Bonding of self-adhesive (self-etching) root canal sealers to radicular dentin.
The latest generation of methacrylate resin-based sealers has eliminated the use of separate self-etching primers by incorporating acidic resin monomers in the sealers to render them self-adhesive to dentin. This study examined the adhesive strengths, interfacial ultrastructure, and tracer penetration of a nonetching (EndoREZ; Ultradent, South Jordan, UT) and two self-adhesive methacrylate resin-based sealers (MetaSEAL; Parkell, Farmington, NY, and RealSeal SE; SybronEndo, Orange, CA) when they were applied to radicular dentin following the manufacturers' recommended use of EDTA as the active final rinse. A modified push-out testing design was used to evaluate the dislodgement of core-free sealers. The mixed sealers were placed in dimensionally identical, artificially created canal spaces prepared in the coronal, middle, and apical thirds of radicular dentin. After setting, each sealer-filled cavity was subjected to compressive loading until failure. Additional specimens were prepared for transmission electron microscopy to examine the ultrastructure and nanoleakage within the sealer-radicular dentin interface. The two self-adhesive sealers MetaSEAL and RealSeal SE exhibited higher push-out strengths than the nonetching sealer EndoREZ when EDTA was used as the active final rinse. All three sealers showed a 1- to 1.5-microm thick zone of partially demineralized dentin, with the EDTA dentin demineralization effect masking the true self-etching potential of MetaSEAL and RealSeal SE. The true self-etching potential of self-adhesive sealers is a clinically important attribute that should be further investigated. Incomplete smear layer removal from the apical third of instrumented canal walls may jeopardize the performance of self-adhesive sealers should they fail to self-etch without the adjunctive use of calcium chelating irrigants.
Department of Endodontics, School of Dentistry, Medical College of Georgia, Augusta, GA 30912-1129, USA.
Brian R
BR
Babb
Robert J
RJ
Loushine
Thomas E
TE
Bryan
Jason M
JM
Ames
Mark S
MS
Causey
Jongryul
J
Kim
Young Kyung
YK
Kim
R Norman
RN
Weller
David H
DH
Pashley
Franklin R
FR
Tay
D000268:Adhesiveness; D003188:Composite Resins; D019245:Compressive Strength; D003481:Cuspid; D001840:Dental Bonding; D045662:Dental Etching / Q000379:methods*; D003763:Dental Leakage / Q000517:prevention & control; D003799:Dental Stress Analysis; D003804:Dentin; D017220:Dentin-Bonding Agents; D004492:Edetic Acid; D006801:Humans; D008689:Methacrylates; D019279:Resin Cements; D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants
D003188:Composite Resins; D017220:Dentin-Bonding Agents; C481259:EndoRez; D008689:Methacrylates; C511498:Real Seal composite resin; D019279:Resin Cements; D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; C534239:metaseal; D004492:Edetic Acid