Push-out Bond Strength of Endoseal MTA and AH Plus Sealers After Using Apple Vinegar as Final Irrigating Solution

Rana M. Ragab, Wael H. Kamel, Hemat M. Elsheikh
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Abstract

Purpose: The present study was performed to evaluate the bond strength of EndoSeal MTA and AH Plus after using EDTA or apple vinegar as final irrigant. Materials and Methods: Sixty extracted human single rooted teeth were decapitated, instrumented using Universal ProTaper rotary system up to size F4 and divided randomly into two main groups (n=30) according to the solution used as final irrigation; Group I : irrigated with 17% EDTA and Group II : 5 % Apple vinegar, then distributed according to sealer used in obturation with gutta-percha into four subgroups (n=15); subgroup IA (EDTA + AH Plus), subgroup I B (EDTA +Endoseal MTA), subgroup IIA (apple vinegar + AH Plus), and subgroup IIB (apple vinegar + Endoseal MTA). After obturation and incubation in 100% humidity at 37°C for one week. All roots were embedded in self cure acrylic resin and sectioned horizontally into slices of 2 mm thickness, the push- out test was applied using universal testing machine, bond strength (MPa) calculated and the data were tabulated and statistically analyzed. Results: AH Plus represented the highest bond strength after using EDTA or apple vinegar compared with Endoseal MTA, EDTA showed superior results with both types of sealer compared to apple vinegar, and the middle part of the root canal showed the highest bond strength (P<0.05) Conclusion: EDTA final irrigating solution reported higher values of the bond strength compared to apple vinegar with both AH Plus and Endoseal MTA, and AH Plus reported highest push-out bond strength with both irrigating solutions.
以苹果醋为最终冲洗液后内封MTA和AH +封口剂的推出结合强度
目的:本研究评价EDTA或苹果醋作为最终冲洗剂后EndoSeal MTA与AH Plus的结合强度。材料与方法:取60颗拔除的人单根牙,用Universal ProTaper旋转系统测量至F4大小,根据最终冲洗液随机分为两组(n=30);第一组:17% EDTA灌洗,第二组:5%苹果醋灌洗,然后根据杜仲胶封堵时使用的密封剂分为4个亚组(n=15);亚组IA (EDTA + AH Plus)、亚组IB (EDTA +Endoseal MTA)、亚组IIA(苹果醋+ AH Plus)和亚组IIB(苹果醋+Endoseal MTA)。在100%湿度37°C下封闭和孵育一周后。将所有根埋于自固化丙烯酸树脂中,水平切成2 mm厚的薄片,采用万能试验机进行推出试验,计算粘结强度(MPa),并将数据制成表格进行统计分析。结果:与Endoseal MTA相比,EDTA和苹果醋使用AH Plus的结合强度最高,EDTA与两种密封剂的结合效果均优于苹果醋,根管中部的结合强度最高(P<0.05)。EDTA最终灌洗液的结合强度值高于苹果醋中AH Plus和Endoseal MTA的结合强度值,而AH Plus在两种灌洗液中的结合强度最高。
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