Mechanical and morphological evaluation of the bond-dentin interface in direct resin core build-up method

摘要

Objectives. The purpose of this study was to evaluate the interfacial adhesion between resin and root canal dentin in the direct resin core build-up method in terms of micro tensile bond strength (μTBS) and dentin micro morphology. Methods. Single-rooted human teeth were decoronated at the cementoenamel junction and endodontically treated. Post spaces were prepared in the roots to a depth of 10 mm. The spaces were then treated with a dual-cure bonding system, and filled with dual-cure resin composite. After 24-h storage in water at 37 °C, they were trimmed into approximately 1.0-mm~2 beams for μTBS. Bond strength was analyzed with one-way ANOVA and Tukey's test. The fractured surfaces were examined by scanning electron microscopy (SEM) and energy-dispersive X-ray spectrometry (EDX). Sectioned specimens were observed by ultra-high-voltage transmission electron microscopy. Results. The bond strength of root dentin decreased gradually from the coronal to apical side, and the bond strength of the coronal section was significantly higher than that of the radicular section. Moreover, the failure modes in the coronal and apical sides of the specimens differed. The apical specimens fractured within the core material, while the coronal specimens fractured at the bonding layer. SEM and EDX analyses revealed that the core material penetrated into dentinal tubules in the apical region. Significance. In the direct resin core build-up method, the interfacial adhesion of resin to root canal dentin may be insufficient in the apical region of the root canal due to poor polymerization.