Skip to main content

Adhesion to Root Dentin: A Challenging Task

  • Chapter
Restoration of Root Canal-Treated Teeth

Abstract

The treatment of severely destroyed teeth involves quite often the placement of a fiberglass post into the root canal space as a means of retention for the final restorative procedure. The bonding of fiberglass posts into the root canal is a very challenging task in which several factors may influence the final outcome. This chapter summarizes (1) the several limiting factors that require the clinician’s expertise to minimize bonding failures and (2) suggestions to overcome these limitations in a clinical setting.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Akgungor G, Akkayan B (2006) Influence of dentin bonding agents and polymerization modes on the bond strength between translucent fiber posts and three dentin regions within a post space. J Prosthet Dent 95:368–378

    Article  PubMed  Google Scholar 

  • Aksornmuang J, Nakajima M, Foxton RM, Tagami J (2007) Mechanical properties and bond strength of dual-cure resin composites to root canal dentin. Dent Mater 23:226–234

    Article  PubMed  Google Scholar 

  • Aleisa K, Alghabban R, Alwazzan K, Morgano SM (2012) Effect of three endodontic sealers on the bond strength of prefabricated fiber posts luted with three resin cements. J Prosthet Dent 107:322–326

    Article  PubMed  Google Scholar 

  • AlEisa K, Al-Dwairi ZN, Lynch E, Lynch CD (2013) In vitro evaluation of the effect of different endodontic sealers on retentive strength of fiber posts. Oper Dent 38:539–544

    Article  PubMed  Google Scholar 

  • Alfredo E, de Souza ES, Marchesan MA, Paulino SM, Gariba-Silva R, Sousa-Neto MD (2006) Effect of eugenol-based endodontic cement on the adhesion of intraradicular posts. Braz Dent J 17:130–133

    Article  PubMed  Google Scholar 

  • Ari H, Yasar E, Belli S (2003) Effects of NaOCl on bond strengths of resin cements to root canal dentin. J Endod 29:248–251

    Article  PubMed  Google Scholar 

  • Bouillaguet S, Troesch S, Wataha JC, Krejci I, Meyer JM, Pashley DH (2003) Microtensile bond strength between adhesive cements and root canal dentin. Dent Mater 19:199–205

    Article  PubMed  Google Scholar 

  • Breschi L, Mazzoni A, Dorigo ES, Ferrari M (2009) Adhesion to intraradicular dentin: a review. J Adhes Sci Technol 23:1053–1083

    Article  Google Scholar 

  • Burns DR, Moon PC, Webster NP, Burns DA (2000) Effect of endodontic sealers on dowels luted with resin cement. J Prosthodont 9:137–141

    Article  PubMed  Google Scholar 

  • Cagidiaco MC, Goracci C, Garcia-Godoy F, Ferrari M (2008) Clinical studies of fiber posts: a literature review. Int J Prosthodont 21:328–336

    PubMed  Google Scholar 

  • Calt S, Serper A (2002) Time-dependent effects of EDTA on dentin structures. J Endod 28:17–19

    Article  PubMed  Google Scholar 

  • Cecchin D, de Almeida JF, Gomes BP, Zaia AA, Ferraz CC (2011) Effect of chlorhexidine and ethanol on the durability of the adhesion of the fiber post relined with resin composite to the root canal. J Endod 37:678–683

    Article  PubMed  Google Scholar 

  • Cecchin D, Farina AP, Giacomin M, Vidal Cde M, Carlini-Junior B, Ferraz CC (2014) Influence of chlorhexidine application time on the bond strength between fiber posts and dentin. J Endod 40:2045–2048

    Article  PubMed  Google Scholar 

  • Cheong C, King NM, Pashley DH, Ferrari M, Toledano M, Tay FR (2003) Incompatibility of self-etch adhesives with chemical/dual-cured composites: two-step vs one-step systems. Oper Dent 28:747–755

    PubMed  Google Scholar 

  • Davis ST, O’Connell BC (2007) The effect of two root canal sealers on the retentive strength of glass fibre endodontic posts. J Oral Rehabil 34:468–473

