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Effect of intracanal medications on the interfacial properties of reparative cements

Restorative Dentistry & Endodontics 2019³â 44±Ç 2È£ p.21 ~ 21
Pereira Andrea Cardoso, Pallone Mariana Valerio, Marciano Marina Angelica, Cortellazzi Karine Laura, Frozoni Marcos, Gomes Brenda P. F. A., de Almeida Jose Flavio Affonso, Soares Adriana de Jesus,
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 ( Pereira Andrea Cardoso ) - University of Campinas - UNICAMP Piracicaba Dental School Department of Restorative Dentistry
 ( Pallone Mariana Valerio ) - University of Campinas - UNICAMP Piracicaba Dental School Department of Restorative Dentistry
 ( Marciano Marina Angelica ) - University of Campinas - UNICAMP Piracicaba Dental School Department of Restorative Dentistry
 ( Cortellazzi Karine Laura ) - University of Campinas - UNICAMP Piracicaba Dental School Department of Social Dentistry
 ( Frozoni Marcos ) - Sao Leopoldo Mandic Dental School Department of Endodontics
 ( Gomes Brenda P. F. A. ) - University of Campinas - UNICAMP Piracicaba Dental School Department of Restorative Dentistry
 ( de Almeida Jose Flavio Affonso ) - University of Campinas - UNICAMP Piracicaba Dental School Department of Restorative Dentistry
 ( Soares Adriana de Jesus ) - University of Campinas - UNICAMP Piracicaba Dental School Department of Restorative Dentistry

Abstract


Objectives: The purpose of the present study was to evaluate the effect of calcium hydroxide with 2% chlorhexidine gel (HCX) or distilled water (HCA) compared to triple antibiotic paste (TAP) on push-out bond strength and the cement/dentin interface in canals sealed with White MTA Angelus (WMTA) or Biodentine (BD).

Materials and Methods: A total of 70 extracted human lower premolars were endodontically prepared and randomly divided into 4 groups according to the intracanal medication, as follows: group 1, HCX; group 2, TAP; group 3, HCA; and group 4, control (without intracanal medication). After 7 days, the medications were removed and the cervical third of the specimens was sectioned into five 1-mm sections. The sections were then sealed with WMTA or BD as a reparative material. After 7 days in 100% humidity, a push-out bond strength test was performed. Elemental analysis was performed at the interface, using energy-dispersive spectroscopy. The data were statistically analyzed using analysis of variance and the Tukey test (p < 0.05).

Results: BD presented a higher bond strength than WMTA (p < 0.05). BD or WMTA in canals treated with calcium hydroxide intracanal medications had the highest bond strength values, with a statistically significant difference compared to TAP in the WMTA group (p < 0.05). There were small amounts of phosphorus in samples exposed to triple antibiotic paste, regardless of the coronal sealing.

Conclusions: The use of intracanal medications did not affect the bond strength of WMTA and BD, except when TAP was used with WMTA.

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Calcium hydroxide; Chlorhexidine; Endodontics

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