The Effect of Intracanal Irrigants on Push out Bond Strength of CEM, Root MTA and Angelus MTA Cements to the Dentin Wall

To reduce microbial contamination in cases such as perforation treatment, it is necessary to use irrigants after cement placement. The aim of the present study is to investigate the effect of intracanal irrigants on the push out bond strength of CEM, Root MTA and Angelus MTA cements to the dentin wall.

In this laboratory research, 150 cross-section samples from the mid-root region of single canal teeth without caries with a thickness of 1 mm, which were randomly divided into 3 groups of 50 and filled with CEM cement, Root MTA or Angelus MTA, were examined. After the cements were set, the samples of each group were divided into 5 subgroups of 10; 4 subgroups were cleaned with sodium hypochlorite, EDTA, normal saline, 2% chlorhexidine for 30 minutes, and one subgroup was not cleaned as a control group. Then, the push out bond strength of cement with the dentin wall (MPa) and the failure pattern of the samples were evaluated.

Different cleaning methods did not show any significant effect on the bond strength of CEM, Root MTA and Angelus MTA cements. In the cleaning method with saline, the bond strength of Angelus MTA (6.3±1.98) was higher than Root MTA (2.1±3.61) (p=0.004). In the cleaning method with 2% chlorhexidine, the bond strength of Angelus MTA cement (8.72±3.13) was higher compared to CEM (3.87±1.35) and Root MTA (4.66±1.76) (respectively p<0.001 and p=0.001). The most common type of failure in the Angelus MTA group was of the adhesive type, and in the CEM cement and Root MTA groups, it was of the mixed type.

The results of the study showed that different cleaning methods have no effect on the push-out bond strength of the examined cements.