05).
Treating the surface of the post with airborne-particle abrasion followed by silanization resulted in the highest bond strength
compared with other treatments. There was no significant difference in bond strength between the chloroform group before and
after silanization.
Conclusions: Airborne-particle abrasion in addition to silanization provided the highest increase in bond strength between the fiber
post and the resin luting agent evaluated.
Ó 2014, Production and Hosting by Elsevier B.V. on behalf of the Faculty of Dentistry, Tanta University.
Open access under CC BY-NC-ND license.
Keywords: Fiber posts; Surface treatments; Sandblasting; Silane; Chloroform; Micro push out bond strength

1. Introduction
* Corresponding author.
E-mail address: dr_sherif82@yahoo.com (S.E. Sultan). Endodontically treated teeth may be damaged by
Peer review under the responsibility of the Faculty of Dentistry, Tanta decay, excessive wear, or previous restorations, resulting
University in a lack of coronal tooth structure.
The restoration of these teeth may require the
placement of a post to ensure adequate retention of a
Production and hosting by Elsevier
core foundation [1e3]. Cast metal posts and cores have
been traditionally used in these situations to provide

1687-8574 Ó 2014, Production and Hosting by Elsevier B.V. on behalf of the Faculty of Dentistry, Tanta University.
Open access under CC BY-NC-ND license. http://dx.doi.org/10.1016/j.tdj.2013.11.003
S.E. Sultan et al. / Tanta Dental Journal 10 (2013) 116e122 117

the necessary retention for the subsequent prostho- chemical interaction between the post surface and the
dontic restoration [3]. Many dentists prefer to use resin material used for luting or building-up the core. In an
prefabricated post systems because they are more attempt to maximize resin bonding to fiber posts several
practical, less expensive, and, in some situations, less surface treatments have been recently suggested [16].
invasive than cast metal post and core system [4].
Recently, the use of esthetic (tooth colored) posts 2. Materials & methods
such as fiber and zirconia posts in the restoration of
endodontically treated teeth has increased in popularity Sixty freshly extracted human periodontally
[5,6]. Fiber posts are currently perceived as promising involved, single straight rooted upper central incisor
alternatives to cast metal posts, as their elastic moduli teeth with single canal were selected. To standardize the
are similar to that of dentin, producing a favorable stress root canal length for this study, the roots were cut (from
distribution [5]. These posts, also, increase the light the coronal end) to a uniform length of 16 mm. The root
transmission within the root and overlying gingival tis- canals were instrumented to a working length of 1 mm
sues, thereby, eliminating or reducing the dark appear- from the apex up to #55 Master apical file. All root canals
ance often associated with non-vital teeth and metal were instrumented by the same operator using a step-
posts and cores [7]. back technique with stainless steel K-files. The canals
A choice must be made between different types of were obturated with gutta-percha cones (Dentsply-
fiber posts based on their light-transmitting capacities, Maillefer, Ballaigues, Switzerland) and sealer (AH-26,
non-translucent posts block light passage, therefore, Dentsply DeTrey GmbH, Konstanz, Germany) using
light-polymerizing luting materials must be substituted lateral condensation technique. After complete end-
with auto polymerizing resin composites, and these odontic treatment, the cervical root canal openings were
materials are typically fluid and have a long polymer- filled with an eugenol free provisional restorative ma-
ization time [8]. terial (Orafil G, Prevest Denpro Limited, India). The
Selecting an appropriate adhesive and luting procedure roots were then fixed in standardized self-cured cylin-
for bonding posts to root dentin is another challenge. drical acrylic blocks to facilitate handling of specimens.
Sealing is expected to be strong due to recent improve- The temporary restorations were removed and the cav-
ments in the sealing ability of adhesive resin luting agents ities were cleaned. The post spaces were prepared to a
[8]. Moreover, various types of bonding systems can be depth of 11 mm with special preparation drills supplied
used in combination with different luting resin [8,9]. In a from the manufacturer of the Easy Post systems
recent investigation, carbon fiber post and core founda- (Dentsply-Maillefer, Switzerland) using a low speed
tions cemented with dentin bonding and resin luting straight hand piece attached to bench drilling machine.
agents showed less microleakage than those luted with Number 3 Easy Posts with 1.6 mm diameter at the
glass-ionomer and zincephosphate cements [10]. Resin coronal end and 20 mm length were used. The speci-
luting agents may be polymerized through a chemical mens were randomly classified into five equal groups
reaction, a light-polymerization process, or a combination (n ¼ 12) according to the type of treatment performed
of both mechanisms [11]. Most current resin luting agents to the post surface:-
polymerize using a dual-polymerizing process that re-
quires light exposure to initiate the reaction [11,12]. - Group I:-No post surface treatments, considered
Failure of fiber post-and-core restorations often as a control group.
occurs because of de bonding between the resin luting - Group II:-Post surface treatment with chloroform,
agent (-fiber post and/or -root canal dentin) as a result the post was immersed in the solvent (chloroform)
of inadequate bond strength [1,5,13,14]. for 1 h and then wiped with a chloroform
One difficulty with some of the available pre- impregnated tissue for 1 min.
fabricated fiber posts is that the polymer matrix be- - Group III:-Post surface treatment as in group II in
tween the post material fibers is highly cross-linked addition to the application of silane coupling agent
and, therefore, less reactive. This makes it difficult for using a brush then left undisturbed for 1 min and
these posts to bond to resin luting agents and tooth gently air-dried.
structure [2,15]. - Group IV:-Post surface treatment by extra oral
Although the adhesion in the root canal represents the sandblasting device using 50 mm alumina particles at
weakest point of the post-endodontic restoration, the post/ 2 Mpa air pressure for 10 s with the posts held
composite adhesion needs to be considered. Bonding of perpendicular to the incoming particle stream at
fiber posts to composite materials relies only on the 20 mm distance. The sandblasted post is then cleaned
118 S.E. Sultan et al. / Tanta Dental Journal 10 (2013) 116e122

