ABSTRACT
INTRODUCTION AND AIM: This study aimed to evaluate the ability of fluoride-releasing adhesives to inhibit enamel demineralization surrounding orthodontic brackets. METHODS: Two groups of 40 sound human premolars were sectioned mesio-distally. The halves were varnished, and orthodontic brackets were bonded with different adhesive materials. An area 1 mm wide surrounding the brackets was left exposed. Each specimen was immersed daily in a pH cycle for 28 days. In the second group, the specimens were exposed daily to a fluoride solution (250 ppm F-) at 37°C. The fluoride release from different groups was measured. Quantitative light-induced fluorescence (QLF) was used to quantify fluorescence loss of enamel surfaces adjacent to the brackets. Results were statistically analyzed using ANOVA at (p<0.05). RESULTS: Fluoride released from the three fluoride-releasing adhesives was significantly higher (p<0.001) in the group with daily fluoride exposures than in the group without fluoride exposures. Enamel adjacent to brackets bonded with Fuji Ortho LC, Ketac Cem, and Dyract Cem showed significantly less (p<0.001) changes in (ΔQ) value (less demineralization) than enamel bonded with Transbond, the control adhesive material. CONCLUSIONS: Using fluoride-releasing adhesives significantly reduced the level of demineralization adjacent to orthodontic brackets.
ABSTRACT
The aim of this study was to identify the presence and pattern of differences in bond failure between tooth types in vivo when bonding orthodontic brackets with the no-mix orthodontic composite adhesive Right-On. In vivo bond failure for a single operator was recorded for 108 consecutive patients undergoing fixed-appliance orthodontic treatment. The bond failure data were analyzed by survival analysis. Time to first failure or censorship was recorded for each bonded attachment. Overall failure in the sample matched previous clinical studies but conflicted with previous ex vivo bond strength data. Mandibular and posterior teeth had significantly higher rates of failure than did maxillary and anterior teeth. The type of attachment used had a significant effect on bond survival. The results of this study confirm that in vivo bond survival is not uniform for all teeth. Comparisons between the findings of this study and those of a previous ex vivo study by the same authors failed to validate ex vivo bond strength testing as clinically relevant.
