Bond strength of visible light-cured glass ionomer orthodontic cement

Effect of CPP-ACP paste with and without CO2 laser irradiation on demineralized enamel microhardness and bracket shear bond strength

Introduction:

Many patients seeking orthodontic treatment already have incipient enamel lesions and should be placed under preventive treatments. The aim of this in vitro study was to evaluate the effect of CPP-ACP paste and CO₂ laser irradiation on demineralized enamel microhardness and shear bond strength of orthodontic brackets.

Methods:

Eighty caries-free human premolars were subjected to a demineralization challenge using Streptococcus mutans. After demineralization, the samples were randomly divided into five equal experimental groups: Group 1 (control), the brackets were bonded without any surface treatment; Group 2, the enamel surfaces were treated with CPP-ACP paste for 4 minutes before bonding; Group 3, the teeth were irradiated with CO₂ laser beams at a wavelength of 10.6 µm for 20 seconds. The samples in Groups 4 and 5 were treated with CO₂ laser either before or through CPP-ACP application. SEM photomicrographs of a tooth from each group were taken to observe the enamel surface. The brackets were bonded to the buccal enamel using a conventional method. Shear bond strength of brackets and ARI scores were measured. Vickers microhardness was measured on the non-bonded enamel surface. Data were analyzed with ANOVA and Tukey test at the p< 0.05 level.

Results:

The mean shear bond strength and microhardness of the laser group were higher than those in the control group and this difference was statistically significant (p< 0.05). All groups showed a higher percentage of ARI score 4.

Conclusion:

CO₂ laser at a wavelength of 10.6 µm significantly increased demineralized enamel microhardness and enhanced bonding to demineralized enamel.

Shear bond strength of one-step self-etch adhesives to dentin: Evaluation of NaOCl pretreatment

Background

The aim of this study was to evaluate the influence of dentin pretreatment with NaOCl on shear bond strength of four one-step self-etch adhesives with different pH values.

Material and Methods

Bovine permanent incisors were used. Four one-step self-etch adhesives were tested: Adper™ Easy Bond, Futurabond NR, G-aenial Bond, Clearfil S3 Bond. One two-step self-etch adhesive (Clearfil SE Bond) was used as control. Group 1- no pretreatment; group 2- pretratment with 5,25 % NaOCl; group 3- pretreatment with 37 % H3PO4 etching and 5,25 % NaOCl. A hybrid composite resin was inserted into the dentin surface. The specimens were tested in a universal testing machine. The examiners evaluated the fractured surfaces in optical microscope to determine failure modes, quantified with adhesive remnant index (ARI).

Results

Dentin pretreatment variably influenced bond strength values of the different adhesive systems. When no dentin pretreatment was applied, no significant differences were found (P >.05) among four adhesives tested. No significant differences were recorded when comparing NaOCl pretreatment with H3PO4 + NaOCl pretreatment for all adhesive tested (P >.05) except Clearfil S3 Bond that showed higher shear bond strength values when H3PO4 was applied. Frequencies of ARI scores were calculated.

Conclusions

The influence of dentin pretreatment with NaOCl depends on the composition of each adhesive system used. There was no difference in bond strength values among self-etch adhesives with different pH values.

Key words:Dentin, pretreatment, self-etch adhesives.

Comparison of Shear Bond Strength of Universal Adhesives on Etched and Nonetched Enamel

Background

The purpose of this study was to evaluate the effect of surface pretreatment with 37% phosphoric acid on the enamel bond strength of different universal adhesives.

Methods

One hundred and sixty bovine permanent mandibular incisors freshly extracted were used as a substitute for human teeth. The materials tested in this study included 6 universal adhesives, and 2 self-etch adhesives as control. The teeth were assigned into 2 groups: In the first group, etching was performed using 37% phosphoric acid for 30 seconds. In the second group, no pretreatment agent was applied. After adhesive application, a nanohybrid composite resin was inserted into the enamel surface by packing the material into cylindrical-shaped plastic matrices. After storing, the specimens were placed in a universal testing machine. The normality of the data was calculated using the Kolmogorov-Smirnov test. Analysis of variance (ANOVA) was applied to determine whether significant differences in debond strength values existed among the various groups.

Results

Groups with phosphoric acid pretreatment showed significantly higher shear bond strength values than groups with no enamel pretreatment (p<0.001). No significant variation in shear strength values was detected when comparing the different adhesive systems applied onto enamel after orthophosphoric acid application (p>0.05).

Conclusions

All adhesives provide similar bond strength values when enamel pretreatment is applied even if compositions are different. Bond strength values are lower than promised by manufacturers.