    Article  PubMed  Google Scholar 

  • Dias WR, Pereira PN, Swift EJ Jr (2004) Effect of bur type on microtensile bond strengths of self-etching systems to human dentin. J Adhes Dent 6:195–203

    PubMed  Google Scholar 

  • Dietschi D, Duc O, Krejci I, Sadan A (2008) Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, part II (evaluation of fatigue behavior, interfaces, and in vivo studies). Quintessence Int 39:117–129

    PubMed  Google Scholar 

  • Erdemir A, Ari H, Gungunes H, Belli S (2004) Effect of medications for root canal treatment on bonding to root canal dentin. J Endod 30:113–116

    Article  PubMed  Google Scholar 

  • Faria-e-Silva AL, Pedrosa-Filho Cde F, Menezes Mde S, Silveira DM, Martins LR (2009) Effect of relining on fiber post retention to root canal. J Appl Oral Sci 17:600–604

    Article  PubMed Central  PubMed  Google Scholar 

  • Feilzer AJ, De Gee AJ, Davidson CL (1987) Setting stress in composite resin in relation to configuration of the restoration. J Dent Res 66:1636–1639

    Article  PubMed  Google Scholar 

  • Ferrari M, Mannocci F, Vichi A, Cagidiaco MC, Mjor IA (2000) Bonding to root canal: structural characteristics of the substrate. Am J Dent 13:255–260

    PubMed  Google Scholar 

  • Gomes OMM, Gomes GM, Rezende EC, Ruiz LM, Gomes JC, Loguercio AD, Reis A (2012) Influence of the rotating device used for root canal preparation. J Dent Res 91:Abstract 1429

    Google Scholar 

  • Gomes GM, Gomes OM, Reis A, Gomes JC, Loguercio AD, Calixto AL (2013) Effect of operator experience on the outcome of fiber post cementation with different resin cements. Oper Dent 38:555–564

    Article  PubMed  Google Scholar 

  • Gomes GM, Gomes OM, Gomes JC, Loguercio AD, Calixto AL, Reis A (2014) Evaluation of different restorative techniques for filling flared root canals: fracture resistance and bond strength after mechanical fatigue. J Adhes Dent 16:267–276

    PubMed  Google Scholar 

  • Goracci C, Ferrari M (2011) Current perspectives on post systems: a literature review. Aust Dent J 56(Suppl 1):77–83

    Article  PubMed  Google Scholar 

  • Goracci C, Tavares AU, Fabianelli A, Monticelli F, Raffaelli O, Cardoso PC, Tay F, Ferrari M (2004) The adhesion between fiber posts and root canal walls: comparison between microtensile and push-out bond strength measurements. Eur J Oral Sci 112:353–361

    Article  PubMed  Google Scholar 

  • Goracci C, Sadek FT, Fabianelli A, Tay FR, Ferrari M (2005) Evaluation of the adhesion of fiber posts to intraradicular dentin. Oper Dent 30:627–635

    PubMed  Google Scholar 

  • Goracci C, Corciolani G, Vichi A, Ferrari M (2008) Light-transmitting ability of marketed fiber posts. J Dent Res 87:1122–1126

    Article  PubMed  Google Scholar 

  • Hagge MS, Wong RD, Lindemuth JS (2002) Retention strengths of five luting cements on prefabricated dowels after root canal obturation with a zinc oxide/eugenol sealer: 1. Dowel space preparation/cementation at one week after obturation. J Prosthodont 11:168–175

    Article  PubMed  Google Scholar 

  • Hayashi M, Ebisu S (2008) Key factors in achieving firm adhesion in post—core restorations. Jpn Dent Sci Rev 44:22–28

    Article  Google Scholar 

  • Hayashi M, Takahashi Y, Hirai M, Iwami Y, Imazato S, Ebisu S (2005) Effect of endodontic irrigation on bonding of resin cement to radicular dentin. Eur J Oral Sci 113:70–76

