Push-out bond strength of intra-orifice barrier materials: Bulk-fill composite versus calcium silicate cement

Background. The aim of this study was to compare the push-out bond strengths of calcium silicate-based ProRoot MTA and Biodentine cements and SureFil SDR and EverX Posterior bulk-fill composite resins. Methods. Twenty-four single-rooted maxillary central incisors were sectioned below the cementoenamel junction, and the root canals were instrumented using rotary files. Thereafter, a parallel post drill was used to obtain a standardized root canal dimension. The roots were randomly assigned to one of the following groups with respect to the intra-orifice barrier used: ProRoot MTA; Biodentine; SureFil SDR; EverX Posterior. Five 1-mm-thick sections were obtained from the coronal aspect of each root. Push-out bond strength testing was performed and data were analyzed with Kruskal-Wallis and post hoc Dunn tests (P<0.05). Results. SureFil SDR and EverX Posterior bulk-fill composite resins’ bond strengths were significantly higher than ProRoot MTA and Biodentine calcium silicate cements. However, no statistically significant differences were observed between bulk-fill composite resins values and calcium silicate cement values. Conclusion. Within the limitations of present study, calcium silicate-based ProRoot MTA cement’s push-out bond strength was lower than those of Biodentine, SureFil SDR and EverX Posterior materials.