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ª 2005 International Endodontic Journal International Endodontic Journal, 38, 753–763, 2005 753
Resilon-sealer bond strength Hiraishi et al.
adhesion to intraradicular dentine may be achieved bonding surfaces with different surface roughness.
using etch-and-rinse or self-etch dentine adhesives Three Resilon groups were created:
and compatible methacrylate-based resin cements
(Gogos et al. 2003, Hayashi et al. 2005, Schwartz & Smooth surface
Fransman 2005), the creation of endodontic mono- Resilon pellets were first plasticized in a laboratory
blocks has been hampered by the general lack of dry-heating oven at 80 C. The melted pellets were
chemical union between the polyisoprene component sandwiched between top and bottom Mylar films
of conventional dental gutta-percha and zinc oxide- (DuPont Corp., Wilmington, DE, USA) and two pre-
eugenol, epoxy resin, calcium hydroxide or glass– heated glass slabs. Compression moulding was per-
ionomer-based sealers (Lee et al. 2002, Tagger et al. formed inside the oven by placing a 5 kg weight over
2002, Saleh et al. 2003). The recent introduction of the top glass slab (Tay et al. 2005b). Resilon sheets
Resilon (Resilon Research LLC, Madison, CT, USA) as 0.5 mm thick were created by inserting 0.5 mm
an alternative root filling material offers the promise thick Teflon spacers on either side of the plasticized
of adhesion to root dentine (Shipper et al. 2004, pellets. After cooling to ambient temperature, the
Teixeira et al. 2004a, Shipper et al. 2005). As this Mylar films were peeled off, revealing shiny polymer
filled polycaprolactone polymer contains a blend of surfaces. Thirty Resilon disks of 7 mm in diameter
dimethacrylates, the manufacturers claim it bonds were created from these sheets using a metal punch
well to methacrylate-based resin sealers (Jia & Alpert (Small Parts Inc., Miami Lakes, FL, USA) and a
2003, Jia et al. 2005). mallet.
Bonding of non resinous restorative materials such
as bonded amalgams and silanized ceramics to meth- Rough surface (320-grit)
acrylate-based resin cements has traditionally been The above protocol was repeated with the top Mylar
evaluated by comparing the results with those achieved film replaced by a piece of 320-grit silicon carbide paper
between these cements and resin composites, using the (i.e. 32–36 lm diameter particle roughness).
same strength evaluation equipment and testing
parameters (Olmez & Ulusu 1995, Shimoe et al. Rough surface (180-grit)
2004). Thus, a realistic test of the strength of the The above protocol was repeated with the top Mylar
Resilon-sealer bond would be to measure its strength film being replaced by a piece of 180-grit silicon carbide
when the sealer is bonded to a standard resin composite paper (i.e. 76 lm diameter particle roughness).
control. This comparison is necessary in light of the As bond strength is not a material property and is
gaps seen in root canal fillings made with Epiphany/ dependent on the testing methods, a control group
Resilon (Tay et al. 2005a). It is thought that these gaps consisting of resin composite disks was used to obtain
were the result of the inability of the Resilon-sealer shear strength data with which the bonding efficacy
bond to resist shrinkage stresses generated during of Resilon may be compared. A microhybrid composite
polymerization of the root canal sealer (Alster et al. (Gradia Direct; GC Corp., Tokyo, Japan) was sand-
1997). Thus, the objective of this study was to evaluate wiched between top and bottom Mylar films and
the contribution of chemical coupling and microme- unheated glass slabs. The composite was compressed
chanical retention to the adhesive strength of Resilon in 0.5 mm thick Teflon moulds with prepunched
to a methacrylate-based sealer. The hypothesis tested 7 mm diameter holes and light-cured for 40 s from
was that the shear strength of a methacrylate-based the top and subsequently from the bottom, to create
root canal sealer to Resilon is similar to that of the circular disks with smooth bonding surfaces that were
sealer to a resin composite. devoid of oxygen inhibition layers. Subsequent bond-
ing was performed within 2 h to take advantage of
existing free radicals within the freshly polymerized,
Materials and methods
oxygen inhibition layer-free composite (Suh et al.
2003).
