Effect of Irrigation Solution Temperature on Bioceramic Sealer Bond Strength

BACKGROUND Different temperature conditions can affect the efficiency of irrigation solutions and consequently the ability of canal sealers to bond to root canal walls. The aim of this endodontic study was to evaluate the effect of irrigation solutions at different temperatures on the bond strength of a bioceramic-based root canal sealer. MATERIAL AND METHODS Root canal preparations were completed through irrigation with the following solutions: Group 1 was irrigated with 5 ml NaOCl (sodium hypochlorite) +5 ml EDTA (Ethylenediamine tetra-acetic acid) (22°C); Group 2 was irrigated with 5 ml NaOCl +5 ml EDTA (37°C); Group 3 was irrigated with 5 ml NaOCl +5 ml GA (Glycolic acid) (22°C); Group 4 was irrigated with 5 ml NaOCl +5 ml GA (37°C), Group 5 was irrigated with 20 ml Dual Rinse® HEDP (Etidronate) - NaOCl mixture (22°C); and Group 6 was irrigated with 20 ml of Dual Rinse® HEDP mixture (37°C). Obtained test specimens were subjected to the push-out test. Three-way ANOVA was used to compare bond strength values. RESULTS The main effect of temperature (P<0.05), the main effect of the solution (P<0.05), and the main effect of the section (P<0.05) were significantly associated with the mean values of the bond strength. Heating irrigation solutions increased the bond strength of bioceramic-based canal sealers. CONCLUSIONS The bond strengths of the solutions increased as the temperature increased. EDTA solution significantly increased the bond strength compared to Dual Rinse® HEDP solution. Meanwhile, the bond strengths in the apical region were lower than those in the middle region.