Evaluation of some intracanal irrigants on push-out bond strength and mode of failure of resin and non resin cements to root canal dentin (in vitro comparative study)

Abstract

Objectives: The purpose of this study was to evaluate the effects of five intracanal irrigants [distilled water, NaOCl, NaOCl + EDTA, ozonated water and NaOCl + ozonated water] on push-out bond strength of (zinc phosphate cement and Calibra® esthetic resin cement) and to determine the mode of failure. Materials and Methods: Seventy extracted single straight rooted teeth were selected. The crowns were sectioned at cemento-enamel junction. The sectioned roots were embedded vertically in clear acrylic resin. The root canals were prepared with K-files and Gates Glidden drills using step-back technique then the specimens were randomly assigned to five main groups according to the types of irrigant used and each main group were divided in to two subgroups and filled with zinc phosphate cement and Calibra® esthetic resin cement. The samples were sectioned horizontally to provide 4 millimeter dentin disc from coronal third of the roots. Each sectioned specimen was tested by using computerized universal testing machine. Finally each de-bonded specimens was examined under stereomicroscope to determine the mode of failure. Results: Two-way ANOVA tests showed that there was statistical significance difference between the two type of cement used in this study, also there was statistical significance difference between the types of irrigant; while the interaction between types of cement with types of irrigant was not statistically significant. Considering the dentine surface treatment, Paired T-test showed that irrigation with 5.25% NaOCl produce statistically significant reduction in bond strength to root canal dentin in comparison to control group, while irrigation with distilled water, 5.25 NaOCl plus 17% EDTA, 5.25% NaOCl plus 5gm/L ozonated water, 5gm/L ozonated water alone had no statistical significant affect on bond strength to root canal dentin. Comparing the cements, zinc Phosphate cement showed higher bond strength in comparison to Calibra® esthetic resin cement. Conclusions: NaOCl have negative effect on bond strength to root canal dentin, while distilled water, NaOCl plus EDTA, ozonated water alone or after NaOCl had no effect. Zinc phosphate cement had higher bond strength than Calibra® esthetic resin cement. The adhesive and mixed failures were higher than the cohesive failure for all groups in general.