5 min in an ultrasound bath to remove any loose


particles, cleaned with alcohol and air dried [17].
- Group V:-Post surface treatment as in group IV in
addition to the application of silane coupling agent
using a brush then left undisturbed for 1 min and
gently air-dried. After surface treatment of posts,
one specimen from each group was examined by
scanning electron microscope (JEOLeJSM
5200eLV) to show the effect of surface treatments
on the topography of tested posts. A dual-
polymerizing resin luting agent (Calibra esthetic
resin cement, Dentsply-Maillefer, Switzerland) was
used for cementation of posts according manufac-
turer instructions. Three segments from the cervical
1/3 of each root were obtained by sectioning the
root under water coolant using an isomet saw, the Fig. 2. Upper part.
sections were 1 mm in thickness, the coronal surface
of each section was marked with an indelible a 2 mm diameter which is slightly larger than the post
marker, and the thickness of each specimen was space diameter.
measured by using a caliper. For performing micro The load was applied in an apical-coronal direction
push out test a specially designed attachment was on the apical aspect of the root slice. The load pushed
fabricated and it consists of 3 parts, upper part (Figs. the post toward the larger part of the root slice to avoid
1 and 2). any limitation to the post movement owing to the post
space taper. Loading was performed on a universal
Which is carrying 1.3 mm diameter cylindrical testing machine at a cross-head speed of 1.0 mm/min
plunger that pushes the post segment, the plunger tip until bond failure occurred. Failure was manifested as a
was sized and positioned to touch only the post, without complete extrusion of the post segment. The force (N)
stressing the surrounding post space walls, lower part required to debond the post from the dentin disc was
(Fig. 3). In which there is a large cavity that receives the recorded for all posts. To express the bond strength in
pushed post fragment, and a movable part (Fig. 4). MPa, the load (Newton) at failure point was divided by
That can be placed above or removed from the large the area of the bonded interface, which was calculated
cavity of the lower part, the upper end of this movable with the following formula:
part have a small cavity in which the root section is A ¼ 2prh
placed, at the bottom of this cavity there is a hole with
where p is the constant 3.14, r is the post radius, and h is
the thickness of the slice in mm.

Fig. 1. Specially designed attachment. Fig. 3. Lower part.


