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Effect of enamel-surface modifications on shear bond strength using different adhesive materials
Bo-Wen Zheng1, Shan Cao1, Majedh Abdo Ali Al-Somairi1,2
1Department of Orthodontics, School and Hospital of Stomatology, Liaoning Provincial Key Laboratory of Oral Diseases, China Medical University, Shenyang, 110002, China.
BMC Oral Health
|June 7, 2022
Summary
Resin-modified glass ionomer cement (RMGIC) achieved clinical bond strength without damaging enamel. Non-acid-etching treatments, particularly with sodium hypochlorite, are effective for bracket bonding.
Area of Science:
- Orthodontics
- Dental Materials Science
- Adhesive Dentistry
Background:
- Investigating enamel surface modifications for optimal ceramic bracket bonding.
- Evaluating shear bond strength with various adhesives and enamel treatments.
- Determining the efficacy of non-acid-etching methods for clinical bond strength.
Purpose of the Study:
- To assess the impact of enamel surface modifications on ceramic bracket shear bond strength.
- To identify the most effective clinical adhesive and bonding protocol.
- To validate non-acid-etching treatments for achieving adequate clinical bond strength.
Main Methods:
- 108 premolars were divided into nine groups with varied enamel treatments (acid etching, deproteinization, wetting).
- Brackets were bonded using Transbond™ XT or resin-modified glass ionomer cement (RMGIC).
- Shear bond strength, adhesive remnant index (ARI), and enamel morphology were analyzed.
Main Results:
- Adhesive remnant index (ARI) showed statistically significant differences between groups.
- Enamel surfaces treated with acid etching (groups 1-5) were demineralized.
- Non-acid-etching treatments resulted in varying degrees of protein residue on the enamel.
Conclusions:
- Resin-modified glass ionomer cement (RMGIC) provides adequate clinical bond strength without enamel damage.
- 5.25% sodium hypochlorite is a preferred non-acid-etching treatment for enamel preparation.
- Non-acid-etching protocols can achieve clinically acceptable bond strength for orthodontic brackets.
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