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Comparative analysis of bond strength to root dentin and compression of bioceramic cements used in regenerative endodontic procedures

Restorative Dentistry & Endodontics 2021³â 46±Ç 4È£ p.59 ~ 59
Rodrigues Maykely Naara Morais, Bruno Kely Firmino, de Alencar Ana Helena Goncalves, Silva Julyana Dumas Santos, de Siqueira Patricia Correia, de Almeida Decurcio Daniel, Estrela Carlos,
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 ( Rodrigues Maykely Naara Morais ) - Federal University of Goias School of Dentistry Department of Endodontics
 ( Bruno Kely Firmino ) - South American College Department of Endodontics
 ( de Alencar Ana Helena Goncalves ) - Federal University of Goias School of Dentistry Department of Endodontics
 ( Silva Julyana Dumas Santos ) - Federal University of Goias School of Dentistry Department of Endodontics
 ( de Siqueira Patricia Correia ) - Federal University of Goias School of Dentistry Department of Endodontics
 ( de Almeida Decurcio Daniel ) - Federal University of Goias School of Dentistry Department of Endodontics
 ( Estrela Carlos ) - Federal University of Goias School of Dentistry Department of Endodontics

Abstract


Objectives: This study compared the Biodentine, MTA Repair HP, and Bio-C Repair bioceramics in terms of bond strength to dentin, failure mode, and compression.

Materials and Methods: Fifty-four slices obtained from the cervical third of 18 single-rooted human mandibular premolars were randomly distributed (n = 18). After insertion of the bioceramic materials, the push-out test was performed. The failure mode was analyzed using stereomicroscopy. Another set of cylindrically-shaped bioceramic samples (n = 10) was prepared for compressive strength testing. The normality of data distribution was analyzed using the Shapiro-Wilk test. The Kruskal-Wallis and Friedman tests were used for the push-out test data, while compressive strength was analyzed with analysis of variance and the Tukey test, considering a significance level of 0.05.

Results: Biodentine presented a higher median bond strength value (14.79 MPa) than MTA Repair HP (8.84 MPa) and Bio-C Repair (3.48 MPa), with a significant difference only between Biodentine and Bio-C Repair. In the Biodentine group, the most frequent failure mode was mixed (61%), while in the MTA Repair HP and Bio-C Repair groups, it was adhesive (94% and 72%, respectively). Biodentine showed greater resistance to compression (29.59 ¡¾ 8.47 MPa) than MTA Repair HP (18.68 ¡¾ 7.40 MPa) and Bio-C Repair (19.96 ¡¾ 3.96 MPa) (p < 0.05).

Conclusions: Biodentine showed greater compressive strength than MTA Repair HP and Bio-C Repair, and greater bond strength than Bio-C Repair. The most frequent failure mode of Biodentine was mixed, while that of MTA Repair HP and Bio-C Repair was adhesive.

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Calcium silicate cement; Compressive strength; Dentin bond strength; Regenerative endodontics

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