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Bracket Bonding to All-Ceramic Materials with Universal Adhesives.

Cecilia Goracci1, Giuseppe Di Bello1, Lorenzo Franchi2

  • 1Department of Medical Biotechnologies, University of Siena, 53100 Siena, Italy.

Materials (Basel, Switzerland)
|February 15, 2022
PubMed
Summary

Universal adhesives show promise for bracket bonding to polished lithium disilicate (LDS) and monolithic zirconia (MZ) ceramic surfaces. However, adhesion to glazed surfaces remains a clinical challenge for all tested adhesives.

Keywords:
bondingbracketlithium disilicate glass ceramicmonolithic zirconiauniversal adhesive

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Area of Science:

  • Dental Materials Science
  • Biomaterials Engineering
  • Orthodontic Adhesion Technology

Background:

  • Increasing use of ceramic restorations necessitates reliable bracket bonding methods.
  • Lithium disilicate (LDS) and monolithic zirconia (MZ) are common ceramic materials in dental restorations.
  • Evaluating universal adhesives for bracket adhesion to these surfaces is crucial for clinical success.

Purpose of the Study:

  • To assess the efficacy of universal adhesives in bonding brackets to polished and glazed LDS and MZ.
  • To compare the bracket bond strength (SBS) achieved with different universal adhesives and a control primer.
  • To analyze failure types using the Modified Adhesive Remnant Index (ARI).

Main Methods:

  • 120 brackets were bonded to polished/glazed LDS and MZ blocks using three adhesives: Scotchbond™ Universal Adhesive (SU), Assure Plus (AP), and Transbond™ XT Primer (XTP).
  • Shear Bond Strength (SBS) was measured for each group.
  • Failure modes were assessed using the Modified Adhesive Remnant Index (ARI).

Main Results:

  • Scotchbond™ Universal Adhesive (SU) demonstrated significantly superior SBS on polished LDS compared to AP and XTP.
  • Both SU and Assure Plus (AP) significantly improved bracket retention on polished MZ compared to XTP.
  • All tested adhesives exhibited low SBS values on glazed LDS and MZ, falling below clinical acceptability thresholds.

Conclusions:

  • Universal adhesives SU and AP show potential for bonding brackets to polished LDS and MZ surfaces.
  • Current universal adhesives may not provide sufficient bond strength for bracket adhesion to glazed ceramic surfaces.
  • Further research is needed to optimize adhesion to glazed ceramic restorations in orthodontics.