    Article  PubMed  Google Scholar 

  • Ho YC, Lai YL, Chou IC, Yang SF, Lee SY (2011) Effects of light attenuation by fibre posts on polymerization of a dual-cured resin cement and microleakage of post-restored teeth. J Dent 39:309–315

    Article  PubMed  Google Scholar 

  • Izadi A, Azarsina M, Kasraei S (2013) Effect of eugenol-containing sealer and post diameter on the retention of fiber reinforced composite posts. J Conserv Dent 16:61–64

    Article  PubMed Central  PubMed  Google Scholar 

  • Jongsma LA, Kleverlaan CJ, Pallav P, Feilzer AJ (2012) Influence of polymerization mode and C-factor on cohesive strength of dual-cured resin cements. Dent Mater 28:722–728

    Article  PubMed  Google Scholar 

  • Kurtz JS, Perdigao J, Geraldeli S, Hodges JS, Bowles WR (2003) Bond strengths of tooth-colored posts, effect of sealer, dentin adhesive, and root region. Am J Dent 16(Special Issue A):31–36

    Google Scholar 

  • Lambrianidis T, Margelos J, Beltes P (1999) Removal efficiency of calcium hydroxide dressing from the root canal. J Endod 25:85–88

    Article  PubMed  Google Scholar 

  • Le Bell AM, Tanner J, Lassila LV, Kangasniemi I, Vallittu PK (2003) Depth of light-initiated polymerization of glass fiber-reinforced composite in a simulated root canal. Int J Prosthodont 16:403–408

    PubMed  Google Scholar 

  • Lee BS, Lin YC, Chen SF, Chen SY, Chang CC (2014) Influence of calcium hydroxide dressing and acid etching on the push-out bond strengths of three luting resins to root canal dentin. Clin Oral Investig 18:489–498

    Article  PubMed  Google Scholar 

  • Maalouf L, Zogheib C, Naaman A (2013) Removal efficiency of calcium hydroxide dressing from the root canal without chemically active adjuvant. J Contemp Dent Pract 14:188–192

    Article  PubMed  Google Scholar 

  • Macedo VC, Faria e Silva AL, Martins LR (2010) Effect of cement type, relining procedure, and length of cementation on pull-out bond strength of fiber posts. J Endod 36:1543–1546

    Article  PubMed  Google Scholar 

  • Mader CL, Baumgartner JC, Peters DD (1984) Scanning electron microscopic investigation of the smeared layer on root canal walls. J Endod 10:477–483

    Article  PubMed  Google Scholar 

  • Mallmann A, Jacques LB, Valandro LF, Muench A (2007) Microtensile bond strength of photoactivated and autopolymerized adhesive systems to root dentin using translucent and opaque fiber-reinforced composite posts. J Prosthet Dent 97:165–172

    Article  PubMed  Google Scholar 

  • Mannocci F, Ferrari M, Watson TF (2001) Microleakage of endodontically treated teeth restored with fiber posts and composite cores after cyclic loading: a confocal microscopic study. J Prosthet Dent 85:284–291

    Article  PubMed  Google Scholar 

  • Mannocci F, Pilecki P, Bertelli E, Watson TF (2004) Density of dentinal tubules affects the tensile strength of root dentin. Dent Mater 20:293–296

    Article  PubMed  Google Scholar 

  • Marques EF, Bueno CE, Veloso HH, Almeida G, Pinheiro SL (2014) Influence of instrumentation techniques and irrigating solutions on bond strength of glass fiber posts to root dentin. Gen Dent 62:50–53

    PubMed  Google Scholar 

  • Martinho FC, Carvalho CA, Oliveira LD, de Lacerda AJ, Xavier AC, Augusto MG, Zanatta RF, Pucci CR (2015) Comparison of different dentin pretreatment protocols on the bond strength of glass fiber post using self-etching adhesive. J Endod 41:83–87

    Article  PubMed  Google Scholar 

  • Menezes MS, Queiroz EC, Campos RE, Martins LR, Soares CJ (2008) Influence of endodontic sealer cement on fibreglass post bond strength to root dentine. Int Endod J 41:476–484

