Impact of Intracanal Calcium Hydroxide or Triple Antibiotic Paste on Bond Strength of Root Canal Sealers: An In Vitro Study
Abstract
Objectives:The
aim of this study is to compare the effects of intracanal treatments with
calcium hydroxide (CH) or triple antibiotic paste (TAP) on bond strength of a
calcium silicate-based sealer (MTA Fillapex) and an epoxy resin- based sealer
(MM Seal).
Materials and Methods: Sixty extracted maxillary central incisors were prepared
with a rotary system to size 40. The specimens were randomly divided into two
groups, which received either intracanal CH or TAP. After rinsing, the teeth in
each group were further divided into two additional groups, which were
obturated with gutta percha and either the MTA Fillapex or MM Seal root canal
sealer. Then, slices were obtained from three sections of the canal (coronal,
middle, and apical). A push-out test was performed to measure the bond strength
between the root canal dentin and the sealer.
Results: The
push-out bond strengths of the root canal sealers were significantly affected
by the type of intracanal medicament. Both the sealers showed bond strengths
that were nearly two-fold higher after TAP application than after CH
application, and these results were independent of the position along the
canal.
Conclusions: The
use of TAP rather than CH improves the bond strength of calcium silicate- and
epoxy resin-based sealers throughout the root canal.
Keywords
References
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- 2. Orstavik D, Haapasalo M. Disinfection by endodontic irrigants and dressings of experimentally infected dentinal tubules. Endod Dent Traumatol 1990;6:142-9.
- 3. Peters LB, van Winkelhoff AJ, Buijs JF, Wesselink PR. Effects of instrumentation, irrigation and dressing with calcium hydroxide on infection in pulpless teeth with periapical bone lesions. Int Endod J 2002;35:13-21.
- 4. Sahebi S, Moazami F, Abbott P. The effects of short-term calcium hydroxide application on the strength of dentine. Dent Traumatol 2010; 26:43-6.
- 5. Nair PN. On the causes of persistent apical periodontitis: a review. Int Endod J 2006;39:249-81.
- 6. Bystrom A, Claesson R, Sundqvist G. The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Endod Dent Traumatol 1985;1:170-5.
- 7. Tanase S, Tsuchiya H, Yao J, Ohmoto S, Takagi N, Yoshida S. Reversed-phase ion-pair chromatographic analysis of tetracycline antibiotics. Application to discolored teeth. J Chromatogr B Biomed Sci Appl 1998;706:279-85.
- 8. Er K, Kuştarci A, Ozan U, Taşdemir T. Nonsurgical endodontic treatment of dens invaginatus in a mandibular premolar with large periradicular lesion: a case report. J Endod 2007;33:322-4.
- 9. Gomes-Filho JE, Duarte PC, de Oliveira CB, et al. Tissue reaction to a triantibiotic paste used for endodontic tissue self-regeneration of nonvital immature permanent teeth. J Endod 2012;38:91-4.
- 10. Takushige T, Cruz EV, Asgor Moral A, Hoshino E. Endodontic treatment of primary teeth using a combination of antibacterial drugs. Int Endod J 2004;37:132-8.
- 21. Yassen GH, Chu TM, Eckert G, Platt JA. Effect of medicaments used in endodontic regeneration technique on the chemical structure of human immature radicular dentin: an in vitro study. J Endod 2013;39:269-73.
- 22. Economides N, Liolios E, Kolokuris I, Beltes P. Long-term evaluation of the influence of smear layer removal on the sealing ability of different sealers. J Endod 1999;25:123-5.
- 23. Guiotti FA, Kuga MC, Duarte MA, Sant'Anna AJ, Faria G. Effect of calcium hydroxide dressing on push-out bond strength of endodontic sealers to root canal dentin. Braz Oral Res 2014;28:1-6.
- 24. Üstün Y, Arslan S, Aslan T. (2013)Effects of calcium hydroxide and propolis intracanal medicaments on bond strength of resin-based endodontic sealer as assessed by push-out test. Dent Mater J 32, 913-919.
- 25. Babb BR, Loushine RJ, Bryan TE, et al. Bonding of self-adhesive (self-etching) root canal sealers to radicular dentin. J Endod 2009;35:578-82.
- 26. Berkhoff JA, Chen PB, Teixeira FB, Diogenes A. Evaluation of triple antibiotic paste removal by different irrigation procedures. J Endod 2014;40:1172-7.
- 27. Amin SA, Seyam RS, El-Samman MA. The effect of prior calcium hydroxide intracanal placement on the bond strength of two calcium silicate-based and an epoxy resin-based endodontic sealer. J Endod 2012;38:696-9.
