ABSTRACT
We experimentally produced an easily debondable orthodontic adhesive (EDA) containing heat-expandable microcapsules. The purpose of this in vitro study was to evaluate the best debondable condition when EDA was used for ceramic brackets. Shear bond strengths were measured before and after heating and were compared statistically. Temperatures of the bracket base and pulp wall were also examined during heating. Bond strengths of EDA containing 30 wt% and 40 wt% heat-expandable microcapsules were 13.4 and 12.9 MPa, respectively and decreased significantly to 3.8 and 3.7 MPa, respectively, after heating. The temperature of the pulp wall increased 1.8-3.6°C after heating, less than that required to induce pulp damage. Based on the results, we conclude that heating for 8 s during debonding of ceramic brackets bonded using EDA containing 40 wt% heat-expandable microcapsules is the most effective and safest method for the enamel and pulp.
Subject(s)
Ceramics/chemistry , Dental Debonding/methods , Dental Materials/chemistry , Orthodontic Brackets , Resin Cements/chemistry , Animals , Body Temperature/physiology , Boron Compounds/chemistry , Capsules , Cattle , Dental Bonding , Dental Pulp/physiology , Dental Stress Analysis/instrumentation , Hot Temperature , Humans , Materials Testing , Methacrylates/chemistry , Methylmethacrylates/chemistry , Random Allocation , Shear Strength , Stainless Steel/chemistry , Stress, Mechanical , Thermometers , Time FactorsABSTRACT
Orthodontic adhesive is often left on the tooth surface when a multibracket appliance is debonded, and it is difficult to remove because its colour is similar to that of the tooth. If the adhesive changed colour during debonding, residual adhesive could be more easily removed. This in vitro study evaluated the usefulness of adhesive mixed with a small amount of fluorescent dye for clinical orthodontics. Sixty-four metal brackets were bonded to flattened bovine enamel surfaces using adhesives with three concentrations (0.001, 0.002, and 0.003 per cent) of fluorescent dye, and the shear bond strength (SBS) and adhesive remnant index (ARI) scores for each adhesive were determined. Colour penetrating through the transparent bracket was measured using a colour analyser. SBS and fluorescence intensity were examined to determine the stability of the adhesives after they were subjected to a thermal cycle test (1000 cycles). For data that were normally distributed, one-way analysis of variance followed by the Student-Newman-Keuls test was used to identify significant differences among the groups. If the data were not normally distributed, the Kruskal-Wallis H-test followed by the Mann-Whitney U-test with Bonferroni correction was used. Differences in ARI were determined with the chi-square test. The SBS of the adhesive with 0.003 per cent fluorescent dye was significantly lower than that of the control (Transbond). In ARI tests, significantly more of the adhesive with 0.003 per cent dye was left on the tooth surface after 24 hours compared with the other adhesives. With regard to colour penetration, the adhesive with 0.003 per cent dye was five times more visible than to others. SBS and fluorescence intensity of the adhesives were not affected by thermal cycling. Therefore, an adhesive containing less than 0.002 per cent fluorescent dye provides both sufficient bond strength for orthodontic brackets and sufficient fluorescent colour for easy visualization without aesthetic impairment.