S.E. Sultan et al. / Tanta Dental Journal 10 (2013) 116e122 119

Chloroform is a strong organic solvent, which was


chosen as a chemical surface treatment for fiber posts
in the current study. The chloroform action increased
adherence values almost 20%, and the silane had then
little further positive effect on these values where
group II recorded a mean value of 28.8 Mpa versus
group III with a mean value of 29.4 Mpa.
These results agreed with Cheleux et al., 2007 [17]
who studied the effect of different surface treatments
on the push out bond strength of fiber posts. One of
these treatments was the chloroform which increased
the bond strength by 20%, which was explained by the
cleaning action of the chloroform to the posts surfaces
from all surface debris creating a well-defined surface
pattern with apparent fibers making them more avail-
Fig. 4. Movable part. able for micro retention by bonding agent penetration.
They also used silane after chloroform and found that it
All data was collected and tabulated to be statisti- had a little positive effect than chloroform alone.
cally analyzed using one way analysis of variance In addition the results of the current study demon-
(ANOVA) test. strated that airborne-particle abrasion treatment of post
surfaces (group IV) produced higher post retention than
3. Results non-treated posts (control). These findings agreed with
those obtained by Soares et al., 2008 [19] who studied
Tables 1 and 2 SEM images of post surfaces after airborne-particle
abrasion and observed roughness on their superficial
3.1. Scanning electron microscope (SEM) structures. The authors attributed the roughness to frac-
observations tured glass fibers and partial removal of the epoxy matrix.
In the present study, the highest bond strength was
The following figures represent the topography of obtained in group V where the posts were sandblasted
the posts after each surface treatment (Figs. 5e9). and then silanated, the overall bond strength was
improved by 50% compared to the control group. This
4. Discussion might be explained as sandblasting leads to roughening
of post surface by removing the resin matrix between
In this study the lowest bond strength values were the silicon fibers making it more retentive in addition
obtained in the control group (group I) because the post to the chemical reaction of silanes which relies on the
surfaces were not altered by any treatment. Thus, the formation of SieOeSi siloxane bonds and conversion
lower bond strength values may be attributed to poor of the mineral surface into a less polar surface
mechanical interlocking between the smooth surface of compatible with organic bonding agent [5,6]. These
the post and the resin cement. The high crosslink density findings were matching with those obtained by Perdi-
in the epoxy polymer matrix of the Easy post makes it gao et al. (2004) [20], which concluded that the silica
difficult to bond the post to composite resin luting ce- fiber surfaces need to be freshly exposed preferably by
ments. Monomers of the Calibra resin luting cement physical abrasion (sandblasting) in order to benefit
cannot penetrate into the crosslinked polymer matrix from silane coupling effects.
[18]. Therefore, an actual chemical bond between the Concerning the current effect of silanation it was
composite resin and post surface may not be feasible. found that it effectively increased the micro push out

Table 1
The push out bond strength mean values (Mpa) of the tested groups.
Gp I Gp II Gp III GpIV Gp V F (p)
ms 23.4  0.39 28.8  0.66 29.4  0.42 28.6  0.48 34.6  0.47 1337 (0.00)a
a
Highly significant at 0.05 level.
120 S.E. Sultan et al. / Tanta Dental Journal 10 (2013) 116e122

Table 2
Pairwise test performed for the tested groups.
Gp II Gp III Gp IV Gp V
Gp I 37.333 (26.376)a 55.952 (26.376)a 32.714 (26.376)a 84.00 (26.376)a
Gp II 18.619 (26.376) 4.619 (26.376) 46.66 (26.376)a
Gp III 23.238 (26.376) 28.05 (26.376)a
Gp IV 51.28 (26.376)a
a
Significantly different groups at a level of significance ¼ 0.05.

Fig. 7. SEM micrograph 500 of surface treatment with chloroform þ


saline (group 3) showing some fibers interrputed.

Fig. 5. SEM micrograph 500 of untreated post surfaces (group 1)


showing solid void free surface and evenly distributed parallel oriented
fibers.

Fig. 8. SEM micrograph 500 of surface treatment with sand-


Fig. 6. SEM micrograph 500 of surface treatment with chloroform blasting (group 4) showing a rough surface creating more spaces for
(group 2) showing expansion of the polymer network. micromechanical retention.
S.E. Sultan et al. / Tanta Dental Journal 10 (2013) 116e122 121

1. The bond strength of the glass fiber-reinforced post


(Easy post) luted by resin based luting cement was
influenced by different post surface treatments.
2. Silanization increased the bond strength of the mi-
cromechanically treated fiber post surfaces, while
the chemically treated post surfaces were not influ-
enced or affected.
3. The increase in bond strength was more remarkable
in the sandblasted posts followed by silanization.

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