The effects of final irrigants on the push-out bond strength of two calcium silicate-based root canal sealers: an in vitro study

Purpose The purpose of the present study was to investigate the effect of the different irrigant combinations used in final irrigation on the push-out bond strength of root canal sealers that have different compositions. Materials and Methods In total 60 dentinal slices in 1 mm thickness were collected from 15 extracted mandibular premolar teeth; 4 slices from each tooth. 3 canal-like artificial cavities were opened on each dentinal slice. Samples were divided into 4 experimental groups, each of which consisted of 15 samples. In group 1, samples were immersed in 5.25% NaOCl and 17% EDTA solutions respectively; in group 2, immersed in 5.25% NaOCl and 2% CHX solutions respectively; in group 3, immersed in 5.25% NaOCl, 17% EDTA and 2% CHX solutions respectively; and in group 4 immersed in distilled water. After drying with absorbent papers, each cavity in dentinal slice sample was filled with different sealer (Endoseal MTA, Tech Biosealer Endo or AH Plus). Two days later, the push-out bond examination was performed. Results AH Plus showed higher push-out bond strength value in two combinations (group 2 and 3) in which final irrigants contained CHX (p<0.001). Dentinal push-out bond strengths of root canal sealers from Endoseal MTA and Tech BioSealer Endo were not affected by final irrigant (p=0.965). Conclusion Using CHX after NaOCl in final irrigant increases push-out strength of epoxy resinbased sealer but, did not create any difference in dentinal push-out bond strength of calcium silicate-based sealers.

Automated summary

The study aimed to investigate the effect of different irrigant combinations on the push-out bond strength of root canal sealers. Results showed that using CHX in final irrigant increased the push-out strength of epoxy resin-based sealers like AH Plus without affecting the bond strength of calcium silicate-based sealers like Endoseal MTA and Tech BioSealer Endo.