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VOLUME 16 , ISSUE 1 ( January, 2025 ) > List of Articles

ORIGINAL RESEARCH

Effect of Different Irrigation Protocols on Push-out Bond Strength of Calcium Silicate-based Root Canal Sealer to Dentin

Aysath Aphiya, Moksha Nayak, Aishwarya M U

Keywords : Ethylenediaminetetraacetic acid, Obturation, Push-out bond strength, QMix, Root canal irrigant, Sodium hypochlorite

Citation Information : Aphiya A, Nayak M, M U A. Effect of Different Irrigation Protocols on Push-out Bond Strength of Calcium Silicate-based Root Canal Sealer to Dentin. World J Dent 2025; 16 (1):45-50.

DOI: 10.5005/jp-journals-10015-2565

License: CC BY-NC 4.0

Published Online: 13-03-2025

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Aim: To investigate the effect of different irrigation protocols on the push-out bond strength of calcium silicate-based root canal sealer to radicular dentin. Materials and methods: The root canals of 32 single-rooted premolars were instrumented and randomly allocated into two groups (n = 16) according to the irrigation regimen: group I—irrigation with 17% ethylenediaminetetraacetic acid (EDTA), and group II—irrigation with 3 mL of QMix. Root canals were obturated with CeraSeal bioceramic root canal sealer and gutta-percha. Two-millimeter-thick horizontal sections from the coronal and middle thirds of each root were sliced for push-out bond strength measurement and evaluated using a universal testing machine. Data were statistically analyzed using analysis of variance (ANOVA), and comparisons between the groups were performed using Tukey's post hoc test in R Commander software. Results: Statistically significant differences were observed between the two groups (p < 0.05). Samples irrigated with QMix solution showed increased push-out bond strength of calcium silicate-based root canal sealer to dentin compared to 17% EDTA solution. Conclusion: The irrigation protocol with QMix resulted in higher push-out bond strength compared to irrigation with EDTA. Hence, the QMix irrigation protocol may be more beneficial in clinical scenarios to prevent endodontic failure related to obturation. Clinical significance: Using QMix as an irrigation protocol may enhance endodontic success by improving sealer adhesion and minimizing obturation failure.