Preparation of Resilon and resin composite disks
Resilon pellets (Pentron Clinical Technologies, Wall-
Bonding procedures
ingford, CT, USA) were purchased from the manufac-
turer. They were heat moulded into 0.5 mm thick A modified microshear bond testing protocol was
circular disks of 7 mm in diameter to provide flat employed for examining the adhesion of NextTM
754 International Endodontic Journal, 38, 753–763, 2005 ª 2005 International Endodontic Journal
Hiraishi et al. Resilon-sealer bond strength
(Heraeus–Kulzer, Hanau, Germany), a methacrylate- rest of the disk surface [Fig. 1(A-c)] to create a
based root canal sealant, to Resilon. Accordingly, standardized, circular bonding substrate area and to
5 mm long segments of a translucent polyurethane avoid subsequent smearing of the remaining substrate
tubing (Small Parts Inc.) with an internal diameter of surface by the root canal sealer that would inadvert-
3.25 mm was used in lieu of the 0.7 mm diameter ently increase the bond strength measurements
Tygon tubing originally employed by McDonough et al. [Fig. 1(A-d)]. Upon drying of the varnish, the empty
(2002) [Fig. 1(A-a)], because the sealer was too viscous polyurethane tube was placed over the exposed
to enter the smaller tubing. Gradia Direct resin com- bonding surface. NextTM bonding agents A and B
posite was inserted into these tubings and light-cured were mixed and applied to the base of the composite
incrementally to produce composite cylinders with cylinder to create a strong bond between the base of
smooth and flat bases [Fig. 1(A-b)]. the composite cylinder and the root canal sealer,
Each composite cylinder was placed on a Resilon or directing the failure to occur along the disk-sealer
composite disk, with its flat base in contact with the interface.
disk surface. A layer of nail varnish was applied to the The NextTM root canal sealant was mixed and
dispensed via an auto-mixing tip into the polyurethane
tubing [Fig. 1(A-e)]. The adhesive-coated side of the
composite cylinder was reinserted with light pressure
into the tubing to displace the root canal sealer onto
the Resilon surface. A 0.5 mm thick layer of sealer was
created by measuring the length of the composite
cylinder that extruded out of the polyurethane tubing
[Fig. 1(A-f)]. As the tubing was translucent, the dual-
cured sealer was photo-irradiated through the tubing
from four sides for 60 s each. The assembly was left in
this condition for 24 h to ensure optimal polymeriza-
tion of the resin sealer via additional auto-curing. After
removing the polyurethane tubing [Fig. 1(A-f)], each
bonded sample was inspected under a stereomicroscope
(SMZ-10, Nikon; Tokyo, Japan) at 20· magnification.
ª 2005 International Endodontic Journal International Endodontic Journal, 38, 753–763, 2005 755
Resilon-sealer bond strength Hiraishi et al.
Table 1 Shear bond strengths of NextTM Root Canal Sealant (Heraeus–Kulzer) to resin composite (control) and Resilon
756 International Endodontic Journal, 38, 753–763, 2005 ª 2005 International Endodontic Journal
Hiraishi et al. Resilon-sealer bond strength
low keV to avoid the interference from the subsurface Specimens from the Resilon-320 grit and Resilon-
fillers [Fig. 3(C)]. 180 grit groups contained surface holes created by
Specimens in the Resilon smooth group that were compression moulding with silicon carbide papers
classified as adhesive failures by stereomicroscopical [Fig. 5(A, D)]. Similar plastic deformation occurred
microscopy were found to contain structurally along the periphery of these surface asperities
deformed areas on the Resilon surface when they were [Fig. 5(B)], resulting in filler-sparse Resilon matrices
examined using FE-SEM [Fig. 4(A)]. At higher magni- [Fig. 5(C)].
fications, these areas represented plastically deformed
Resilon matrix in which the lamellae of the semi-
Discussion
crystalline polycaprolactone component became highly
aligned after stretching [Fig. 4(B)]. These plastically Different types of methacrylate-based sealers are com-
deformed regions were filler-sparse when compared mercially available for the coupling of Resilon to root
with the underlying non deformed regions [Fig. 4(C)]. dentine. They include Epiphany (Pentron Clinical
ª 2005 International Endodontic Journal International Endodontic Journal, 38, 753–763, 2005 757
Resilon-sealer bond strength Hiraishi et al.
758 International Endodontic Journal, 38, 753–763, 2005 ª 2005 International Endodontic Journal
Hiraishi et al. Resilon-sealer bond strength
ª 2005 International Endodontic Journal International Endodontic Journal, 38, 753–763, 2005 759
Resilon-sealer bond strength Hiraishi et al.
760 International Endodontic Journal, 38, 753–763, 2005 ª 2005 International Endodontic Journal
Hiraishi et al. Resilon-sealer bond strength
for RealSeal (Sybron Endo, Orange, CA, USA), another not yet be optimized for effective and predictable
Resilon-compatible methacrylate-based root canal sea- chemical coupling to methacrylate-based sealers.