    Article  PubMed  Google Scholar 

  • Miyazaki M, Onose H, Moore BK (2000) Effect of operator variability on dentin bond strength of two-step bonding systems. Am J Dent 13:101–104

    PubMed  Google Scholar 

  • Mjor IA, Smith MR, Ferrari M, Mannocci F (2001) The structure of dentine in the apical region of human teeth. Int Endod J 34:346–353

    Article  PubMed  Google Scholar 

  • Moazzami SM, Kazemi R, Alani M, Attaran E, Mehhary M, Sarmad M, Shahrokh H (2012) Light conduction capability of different light-transmitting FRC posts. J Dent Mater Technol 1:40–46

    Google Scholar 

  • Morris MD, Lee KW, Agee KA, Bouillaguet S, Pashley DH (2001) Effects of sodium hypochlorite and RC-prep on bond strengths of resin cement to endodontic surfaces. J Endod 27:753–757

    Article  PubMed  Google Scholar 

  • Nikaido T, Takano Y, Sasafuchi Y, Burrow MF, Tagami J (1999) Bond strengths to endodontically-treated teeth. Am J Dent 12:177–180

    PubMed  Google Scholar 

  • Ozturk B, Ozer F (2004) Effect of NaOCl on bond strengths of bonding agents to pulp chamber lateral walls. J Endod 30:362–365

    Article  PubMed  Google Scholar 

  • Paque F, Luder HU, Sener B, Zehnder M (2006) Tubular sclerosis rather than the smear layer impedes dye penetration into the dentine of endodontically instrumented root canals. Int Endod J 39:18–25

    Article  PubMed  Google Scholar 

  • Pashley DH, Tao L, Boyd L, King GE, Horner JA (1988) Scanning electron microscopy of the substructure of smear layers in human dentine. Arch Oral Biol 33:265–270

    Article  PubMed  Google Scholar 

  • Perdigao J, Lopes M, Geraldeli S, Lopes GC, Garcia-Godoy F (2000) Effect of a sodium hypochlorite gel on dentin bonding. Dent Mater 16:311–323

    Article  PubMed  Google Scholar 

  • Peutzfeldt A, Asmussen E (1999) Influence of eugenol-containing temporary cement on efficacy of dentin-bonding systems. Eur J Oral Sci 107:65–69

    Article  PubMed  Google Scholar 

  • Rocha AW, de Andrade CD, Leitune VC, Collares FM, Samuel SM, Grecca FS, de Figueiredo JA, dos Santos RB (2012) Influence of endodontic irrigants on resin sealer bond strength to radicular dentin. Bull Tokyo Dent Coll 53:1–7

    Article  PubMed  Google Scholar 

  • Saleh AA, Ettman WM (1999) Effect of endodontic irrigation solutions on microhardness of root canal dentine. J Dent 27:43–46

    Article  PubMed  Google Scholar 

  • Sanares AM, Itthagarun A, King NM, Tay FR, Pashley DH (2001) Adverse surface interactions between one-bottle light-cured adhesives and chemical-cured composites. Dent Mater 17:542–556

    Article  PubMed  Google Scholar 

  • Sano H, Kanemura N, Burrow MF, Inai N, Yamada T, Tagami J (1998) Effect of operator variability on dentin adhesion: students vs. dentists. Dent Mater J 17:51–58

    Article  PubMed  Google Scholar 

  • Schwartz RS (2006) Adhesive dentistry and endodontics. Part 2: bonding in the root canal system-the promise and the problems: a review. J Endod 32:1125–1134

    Article  PubMed  Google Scholar 

  • Sekimoto T, Derkson GD, Richardson AS (1999) Effect of cutting instruments on permeability and morphology of the dentin surface. Oper Dent 24:130–136

    PubMed  Google Scholar 

  • Suh BI, Feng L, Pashley DH, Tay FR (2003) Factors contributing to the incompatibility between simplified-step adhesives and chemically-cured or dual-cured composites. Part III. Effect of acidic resin monomers. J Adhes Dent 5:267–282