Effect of acid etching on bond strength of nanoionomer as an orthodontic bonding adhesive

AIMS

A new Resin Modified Glass Ionomer Cement known as nanoionomer containing nanofillers of fluoroaluminosilicate glass and nanofiller 'clusters' has been introduced. An in-vitro study aimed at evaluating shear bond strength (SBS) and adhesive remnant index (ARI) of nanoionomer under etching/unetched condition for use as an orthodontic bonding agent.

MATERIAL AND METHODS

A total of 75 extracted premolars were used, which were divided into three equal groups of 25 each: 1-Conventional adhesive (Enlight Light Cure, SDS, Ormco, CA, USA) was used after and etching with 37% phosphoric acid for 30 s, followed by Ortho Solo application 2-nanoionomer (Ketac(™) N100, 3M, ESPE, St. Paul, MN, USA) was used after etching with 37% phosphoric acid for 30 s 3-nanoionomer was used without etching. The SBS testing was performed using a digital universal testing machine (UTM-G-410B, Shanta Engineering). Evaluation of ARI was done using scanning electron microscopy. The SBS were compared using ANOVA with post-hoc Tukey test for intergroup comparisons and ARI scores were compared with Chi-square test.

RESULTS

ANOVA (SBS, F = 104.75) and Chi-square (ARI, Chi-square = 30.71) tests revealed significant differences between groups (P < 0.01). The mean (SD) SBS achieved with conventional light cure adhesive was significantly higher (P < 0.05) (10.59 ± 2.03 Mpa, 95% CI, 9.74-11.41) than the nanoionomer groups (unetched 4.13 ± 0.88 Mpa, 95% CI, 3.79-4.47 and etched 9.32 ± 1.87 Mpa, 95% CI, 8.58-10.06). However, nanoionomer with etching, registered SBS in the clinically acceptable range of 5.9-7.8 MPa, as suggested by Reynolds (1975). The nanoionomer groups gave significantly lower ARI values than the conventional adhesive group.

CONCLUSION

Based on this in-vitro study, nanoionomer with etching can be successfully used as an orthodontic bonding agent leaving less adhesive remnant on enamel surface, making cleaning easier. However, in-vivo studies are needed to confirm the validity of present findings.

Covering of fiber-reinforced composite bars by adhesive materials, is it necessary to improve the bond strength of lingual retainers?

Objectives:

The objectives were to evaluate the shear bond strength (SBS) of fiber-reinforced composite (FRC) retainers when bonding them to teeth with and without covering the FRC bars using two different adhesive systems.

Materials and Methods:

Hundred and twenty extracted human maxillary premolars were randomly divided into eight groups (n = 15). FRC bars (4 mm length, Everstick Ortho^®, Stick Tech, Oy, Turku, Finland) were bonded to the proximal (distal) surfaces of the teeth using two different adhesives (Tetric Flow [TF, Ivoclar Vivadent, Switzerland] and resin-modified glass ionomer cement [RMGIC, ODP, Vista, CA, USA]) with and without covering with the same adhesive. Specimens were exposed to thermocycling (625 cycles per day [5–55°C, intervals: 30 s] for 8 days). The SBS test was then performed using the universal testing machine (Zwick, GMBH, Ulm, Germany). After debonding, the remaining adhesive on the teeth was recorded by the adhesive remnant index (0–3).

Results:

The lowest mean SBS (standard deviation) was found in the TF group without covering with adhesive (12.6 [2.11] MPa), and the highest bond strength was in the TF group with covering with adhesive (16.01 [1.09] MPa). Overall, the uncovered RMGIC (15.65 [3.57] MPa) provided a higher SBS compared to the uncovered TF. Covering of FRC with TF led to a significant increase in SBS (P = 0.001), but this was not true for RMGIC (P = 0.807). Thermal cycling did not significantly change the SBS values (P = 0.537). Overall, eight groups were statistically different (ANOVA test, F = 3.32, P = 0.034), but no significant differences in bond failure locations were found between the groups (Fisher's exact tests, P = 0.92).

Conclusions:

The present findings showed no significant differences between SBS of FRC bars with and without covering by RMGIC. However, when using TF, there was a significant difference in SBS measurements between covering and noncovering groups. Therefore, the use of RMGIC without covering FRC bars can be suggested, which can be validated with in vivo studies.

Shear bond strength of orthodontic brackets and disinclusion buttons: effect of water and saliva contamination

PURPOSE

The aim of this study was to assess the effect of water and saliva contamination on the shear bond strength and failure site of orthodontic brackets and lingual buttons.

MATERIALS AND METHODS

120 bovine permanent mandibular incisors were randomly divided into 6 groups of 20 specimens each. Both orthodontic brackets and disinclusion buttons were tested under three different enamel surface conditions: (a) dry, (b) water contamination, and (c) saliva contamination. Brackets and buttons were bonded to the teeth and subsequently tested using a Instron universal testing machine. Shear bond strength values and adhesive failure rate were recorded. Statistical analysis was performed using ANOVA and Tukey tests (strength values) and Chi squared test (ARI Scores).

