How to improve root canal filling in teeth subjected to radiation therapy for cancer
Braz. oral res. (Online); 32 (), 2018
Publication year: 2018
Abstract The aim of this study was to evaluate the influence of radiation therapy on root canal sealer push-out bond strength (BS) to dentin and the sealer/dentin interface after different final irrigation solutions (NaOCl, EDTA, and chitosan). Sixty-four maxillary canines were distributed into two groups (n=30): non-irradiated and irradiated with 60 Gy. Canals were prepared with Reciproc-R50 and subdivided (n=10) for final irrigation (NaOCl, EDTA, chitosan) and filled. Three dentin slices were obtained from each root third. The first slice of each third was selected for BS evaluation, and the failure mode was determined by stereomicroscopy. SEM analysis of the sealer-dentin interface was performed in the remaining slices. Two-way ANOVA and Tukey's tests (α=0.05) were used. Lower BS (P<0.0001) was obtained after irradiation (2.07±0.79 MPa), regardless of the final irrigation solution used. The NaOCl group (P<0.001) had the lowest BS in the irradiated (1.68±0.72) and non-irradiated (2.39±0.89) groups, whereas the EDTA (irradiated: 2.14±0.77 and non-irradiated: 3.92±1.54) and chitosan (irradiated: 2.37±0.73 and non-irradiated: 3.51±1.47) groups demonstrated a higher BS (P<0.05). The highest values were observed in the coronal third (3.17±1.38) when compared to the middle (2.74±1.36) and apical ones (2.09±0.97)(P<0.0001). There were more cohesive failures and more gaps in irradiated specimens, regardless of the final solution. The present study showed that radiation was associated with a decrease in BS, regardless of the final solution used, whereas chitosan increased BS in teeth subjected to radiation therapy.
Análisis de Varianza, Quitosano/química, Recubrimiento Dental Adhesivo/métodos, Fracaso de la Restauración Dental, Dentina/efectos de los fármacos, Dentina/efectos de la radiación, Ácido Edético/química, Resinas Epoxi/química, Resinas Epoxi/efectos de la radiación, Neoplasias de Cabeza y Cuello/radioterapia, Ensayo de Materiales, Microscopía Electrónica de Rastreo, Reproducibilidad de los Resultados, Materiales de Obturación del Conducto Radicular/química, Materiales de Obturación del Conducto Radicular/efectos de la radiación, Irrigantes del Conducto Radicular/química, Irrigantes del Conducto Radicular/efectos de la radiación, Hipoclorito de Sodio/química, Estadísticas no Paramétricas, Propiedades de Superficie/efectos de los fármacos, Propiedades de Superficie/efectos de la radiación, Raíz del Diente/efectos de los fármacos, Raíz del Diente/efectos de la radiación