Effect of chlorhexidine on initial adhesion of fiber-reinforced post to root canal

Abstract 

Objectives

Chlorhexidine is used as final irrigant before endodontic obturation and fiber-reinforced composite posts are recommended for restoration retention. Our aim was to evaluate the effect of chlorhexidine on adhesion of cements used in post cementation. We hypothesized that chlorhexidine would not negatively affect the immediate bond strength.

Methods

Root canals of eighty human extracted third molars were prepared for post cementation with each post systems’ own burs. Four commercially available FRC posts (Glassix, D.T.Light-Post, Unicore, everStickPOST) with three cements (Duo-link with All-bond 2, PermaFlo DC with PermaFlo DC Primers, RelyX Unicem) were used. After etching, except with self-etching RelyX Unicem, the post spaces were irrigated either with 2% chlorhexidine (Consepsis) or physiological saline for 60s. With RelyX Unicem, respective treatments were done before cement application. The roots (n=5 per group) were cut into 2mm thick dentin discs. The bond strength was measured with push-out method, and the failure mode was evaluated with a stereomicroscope.

Results

Significant differences in bond strength were observed between various post/cement combinations. Unicore/PermaFlo DC and everStickPOST/RelyX Unicem showed significantly higher bond strengths than Glassix or D.T.Light-Post with Duo-link both with saline and chlorhexidine. Chlorhexidine improved the bond strength slightly with all posts/cements except with D.T.Light-Post, but the differences were not statistically significant. With chlorhexidine, significant reduction of adhesive failures towards dentin cohesive or mixed failures was observed with all posts/cements except with everStickPOST.

Conclusion

Chlorhexidine did not negatively affect the push-out bond strength in post bond cementation.

Keywords: Adhesive bond strength, Composite, Luting cement, Dentin