Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Intracanal Medicaments on Push-out Bond Strength of Calcium Silicate-based Materials

근관내 약제가 규산칼슘 기반 재료의 압출 강도에 미치는 영향

  • Jeong, Hyuntae (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Yang, Sunmi (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Kim, Seonmi (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Choi, Namki (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Kim, Jaehwan (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University)
  • 정현태 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 양선미 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 김선미 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 최남기 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 김재환 (전남대학교 치의학전문대학원 소아치과학교실)
  • Received : 2018.01.10
  • Accepted : 2018.04.18
  • Published : 2018.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to evaluate the effect of the intracanal medicaments on the push-out bond strength of the calcium silicate-based materials. Forty extracted single-root human mandibular premolars were sectioned below cementoenamel junction. Standardized root canal dimension was obtained with a parallel post drill. The specimens were randomly divided into a control group (no medicament), and experimental groups received medicaments with either CH (calcium hydroxide), DAP (double antibiotic paste; a mixture of ciprofloxacin and metronidazole), or TAP (triple antibiotic paste; a mixture of minocycline, ciprofloxacin and metronidazole). Following removal of medicaments with irrigation, roots were cut into sections with 1-mm-thickness. Thereafter, calcium silicate-based materials are applied to the specimens : (i) ProRoot MTA$^{(R)}$ and (ii) Biodentine$^{(R)}$. A push-out bond strength was measured and each specimen was examined to evaluate failure mode. Intracanal medication using CH significantly increased the bond strength to the root dentin. But there are no significant differences on the bond strength of ProRoot MTA$^{(R)}$ or Biodentine$^{(R)}$ among TAP, DAP and control groups. The dislodgement resistance of Biodentine$^{(R)}$ from root dentin was significantly higher than that of ProRoot MTA$^{(R)}$ regardless of the type of intracanal medicaments.

이 연구의 목적은 근관 내 약제가 규산칼슘 재료의 압출 강도(Push-out bond strength)에 미치는 영향을 평가하는 것이다. 단일 근관을 가진 40개의 인간 하악 소구치들은 대조군과 수산화칼슘, 이중 항생제, 삼중 항생제를 사용한 군 중 하나로 나뉘어졌다. 근관 세척을 통해 약제를 제거 후, 1 mm 두께로 시편들을 제작하였다. 그 후 ProRoot MTA$^{(R)}$와 Biodentine$^{(R)}$을 근관 내에 적용하였고, 압출 강도 실험과 파절 양상 관찰을 수행하였다. 삼중 항생제와 이중 항생제 군은 대조군과 비교하여 두 종류의 규산칼슘 기반 재료의 상아질 결합력에서 유의한 영향을 미치지 않았고, 수산화칼슘을 사용한 군은 유의한 결합력의 증가를 나타내었다. 대조군과 각각의 실험군 내에서 치근 상아질에 대한 Biodentine$^{(R)}$의 탈락 저항은 ProRoot MTA$^{(R)}$보다 크게 나타났다. 파절 양상에 따라 응집 파절, 혼합 파절, 접착 파절의 순서로 압출 강도의 유의한 감소가 나타났고, 대조군과 비교하여 수산화칼슘을 사용한 군에서는 응집 파절이, 항생제를 사용한 군에서는 접착 파절이 우세하였다.

