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Journal of Prosthodontic Research 57 (2013) 20–23


www.elsevier.com/locate/jpor

Original article
Polymerization efficiency through translucent and opaque
fiber posts and bonding to root dentin
Cássia F. Reginato DDS, Aline S. Oliveira DDS, Marina R. Kaizer DDS, MS,
Patrı́cia S. Jardim DDS, MS, PhD, Rafael R. Moraes DDS, MS, PhD*
School of Dentistry, Federal University of Pelotas, Brazil
Received 3 January 2012; received in revised form 16 April 2012; accepted 23 May 2012
Available online 30 October 2012

Abstract
Purpose: To investigate the polymerization efficiency through translucent and opaque glass fiber posts and the bond strength of a self-adhesive
resin to root dentin.
Methods: Translucent and opaque silanated conical posts, identical in length, diameter and shape (n = 8), were cemented to incisor bovine roots
using RelyX Unicem Clicker. Photoactivation was performed only through the posts. The roots were transversally sectioned (cervical, middle and
apical thirds) and the push-out test was carried out. Data were analyzed using two-way ANOVA and Fisher’s LSD method (5%). Failure modes
were classified under magnification. An elastomer mold of a bovine incisor root was filled with flowable composite and the posts inserted into the
mold. After photoactivation through the post and removal of unpolymerized material, the polymerization efficiency was estimated by percentage of
mass gain (n = 5). Data were analyzed using t-test (5%).
Results: The bond strength of the translucent post was higher than the opaque post for all root thirds. For both posts the bond strength at the cervical
third was higher than at the middle and apical thirds. A predominance of adhesive failures was detected for all conditions. Mixed failures were more
frequently observed for the opaque post. Almost all the composite polymerized and bonded to the extension of the translucent post, whereas
polymerization of the composite was restricted to the cervical area of the opaque post.
Conclusions: The use of translucent post may positively influence the polymerization efficiency and bond strength of resin cement to
intraradicular dentin.
# 2012 Japan Prosthodontic Society. Published by Elsevier Ireland. All rights reserved.

Keywords: Light-curing; Endodontically treated teeth; Glass-fiber post; Resin luting agent; Root dentin

1. Introduction During luting of posts using resin cements, a significant


reduction in light polymerization irradiance occurs as a result of
The use of dual-cure resin cements to lute glass fiber posts the attenuation promoted by the tooth structure and the post
into root canals is a common clinical procedure [1,2]. In the last itself [7–9]. In situations of attenuated light, dual-cure resin
few years, self-adhesive resin cements (SARCs) emerged as an cements have been shown to be more dependent on the self-cure
alternative to conventional resin cements. SARCs simplify the mechanism [8,10–12]. It has been reported that the curing
luting procedures by eliminating the etching, priming and efficiency of SARCs is lower compared with conventional resin
bonding steps of the tooth structure [3–5]. The adhesive cements, especially in the self-cure mode [13]. This effect may
properties of SARCs are attributed to acidic functional be critical when luting fiber posts, as the cement in the most
monomers that demineralize and simultaneously infiltrate the apical area of the root canal relies mostly on the self-
substrate. Secondary reactions have been suggested to provide polymerization rather than on the physical cure [14].
additional chemical bonding to the hard dental tissues [6]. A method used in an endeavor to improve the polymeriza-
tion efficiency of resin cements into root canals is the use of the
light-transmitting, translucent fiber posts. Previous studies have
* Corresponding author at: School of Dentistry, Federal University of Pelotas, reported that translucent posts may increase the depth of
Rua Gonçalves Chaves 457, 96015-560 Pelotas-RS, Brazil.
Tel.: +55 53 3225 6741; fax: +55 53 3225 6741.
cement cure [7,8,15], but the combined use of translucent posts
E-mail address: moraesrr@gmail.com (R.R. Moraes). and SARCs has been seldom investigated. The aim of this study

1883-1958/$ – see front matter # 2012 Japan Prosthodontic Society. Published by Elsevier Ireland. All rights reserved.
http://dx.doi.org/10.1016/j.jpor.2012.05.003
C.F. Reginato et al. / Journal of Prosthodontic Research 57 (2013) 20–23 21

was to evaluate the polymerization efficiency through


translucent and opaque posts and the bond strength of a SARC
used to lute the posts to root dentin. The hypotheses tested were
that (i) the polymerization efficiency through the translucent
post would be greater than through the opaque post and that (ii)
higher bond strengths would be observed for the translucent
compared with the opaque post.