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  1. Shipper G, Ørstavik D, Teixeria FB, et al. An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon). J Endod 2004;30:342. DOI: 10.1097/00004770-200405000-00009
  2. McComb D, Smith DC. A preliminary scanning electron microscopic study of root canals after endodontic procedures. J Endod 1975;1:238. DOI: 10.1016/S0099-2399(75)80226-3
  3. Pimenta JA, Zaparolli D, Pecora JD, et al. Chitosan: effect of a new chelating agent on the micro hardness of root dentin. Braz Dent J 2012;23(3):212. DOI: 10.1590/s0103-64402012000300005
  4. Shokouhinejad N, Hoseini A, Gorjestani H, et al. The effect of different irrigation protocols for smear layer removal on bond strength of a new bioceramic sealer. Iran Endod J. 2013;8(1):10. DOI: 10.22037/iej.v8i1.2750
  5. Beltz RE, Torabinejad M, Pouresmail M. Quantitative analysis of the solubilizing action of MTAD, sodium hypochlorite, and EDTA on bovine pulp and dentin. J Endod 2003;29:334. DOI: 10.1097/00004770-200305000-00004
  6. Zehnder M, Kosicki D, Luder H, et al. Tissue-dissolving capacity and antibacterial effect of buffered and unbuffered hypochlorite solutions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:756. DOI: 10.1067/moe.2002.128961
  7. Siqueira JF Jr, Rôças IN, Favieri A, et al. Chemomechanical reduction of the bacterial population in the root canal after instrumentation and irrigation with 1%, 2.5%, and 5.25% sodium hypochlorite. J Endod 2000;26:331. DOI: 10.1097/00004770-200006000-00006
  8. Zehnder M. Root canal irrigants. J Endod 2006;32:389. DOI: 10.1016/j.joen.2005.09.014
  9. Leal F, Simão RA, Fidel SR, et al. Effect of final irrigation protocols on push-out bond strength of an epoxy resin root canal sealer to dentin. Aust Endod J 2015;41(3):135. DOI: 10.1111/aej.12114
  10. Sayin TC, Serper A, Cehreli ZC, et al. The effect of EDTA, EGTA, EDTAC and tetracycline-HCl with and without subsequent NaOCl treatment on the micro hardness of root canal dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104(3):418. DOI: 10.1016/j.tripleo.2007.03.021
  11. Fernández ML, Pérez GG, Villagómez II, et al. In vitro study of erosion caused by EDTA on root canal dentin. J Appl Oral Sci. 2012;16(1):8. DOI: 10.1590/S1678-77572012000100002
  12. Saghiri MA, Garcia-Godoy F, Asgar K, et al. The effect of Morinda citrifolia juice as an endodontic irrigant on smear layer and micro hardness of root canal dentin. Oral Sci Int 2013;10(2):53. DOI: 10.1016/S1348-8643(12)00073-0
  13. Zhang J, Xia W, Liu P, et al. Chitosan modification and pharmaceutical/biomedical applications. Mar Drugs 2010;8(7):1962. DOI: 10.3390/md8071962
  14. Saricam E, Küçük M, Akyol M. Evaluation of EDTA, QMix, and Irritrol solutions activated with Er, Cr: YSGG and diode lasers on the push-out bond strength of filling material. Microsc Res Tech 2021;84(4):584. DOI: 10.1002/jemt.23616
  15. Van der Sluis LW, Gambarini G, Wu MK, et al. The influence of volume, type of irrigant and flushing method on removing artificially placed dentine debris from the apical root canal during passive ultrasonic irrigation. Int Endod J 2006;39(6):472. DOI: 10.1111/j.1365-2591.2006.01108.x
  16. Choudhury S, Shivanand S, Patil AC, et al. Evaluation of push-out bond strength of a resin sealer to dentin after a final flush of three irrigants. J Contemp Dent Pract 2020;21(9):982. DOI: 10.5005/jp-journals-10024-2906
  17. Meta Biomed Co., Ltd. CeraSeal pamphlet. Korea, Republic; 2019.
  18. Pane ES, Palamara JE, Messer HH. Critical evaluation of the push-out test for root canal filling materials. J Endod 2013;39(5):669. DOI: 10.1016/j.joen.2012.12.032
  19. Montcelli F, Sword J, Martin RL, et al. Sealing properties of two contemporary single cone obturation systems. Int Endod J 2007;40:374. DOI: 10.1111/j.1365-2591.2007.01231.x
  20. Reddy BN, Murugesan S, Subramani SK, et al. Comparative assessment of QMix as endodontic irrigant on reversal of bond strength in teeth subjected to irradiation: a scanning electron microscope study. J Contemp Dent Pract. 2022;23(3):331. DOI: 10.5005/jp-journals-10024-3221
  21. Nouroloyouni A, Samadi V, Salem Milani A, et al. Single cone obturation versus cold lateral compaction techniques with bioceramic and resin sealers: quality of obturation and push-out bond strength. Int J Dent 2023;2023:3427151. DOI: 10.1155/2023/3427151
