Restoration of endodontically treated teeth with major hard tissue loss - influence of post surface design on pull-out bond strength of fiber-reinforced composite posts.

AIM: The aim was to evaluate the influence of post surface design and luting system on bond strength of quartz-fiber-reinforced composite posts (QFRCPs) luted to root canal dentin. MATERIALS AND METHODS: Single-rooted bovine teeth (n = 650) were randomly assigned (13 groups, n = 50), sectioned, endodontically treated, filled, and post space (length 8 mm) prepared. Custom-made plain-surfaced fiber posts (PSXRO) and (both RTD) macroretentive Macro-Lock Post Illusion X-RO (MLXRO) were inserted into the post spaces using six luting systems: Ketac Cem (KC), Fuji Plus (FP), RelyX Unicem, Multilink Primer_Multilink, Sealbond Ultima_CoreCem, and LuxaBond_LuxaCore Z. As control, a titanium post was cemented with KC. After water storage (24 h, 37°C), pull-out test was performed, followed by failure mode assessment. Bond strength was calculated in MPa and analyzed using anova, Dunnett-T3-test, and Student's t-test with Bonferroni correction. RESULTS: Post design and luting system significantly influenced the bond strength [MPa] (P < 0.05). Compared with the control 4.3 (1.5), all test groups exhibited higher bond strengths (P < 0.05), except for group PSXRO/KC 4.2 (1.0). The remaining bond strengths were PSXRO: FP 8.6 (1.5), RelyX Unicem 10.4 (3.4), Multilink Primer_Multilink 12.7 (3.0), SealBond Ultima_CoreCem 12.7 (3.0), LuxaBond_LuxaCore Z 15.7 (2.5), and MLXRO: KC 7.2 (2.2), FP 13.4 (2.5), RelyX Unicem 9.2 (2.9), Multilink Primer_Multilink 12.5 (4.5), SealBond Ultima_CoreCem 13.7 (4.6), LuxaBond_LuxaCore Z 20.6 (2.2). The bond strengths of MLXRO were higher than those of PSXRO when luted with KC, FP, and LuxaBond_LuxaCore Z (P < 0.05). CONCLUSION: The post surface design and luting system selection influenced the bond strength of conventionally and adhesively luted QFRCPs to bovine root canal dentin.

Restoration of endodontically treated teeth with major hard tissue loss--bond strength of conventionally and adhesively luted fiber-reinforced composite posts.

AIM: To evaluate the influence of the luting system on the pull-out bond strength of conventionally and adhesively luted fiber-reinforced composite posts (FRCPs). MATERIAL AND METHODS: One hundred extracted bovine teeth (Di 3) were endodontically treated and randomly assigned to nine test groups and one control group (n = 10) according to luting system. After preparing the post cavities (8 mm), the custom-made FRCPs were inserted using conventional glass-ionomer cement (Ketac Cem), resin-reinforced glass-ionomer cement (Meron Plus and Fuji Plus), self-adhesive resin cement (RelyX Unicem and BisCem), self-conditioning adhesive and resin cement [Multilink Primer + Multilink and AdheSE + DC Activator + MultiCore Flow, or etch-and-rinse adhesive and resin cement (SealBond Ultima + CoreCem, and LuxaBond + LuxaCore Z). As a control, custom-made titanium posts were inserted with Ketac Cem. After water storage (37°C, 24 h, dark), the pull-out test was performed, followed by failure mode evaluation. The data were statistically analyzed (α = 0.05) using analysis of variance and the Dunnett T3 post hoc test. RESULTS: Luting system type and identity significantly influenced bond strength (P < 0.001); the bond strengths of all luting systems except Ketac Cem, MeronPlus, and BisCem were significantly higher than the control (4.4 ± 1.1 MPa). RelyX Unicem (12.0 ± 3.0 MPa) and LB + LCZ (14.8 ± 2.3 MPa) generated the highest bond strengths. The clinical application was demonstrated by restoring a traumatized tooth with extensive coronal destruction and thin root canal walls, using a FRCP combined with direct composite build-up. CONCLUSION: Luting system selection significantly influenced the bond strength of conventionally and adhesively luted FRCPs to bovine root canal dentin.