RESULTS

Noncontaminated enamel surfaces showed the highest bond strengths for both brackets and buttons. Under water and saliva contamination orthodontic brackets groups showed significantly lower shear strengths than disinclusion buttons groups. Significant differences in debond locations were found among the groups under the various enamel surface conditions.

CONCLUSIONS

Water and saliva contamination of enamel during the bonding procedure lowers bond strength values, more with orthodontic brackets than with disinclusion buttons.

Disinclusion of unerupted teeth by mean of self-ligating brackets: effect of blood contamination on shear bond strength

Objectives: The aim of this study was to assess the effect of blood contamination on the shear bond strength and failure site of three different orthodontic self-ligating brackets. Study Design: 240 bovine permanent mandibular incisors were randomly divided into 12 groups of 20 specimens each. Orthodontic self-ligating brackets were tested under four different enamel surface conditions: a) dry, b) blood contamination before priming, c) blood contamination after priming, d) blood contamination before and after priming. Brackets were bonded to the teeth and subsequently tested using a Instron universal testing machine. Shear bond strength values and adhesive failure rate were recorded. Statistical analysis was performed using ANOVA and Tukey tests (strength values), and Chi squared test (ARI Scores). Results: Non-contaminated enamel surfaces showed highest bond strengths for all self ligating brackets. Under blood-contamination shear bond strengths lowered for all brackets tested. Groups contaminated before and after primer application showed the lowest shear bond strength. Significant differences in debond locations were found among the groups under the various enamel surface conditions. Conclusions: Blood contamination of enamel during the bonding procedure lowers bond strength values of self ligating brackets, expecially when contamination occur in different times of the bonding procedure.

Key words:Disinclusion, self ligating brackets, blood, contamination, enamel, orthodontics, oral surgery.

Reconditioning of self-ligating brackets

OBJECTIVE

To test the null hypothesis that there is no significant difference in the shear bond strength (SBS) and Adhesive Remnant Index (ARI) scores of new vs reconditioned self-ligating brackets.

MATERIALS AND METHODS

One hundred and twenty permanent extracted bovine teeth were embedded in resin blocks. Three different new and reconditioned self-ligating orthodontic brackets (Smart Clip [3M Unitek]; Quick [Forestadent]; and Damon3MX [Ormco]) were tested. Scanning electron microphotographs of the different new (groups 1, 3, and 5) and reconditioned (groups 2, 4, and 6) bracket bases were taken before starting the experiments. Brackets were then bonded to the teeth using an orthodontic adhesive and were then tested in shear mode using an Instron Universal Testing Machine. ARI scores were then recorded. Statistical analysis was performed to determine significant differences in SBS and ARI Scores.

RESULTS

Smart Clip and Damon3MX reconditioned brackets showed significantly lower SBS than did new ones. On the contrary, Quick reconditioned brackets showed significantly higher SBS than did new ones. No significant differences in ARI scores were found after the reconditioning process for the three different brackets tested.

CONCLUSION

The in-office reconditioning procedure alters the SBS of self-ligating brackets, although SBS values still remain clinically acceptable.

Influence of decontamination procedures on shear forces after contamination with blood or saliva

INTRODUCTION

Despite rapid development in adhesive technology, contamination of bonding surfaces remains a major problem. The aims of this study were to evaluate the influence of contamination on bond strength and to investigate possible decontamination procedures.

METHODS

Four bonding systems were evaluated for their shear bond strengths under 5 bonding situations: control (without contamination and decontamination); contamination with blood; contamination with saliva; decontamination with water and air, and repriming after blood contamination; and decontamination with water and air, and repriming after saliva contamination. The 25 specimens of each group consisted of composite blocks bonded to bovine teeth. Shear forces were measured with a testing machine after thermocycling.

RESULTS

The 3 composite primers showed similar behavior. With the exception of Transbond SEP (3M Unitek, Monrovia, Calif) with saliva contamination, all contaminated samples showed greatly reduced shear forces. The control and decontaminated groups showed shear forces about 20 MPa. The resin-modified glass ionomer, however, did not reach clinically sufficient bond strengths in either setup.

CONCLUSIONS

Decontamination with water and air and repriming is sufficient after contamination with blood or saliva. Etching again is not necessary. The bond strength of Transbond SEP was not significantly altered by saliva contamination and can be recommended for conventional bonding procedures.

