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Métodos Terapéuticos y Terapias MTCI
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Braz Oral Res ; 31: e29, 2017 04 10.
Artículo en Inglés | MEDLINE | ID: mdl-28403332

RESUMEN

This study evaluates the influence of root dentin treatment with NaOCl alone and combined with EDTA, with and without ultrasound activation, on the push-out bond strength (BS) of fiber-reinforced posts in weakened roots, cemented with RelyX or Panavia. The root canals of 42 maxillary canines were instrumented with Reciproc and 2.5% NaOCl. In the coronal 12mm of all canals, experimental weakening of the roots was produced by reducing dentin thickness with 2.44mm diameter diamond burs. The roots were assigned to 3 groups (n = 14) according to root dentin treatment: 2.5% NaOCl; 2.5% NaOCl + 17% EDTA; and 2.5% NaOCl + 17% EDTA, with solutions agitated using passive ultrasonic irrigation. After cementation of the fiber-reinforced posts the roots were divided in thirds. The first slice of each third was used for the push-out BS test, the second slice for confocal laser scanning microscopy and dentin microhardness (Knoop) analysis. Data were analysed by a two-way ANOVA and Tukey test (a = 0.05). NaOCl + EDTA provided highest BS values than NaOCl (p < 0.0001). Specimens cemented with Panavia presented significantly higher BS than those with RelyX in the three root thirds (p < 0.0001). The highest BS values occurred in the cervical third (p < 0.001). Ultrasound-activated NaOCl + EDTA promoted the greatest reduction in dentin microhardness, followed by NaOCl/EDTA and NaOCl. Ultrasonic activation of NaOCl and EDTA reduced root dentin microhardness, but did not improve the push-out BS of resin-based cements. Panavia presented higher BS than RelyX. RelyX was not influenced by the root dentin treatment protocols.


Asunto(s)
Recubrimiento Dental Adhesivo/métodos , Dentina/efectos de los fármacos , Ácido Edético/química , Cementos de Resina/química , Hipoclorito de Sodio/química , Raíz del Diente/efectos de los fármacos , Grabado Ácido Dental/métodos , Análisis de Varianza , Fracaso de la Restauración Dental , Dentina/efectos de la radiación , Pruebas de Dureza , Humanos , Ensayo de Materiales , Microscopía Confocal , Técnica de Perno Muñón , Distribución Aleatoria , Valores de Referencia , Reproducibilidad de los Resultados , Irrigantes del Conducto Radicular/química , Preparación del Conducto Radicular/métodos , Estadísticas no Paramétricas , Propiedades de Superficie/efectos de los fármacos , Raíz del Diente/efectos de la radiación , Terapia por Ultrasonido
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