摘要：Objective: The aim of this study was to evaluate the push-out bond strength of fiber posts used in the restoration of endodontically-treated teeth with extreme material loss, luted with two different self-adhesive resin cements alone or with the combination of an adhesive. Materials and Method: The post spaces of 80 extracted mandibular first premolar roots were prepared and divided into 4 experimental groups according to fiber post (RelyX Fiber Post) luting material. Group 1 was luted with RelyX Unicem, Group 2 was luted with RelyX Unicem + Adper Easy One, Group 3 was luted with Clearfil SA Cement, and Group 4 was luted with Clearfil SA Cement + S3 Bond. After 24 h and 1 month, horizontal sections of 1 mm thickness were made from the coronal, middle and apical root parts of the fiber posts, and push-out tests were performed. Groups were compared by using one way analysis of variance (ANOVA) and Tukey’s HSD post hoc tests and storage periods were compared by using independent samples t-test (α=0.05). Results: For both evaluation time periods, RelyX Unicem + Adper Easy One showed the highest bond strength. Regarding the 24 h period, the lowest bond strength values were found for the apical sections followed by middle and coronal sections. One month results revealed similar bond strength values for the middle and apical sections (p>0.05) which were significantly lower than the values found for the coronal sections (p<0.05). RelyX Unicem + Adper Easy One exhibited greater push-out bonding strength compared to other groups in the middle and apical sections (p<0.05). Conclusion: According to the results of this in vitro study it can be concluded that, using an adhesive system in combination with a self-adhesive resin cement during post cementation may improve the bond strength.