Orthodontic bonding with self-etching primer and self-adhesive systems

The purpose of this study was to compare the tensile bond strengths of orthodontic brackets bonded to enamel using conventional multi-step adhesive, self-etching primer (SEP), which combines etching and priming into a single step, and self-adhesive systems, which combine etchant, primer, and adhesive. Metal brackets were bonded to 90 extracted human premolars according to three experimental protocols: group 1, conventional multi-step adhesive system; group 2, SEP; and group 3, self-adhesive system. All specimens were debonded using an Instron universal machine and failures between the tooth surface and bracket base were observed by scanning electron microscopy (SEM). The bracket bases were then analysed by mapping of energy-dispersive X-ray (EDX) spectrometry to calculate the distributive percentages of enamel or resin. The bond strength, percentage distribution, and calcium on the debonded interface were determined and analysed by one-way analysis of variance, and means were ranked by a Tukey interval, calculated at the 95 per cent confidence level. Group 1 produced the greatest bond strength, followed by groups 2 and 3. Group 3 showed the highest debonded interface between resin and enamel or within the resin itself, followed by groups 2 and 1. Groups 1 and 2 displayed significantly more debond failures at the interface between the bracket and the resin than group 3. More calcium particles were observed on the bracket base after debonding in group 3 than in groups 2 and 1. The simplified bonding procedures caused an undesirable decrease in tensile bond strength.

Effect of blood contamination on shear bond strength of orthodontic brackets and disinclusion buttons

Our aim was to assess the effect of blood contamination on the shear bonding strength and sites of failure of orthodontic brackets and bondable buttons. We randomly divided 160 bovine permanent mandibular incisors into 8 groups of 20 specimens each. Both orthodontic brackets (Step brackets, Leone, Sesto Fiorentino, Italy) and bondable buttons (Flat orthodontic buttons, Leone, Sesto Fiorentino, Italy) were tested on four different enamel surfaces: dry; contamination with blood before priming; after priming; and before and after priming. Brackets and buttons were bonded to the teeth and subsequently tested using a Instron universal testing machine. Shear bonding strength and the rate of adhesive failures were recorded. Data were analysed using the analysis of variance (ANOVA), Scheffè tests, and the chi-square test. Uncontaminated enamel surfaces showed the highest bonding strengths for both brackets and buttons. When they were contaminated with blood, orthodontic brackets had significantly lower shear strengths than bondable buttons (P=0.0001). There were significant differences in sites of failure among the groups for the various enamel surfaces (P=0.001). Contamination of enamel by blood during bonding lowers the strength of the bond, more so with orthodontic brackets than with bondable buttons.

A comparative evaluation of casein phosphopeptide-amorphous calcium phosphate and fluoride on the shear bond strength of orthodontic brackets

The purpose of the study was to evaluate and compare the effects of topical application of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and fluoride on the shear bond strength (SBS) of orthodontic brackets bonded to human premolar teeth. Eighty extracted human premolar teeth were cleansed of soft tissue, then polished with non-fluoridated pumice, and immersed in water for 1-3 months until testing. The teeth were randomly divided into four groups: group 1, control, without pre-treatment of the enamel; group 2, the enamel was treated with 5 per cent sodium fluoride varnish for 4 minutes; group 3, the enamel was treated with CPP-ACP for 3 minutes; and group 4, the enamel was treated with 5 per cent sodium fluoride and CPP-ACP. All bonded specimens were immersed in distilled water at room temperature for 24 hours and subsequently tested for SBS in a universal testing machine. After debonding, the bracket bases and the enamel surfaces were examined by eye to assess any adhesive remaining, in accordance with the Adhesive Remnant Index (ARI). Descriptive statistics were calculated for each group. Analysis of variance and Tukey honestly significant difference (HSD) test were performed to compare the SBS of the groups. The chi-square test was used to evaluate differences in ARI scores between the groups. The SBS in group 2 was significantly lower than groups 1, 3, and 4 (P < 0.001). ARI scores were not significantly different between the four groups (P > 0.05). CPP-ACP, either alone or combined with fluoride, may safely be used as a prophylactic agent before bracket bonding.

Shear bond strength of self-ligating brackets

The aim of this study was to compare the shear bond strength (SBS) and adhesive remnant index (ARI) scores of conventional and self-ligating brackets. Conventional stainless steel brackets (group 1, Step; Leone) and three different passive and interactive self-ligating brackets (group 2, Smart Clip, 3M Unitek; group 3, Quick, Forestadent; and group 4, Damon 3MX, Ormco) were tested. Four groups of 20 specimens each were bonded with an adhesive system (Ortho Solo primer, Ormco and Transbond XT resin, 3M Unitek) onto bovine enamel and subsequently tested using an Instron universal testing machine. SBS values and adhesive failure rate were recorded. Statistical analysis was performed with analysis of variance and Scheffé tests to determine bond strength values, whereas a chi-square test was used for ARI scores. Groups 2 and 4 showed significantly higher SBS values than the other two groups. Moreover, groups 1 and 3 showed a higher frequency of ARI score 1, whereas groups 2 and 4 showed higher frequency of ARI score 2. All the brackets demonstrated a clinically adequate SBS.

