Effect of different enamel conditionings on the bond strength of glass ionomer cement and ceramic brackets

Aim: To evaluate the effect of different enamel conditionings on the shear bond strength (SBS) and bond failure patterns of a resin modified glass ionomer cement (RMGIC) used to bond ceramic brackets. Methods: 105 human premolars extracted for orthodontic reasons were divided into 7 groups according to the enamel surface treatments: conditioners (35% phosphoric acid and 10% polyacrylic acid), type of adhesive (Transbond(r) and Fuji Ortho LC Capsule(r)), washing time and drying of the surface. Results: A significant p<0.05 was observed among the shear bond strength values obtained with seven different types of enamel preparation prior to bonding. The group that had the tooth surface conditioned with polyacrylic acid and enamel surface slightly dried before bracket placement showed no significant difference (p>0.05) to the group that had brackets bonded with composite resin. The two groups that had enamel prepared with polyacrylic acid and brackets bonded with GIC on a wet surface showed significantly lower shear bond strength than the control group (p<0.05). Conclusions: Moisture contamination decreased SBS, but not enough to preclude the use of RMGIC as an alternative to composite resin (CR) for direct bonding of ceramic brackets.

Galvanic corrosion between various combinations of orthodontic brackets and archwires.

INTRODUCTION: The purpose of this study was to compare galvanic currents generated by different combinations of commonly used brackets and archwires. METHODS: As-received stainless steel, nickel-titanium, and beta-titanium wires were coupled to stainless steel and titanium brackets in an artificial saliva medium. The galvanic current and amount of charge transferred for each pair were monitored with a zero resistance ammeter for 10 hours. RESULTS: Two-way analysis of variance (ANOVA) showed a significant difference in charge and galvanic currents when factored for type of bracket (P <0.001), but no significant difference between them when factored by type of wire (P >0.05). Specifically, a brazed stainless steel bracket was significantly greater in charge transferred and 10-hour galvanic current than metal injection molded stainless steel and titanium brackets (P <0.001), which were not different from each other (P >0.05). CONCLUSIONS: The method of bracket manufacturing might be of equal or more relevance to galvanic corrosion susceptibility than bracket composition.

Shear bond strength comparison between two orthodontic adhesives and self-ligating and conventional brackets.

OBJECTIVE: To evaluate and compare the shear bond strengths of two adhesives using two types of brackets: a conventional and a self-ligating bracket system. MATERIALS AND METHODS: Sixty extracted human premolars were collected. The premolars were randomly divided into three groups of 20 teeth. All three groups were direct bonded. Groups 1 and 2 used light-cured adhesive and primer (Transbond XT) with a conventional (Orthos) and a self-ligating bracket (Damon 2), respectively. Group 3 used a light-cured primer (Orthosolo) and a light-cured adhesive (Blugloo) with a self-ligating bracket (Damon 2). The specimens were stored in distilled water at 37 degrees C for 40 +/- 2 hours, after which they were debonded and inspected for Adhesive Remnant Index (ARI) scoring. RESULTS: The mean shear bond strength was 15.2 MPa for group 1, 23.2 MPa for group 2, and 24.8 MPa for group 3. A one-way analysis of variance and post hoc Tukey test showed significant differences in bond strength (P < .001) between group 1 and groups 2 and 3 but no significant difference (P > .05) between groups 2 and 3. A Weibull analysis demonstrated that all three groups provided sufficient bond strength with over 90% survival rate at normal masticatory and orthodontic force levels. A Kruskal-Wallis test showed no significant difference (P > .05) in ARI scores among all three groups. CONCLUSIONS: All three groups demonstrated clinically acceptable bond strength. The Damon 2 self-ligating bracket exhibited satisfactory in vitro bond strength with both adhesive systems used.

Thermal analysis of as-received and clinically retrieved copper-nickel-titanium orthodontic archwires.

OBJECTIVE: To compare as-received copper-nickel-titanium (CuNiTi) archwires to those used in patients by means of differential scanning calorimetry (DSC). Also, the thermal or phase properties of 27 degrees C, 35 degrees C, and 40 degrees C CuNiTi archwires were studied to ascertain if their properties match those indicated by the manufacturer. MATERIALS AND METHODS: Six wires of 27 degrees C, 35 degrees C, and 40 degrees C CuNiTi were tested as-received, and six each of the 27 degrees C and 35 degrees C wires were examined after use in patients for an average of approximately 9 and 7 weeks, respectively. Segments of archwire were investigated by DSC over the temperature range from -100 degrees C to 150 degrees C at 10 degrees C per minute. RESULTS: There were no significant differences between as-received and clinically used 27 degrees C and 35 degrees C wires for all parameters (heating onset, endset, and enthalpy and cooling onset, endset, and enthalpy), except the 27 degrees C wires exhibited a significant decrease in the heating enthalpy associated with the martensite-to-austenite transition after clinical use. The heating endsets (austenite finish temperatures) of the 27 degrees C and 35 degrees C wires were within 2 degrees C of those claimed by the manufacturer, but the 40 degrees C wires were found to be nearer to 36 degrees C than 40 degrees C. CONCLUSIONS: Clinical use of CuNiTi wires resulted in few differences when compared with as-received wires analyzed by DSC. Two temperature varieties of CuNiTi are reasonably within the parameters of those identified by the manufacturer.