ler under the same experimental testing conditions As the apical Resilon portion of the NextTM obturator
(Tay FR, Hiraishi N, Pashley DH, Loushine RS, Weller is not amendable to light-curing, unlike the coronal
RN, Gillespie WT, Doyle MD, unpublished results). fibreglass portion, the use of slow auto-curing dynam-
Indeed, the mean shear bond strengths of NextTM to the ics in the dual-cured root canal sealer may be consid-
composite control and the Resilon smooth groups were ered an advantage in minimizing shrinkage stress
1.9 and 10.8 times respectively of the corresponding build-up that favours the survival of the Resilon-sealer
shear bond strengths of RealSeal to these groups. Thus, bonds. However, in view of the extremely high
the improved chemical coupling of NextTM to Resilon C-factors encountered in long, narrow root canals
smooth surfaces could have compensated for the (Goracci et al. 2004, Tay et al. 2005c), it is dubious
additional contribution of mechanical retention via whether the very weak Resilon-sealer bonds are
the creation of surface asperities in the Resilon 320- capable of resisting polymerization shrinkage stresses
and 180-grit groups. that develop during the setting of the resin sealer. This
The observation of highly oriented lamellae arrange- issue becomes even more pressing when the dual-cured
ment within the semi-crystalline (Harrison & Jenkins sealer is light-cured from a root-filled canal orifice to
2004) polycaprolactone component of Resilon after it create an immediate coronal seal of the fibreglass
was stretched to failure represents a feature that is obturator with root dentine, because this prevents
commonly observed in the deformation of elastomeric stress relief by resin flow (Ferracane 2005).
matrices that contain spherulitic structures. Rear- The latest pending patent on the Resilon root filling
rangement of the crystalline and amorphous regions material described an experimental version of this
of the spherulites occurs when these polymers are material that utilized low fusion polycaprolactones
subjected to stresses, such as those applied during cold and urethane dimethacrylate as an inner polymeric
drawing of the polymer (Ward & Hadley 1997). These core and high fusion polycaprolactones and urethane
changes are apparent to the naked eye as necking of dimethacrylate as an outer polymeric sheath. Bioactive
the plastically deformed regions. In these regions craze glass, barium sulphate, bismuth oxychloride and ‘red
lines are present that are perpendicular to the applied iron oxide’ were incorporated as fillers in both the inner
stresses (Ward & Hadley 1997). Ultrastructurally, core and outer sheath (Jia 2005). The rationale of using
re-orientation of the lamellae regions with less highly an integrated core and sheath with differential ‘melt
ordered polymer chains occur at low stresses. This is flow indices’ was to provide an inner core with similar
followed by the almost parallel arrangement of the strength and rigidity as the commercial Resilon version
lamellae regions upon the application of higher stresses and an outer sheath with increased mouldability and
that result in the physical appearance of necking and forming capability (Jia 2005). Such a modification
crazing, until the material yields with ductile failure implies that the core-sheath version has to be used with
(McLean & Sauer 1999, Michler & Godehardt 2000). cold lateral compaction techniques or as an integral
Phase separation of components is common in part of a root filling/fibreglass post-obturator system.
polymer blends prepared with mutually immiscible However, incorporating a dimethacrylate in polycapro-
monomers (Na et al. 2002, Wang & Composto 2003, lactone is not the only means by which chemical
Mano et al. 2004). Considering that polycaprolactone is coupling may be achieved between root filling materials
the major and urethane dimethacrylate the minor and sealers. An alternative strategy that integrates a
polymeric component in Resilon (Jia & Alpert 2003, Jia core-sheath design involves the use of gutta-percha
et al. 2005), probably in a ratio of approximately 10 : 1 cones that are coated with a polybutadiene-diisocya-
(Jia 2005), the phase separation in the form of globular nate-methacrylate resin (Haschke 2004). This strategy
domains within the Resilon matrix may represent an has merits in that comparatively inert gutta-percha is
emulsified dimethacrylate phase within a continuous employed, in lieu of the bacterial enzyme-degradable
polycaprolactone phase. Although chemical coupling of polycaprolactone component that is utilized in Resilon
NextTM to Resilon was evident by the appearance of (Tay et al. 2005d). The bond strength of resin-coated
plastic deformation of the Resilon matrix, there were gutta-percha (Ultradent, South Jordan, UT, USA) to
areas in which smooth intact Resilon surfaces remained methacrylate-based root canal sealers is currently being
after debonding. Thus, it appears that the amount or investigated using the modified microshear bond testing
method of dimethacrylate incorporated in Resilon may protocol developed in this work.
ª 2005 International Endodontic Journal International Endodontic Journal, 38, 753–763, 2005 761
Resilon-sealer bond strength Hiraishi et al.
Acknowledgements Jia WT, Alpert B (2003) Root canal filling material. United
States Patent & Trademark Office, United States Patent
This study was supported by grant 10204604/07840/ Application 20030113686, June 19, 2003.
08004/324/01, Faculty of Dentistry, the University of Jia WT, Trope M, Alpert B (2005) Dental filling material. United
Hong Kong, and by R01 grants DE 014911 and DE States Patent & Trademark Office, United States Patent
015306 from the NIDCR, USA (PI. David Pashley). The Application 20050069836, March 31, 2005.
authors are grateful to Mrs Zinnia Ng and Mrs Michelle Lee KW, Williams MC, Camps JJ, Pashley DH (2002) Adhesion
Barnes for secretarial support. of endodontic sealers to dentin and gutta-percha. Journal of
Endodontics 28, 684–8.
Mano V, de Silva MESR, Barbani N, Giusti P (2004) Binary
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ª 2005 International Endodontic Journal International Endodontic Journal, 38, 753–763, 2005 763