Micro push-out bond strengths of four fiber-reinforced composite post systems and 2 luting materials

Abstract

The aim of this study was to compare the bond strengths of 2 types of dual-cured luting agents used for cementation of 4 different fiber-reinforced composite (FRC) posts by using a push-out test and to evaluate the failure modes of these systems. Eighty human maxillary central incisors were divided into 8 groups (n = 10), decoronated, and roots filled and restored with one of the following post systems: groups 1 to 4: translucent quartz FRC posts; groups 5 and 6: opaque glass FRC post; and groups 7 and 8: individually formed electrical glass fiber post. Cementation was performed with 2 types of dual-polymerizing resin luting agents: Variolink II (groups 1, 3, 5, and 7) and a new self-adhesive resin cement, RelyX Unicem (groups 2, 4, 6, and 8). Slices with a thickness of 1.00 +/- 0.05 mm were prepared from the coronal third of each root by using a low-speed saw. Push-out tests were performed at a crosshead speed of 1 mm/min by using a universal testing machine, and the data was statistically analyzed (analysis of variance [ANOVA] and Duncan tests; P < .05). Fracture modes were evaluated at original magnification x40. Micro push-out bond strengths were significantly affected by the type of luting agent and the type of post (P < .05, 2-way ANOVA). A significant difference was found among the groups (1-way ANOVA, P < .05). Fiber-reinforced composite posts luted with Variolink II showed higher bond strengths, and the groups ordered as 5, 1, 3, 7, 6, 2, 4, and 8, with the values (MPa, mean +/- SD): 13.80 +/- 5.00, 13.77 +/- 3.78, 12.20 +/- 4.79, 9.39 +/- 2.48, 9.21 +/- 7.76, 7.25 +/- 1.56, 3.89 +/- 4.41, and 3.77 +/- 1.20, respectively. Adhesive failures between dentin and cement were observed more than cohesive failures in cement or post. Push-out bond strengths can be affected by luting agent and post type. Variolink II and fiber post combinations resulted in high bond strength values.