2. Materials and methods

2.1. Preparation of specimens

Sixteen bovine incisors with no curves and similar root


diameter were selected. The crowns were removed to obtain a
remaining 17-mm-height root, and the apices were sealed with
a photoactivated resin composite. For the endodontic treatment,
Gates-Glidden drills #4 (Dentsply Maillefer; Ballaigues,
Switzerland) were used. Translucent and opaque fiber glass-
reinforced epoxy posts (Exacto; Angelus, Londrina, PR, Brazil)
were tested (n = 8 per post type). The posts were identical in
Fig. 1. (A) Six 1.5-mm-thick slabs were obtained for each root and divided into
shape (tapered conical), length (15 mm) and diameter (3 mm), root thirds (2 slabs for each third); (B) representative picture of an adhesive
except for their translucency/opacity. A 15-mm-depth post mode of failure (all cement is attached to the post surface, as shown by the white
space was prepared in the root canals with pre-shaping Exacto arrows); (C) representative picture of a mixed mode of failure (remnants of
drills #3 (Angelus). The pre-shaping procedure allowed cement are left on the intraradicular dentin, as indicated by the black arrows).
standard positioning and well fitting of the posts into the spaces.
The fiber posts were used as-received, following the procedures were performed using the Fisher’s LSD method
manufacturer directions. A layer of silane coupling agent (P < 0.05). After the test, the fractured specimens were
(Angelus) was applied in the surfaces and air-dried for 30 s. The observed with a stereomicroscope under a 40 magnification.
dual-cure resin cement RelyX Unicem Clicker (3M ESPE, St. Failure modes were classified as adhesive failure (intraradicular
Paul, MN, USA) was used for cementation. A SARC was used dentin free of resin cement, Fig. 1B), or mixed failure (remnants
because it simplifies the adhesive cementation of posts; this type of cement in the intraradicular dentin, Fig. 1C).
of cement is increasingly being use for that purpose. The resin
cement was mixed for 10 s and applied into the root canals using 2.3. Polymerization efficiency through the posts
a Centrix syringe (DFL, Rio de Janeiro, RJ, Brazil). The posts
were cemented applying digital pressure for 30 s, according to In order to investigate the photopolymerization efficiency
the cement manufacturer’s instructions. Excess luting material through the posts, an elastomer mold with the shape of a bovine
was removed and photoactivation was performed through the incisor root with no curves (height 16 mm, cervical diameter
upper portion of the post for 40 s using a quartz–tungsten– 7 mm, medial diameter 4 mm, apical diameter 2 mm) was
halogen unit (XL3000; 3M ESPE) with 500 mW/cm2 irradiance. obtained. Opaque and translucent fiber posts (n = 5) were
Black cardboard was used to cover the cervical portion of the root silanated as described. The posts were weighed in an analytical
and restrict the curing light transmission only through the post. digital balance (AUW220D; Shimadzu, Kyoto, Japan) accurate
The specimens were stored in distilled water at 37 8C, for 24 h. to 0.01 mg to record their initial mass. The elastomer mold was
filled with a flowable photoactivated resin composite (Natural
2.2. Push-out test and failure analysis Flow; DFL) and the post inserted into the mold. A
photoactivated composite was used in this test to create a
After storage, the specimens were sectioned traversal to the worst-case curing scenario (no self-cure mechanism) and
long axis of the teeth. Six 1.5-mm-thick slabs were obtained per estimate the polymerization efficiency by light transmission
root and identified as cervical, medium or apical specimens, through the posts only. An elastomer stop was used to ensure
two for each root third, as shown in Fig. 1A. Each slab was correct positioning of the post in the center of the mold and
positioned on a push-out jig placed on a mechanical testing restrict the curing light transmission only through the post.
machine (DL500; EMIC, São José dos Pinhais, PR, Brazil). A Photoactivation was performed as described. The specimens
compressive load was applied using a cylinder-shaped plunger were extracted from the mold and the unpolymerized material
touching the post only, at a crosshead speed of 0.5 mm/min (if any) was scraped with a spatula and gauze. The specimens
until the post was dislodged. Bond strength data were recorded were weighed again whereby the final mass was recorded.
in MPa. The bond strengths of the two slabs tested for each root Polymerization efficiency was estimated by percentage of mass
third were averaged. Data were submitted to two-way ANOVA gain after polymerization of the composite. Mass gain data
(post type vs. root third). All pairwise multiple comparison were submitted to a t-test (P < 0.05).
22 C.F. Reginato et al. / Journal of Prosthodontic Research 57 (2013) 20–23