  22. Singh DK, Raj BS, Soans CR, et al. Assessment of the smear layer removal efficacy of three different agents on periodontally compromised teeth: an in vitro study. J Contemp Dent Pract 2024;25(2):156. DOI: 10.5005/jp-journals-10024-3618
  23. Choudhary D, Gupta A, Bharti N. Comparative evaluation of penetrability of various bioceramic sealers into the tubules of radicular dentin. J Adv Oral Res 2024;15(1):79–85. DOI: 10.1177/23202068241237329
  24. Verma D, Taneja S, Kumari M. Efficacy of different irrigation regimes on the push-out bond strength of various resin-based sealers at different root levels: an in vitro study. J Conserv Dent 2018;21(2):125. DOI: 10.4103/JCD.JCD_337_16
  25. Tartari T, Wichnieski C, Silva RM, et al. Final irrigation protocols can be used to promote stable long-term bond strength of AH Plus to dentin. J Appl Oral Sci 2023;31:e20230005. DOI: 10.1590/1678-7757-2023-0005
  26. da Silva Trandafilov AA, Grazziotin-Soares R, Nogueira APA, et al. Filling material bond strength to dentin is positively influenced by the agitation of endodontic final irrigating solutions. Iran Endod J 2024;19(2):112. DOI: 10.22037/iej.v19i2.43108
  27. Aranda-Garcia AJ, Kuga MC, Vitorino KR, et al. Effect of the root canal final rinse protocols on the debris and smear layer removal and on the push-out strength of an epoxy-based sealer. Microsc Res Tech 2013;76:533. DOI: 10.1002/jemt.22196
  28. Fisher MA, Berzins DW, Bahcall JK. An in vitro comparison of bond strength of various obturation materials to root canal dentin using a push-out test design. J Endod 2007;33:856. DOI: 10.1016/j.joen.2007.02.011
  29. Dudulwar D, Patil S, Bandekar S, et al. A comparative evaluation of push-out bond strength of six different root canal sealers: an in-vitro study. Cureus 2024;16(3):e56481. DOI: 10.7759/cureus.56481
  30. Verma A, Arora A, Taneja S. Comparative evaluation of dentinal tubule penetration and push-out bond strength of new injectable hydraulic calcium disilicate based root canal sealer: a single blinded in vitro study. J Oral Biol Craniofac Res 2024;14(2):143–51. DOI: 10.1016/j.jobcr.2024.01.009
  31. Crumpton BJ, Godell GG, McClanahan SB. Effects on smear layer and debris removal with varying volumes of 17% REDTA after rotary instrumentation. J Endod. 2005;31(7):536. DOI: 10.1097/01.don.0000148871.72896.1d
  32. Aksel H, Serper A, Kalayci S, et al. Effects of QMix and ethylenediaminetetraacetic acid on decalcification and erosion of root canal dentin. Microsc Res Tech 2016;79(11):1056. DOI: 10.1002/jemt.2274
  33. Albino Souza M, Dalla Lana D, Gabrielli E, et al. Effectiveness of final decontamination protocols against Enterococcus faecalis and its influence on bond strength of filling material to root canal dentin. Photodiagnosis Photodyn Ther 2017;17:92. DOI: 10.1016/j.pdpdt.2016.11.004
  34. Gundogar M, Sezgin GP, Erkan E, et al. The influence of the irrigant QMix on the push-out bond strength of a bioceramic endodontic sealer. Eur Oral Res 2018;52(2):64. DOI: 10.26650/eor.2018.446
  35. Uzunoglu E, Turker SA, Karahan S. The effect of increased temperatures of QMix and EDTA on the push-out bond strength of an epoxy resin-based sealer. J Clin Diagn Res 2015;9(7):ZC98–ZC101. DOI: 10.7860/JCDR/2015/13402.6262.
  36. Ballal NV, Tweeny A, Khechen K, et al. Wettability of root canal sealers on intraradicular dentine treated with different irrigating solutions. J Dent 2013;41(6):556. DOI: 10.1016/j.jdent.2013.04.005
  37. Zhang W, Li Z, Peng B. Assessment of a new root canal sealer's apical sealing ability. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107(6):e79. DOI: 10.1016/j.tripleo.2009.02.024
  38. Sarkar NK, Caicedo R, Ritwik P, et al. Physicochemical basis of the biologic properties of mineral trioxide aggregate. J Endod 2005;31(2):97. DOI: 10.1097/01.don.0000133155.04468.41
  39. Torabinejad M. Calcium silicate-based cements. In: Torabinejad M, editor. Mineral Trioxide Aggregate: Properties and Clinical Applications. Ames: Wiley Blackwell; 2014. pp. 281–332.
  40. Atmeh AR, Chong EZ, Richard G, et al. Dentin-cement interfacial interaction: calcium silicates and polyalkenoates. J Dent Res 2012;91(5):454. DOI: 10.1177/0022034512443068
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