Objectives The aim of this study is to evaluate the influence of different composite resin in the customization of glass fiber posts (GFPs) on bond strength and failure mode. Materials and Methods Thirty bovine roots were selected. The wall roots were reduced so that each wall had a minimum dentin thickness of 1 mm. Thirty GFPs were divided into three groups (n = 10), which received different types of customization. The first had the GFP relined by bulk-fill flowable composite resin (BF), the second group had the GFP customized by conventional regular composite resin (CR), and the third group was cemented with dual resin cements (DRC), without relining. The root were sectioned, resulting in two 1.0-mm thick slices from cervical root regions only and push-out bond strength test was performed (EMIC, Universal testing machine). To determine failure mode, a stereomicroscope was used at ×40 magnification, with a 2.5D analysis. Statistical Analysis Data were analyzed using two-way ANOVA (α = 0.05) and Tukey’s test. Results BF (9.08 ± 1.9) and CR (9.17 ± 3.00) did not show a statistically significant difference (p = 0.961), regarding the bond strength test values. However, there was a statistically significant difference between DRC (5.44 ± 1.89) and the others (p < 0.05). BF (66.66%) and the CR group (47.61%) presented a predominantly failure mode type 6: mixed between resin cement and composite. While the highest failure index of the DRC group was type 2: adhesive between resin cement and dentin (47.61%). Conclusion BF can be an alternative for the customization of fiber posts, since it presented a similar behavior to the established technique with conventional composites.
There are few reports of regenerative endodontic procedures in molars, and most using manual root canal preparation. This case series describes a modified revascularization technique used in permanent molars (five patients between 9 and 16 years old). Patients were referred by an emergency service and a diagnostic hypothesis was made based on the patient's reports. At the first appointment, coronal preparation was performed using Hedstroem files and Gates Glidden drills, followed by complete root canal preparation with rotary NiTi files. Calcium hydroxide (Ca(OH)2) paste was used as intracanal medication. At the second appointment, intracanal medication was removed, followed by final irrigation with EDTA under ultrasonic agitation, and the clot was promoted. The entrances of the canals were sealed using a mineral trioxide aggregate sealer (MTA) and provisionally restored with a light-cured glass ionomer. All teeth were finally restored using direct composite resin restoration and were followed for up to 18 months, checking pain, edema, and fistula during clinical evaluation. Radiographic examinations were performed to assess apical repair until 15 months, where root apex closure and canal reduction were observed. After 6 months, evidence of healing was observed in all cases. It was possible to confirm that endodontic regeneration after mechanized root canal preparation, use of a MTA sealer, and direct composite resin restoration in molars is a promising option for maintaining permanent molars in adolescents.
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