Shear bond strength of fibre-reinforced composite nets using two different adhesive systems

The purpose of this study was to evaluate the effect of two different adhesive systems (Tetric Flow and Transbond XT) in combination with fibre-reinforced composites (FRC) net (Ever Stick) on the shear bond strength (SBS) of orthodontic brackets. Eighty bovine permanent mandibular incisors were randomly divided into four equal groups. Stainless steel maxillary central incisor brackets with a 0.018 inch slot (DB Leone) were bonded to the teeth using the two different adhesive systems. Fifty per cent of the brackets were bonded without and 50 per cent with a FRC net under the bracket base. After bonding, all samples were stored in distilled water at room temperature for 24 hours and subsequently tested for SBS. Analysis of variance indicated significant differences among the various groups. Brackets bonded with FRC nets under the base showed a significantly lower SBS than those bonded without nets (P < 0.05). Moreover, teeth bonded with Transbond XT showed a significantly higher SBS than the other groups. Additionally, significant differences in debond locations [adhesive remnant index (ARI) score] were found among the various groups. Transbond XT can successfully be used for direct bonding of FRC nets, thus improving their SBS values.

Effects of CPP-ACP paste on the shear bond strength of orthodontic brackets

OBJECTIVE

To evaluate the effect of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) paste on shear bond strength and debonding failure modes of orthodontic brackets.

MATERIALS AND METHODS

Freshly extracted premolars were randomly divided into four groups (n =18) as follows: in groups 1 and 3, the enamel was treated with a solution of CPP-ACP dissolved in artificial saliva; groups 2 and 4 served as controls, and the enamel was treated with artificial saliva. After conventional acid etching, in groups 1 and 2, brackets were bonded using a light-cured bonding system (Blugloo); while in groups 3 and 4, brackets were bonded using a conventional bonding system (Unite Bonding Adhesive). Bonded specimens were subjected to thermal cycling for 1000 cycles before debonding procedures. After debonding, teeth and brackets were examined under a stereomicroscope at 10x magnification to determine whether any adhesive remained, in accordance with the adhesive remnant index. The acid-etched enamel surfaces were also observed using scanning electron microscopy after treatment with and without CPP-ACP paste.

RESULTS

The shear bond strengths of group 1 were significantly higher than those seen in group 2 (P < .01). There was no significant difference in the shear bond strengths of groups 3 and 4 (P > .05). Scanning electron microscopic observation showed that the pretreated enamel surface was rougher than that of the control surface after acid etching.

CONCLUSION

The use of CPP-ACP can be considered as an alternative prophylactic application in orthodontic practice since it did not compromise bracket bond strength.

Resin-modified glass ionomer cements for bonding orthodontic retainers

The aims of this study were to evaluate the shear bond strength (SBS), fracture mode, and wire pull out (WPO) resistance between resin-modified glass ionomer cement (RMGIC) and conventional orthodontic composite used as a lingual retainer adhesive. Forty lower human incisors were randomly divided into two equal groups. To determine the SBS, either Transbond-LR or Fuji Ortho-LC was applied to the lingual surface of the teeth by packing the material into cylindrical plastic matrices with an internal diameter of 2.34 mm and a height of 3 mm (Ultradent) to simulate the lingual retainer bonding area. To test WPO resistance, 20 samples were prepared for each composite where the wire was embedded in the composite material and cured, 20 seconds for Transbond-LR and 40 seconds for Fuji Ortho-LC. The ends of the wire were then drawn up and tensile stress was applied until failure of the resin. A Student's t-test for independent variables was used to compare the SBS and WPO data. Fracture modes were analyzed using Pearson chi-square test. Significance was determined at P < 0.05. The SBS values were 24.7 +/- 9.2 and 10.2 +/- 5.5 MPa and the mean WPO values 19.8 +/- 4.6 and 11.1 +/- 5.7 N for Transbond-LR and Fuji Ortho-LC, respectively. Statistical analysis showed that the SBS and WPO values of Transbond-LR and Fuji Ortho-LC were significantly different (P < 0.001). No significant differences were present among the groups in terms of fracture mode. However, the RMGIC resulted in a significant decrease in SBS and WPO; it produced sufficient SBS values on the etched enamel surfaces, when used as a bonded orthodontic retainer adhesive.

Effect of acidulated phosphate fluoride and casein phosphopeptide-amorphous calcium phosphate application on shear bond strength of orthodontic brackets

OBJECTIVE

To evaluate the effect of a recently introduced prophylactic agent, casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), on shear bond strength of brackets and compare it with the effect of acidulated phosphate fluoride (APF).

