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Fluoride-releasing adhesive and antimicrobial self-etching primer effects on shear bond strength of orthodontic
Heike Maria Korbmacher1, Lothar Huck, Bärbel Kahl-Nieke
1Department of Orthodontics, University Medical Center Hamburg Eppendorf, Hamburg, Germany. korbmacher@uke.uni-hamburg.de
Objective:
To determine whether the combination of a new antimicrobial primer and a fluoride-releasing adhesive will affect the shear bond strength (SBS) and the bracket/adhesive failure mode.
Materials And Methods:
A total of 120 extracted human teeth were randomly divided into three groups of 40 specimens each (20 incisors, 20 premolars). Transbond XT was used in group 1, a fluoride-releasing adhesive (Kurasper F) was used in group 2, and a new antimicrobial self-etching primer (Clearfil Protect Bond) was applied in combination with Kurasper F in group 3. A universal testing machine was used to determine the SBS, and the adhesive remaining after debonding was assessed.
Results:
No enamel fractures were detected in any of the specimens. SBS values for incisors and premolars were 11.40 +/- 4.65 MPa and 10.37 +/- 3.36 MPa in group 1, 14.50 +/- 4.22 MPa and 13.06 +/- 5.13 MPa in group 2, and 14.79 +/- 4.10 MPa and 14.60 +/- 3.55 MPa in group 3. Statistically significant difference (P = .001) was found in the premolars in group 3 revealing the highest mean SBS. Significantly lower adhesive remnant index (ARI) values (median ARI value of 1) were detected in group 3 when compared with groups 1 and 2.
Conclusions:
Considering the acceptable bond strength and the mode of failure, the combination of the new antimicrobial primer with the fluoride-releasing adhesive is recommended for clinical use.
