College of Dental Medicine Student Theses, Dissertations and Capstones

Document Type

Thesis

Degree Name

Master of Science (M.S.) in Dentistry

First Advisor

Singer, Richard

Publication Date / Copyright Date

2014

Publisher

Nova Southeastern University. College of Dental Medicine.

Abstract

Background . Little is known about the long-term clinical bonding effectiveness of the Fiber-reinforced composite (FRC) posts cemented with self-etch adhesive systems. Bond stability and longevity of the cemented post are adversely affected by physical and chemical factors over time, such as expansion and contraction stresses caused by thermal changes and occlusal load. This clinical condition can be simulated in vitro by thermocyclic loading; and bonding effectiveness can be evaluated by applying the micropush out test. Therefore, more in vitro studies are needed to evaluate the bond strength of the fiber posts cemented with different resin cement systems after simulating the artificial aging induced by thermocycling. The aim of this study was to compare the microtensile bond strength of two different resin cement systems (total etch, and self-etch resin cement system) used for cementation of fiber reinforced composite posts in three different aging periods using thermocycling. Methods . Following IRB approval, sixty freshly extracted bicuspid single rooted natural teeth were endodontically treated, and the post-spaces were prepared to receive a fiber-post cemented with either a total etch resin cement (Rely-X Ultimate) or with a self-etch resin cement (Rely-X Unicem). No thermocycling, 20,000 and 40,000 cycles was used to age the specimens. Teeth were randomly allocated into six different groups: G1 - Control: Rely-X Ultimate cement with no thermocycling. G2: Rely-X Ultimate cement with 20,000 thermocycling. G3: Rely-X Ultimate cement with 40,000 thermocycling. G4: Rely-X Unicem cement. G5: Rely-X Unicem cement. G6: Rely-X Unicem cement. Microtensile bond strength determined using a micropush out test on a universal testing machine (MTS). Additionally, the failure mode of each specimen was observed under a stereomicroscope (Olympus) at 40x magnification. Finally, one representative sample was randomly selected from each of the five failure modes for scanning electron microscope (SEM) examination of the surface morphology in order to obtain SEM images of the failure patterns at 29-70x magnifications. Statistical analysis: Nested general linear and generalized linear model was created to look for statistical significance. Level of significance was set at P < 0.05. Results . No significant differences were found on the bond strength between the two types of resin cement systems (total etch and self-etch). Regarding the thermocycling effect, the bond strengths of the group of 40,000 cycles was significantly lower than the 20,000 cycle group. In addition, the bond strengths of the specimens collected from the coronal third of the root were significantly lower than the specimens from the apical third. A Fisher's Exact test was applied to evaluate the failure mode differences, and showed statistically significant differences between the groups. Conclusions . The bond strength to the root canal dentin did not vary with the type of resin cement systems (total-etch vs self-etch). The microtensile bond strength values of FRC posts were significantly affected by increasing the thermocycling, and were significantly different among the different longitudinal levels of the root canal.

Disciplines

Dentistry

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