Keywords

References

  1. Hoshino E, Kurihara-Ando N, Iwaku M, et al. : In-vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin, metronidazole and minocycline. Int Endod J, 29:125-130, 1996. https://doi.org/10.1111/j.1365-2591.1996.tb01173.x
  2. Lee WC : Regenerative endodontic procedure using mineral trioxide aggregate. J Korean Dent Assoc, 48:803-812, 2010.
  3. Reynolds K, Johnson JD, Cohenca N : Pulp revascularization of necrotic bilateral bicuspids using a modified novel technique to eliminate potential coronal discolouration: a case report. Int Endod J, 42:84-92, 2009. https://doi.org/10.1111/j.1365-2591.2008.01467.x
  4. Windley W 3rd, Teixeira F, Trope M, et al. : Disinfection of immature teeth with a triple antibiotic paste. J Endod, 31:439-443, 2005. https://doi.org/10.1097/01.don.0000148143.80283.ea
  5. Siqueira JF Jr, Lopes HP : Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J, 32:361-369, 1999. https://doi.org/10.1046/j.1365-2591.1999.00275.x
  6. Sato I, Ando-Kurihara N, Hoshino E, et al. : Sterilization of infected root-canal dentine by topical application of a mixture of ciprofloxacin, metronidazole and minocycline in situ. Int Endod J, 29:118-124, 1996. https://doi.org/10.1111/j.1365-2591.1996.tb01172.x
  7. Bose R, Nummikoski P, Hargreaves K : A retrospective evaluation of radiographic outcomes in immature teeth with necrotic root canal systems treated with regenerative endodontic procedures. J Endod, 35:1343-1349, 2009. https://doi.org/10.1016/j.joen.2009.06.021
  8. Gomes-Filho JE, Duarte PC, Bernabe PF, et al. : Tissue reaction to a triantibiotic paste used for endodontic tissue self-regeneration of nonvital immature permanent teeth. J Endod, 38:91-94, 2012.
  9. Kim JH, Kim Y, Jung IY, et al. : Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod, 36:1086-1091, 2010. https://doi.org/10.1016/j.joen.2010.03.031
  10. Akcay M, Arslan H, Yasa E, et al. : Spectrophotometric analysis of crown discoloration induced by various antibiotic pastes used in revascularization. J Endod, 40:845-848, 2014. https://doi.org/10.1016/j.joen.2013.09.019
  11. Yadlapati M, Souza LC, Silva RM, et al. : Deleterious effect of triple antibiotic paste on human periodontal ligament fibroblasts. Int Endod J, 47:769-775, 2014. https://doi.org/10.1111/iej.12216
  12. Sabrah AH, Yassen GH, Gregory RL : Effectiveness of antibiotic medicaments against biofilm formation of enterococcus faecalis and porphyromonas gingivalis. J Endod, 39:1385-1389, 2013. https://doi.org/10.1016/j.joen.2013.05.003
  13. Ari H, Erdemir A : Effects of endodontic irrigation solutions on mineral content of root canal dentin using ICP-AES technique. J Endod, 31:187-189, 2005. https://doi.org/10.1097/01.don.0000137643.54109.81
  14. Cobankara FK, Erdogan H, Hamurcu M : Effects of chelating agents on the mineral content of root canal dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 112:e149-154, 2011. https://doi.org/10.1016/j.tripleo.2011.06.037
  15. Hennequin M, Pajot J, Avignant D : Effects of different pH values of citric acid solutions on the calcium and phosphorus contents of human root dentin. J Endod, 20:551-554, 1994. https://doi.org/10.1016/S0099-2399(06)80071-3
  16. 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, 39:269-273, 2013. https://doi.org/10.1016/j.joen.2012.09.020
  17. Berkhoff JA, Chen PB, Teixeira FB, Diogenes A : Evaluation of triple antibiotic paste removal by different irrigation procedures. J Endod, 40:1172-1177, 2014. https://doi.org/10.1016/j.joen.2013.12.027
  18. Kawashima N, Wadachi R, Parashos P, et al. : Root canal medicaments. Int Dent J, 59:5-11, 2009.
  19. Mirzakoucheki P, Walter R, Akbarzadeh N, et al. : Effects of endodontic tri-antibiotic paste on bond strengths of dentin adhesives to coronal dentin. Restor Dent Endod, 40:136-142, 2015. https://doi.org/10.5395/rde.2015.40.2.136
  20. Arslan H, Capar ID, Topcuoglu HS, et al. : Efficacy of various irrigation protocols on the removal of triple antibiotic paste. Int Endod J, 47:594-599, 2014. https://doi.org/10.1111/iej.12194
  21. Torabinejad M, Higa RK, McKendry DJ, Pitt Ford TR : Dye leakage of four root end filling materials: effects of blood contamination. J Endod, 20:159-163, 1994. https://doi.org/10.1016/S0099-2399(06)80326-2
  22. Felippe WT, Felippe MC, Rocha MJ : The effect of mineral trioxide aggregate on the apexification and periapical healing of teeth with incomplete root formation. Int Endod J, 39:2-9, 2006. https://doi.org/10.1111/j.1365-2591.2005.01037.x
  23. Lussi A, Brunner M, Portmann P, Buergin W : Condensation pressure during amalgam placement in patients. Eur J Oral Sci, 103:388-393, 1995. https://doi.org/10.1111/j.1600-0722.1995.tb01862.x
  24. Goracci C, Tavares AU, Ferrari M, et al. : The adhesion between fiber posts and root canal walls: comparison between microtensile and push-out bond strength measurements. Eur J Oral Sci, 112:353-361, 2004. https://doi.org/10.1111/j.1600-0722.2004.00146.x
  25. Guneser MB, Akbulut MB, Eldeniz AU : Effect of various endodontic irrigants on the push-out bond strength of biodentine and conventional root perforation repair materials. J Endod, 39:380-384, 2013. https://doi.org/10.1016/j.joen.2012.11.033
  26. Han L, Okiji T : Uptake of calcium and silicon released from calcium silicate-based endodontic materials into root canal dentine. Int Endod J, 44:1081-1087, 2011. https://doi.org/10.1111/j.1365-2591.2011.01924.x
  27. Atmeh AR, Chong EZ, Watson TF, et al. : Dentin-cement interfacial interaction: calcium silicates and polyalkenoates. J Dent Res, 91:454-459, 2012. https://doi.org/10.1177/0022034512443068
  28. Ghasemi N, Reyhani MF, Khoshmanzar F, et al. : Effect of calcium hydroxide on the push-out bond strength of endodontic biomaterials in simulated furcation perforations. Iran Endod J, 11:91-95, 2016.
  29. Nabavizadeh M, Moazzami F, Bahmani M, Mirhadi H : The effect of intracanal medicaments on microleakage of mineral trioxide aggregate apical plugs. Iran Endod J, 12:329-333, 2017.
  30. Reyes-Carmona JF, Felippe MS, Felippe WT : Biomineralization ability and interaction of mineral trioxide aggregate and white portland cement with dentin in a phosphatecontaining fluid. J Endod, 35:731-736, 2009. https://doi.org/10.1016/j.joen.2009.02.011
  31. Porkaew P, Retief DH, Soong SJ, et al. : Effect of calcium hydroxide paste as an intracanal medicament of apical seal. J Endod, 16:369-374, 1990. https://doi.org/10.1016/S0099-2399(06)81908-4
  32. Elnaghy AM : Influence of acidic environment on properties of biodentine and white mineral trioxide aggregate: a comparative study. J Endod, 40:953-957, 2014. https://doi.org/10.1016/j.joen.2013.11.007