Table 1
Means (standard deviations) for push-out bond strength, MPa.
Root third Post type
Opaque Translucent
B,a
Cervical 2.69 (0.9) 3.78 (0.8)A,a
Middle 1.82 (0.8)B,b 2.63 (0.5)A,b
Apical 1.71 (0.7)B,b 2.89 (0.6)A,b
Distinct capital letters in a same line indicate differences between post types;
distinct lowercase letters in a same column indicate differences for root third
(a = 5%).

Table 2
Results for mass gain (%), n = 5. Fig. 2. Distribution of failure modes. A predominance of adhesive failures was
Post type Mean Standard deviation P-value * detected for all groups. Mixed failures were more frequent for the opaque post.

Opaque 201 22 <0.001


Translucent 408 27
*
t-test, a = 5%.

3. Results

Results for push-out bond strength test are shown in Table 1.


The factors ‘post type’ and ‘root third’ were both significant
(P < 0.001), whereas the interaction between the two factors
was not significant (P = 0.749). Irrespective of the root third,
the bond strength of the translucent fiber post to root dentin was
significantly higher compared with the opaque fiber post
(P  0.034). For both post types the bond strength at the
cervical third was significantly higher than at the middle and
apical areas (P  0.022), which showed similar bond strengths
(P  0.47). Fig. 2 shows the failure analysis results. A
predominance of adhesive failures was detected for both post Fig. 3. Visual aspect of the fiber posts after the polymerization efficiency test
types and all root thirds. Mixed failures were, however, more (left: opaque post; right: translucent post). Almost all the material polymerized
frequently observed for the opaque post. and bonded to the extension of the translucent post, whereas polymerization of
Results for mass gain after polymerization through the posts the composite was restricted to the cervical area of the opaque post.
are shown in Table 2. The statistical analysis showed a
significant difference between the post types (P < 0.001).
Representative images of the fiber posts after the polymeriza- Although the polymerization efficiency test was con-
tion efficiency test are shown in Fig. 3. A noticeable difference ducted using a photoactivated composite to create a worst-
between the posts was observed: almost all the material case curing scenario, the greater photopolymerization
polymerized and bonded to the entire extension (all thirds) of efficiency may explain the higher bond strength of the
the translucent fiber post, whereas polymerization of the SARC when the translucent post was used, irrespective of the
composite was restricted to the cervical area of the opaque post. root third. The second hypothesis was, therefore, also
accepted. It has been shown that both the irradiance level
4. Discussion used for light irradiation [16] and the degree of conversion of
the polymer [17] may significantly influence its bond
The polymerization efficiency through the translucent fiber strength to tooth structures. Although SARCs are dual-
post was greater compared with opaque post, indicating that the cured, it is known that they are extremely dependent on the
curing light was more effectively transmitted through the light cure mechanism [13]. It can be also speculated that the
translucent material. Therefore, the first hypothesis tested is intervenient post may interfere with the wavelength proper-
accepted. Translucent posts rely on the presence of luminescent ties of the electromagnetic spectrum being transmitted
agents and have less opacifiers than opaque posts for better light through it [13,18] and, therefore, with the degree of
transmission. As the curing light is irradiated, scattering, conversion and mechanical properties of the resin cement.
reflection, and absorption effects are more pronounced for This effect, however, needs to be addressed.
opaque posts, resulting in poorer polymerization of the resin Irrespective of the post type, higher push-out bond strengths
cement into the root canal [8,14], especially in the most apical were obtained to the cervical third compared with the middle
areas. and apical thirds. This is likely a result of the lower light
C.F. Reginato et al. / Journal of Prosthodontic Research 57 (2013) 20–23 23

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