- 28. Akcay M, Arslan H, Topcuoglu HS, Tuncay O. Effect of calcium hydroxide and double and triple antibiotic pastes on the bond strength of epoxy resin-based sealer to root canal dentin. J Endod 2014;40:1663-7.
- 29. Arslan H, Capar ID, Saygili G, et al. Efficacy of various irrigation protocols on the removal of triple antibiotic paste. Int Endod J 2014;47:594-9.
- 30. Kim JH, Kim Y, Shin SJ, Park JW, Jung IY. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod 2010;36:1086-91.
Abstract
References
- 1. Chávez de Paz LE, Dahlén G, Molander A, Möller A, Bergenholtz G. Bacteria recovered from teeth with apical periodontitis after antimicrobial endodontic treatment. Int Endod J 2003;36:500-8.
- 2. Orstavik D, Haapasalo M. Disinfection by endodontic irrigants and dressings of experimentally infected dentinal tubules. Endod Dent Traumatol 1990;6:142-9.
- 3. Peters LB, van Winkelhoff AJ, Buijs JF, Wesselink PR. Effects of instrumentation, irrigation and dressing with calcium hydroxide on infection in pulpless teeth with periapical bone lesions. Int Endod J 2002;35:13-21.
- 4. Sahebi S, Moazami F, Abbott P. The effects of short-term calcium hydroxide application on the strength of dentine. Dent Traumatol 2010; 26:43-6.
- 5. Nair PN. On the causes of persistent apical periodontitis: a review. Int Endod J 2006;39:249-81.
- 6. Bystrom A, Claesson R, Sundqvist G. The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Endod Dent Traumatol 1985;1:170-5.
- 7. Tanase S, Tsuchiya H, Yao J, Ohmoto S, Takagi N, Yoshida S. Reversed-phase ion-pair chromatographic analysis of tetracycline antibiotics. Application to discolored teeth. J Chromatogr B Biomed Sci Appl 1998;706:279-85.
- 8. Er K, Kuştarci A, Ozan U, Taşdemir T. Nonsurgical endodontic treatment of dens invaginatus in a mandibular premolar with large periradicular lesion: a case report. J Endod 2007;33:322-4.
- 9. Gomes-Filho JE, Duarte PC, de Oliveira CB, et al. Tissue reaction to a triantibiotic paste used for endodontic tissue self-regeneration of nonvital immature permanent teeth. J Endod 2012;38:91-4.
- 10. Takushige T, Cruz EV, Asgor Moral A, Hoshino E. Endodontic treatment of primary teeth using a combination of antibacterial drugs. Int Endod J 2004;37:132-8.
- 21. Yassen GH, Chu TM, Eckert G, Platt JA. Effect of medicaments used in endodontic regeneration technique on the chemical structure of human immature radicular dentin: an in vitro study. J Endod 2013;39:269-73.
- 22. Economides N, Liolios E, Kolokuris I, Beltes P. Long-term evaluation of the influence of smear layer removal on the sealing ability of different sealers. J Endod 1999;25:123-5.
- 23. Guiotti FA, Kuga MC, Duarte MA, Sant'Anna AJ, Faria G. Effect of calcium hydroxide dressing on push-out bond strength of endodontic sealers to root canal dentin. Braz Oral Res 2014;28:1-6.
- 24. Üstün Y, Arslan S, Aslan T. (2013)Effects of calcium hydroxide and propolis intracanal medicaments on bond strength of resin-based endodontic sealer as assessed by push-out test. Dent Mater J 32, 913-919.
- 25. Babb BR, Loushine RJ, Bryan TE, et al. Bonding of self-adhesive (self-etching) root canal sealers to radicular dentin. J Endod 2009;35:578-82.
- 26. Berkhoff JA, Chen PB, Teixeira FB, Diogenes A. Evaluation of triple antibiotic paste removal by different irrigation procedures. J Endod 2014;40:1172-7.
- 27. Amin SA, Seyam RS, El-Samman MA. The effect of prior calcium hydroxide intracanal placement on the bond strength of two calcium silicate-based and an epoxy resin-based endodontic sealer. J Endod 2012;38:696-9.
- 28. Akcay M, Arslan H, Topcuoglu HS, Tuncay O. Effect of calcium hydroxide and double and triple antibiotic pastes on the bond strength of epoxy resin-based sealer to root canal dentin. J Endod 2014;40:1663-7.
- 29. Arslan H, Capar ID, Saygili G, et al. Efficacy of various irrigation protocols on the removal of triple antibiotic paste. Int Endod J 2014;47:594-9.
- 30. Kim JH, Kim Y, Shin SJ, Park JW, Jung IY. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod 2010;36:1086-91.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | March 24, 2017 |
| Submission Date | January 26, 2016 |
| Published in Issue | Year 2016Volume: 19 Issue: 3 |
Cited By
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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