Efeito da irrigação prévia na adesão de cimentos resinosos autoadesivos ao canal radicular na cimentação de pinos de fibra de vidro

Abstract

It was evaluated the effect of previous irrigation on the adhesion of on the adhesion of self-adhesive resin cements to the root canal in the cementation of glass fiber posts. A total of 120 unirradicular permanent teeth were used, which had their crowns removed and their roots treated endodontically. After one week, the standard preparation of the post space was made for the cementation of the GFP. At this time, the roots were randomly divided into ten groups, according to the combination of the following factors: self-adhesive resin cement - RelyX U200 (3M ESPE) and Multilink Speed (Ivoclar Vivadent), and irrigating agent applied prior to GFP cementation - distilled water (DW), 2.5% NaOCl (Na), 17% EDTA (ED), 26% polyacrylic acid (PA) and 17% EDTA followed by 2.5% NaOCl (EN). Two roots of each irrigating agent were used for evaluation the degree of open dentinal tubules (ODeT) by scanning electron microscopy (SEM). After the cementation of the GFP, seven roots per group were evaluated in bond strength (BS) by the push-out test, four in nanoleakage (NL) by SEM and in Vickers microhardness (VHN); for this propose each root was sectioned transversely into six slices. The data obtained from ODeT were submitted to Kruskall Wallis and Student-Newman-Keuls (α=0.05) and from the tests of BS, NL and VHN to ANOVA two-way and Tukey (α=0.05). In the evaluation of the ODeT, the agents that promoted greater opening of the dentin tubules were ED, PA and EN. For RelyX U200 cement, the Na, DW and ED obtained the highest values of BS and VHN; while for Multilink Speed these values were higher in the group irrigated with DW. For both cements, the PA presented lower values and the association EN intermediate values of BS and VHN. There was no statistically significant difference in NL results (p>0.05). It can be concluded that for each cementing agent there must be an optimal prior irrigation protocol for the cementation of glass fiber posts to the root canal.