    PubMed  Google Scholar 

  • Tay FR, Pashley DH (2003) Water treeing–a potential mechanism for degradation of dentin adhesives. Am J Dent 16:6–12

    PubMed  Google Scholar 

  • Tay FR, King NM, Suh BI, Pashley DH (2001) Effect of delayed activation of light-cured resin composites on bonding of all-in-one adhesives. J Adhes Dent 3:207–225

    PubMed  Google Scholar 

  • Tay FR, Pashley DH, Suh BI, Carvalho RM, Itthagarun A (2002) Single-step adhesives are permeable membranes. J Dent 30:371–382

    Article  PubMed  Google Scholar 

  • Tay FR, Pashley DH, Peters MC (2003a) Adhesive permeability affects composite coupling to dentin treated with a self-etch adhesive. Oper Dent 28:610–621

    PubMed  Google Scholar 

  • Tay FR, Suh BI, Pashley DH, Prati C, Chuang SF, Li F (2003b) Factors contributing to the incompatibility between simplified-step adhesives and self-cured or dual-cured composites. Part II. Single-bottle, total-etch adhesive. J Adhes Dent 5:91–105

    PubMed  Google Scholar 

  • Tay FR, Frankenberger R, Krejci I, Bouillaguet S, Pashley DH, Carvalho RM, Lai CN (2004a) Single-bottle adhesives behave as permeable membranes after polymerization. I. In vivo evidence. J Dent 32:611–621

    Article  PubMed  Google Scholar 

  • Tay FR, Pashley DH, Suh B, Carvalho R, Miller M (2004b) Single-step, self-etch adhesives behave as permeable membranes after polymerization. Part I. Bond strength and morphologic evidence. Am J Dent 17:271–278

    PubMed  Google Scholar 

  • Tjan AH, Nemetz H (1992) Effect of eugenol-containing endodontic sealer on retention of prefabricated posts luted with adhesive composite resin cement. Quintessence Int 23:839–844

    PubMed  Google Scholar 

  • Vilanova WV, Carvalho-Junior JR, Alfredo E, Sousa-Neto MD, Silva-Sousa YT (2012) Effect of intracanal irrigants on the bond strength of epoxy resin-based and methacrylate resin-based sealers to root canal walls. Int Endod J 45:42–48

    Article  PubMed  Google Scholar 

  • Violich DR, Chandler NP (2010) The smear layer in endodontics – a review. Int Endod J 43:2–15

    Article  PubMed  Google Scholar 

  • Weston CH, Ito S, Wadgaonkar B, Pashley DH (2007) Effects of time and concentration of sodium ascorbate on reversal of NaOCl-induced reduction in bond strengths. J Endod 33:879–881

    Article  PubMed  Google Scholar 

  • Wolanek GA, Loushine RJ, Weller RN, Kimbrough WF, Volkmann KR (2001) In vitro bacterial penetration of endodontically treated teeth coronally sealed with a dentin bonding agent. J Endod 27:354–357

    Article  PubMed  Google Scholar 

  • Wu H, Hayashi M, Okamura K, Koytchev EV, Imazato S, Tanaka S, Tanaka Y, Sano H, Ebisu S (2009) Effects of light penetration and smear layer removal on adhesion of post-cores to root canal dentin by self-etching adhesives. Dent Mater 25:1484–1492

    Article  PubMed  Google Scholar 

  • Yiu CK, Hiraishi N, King NM, Tay FR (2008) Effect of dentinal surface preparation on bond strength of self-etching adhesives. J Adhes Dent 10:173–182

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alessandra Reis .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Reis, A., Loguercio, A.D., Bitter, K., Perdigão, J. (2016). Adhesion to Root Dentin: A Challenging Task. In: Perdigão, J. (eds) Restoration of Root Canal-Treated Teeth. Springer, Cham. https://doi.org/10.1007/978-3-319-15401-5_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-15401-5_7

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15400-8

  • Online ISBN: 978-3-319-15401-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics