Effect of a 10-Methacryloyloxydecyl Dihydrogen Phosphate-treated Bioceramic Sealer on the Bond Strength of an Endodontic Fiber Post: Multilayer Composite Disk Models and Ultra-highspeed Imaging Analysis.

PURPOSE: Multiple materials are found in the root canal after fiber-post cementation. The layer of a bioceramic-based (BC) sealer may affect the bond strength (sigmaBS) of the fiber post in the root canal. The purpose of this study was to employ multilayer composite-disk models in diametral compression to investigate whether the bond strength between a fiber post and root dentin can be increased by the application of a primer on the BC sealer. MATERIALS AND METHODS: The multilayers of materials in the root canal required 3D finite-element (FE) stress analyses (FEA) to provide precise sigmaBS values. First, BC sealer was characterized using x-ray powder diffraction (XRD) to determine when the sealer completely set and the types of crystals formed to select which primer to apply to the sealer. We selected a 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP)-based primer to treat the BC sealer before post cementation. Ultra-highspeed (UHS) imaging was utilized to analyze the crack initiation interface. The obtained failure force was used in FE analysis to calculate sigmaBS. RESULTS: UHS imaging validated the fracture interface at the post-dentin junction as FEA simulations predicted. sigmaBS values of the fiber posts placed with various material combinations in the root canal were 21.1 +/- 3.4 (only cement/ post), 22.2 +/- 3.4 (BC sealer/cement/post) and 28.6 +/- 4.3 MPa (10-MDP primer treated BC sealer/cement/post). The 10-MDP-treated BC sealer exhibited the highest sigmaBS (p < 0.05). CONCLUSION: The multilayer composite disk model proved reliable with diametral compression testing. The presence of BC sealer in the root canal does not reduce sigmaBS of the fiber post. Conditioning the BC sealer layer with 10-MDP primer before fiber-post cemen-tation increases sigmaBS.