Bond Strength of Self-adhesive Resin Cement to Different Root Perforation Materials

Different materials have been used for intervening in root perforations. These materials are often in contact with resin cements used for cementation of intraradicular retainers. The aim of this study was to evaluate the bond strength of self-adhesive resin cement to different materials used to treat root perforations (mineral trioxide aggregate [MTA], Portland cement [PORT], and glass ionomer cement [GIC]).

Four discs (10 × 1 mm) of each material (the MTA, PORT, and GIC groups) were embedded into polyvinyl chloride tubes using acrylic resin, ground, and polished until a flat surface was exposed. Afterward, 4 silicone molds were used to prepare self-adhesive resin cement cylinders (0.7 × 1 mm) on each disc surface (N = 16). The specimens were stored in deionized water at 37°C for 24 hours and subjected to a microshear test. Then, the failure modes were examined. Data were submitted to statistical analysis (α = 0.05).

The MTA and GIC groups showed significantly higher microshear bond strength values (3.36 ± 1.56 and 2.90 ± 1.49 MPa, respectively) than the PORT group (1.39 ± 0.77 MPa) (P < .05). Only adhesive failure modes were observed.

When PORT was used as a root perforation material, GIC should be used as a base over it to improve shear bond strength with self-adhesive resin cement.