Porcelain surface roughness, color and gloss changes after orthodontic bonding.

The purpose of this study was to evaluate the alteration in surface characteristics after orthodontic debonding of two types of porcelain systems commonly used in prosthetic dentistry. For this purpose, porcelain specimens were fabricated from low-fusing (n = 20) and high-fusing (n = 20) porcelain. The baseline surface roughness, color, and gloss were evaluated using profilometry, color shade index, and gloss study. All specimens were bonded with brackets and debonded using a testing machine at a rate of 0.1 mm/minute crosshead speed. The porcelain surfaces were polished using a 12-fluted carbide composite removal bur (low-fusing, n = 20; high-fusing, n = 20). In addition, half of each porcelain group was further polished using a series of Sof-Lex discs (low-fusing, n = 10; high-fusing, n = 10). The postdebond porcelain surface characteristics roughness, color, and gloss were reevaluated and compared with baseline measurements. The results were analyzed with two-way analysis of variance and Tukey multiple comparisons test, with porcelain type (low-fusing or high-fusing) and polishing protocol (carbide bur or carbide bur and discs) serving as discriminate variables at alpha = 0.05 level of significance. Bonding and debonding increased all roughness parameters tested; however, no change was revealed between the two polishing protocols. Similarly, gloss and color index changes were significantly altered after resin grinding, regardless of the polishing method used. No difference was identified between the two porcelain types with respect to roughness, color index, or gloss. Orthodontic bonding alters the porcelain surfaces, and postdebond polishing does not restore the surface to the prebond state.

A comparison of bond strength between direct- and indirect-bonding methods.

The purpose of this study was to evaluate and compare the shear bond strength and the sites of bond failure for brackets bonded to teeth, using two indirect-bonding material protocols and a direct-bonding technique. Sixty extracted human premolars were collected and randomly divided into three groups. The direct-bonded group (group 1) used a light-cured adhesive and primer (Transbond XT). One indirect-bonded group (group 2) consisted of a chemical-cured primer (Sondhi Rapid Set) and light-cured adhesive (Transbond XT), whereas the other group (group 3) used a light-cured primer (Orthosolo) and adhesive (Enlight LV). Forty hours after bonding, the samples were debonded. Mean shear bond strengths were 16.27, 13.83, and 14.76 MPa for groups 1, 2, and 3, respectively. A one-way analysis of variance showed no significant difference in mean bond strength between groups (P = .21). Furthermore, a Weibull analysis showed all three groups tested provided over a 90% survival rate at normal masticatory and orthodontic force levels. For each tooth, an Adhesive Remnant Index (ARI) score was determined. Group 2 was found to have a significantly lower ARI score (P < .05) compared with groups 1 and 3. In addition, Pearson correlation coefficients indicated no strong correlation between bond strength and ARI score within or across all groups.

Bond strength of direct and indirect bonded brackets after thermocycling.

Thermocycling simulates the temperature dynamics in the oral environment. With direct bonding, thermocycling reduces the bond strength of orthodontic adhesives to tooth structure. The purpose of this study was to evaluate the shear bond strengths (SBS) of one direct and two indirect bonding methods/adhesives after thermocycling. Sixty human premolars were divided into three groups. Teeth in group 1 were bonded directly with Transbond XT. Teeth in group 2 were indirect bonded with Transbond XT/Sondhi Rapid Set, which is chemically cured. Teeth in group 3 were indirect bonded with Enlight LV/Orthosolo and light cured. Each sample was thermocycled between 5 degrees C and 55 degrees C for 500 cycles. Mean SBS in groups 1, 2, and 3 were not statistically significantly different (13.6 +/- 2.9, 12.3 +/- 3.0, and 11.6 +/- 3.2 MPa, respectively; P > .05). However, when these values were compared with the results of a previous study using the same protocol, but without thermocycling, the SBS was reduced significantly (P = .001). Weibull analysis further showed that group 3 had the lowest bonding survival rate at the minimum clinically acceptable bond-strength range. The Adhesive Remnant Index was also determined, and group 2 had a significantly (P < .05) higher percentage of bond failures at the resin/enamel interface.