MATERIALS AND METHODS

Forty-eight freshly extracted mandibular bovine incisors were used. Teeth were randomly divided into four groups (n = 12) as follows: group 1 served as control, and no pretreatment was performed on the enamel; group 2, enamel was treated with 1.23% APF and CPP-ACP, respectively; group 3, enamel was treated with CPP-ACP; and group 4, enamel was treated with 1.23% APF for 4 minutes. In all groups, brackets were bonded using a conventional acid-etch and bond system (Transbond XT, 3M Unitek, Monrovia, Calif). Bonded specimens were first stored in deionized water at 37 degrees C for 24 hours, subjected to thermal cycling for 1000 cycles, and further stored in distilled water for 6 weeks before debonding procedures. After debonding, teeth and brackets were examined under a stereomicroscope at 10x magnification for any adhesive remaining, in accordance with the modified adhesive remnant index.

RESULTS

The shear bond strengths of all experimental groups were significantly higher than that of the control group (P < .01). There was no significant difference between the shear bond strengths of the experimental groups (P > .05).

CONCLUSION

The use of CPP-ACP either alone or combined with APF could be considered as an alternative prophylactic application in orthodontic practice since it did not compromise bracket bond strength.

Xeno III self-etching adhesive in orthodontic bonding: the next generation

INTRODUCTION

The newer single-step self-etching adhesives that etch, prime, and apply the resin bonding agent simultaneously without rinsing have been increasing in popularity in orthodontic bonding. The purpose of this study was to compare the bond strengths and to evaluate the debonding site (with the adhesive remnant index), when a conventional acid-etch conditioner and a self-etching adhesive system (Xeno III, Dentsply DeTrey GmbH, Konstanz, Germany) were used with either a composite resin adhesive (Transbond XT, 3M Unitek, Monrovia, Calif) or a resin-modified glass ionomer cement (Fuji Ortho LC, GC Corp, Tokyo, Japan).

METHODS

One hundred twenty extracted human premolars were mounted in acrylic resin and randomly assigned to 6 groups of 20 teeth each. Shear-peel bond strength testing was performed after thermocycling (5 degrees C-55 degrees C for 500 times) with a Zwick 1440 compression machine (Zwick, Ulm, Germany).

RESULTS

The results showed that the bond strengths achieved with Xeno III were comparable with the traditional methods of either 37% phosphoric acid or 10% polyacrylic acid for both Transbond XT and Fuji Ortho LC. Adhesive remnant index scores showed less adhesive remaining on the tooth surface in the Xeno III/Transbond XT adhesive only (no primer) group.

CONCLUSIONS

Xeno III can be used to bond orthodontic brackets with the adhesives in this study.

Effect of Enamel Etching on Tensile Bond Strength of Brackets Bonded In Vivo with a Resin-reinforced Glass Ionomer Cement

Objective: To evaluate the influence of enamel etching on tensile bond strength of orthodontic brackets bonded with resin-reinforced glass ionomer cement.

Materials and Methods: The sample group consisted of 15 patients who had indications for extraction of four premolars for orthodontic reasons, equally divided into two different groups according to bracket and enamel preparation. Brackets were bonded in vivo, by the same operator, using a split mouth random technique: Group 1 (control), phosphoric acid + Fuji Ortho LC; Group 2, Fuji Ortho LC without acid conditioning. The teeth were extracted after 4 weeks using elevators. An Instron Universal Testing Machine was used to apply a tensile force directly to the enamel-bracket interface at a speed of 0.5 mm/min. The groups were compared using a Mann-Whitney U-test and Weibull analysis.

Results: Mean results and standard deviations (in MPa) for the groups were: Group 1, 6.26 (3.21), Group 2, 6.52 (2.73). No significant difference was observed in the bond strengths of the two groups evaluated (P = .599).

Conclusions: Fuji Ortho LC showed adequate shear bond strength and may be suitable for clinical use.

The effect of bleaching on shear bond strength of brackets bonded with a resin-modified glass ionomer

INTRODUCTION

This study assessed the effect of a 35% hydrogen peroxide bleaching gel on the shear bond strength and bond failure site of a resin-modified glass ionomer (Fuji Ortho LC, GC Europe, Leuven, Belgium).

METHODS

Forty-five bovine mandibular permanent incisors were randomly divided into 3 groups; each group contained 15 teeth. Bleaching treatment was performed at 2 different times before the bonding procedure. Forty-five stainless steel brackets were bonded with the resin-modified glass ionomer. After bonding, all samples were stored in distilled water for 24 hours and then tested in shear mode on a testing machine.

RESULTS

Group 1 (no bleaching) showed significantly higher shear bond strength values than groups 2 (bleaching immediately before bonding) and 3 (bleaching 1 week before bonding). No significant differences were found between groups 2 and 3. Moreover, no significant differences in debond locations were found among the 3 groups.

CONCLUSIONS

Bleaching treatment before bonding significantly lowered the bond strength values of Fuji Ortho LC.

