The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 22 , ISSUE 11 ( November, 2021 ) > List of Articles

ORIGINAL RESEARCH

Evaluation of Photosensitizers on Root Canal Disinfection and Bonding Interface of Fiber Post Cementation System: An In Vitro Study

Yasser M Al-Qahtani, Mohammed I Al-Shehri

Keywords : Curcumin, Riboflavin, Rose Bengal, Photodynamic therapy, Pushout bond strength

Citation Information : Al-Qahtani YM, Al-Shehri MI. Evaluation of Photosensitizers on Root Canal Disinfection and Bonding Interface of Fiber Post Cementation System: An In Vitro Study. J Contemp Dent Pract 2021; 22 (11):1287-1291.

DOI: 10.5005/jp-journals-10024-3227

License: CC BY-NC 4.0

Published Online: 24-02-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Aim and objective: The current study aimed to assess and compare the effectiveness of photosensitizers rose Bengal (RB), riboflavin, and curcumin (CP) to the conventional canal disinfection regime sodium hypochlorite (NaOCl) on the bonding interface of a fiber post cementation system. Materials and methods: Sixty nontraumatic, extracted, and closed apex human mandibular second premolars were gathered and disinfected. All specimens were decoronated and embedded perpendicularly in heat cure acrylic resin. Shaping and cleaning of the canal were done and obturated with gutta-percha and sealer. Using peeso-reamer canal space was prepared. To assess the effectiveness of various disinfectants, post space was cleansed with four different types of disinfectants (n = 15) in each group. Group I riboflavin + 17% mixture of tetracycline, acid, and detergent (MTAD); group II CP + 17% MTAD; group III RB + 17% MTAD; and group IV 2.5% NaOCl + 17% MTAD. Fiber post was luted within radicular dentin of each sample with dual-cure self-etch resin cement. The specimen's radicular portions were vertically segregated into apical, middle, and coronal dentinal post portions and positioned over the universal testing machine. Modes of failure were assessed. Analysis of variance (ANOVA) was applied for the means of independent unrelated groups. Mean differences were calculated using Tukey multiple comparison tests (p = 0.05). Results: Group II canal disinfected with CP + 17% MTAD at all three levels of root demonstrated the highest PBS score. Group IV (control) in which samples were disinfected by the conventional method (2.5% NaOCl + 17% MTAD) showed the lowest PBS at all root portions. Intergroup comparison unveiled PBS at all three root levels for group II (CP + 17% MTAD) and group I (riboflavin + 17% MTAD) than group III (RB + 17% MTAD) (p >0.05). The intragroup assessment demonstrated a significant inclination in values of PBS from coronal to apical direction in all examined groups. Conclusion: The use of photosensitizers curcumin, rose Bengal, and riboflavin as canal disinfectant demonstrated better PBS compared to the conventional method of canal disinfectant NaOCl at all three root levels coronal, middle, and apical. Clinical significance: In a nonvital tooth, radicular disinfection is necessary. Loss of structure in endodontically treated teeth requires post which improves strength and prognosis of treatment. The bonding of glass fiber post to radicular dentin necessitates good clinical outcomes.


