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A new premixed self-etch adhesive for bonding orthodontic brackets.

Samir E Bishara¹, Adam W Otsby, Raed Ajlouni

¹Department of Orthodontics, University of Iowa, Iowa City, IA 52242, USA. sbishara@msn.com

The Angle Orthodontist

|October 25, 2008

Summary

A new premixed self-etch adhesive showed lower shear bond strength (SBS) for orthodontic brackets compared to a standard primer. Further improvements are needed for successful clinical application in orthodontics.

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Area of Science:

Orthodontic materials science
Dental adhesion research

Background:

Self-etch adhesives offer simplified bonding procedures in orthodontics.
Evaluating new adhesive systems is crucial for improving clinical outcomes.

Purpose of the Study:

To assess the efficacy of a novel premixed self-etch adhesive (AdheSE One) for bonding orthodontic brackets to enamel.
To compare its performance against a conventional self-etching primer (Transbond Plus).

Main Methods:

Forty human molars were divided into two groups, one using AdheSE One and the other Transbond Plus.
Brackets were bonded with composite adhesive, and shear bond strength (SBS) was measured.
Adhesive Remnant Index (ARI) scores were analyzed to determine failure modes.

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Main Results:

AdheSE One exhibited a significantly lower mean SBS (3.6 MPa) compared to Transbond Plus (5.9 MPa).
Bracket failure modes differed significantly between the groups, with more adhesive remaining on teeth bonded with Transbond Plus.

Conclusions:

The current shear bond strength of AdheSE One is insufficient for reliable orthodontic bracket bonding.
Further development is required to enhance the adhesive properties of this new system for clinical use.