Glass fiber post resistance to dislodgement from radicular dentin after using contemporary and conventional methods of disinfection.

ABSTRACT

AIM: The present study aimed to assess the bond integrity of curcumin photosensitizer (CPS) Photodynamic therapy (PDT) on fiber post disinfection bonded to radicular dentin in comparison to the conventional fiber post sterilant used. MATERIALS AND METHODS: Fifty human permanent single-rooted premolars were utilized with the crown part sectioned using up to the cementoenamel junction. Root canal preparation was performed followed by canal obturation with gutta-percha (GP) and resin-based sealer. The post space was prepared using peso reamers leaving 4 mm at the apical part of the post space. Fifty glass fiber posts (GFP) were divided into five groups based on the surface disinfectant (n = 10). group 1 Autoclave sterilization (AS) group 2 chlorhexidine digluconate (CHX dig), group 3 CPS solution, group 4 35% phosphoric acid (PA) gel, and group 5 No disinfection. Cementation was performed using dual-cure self-etch resin cement. Each tooth was sectioned and placed on the universal testing machine. Failure mode was analyzed using a stereomicroscope at 40x magnification. Statistical analysis was performed using one-way analysis of variance (ANOVA) and Tukey multiple comparison tests. (p = 0.05). RESULTS: Intragroup comparison analysis demonstrated that group 2 in which 2% CHX dig was used as a post-surface disinfectant revealed the highest bond integrity at all three levels. Group 5 where no disinfectant was used to decontaminate the post surface exhibited the lowest bond values. In all the investigated groups, PBS values showed a downward trend from coronal to the apical third of the post space. Group 1 in which AS was used to sterilize the fiber post and group 3 in which CPS was smeared to decontaminate the GFPs surface-displayed comparable outcomes of PBS to group 5 specimens at all three levels. (p > 0.05). CONCLUSION: CHX dig and PA post-surface disinfection displayed a positive impact on bond strength with the radicular dentin. However, CPS and AS do not reveal any effect on the PBS when used for post-decontamination.