Effect of various adhesive systems on the shear bond strength of fiber-reinforced composite

INTRODUCTION

The purpose of this study was to evaluate the effect of 3 adhesive systems on the shear bond strength of a fiber-reinforced composite (FRC).

METHODS

Sixty bovine permanent mandibular incisors were randomly divided into 3 groups of 20. The FRCs (Ortho, Stick Teck Ltd, Turku, Finland) were bonded to the teeth with 3 adhesive systems (Tetric Flow [Ivoclar-Vivadent, Schaan, Liechtenstein], Transbond XT [Unitek/3M, Monrovia, Calif], and Fuji Ortho LC [GC Europe, Leuven, Belgium]). After bonding, all samples were stored in distilled water at room temperature for 24 hours and subsequently tested for shear bond strength. Analysis of variance and the Sheffé post-hoc tests were used at a significance level of P < .05.

RESULTS

ANOVA indicated significant differences among the various groups. Fibers bonded with Transbond XT showed significantly higher shear bond strengths than the other 2 groups. No significant differences in shear bond strength values were reported between Tetric Flow and Fuji Ortho LC. No significant differences in debond locations (ARI scores) were found among the various groups.

CONCLUSIONS

For maximum bond strength, use Transbond XT for direct bonding of FRC.

Effect of light-tip distance on the shear bond strengths of resin-modified glass ionomer cured with high-intensity halogen, light-emitting diode, and plasma arc lights

INTRODUCTION

The purpose of this study was to assess the effect of light-tip distance on the shear bond strength and the failure site of brackets cured with 3 light-curing units (high-intensity halogen, light-emitting diode, and plasma arc).

METHODS

One hundred thirty-five bovine mandibular permanent incisors were randomly allocated to 9 groups of 15 specimens each. Stainless steel brackets (Victory Series, Unitek/3M, Monrovia, Calif) were bonded with a resin-modified glass-ionomer (Fuji Ortho LC, GC Europe, Leuven, Belgium) to the teeth, and each curing light was tested at 3 distances from the bracket: 0, 3, and 6 mm. After bonding, all samples were stored in distilled water at room temperature for 24 hours and subsequently tested for shear bond strength.

RESULTS

When the 3 light-curing units were compared at a light-tip distance of 0mm, they showed no significantly different shear bond strengths. At a light-tip distance of 3 mm, no significant differences were found between the halogen and plasma arc lights, but both lights showed significantly higher shear bond strengths than the light-emitting diode light. At a light-tip distance of 6 mm, no significant differences were found between the halogen and light-emitting diode lights, but both showed significantly lower bond strengths than the plasma arc light. When the effect of the light-tip distance on each light-curing unit was evaluated, the halogen and light-emitting diode lights showed no significant differences among the 3 distances. However, the plasma arc light produced significantly higher shear bond strengths at a greater light-tip distance. No significant differences were found among the adhesive remnant index scores of the various groups, except with the LED light at a distance of 3 mm.

CONCLUSIONS

In hard-to-reach areas, the plasma arc curing light is suggested for optimal curing efficiency.

Effect of chlorhexidine application on shear bond strength of brackets bonded with a resin-modified glass ionomer

INTRODUCTION

The purpose of study was to assess the effect of chlorhexidine application on the shear bond strength and bond failure site of a resin-modified glass ionomer (Fuji Ortho LC, GC Europe, Leuven, Belgium).

METHODS

Forty-five bovine permanent mandibular incisors were randomly divided into 3 groups of 15. Group 1 had no chlorhexidine treatment and served as the control; groups 2 and 3 had chlorhexidine application immediately before and 1 week before bonding, respectively. Stainless steel brackets (DB, Leone, Sesto Fiorentino, Italy) were bonded with the resin-modified glass ionomer. After bonding, all samples were stored in distilled water for 24 hours and subsequently tested in a shear mode on a testing machine. Analysis of variance (ANOVA) and the Scheffé test were applied to determine significant differences in the shear bond strength values, and the chi-square test was used to determine significant differences in the adhesive remnant index scores among the groups. Significance for all statistical tests was predetermined at P < .05.

RESULTS

Group 1 (no chlorhexidine application) showed significantly higher shear bond strength values than group 2 (chlorhexidine applied immediately before bonding). No significant differences were found between groups 1 and 3 (chlorhexidine applied 1 week before bonding). Moreover, significant differences in debond locations were found among the 3 groups.

CONCLUSIONS

Chlorhexidine application immediately before bonding significantly lowered the bond strength values of Fuji Ortho LC but did not affect its bond strength when applied 1 week before bonding.

