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Push-out bond strength of two calcium silicate–based cements used for repair of artificial furcal perforation following different power outputs of Nd:YAG laser

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Abstract 

Proper bond strength of endodontic materials is an essential factor in the final success of root canal treatments, including perforation repairs. This study was designed to evaluate the effect of two power outputs of Nd:YAG laser (1064 nm) on push-out bond strength (PBS) of ProRoot mineral trioxide aggregate (MTA) and calcium-enriched mixture cement (CEM Cement) in the repair of artificial furcal perforations. This ex vivo study enrolled 66 extracted human molars. After preparing the access cavity, perforations were created on the floor of the pulp chamber with a diameter of 1.4 mm. The teeth were randomly distributed into the following six groups according to the repair material (MTA and CEM) and power output of laser irradiation (1 W and 1.5 W); A: MTA (case), B: CEM (case), C: Nd:YAG (1 W)/MTA, D: Nd:YAG (1 W)/CEM, E: Nd:YAG (1.5 W)/MTA, and F: Nd:YAG (1.5 W)/CEM. Then, a universal testing machine was utilized to assess the PBS. Data analysis was performed using ANOVA and T tests. Significant level was considered at P < 0.05. The highest mean ± SD of PBS was noted in Group Nd:YAG (1 W)/MTA (58.92 ± 36.13), followed by Nd:YAG (1.5 W)/MTA > Nd:YAG (1.5 W)/CEM > Nd:YAG (1 W)/CEM > MTA > and CEM. A significant difference was noted between laser and non-laser applications (P < 0.05). However, the increase of power output from 1 to 1.5 W had no significant influence on PBS (P > 0.05). The PBS of MTA groups was always significantly greater than that of CEM groups (P < 0.05). Although Nd:YAG laser irradiation positively influenced on PBS values in both material studied, increasing power output was not effective.

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Acknowledgements

Our grateful thanks are extended to Dr. Maryam Moslemion and Dr. Akbar Avish for their assistance. This research is supported by Tehran University of Medical Sciences.

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Authors and Affiliations

  1. School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

    Mohammad Saeed Sheykhrezae, Saba Mohammadi, Nasim Chiniforush & Pegah Sarraf

  2. Endodontist, Private Practice, Tehran, Iran

    Khosrow Sohrabi

  3. D.D.S, University of California Los Angeles, School of Dentistry, Los Angeles, CA, USA

    Farshad Khosraviani

  4. Laser Research Center of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran

    Nasim Chiniforush

  5. Laser Research Center of Dentistry, Dentistry Research Institute, Department of Endodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

    Pegah Sarraf

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  1. Mohammad Saeed Sheykhrezae
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  4. Saba Mohammadi
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Mohammad Saeed Sheykhrezae, Khosrow Sohrabi, Nasim Chiniforush, and Pegah Sarraf. The first draft of the manuscript was written by Farshad Khosraviani and Saba Mohammadi and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Pegah Sarraf.

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Sheykhrezae, M.S., Sohrabi, K., Khosraviani, F. et al. Push-out bond strength of two calcium silicate–based cements used for repair of artificial furcal perforation following different power outputs of Nd:YAG laser. Lasers Med Sci 37, 3503–3508 (2022). https://doi.org/10.1007/s10103-022-03619-8

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  • DOI: https://doi.org/10.1007/s10103-022-03619-8

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