Evaluation of Push-out Bond Strength of Bioceramic Root Canal Sealers with Different Final Irrigation Protocols

Abstract

This study aims to evaluate the bond strength of bioceramic root canal sealers, with different final irrigation protocols. A total of 104 human upper incisor teeth were selected for applying four different irrigation solutions (Ethylene diamine tetraacetic acid (EDTA), Chlorine Hexidine Gluconate (CHX), Sodium Hypochlorite (NaOCl), and Distilled Water (D.W)) and two root canal sealer protocols (Endosequence BC (BC), Well-Root ST (ST)), in this in vitro study. After root canal treatment specimens were sectioned to three parts (coronal, middle, and apical). Push-out bond strength test was performed in a universal testing machine (Zwick-Roel, Germany) at a crosshead speed of 1 mm/min. Regardless of the irrigation protocol and sealer used, the highest bond strength values were obtained from the apical section ($$p<0.05$$). 5.25% NaOCl + 17% EDTA + 5.25% NaOCl and 2% CHX + 17% EDTA + D.W statistically showed the highest bond strength value and 2% CHX + 17% EDTA + 2% CHX group showed the lowest value in this study ($$p<0.05$$). The bond strength values of Endosequence BC Sealer were statistically higher than the bond strength values of Well Root ST ($$p<0.05$$). According to the final irrigation, Endosequence BC Sealer and Well Root ST root canal sealers showed the highest bonding strength in  CHX + EDTA + D.W and NaOCl + EDTA + NaOCl groups.