Abstract
•PDT and PBT, both laser therapies, were used in the present study.•Higher predominance of cohesive failure was recorded for all groups, irrespective of the final irrigation protocol.•AH Plus showed higher bond strength than MTA Fillapex (p < 0.05).
The aim of the present study was to establish an assessment regarding the efficacy of final disinfection protocols and sealers on the bond strength (BS) of root canal (RC) filling materials on root dentin which has already been treated with photobiomodulation (PBT) or photodynamic therapy (PBT) respectively.
One-hundred and twenty root canals were included in the present study. The selected teeth were cleaned and shaped to accept the obturation. The prepared specimens were subjected to laser therapy (PBT and PDT) and were randomized into three groups (n = 20/group) on the basis of irrigation technique: Group 1: distilled water (DW) + ultrasonic irrigation (UI); Group 2: 17 % EDTA; Group 3: 0.2 % Chlorhexidine digluconate (CHx) respectively. Each specific group was further divided into two subgroups (n = 10), based on endodontic sealing agent incorporated during obturation: AH Plus or MTA Fillapex. The push-out test was used to gauge the BS, whereas the evaluation was done with the help of two-way ANOVA which was followed by a subsequent Tukey post-hoc test. The chi-square test was used to calculate the mode of failure in the selected specimens (α = 5%).
The final irrigation protocols of 17 % EDTA and CHX helped to enhance the BS of RC filling material with either sealer agent used (p < 0.05), whereas, AH Plus reported an increase in the values of BS as compared to its counterpart, MTA Fillapex (p < 0.05). Increased values of cohesive failure were associated with all the groups, irrespective of the tested final irrigation protocols and RC sealer agents (p < 0.05). There was no significant difference between the laser therapies among all the groups (p < 0.05).
The use of 17 % EDTA and CHX and sealing material AH Plus increased the BS of the obturation on radicular dentin previously subjected to either of the mentioned laser therapies. Furthermore, no significant effect on the BS was observed with the use of lasers in the study.