HTML PDF Share
  1. Li Q, Xu B, Wang Y, et al. Effects of auxiliary fiber posts on endodontically treated teeth with flared canals. Oper Dent 2011;36(4): 380–389. DOI: 10.2341/10-283-L.
  2. Iqbal A. Antimicrobial irrigants in the endodontic therapy. Int J Health Sci (Qassim) 2012;6(2):186–192. PMID: 23580897.
  3. Byström A, Sundqvist G. Bacteriologic evaluation of the efficacy of mechanical root canal instrumentation in endodontic therapy. Eur J Oral Sci 1981;89(4):321–328. DOI: 10.1111/j.1600-0722.1981.tb01689.x.
  4. Kaur J, Sharma N, Singh H. In vitro evaluation of glass fiber post. J Clin Exp Dent 2012;4(4):e204–e209. DOI: 10.4317/jced.50737.
  5. Torabinejad M, Handysides R, Khademi AA, et al. Clinical implications of the smear layer in endodontics: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 2002;94(6):658–666. DOI: 10.1067/moe.2002.128962.
  6. Kaur N, Kumar M, Khosla A, et al. Effect of various surface treatments on push-out strength of glass fiber posts–an in vitro study. Dent J Adv Stud 2018;06. DOI: 10.1055/s-0038-1673571.
  7. Al Ahdal K, Al Deeb L, Al-Hamdan RS, et al. Influence of different photosensitizers on push-out bond strength of fiber post to radicular dentin. Photodiagnosis Photodyn Ther 2020;31:101805. DOI: 10.1016/j.pdpdt.2020.101805.
  8. Xhevdet A, Stubljar D, Kriznar I, et al. The disinfecting efficacy of root canals with laser photodynamic therapy. J Lasers Med Sci 2014;5(1):19–26. PMID: 25606335.
  9. Saraiva LO, Aguiar TR, Costa L, et al. Effect of different adhesion strategies on fiber post cementation: Push-out test and scanning electron microscopy analysis. Contemp Clin Dent 2013;4(4):443–447. DOI: 10.4103/0976-237X.123022.
  10. Jain K, Beri L, Kunjir K, et al. Comparative evaluation of the effect of 10% sodium ascorbate, 10% hesperidin, 1% riboflavin 5 phosphate, collagen cross-linkers, on the pushout bond strength of fiber postluted to radicular dentin: in vitro study. J Conserv Dent 2018;21(1):95–99. DOI: 10.4103/JCD.JCD_116_17.
  11. Fawzy A, Nitisusanta L, Iqbal K, et al. Characterization of riboflavin-modified dentin collagen matrix. J Dent Res 2012;91(11):1049–1054. DOI: 10.1177/0022034512459053.
  12. Tjäderhane L, Nascimento FD, Breschi L, et al. Optimizing dentin bond durability: Control of collagen degradation by matrix metalloproteinases and cysteine cathepsins. Dent Mater 2013;29(1):116–135. DOI: 10.1016/J.DENTAL.2012.08.004.
  13. Sin JH, Walsh LJ, Figueredo CM, et al. Evaluation of effectiveness of photosensitizers used in laser endodontics disinfection: a systematic review. Transl Biophotonics 2021;3(1):e202000007. DOI: 10.1002/tbio.202000007.
  14. Lee MT, Bird PS, Walsh LJ. Photo-activated disinfection of the root canal: a new role for lasers in endodontics. Aust Endod J 2004;30(3):93–98. DOI: 10.1111/j.1747-4477.2004.tb00417.x.
  15. Hirose M, Yoshida Y, Horii K, et al. Efficacy of antimicrobial photodynamic therapy with Rose Bengal and blue light against cariogenic bacteria. Arch Oral Biol 2021;122:105024. DOI: 10.1016/j.archoralbio.2020.105024.
  16. Aleisa K, Al-Dwairi ZN, Alghabban R, et al. Effect of luting agents on the tensile bond strength of glass fiber posts: an in vitro study. J Prosthet Dent 2013;110(3):216–222. DOI: 10.1016/S0022-3913(13)60360-1.
  17. Alkhudhairy F, Alkheraif A, Naseem M, et al. Degree of conversion and depth of cure of ivocerin containing photo-polymerized resin luting cement in comparison to conventional luting agents. Pakistan J Med Sci 2018;34(2):253–259. DOI: 10.12669/pjms.342.14491.
