Photodynamic therapy and activations of irrigation (using different laser prototypes) on push out bond strength of fiber posts.

BACKGROUND: . To evaluate the influence of photodynamic therapy (PDT) and light activated irrigation (LAI) using different laser prototypes Er,Cr:YSGG (ECYL), Er:Yag (EYL), Nd-Yag (NYL) on pushout bond strength of Pre-fabricated fiber reinforced composite (PFRC) post to radicular dentin. MATERIAL AND METHOD: . Fifty maxillary and mandibular teeth were collected, cleaned and decoronated. Canals were instrumented using crown-down technique. Flaring of canals was performed using protaper S1, SX files. F1, F2 and F3 files were utilized for finishing of canal preparations. Prepared root canals were dried and obturated with gutta percha. Teeth were placed vertically within the section of polyvinyl pipes using acrylic resin. Post space preparation was completed using peso-reamers. Based on the PDT and laser activated irrigation (LAI) with different laser prototypes, samples were divided into five groups of 10 specimens each. Group 1- PDT, group 2- 5.25% NaOCl (sodium hypochlorite) and 17% EDTA (ethylene diamine tetra acetic acid), group 3- 5.25% NaOCl with 17% EDTA and NYL, group 4- 5.25% NaOCl with 17% EDTA and EYL ; and group 5- 5.25% NaOCl +17% EDTA and ECYL. Fiber post were luted in root canals with self-etch dual cure cement and teeth were sectioned at three levels (apical, middle and coronal). Push-out test was performed by placing the specimens in universal testing machine. Failure analysis of debonded surfaces was evaluated using stereomicroscope at 40x magnification. Means and standard deviations of push out bond strength were assessed by one-way analysis of variance (ANOVA). Comparison between means of push out bond strength was evaluated using Tukey multiple comparison tests (p = 0.05). RESULT: . The highest push out bond strength was observed in group 5 at all three levels, coronal (10.08 +/- 0.74 MPa), middle (8.95 +/- 0.94 MPa) and apical (6.00 +/- 0.88 MPa). The lowest push out bond strength was demonstrated by group 2 at all levels, coronal (6.15 +/- 1.22 MPa), middle (5.65 +/- 0.95 MPa) and apical (2.25 +/- 0.55 MPa). Intra-group comparison showed decrease in push out bond strength in the coronal to apical direction among all investigated groups. Inter-group comparison exhibited comparable push out bond strength at all three levels of root for group 1 and group 2 specimens (p > 0.05). CONCLUSION: . LAI with different laser prototypes improved push out bond values of PFRC post to root dentin as an adjunct to NaOCl and EDTA treatment. PDT improved push out strength compared to conventional canal cleaning regime.