Chinese Journal of Tissue Engineering Research ›› 2018, Vol. 22 ›› Issue (14): 2162-2167.doi: 10.3969/j.issn.2095-4344.0841

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Bonding effects of different adhesive materials with no ferrule effect in the dental restoration with CAD/CAM-fabricated one-piece fiber post-and-core after bypass obturation of oval root canals

Qi Lu1, Wang Xing2, Wu Pei-ling1   

  1. 1Department of Stomatology, the Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, Xinjiang Uygur Autonomous Region, China; 2Department of Prosthodontics, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
  • Received:2018-01-06 Online:2018-05-18 Published:2018-05-18
  • Contact: Wu Pei-ling, Chief physician, Department of Stomatology, the Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, Xinjiang Uygur Autonomous Region, China
  • About author:Qi Lu, Master, Attending physician, Department of Stomatology, the Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, Xinjiang Uygur Autonomous Region, China
  • Supported by:

    the Natural Science Foundation for the Youth in Xinjiang Uygur Autonomous Region, No. 2015211C111

Abstract:

BACKGROUND: One-piece glass fiber post-and-core achieves a good sealing between cast-post and core and provides a suitable elastic modulus of the glass fiber material. Therefore, selecting a reasonable bonding system for the CAD/CAM-fabricated fiber post-and-core with no ferrule effect has become an important issue in clinical practice.

OBJECTIVE: To compare the bonding effects of three kinds of adhesive materials without ferrule effect in the CAD/CAM-fabricated dental restoration after bypass obturation of oval root canals.
METHODS: Ninety extracted first mandibular premolars with the working length set to 14 mm were randomized into three groups (n=30 per group). The root canal was prepared with the ProTaper next nickel titanium system under a dental operating microscope. The bypass obturation with oval root canals was achieved using the warm gutta-percha vertical condensation technique. 1-4 # Pesso drills were used to remove the gum in the root canal, with the preparatory depth of 9 mm, but with no shoulder collar. CAD/CAM technology was used to prepare one-piece fiber post-and-cores which were bonded using the KetacTM Cem Easymix glass ion, ONE-STEP PLUS universal UV-curable adhesive and RelyXTM Unicem 2 self-adhesive resin cement in different groups. The bonding effect of three kinds of adhesive materials was analyzed by using a universal mechanical measuring instrument.
RESULTS AND CONCLUSION: Compared with the KetacTM Cem Easymix glass ion group, the debonding force and micro-tensile strength were significantly stronger in the other two groups (P < 0.05), while compared with the ONE-STEP PLUS universal UV-curable adhesive group, the debonding force and micro-tensile strength were slightly higher in the RelyXTM Unicem 2 self-adhesive resin cement group, but there was no significant difference between the two groups. To conclude, RelyXTM Unicem 2 self-adhesive resin cement in the absence of ferrule effect can achieve better bonding effect on the CAD/CAM-fabricated one-piece fiber post-and-core after bypass obturation of oval root canals. 

Key words: Post and Core Technique, Root Canal Obturation, Dental Cements, Tissue Engineering

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