  18. Pereira JR, Pamato S, Santini MF, et al. Push-out bond strength of fiberglass posts cemented with adhesive and self-adhesive resin cements according to the root canal surface. Saudi Dent J 2021;33(1):22–26. DOI: 10.1016/J.SDENTJ.2019.11.009.
  19. Abada HM, Farag AM, Alhadainy HA, et al. Push-out bond strength of different root canal obturation systems to root canal dentin. Tanta Dent J 2015;12(3):185–191. DOI: 10.1016/J.TDJ.2015.05.006.
  20. Paulson L, Ballal V, Bhagat A. Effect of root dentin conditioning on the pushout bond strength of biodentine. J Endod 2018;44(7):1186–1190. DOI: 10.1016/j.joen.2018.04.009.
  21. Baumgartner JC, Johal S, Marshall JG. Comparison of the antimicrobial efficacy of 1.3% NaOCl/BioPure MTAD to 5.25% NaOCl/15% EDTA for root canal irrigation. J Endod 2007;33(1):48–51. DOI: 10.1016/j.joen.2006.08.007.
  22. Martinho FC, Carvalho CAT, Oliveira LD, et al. Comparison of different dentin pretreatment protocols on the bond strength of glass fiber post using self-etching adhesive. J Endod 2015;41(1):83–87. DOI: 10.1016/j.joen.2014.07.018.
  23. Goracci C, Fabianelli A, Sadek FT, et al. The contribution of friction to the dislocation resistance of bonded fiber posts. J Endod 2005;31(8):608–612. DOI: 10.1097/01.don.0000153841.23594.91.
  24. McDonnell G, Russell AD. Antiseptics and disinfectants: activity, action, and resistance. Clin Microbiol Rev 1999;12(1):147–179. DOI: 10.1128/CMR.12.1.147.
  25. Almadi K, Alkahtany M, Alamam Y, et al. Influence of propolis, ozone and photodynamic therapy in root canal disinfection on resin bond strength to radicular dentin. Photodiagnosis Photodyn Ther 2021;33:102131. DOI: 10.1016/j.pdpdt.2020.102131.
  26. Alonaizan FA, Alofi RS, Alfawaz YF, et al. Effect of photodynamic therapy, Er,Cr:YSGG, and Nd:YAG laser on the push-out bond strength of fiber post to root dentin. Photobiomodul Photomed Laser Surg 2020;38(1):24–29. DOI: 10.1089/photob.2019.4687.
  27. Azizi A, Shohrati P, Goudarzi M, et al. Comparison of the effect of photodynamic therapy with curcumin and methylene Blue on streptococcus mutans bacterial colonies. Photodiagnosis Photodyn Ther 2019;27:203–209. DOI: 10.1016/j.pdpdt.2019.06.002.
  28. Ramos ATPR, Garcia Belizário L, Venção AC, et al. Effects of photodynamic therapy on the adhesive interface of fiber posts cementation protocols. J Endod 2018;44(1):173–178. DOI: 10.1016/J.JOEN.2017.08.035.
  29. Ren Z, Chen L, Li J, et al. Inhibition of Streptococcus mutans polysaccharide synthesis by molecules targeting glycosyltransferase activity. J Oral Microbiol 2016;8(1). DOI: 10.3402/jom.v8.31095.
  30. Al-Kheraif AA, Mohamed BA, Khan AA, et al. Role of riboflavin; curcumin photosensitizers and ozone when used as canal disinfectant on push-out bond strength of glass fibre post to radicular dentin. Photodiagnosis Photodyn Ther 2021:102592. DOI: 10.1016/J.PDPDT.2021.102592.
  31. Kırmalı Ö, Üstün Ö, Kapdan A, et al. Evaluation of various pretreatments to fiber post on the push-out bond strength of root canal dentin. J Endod 2017;43(7):1180–1185. DOI: 10.1016/j.joen.2017.03.006.
  32. Diab RA, Yap AU, Gonzalez MAG, et al. Impact of light-curing distance on the effectiveness of cure of bulk-fill resin-based composites. Saudi Dent J 2021;33(8):1184–1189. DOI: 10.1016/J.SDENTJ.2021.01.003.
  33. Konopka K, Goslinski T. Photodynamic therapy in dentistry. J Dent Res 2007;86(8):694–707. DOI: 10.1177/154405910708600803.
  34. Mosharraf R, Haerian A. Push-out bond strength of a fiber post system with two resin cements. Dent Res J (Isfahan) 2011;8(Suppl. 1):S88–S93. PMID: 23372603.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.