Effect of different light sources and guides on shear bond strength of brackets bonded with 2 adhesive systems

INTRODUCTION

This study assessed the effect of different light sources and light guides on the shear bond strength and failure site of orthodontic brackets bonded with 2 adhesive systems (Quick Cure [Reliance Orthodontic Products, Itasca, Ill] and Transbond XT [3M/Unitek, Monrovia, Calif]).

METHODS

Ninety bovine permanent mandibular incisors were randomly divided into 6 groups according to the adhesive system and light-curing procedure used. Each group consisted of 15 specimens; 90 stainless steel brackets were bonded to the teeth. Each adhesive system was light-cured with a halogen light (Ortholux XT, 3M/Unitek) for 20 seconds and the conventional light guide as controls. The remaining groups were cured with a halogen light (Ortho 2000 [Reliance Orthodontic Products, Itasca, Ill]) and a Power Slot light guide (Reliance Orthodontic Products) for 6 and 10 seconds. After bonding, all samples were stored in distilled water for 24 hours and then tested in a shear mode on a universal testing machine.

RESULTS

No significant differences in terms of bond strength values were found among the 6 groups, but significant differences in debond locations were found among the 6 groups tested.

CONCLUSIONS

Power Slot light guides can be recommended as advantageous alternatives for fast-curing composite resins during orthodontic bonding.

Effect of fluoride application on shear bond strength of brackets bonded with a resin-modified glass-ionomer

PURPOSE

The purpose of this study was to assess the effect of fluoride application at 3 different steps of the bonding process on the shear bond strength and bond failure site of a resin-modified glass ionomer cement.

MATERIAL

Sixty stainless steel brackets were bonded to bovine incisors with Fuji Ortho LC (GC Europe, Leuven, Belgium) under 4 different enamel conditions: (1) uncontaminated enamel, (2) enamel precleaned with fluoride-containing prophylaxis paste, (3) 1.1% acidulated phosphate fluoride (APF) gel applied immediately before conditioning, and (4) 1.1% APF gel applied immediately before bonding. After bonding, all samples were stored in distilled water for 24 hours and subsequently tested in shear mode on a universal testing machine.

RESULTS

No significant differences were found between groups 1 (uncontaminated enamel) and 2 (fluoride application during prophylaxis). Both groups showed significantly greater shear bond strength values than groups 3 (fluoride application before conditioning) and 4 (fluoride application before bonding). Groups 3 and 4 did not differ significantly. Moreover, no significant differences in debond locations were found among the 4 groups.

CONCLUSIONS

Fluoride application during initial prophylaxis does not affect the bond strength values of Fuji Ortho LC, whereas it significantly lowers bond strength values when applied before both conditioning and bonding.

Effect of saliva contamination on shear bond strength of orthodontic brackets when using a self-etch primer

The effect of saliva contamination on the shear bond strength of orthodontic brackets, at various stages of the bonding procedure using a new self-etch primer was studied. The samples were divided into 4 groups according to 4 different enamel surface conditions: Group A: dry; Group B: saliva contamination before priming; Group C: saliva contamination after priming, and Group D: saliva contamination before and after priming. Stainless steel brackets were bonded in each test group with a light-cured composite resin (TransbondXT 3M). The shear bond strength was determined in the first 30 min after bonding. The analysis of variance indicated that the shear bond strengths of the 4 groups were significantly different (F = 11.89, P < 0.05). Tukey HSD tests indicated that contamination both before and after the application of the acid-etch primer resulted in a significantly lower (=4.6 +/- 1.7 MPa) shear bond strength than either the control group (=8. 8 +/- 1.9 MPa) or the groups where contamination occurred either before ( = 7.9 +/- 2.0 MPa) or after (= 6. 9 +/- 1.5 MPa) the application of the primer. It was concluded that the new acid-etch primer could maintain adequate shear bond strength if contamination occurred either before or after the application of the primer. On the other hand, contamination both before and after the application of the primer could significantly reduce the shear bond strength of orthodontic brackets.

Effect of blood contamination on shear bond strength of brackets bonded with a self-etching primer combined with a resin-modified glass ionomer

This study assessed the effect of blood contamination on the shear bond strength and bond failure site of a resin-modified glass ionomer (Fuji Ortho LC, GC Europe, Leuven, Belgium) used with 3 enamel conditioners (10% polyacrylic acid, 37% phosphoric acid, and self-etching primer). One hundred twenty bovine permanent mandibular incisors were randomly divided into 8 groups; each group consisted of 15 specimens. Two enamel surface conditions were studied: dry and contaminated with blood. One hundred twenty stainless steel brackets were bonded with the resin-modified glass ionomer. After bonding, all samples were stored in distilled water for 24 hours and then tested in shear mode on a testing machine. The groups conditioned with self-etching primer and 37% phosphoric acid had the highest bond strengths for both dry and blood-contaminated enamel. The groups conditioned with 10% polyacrylic acid showed significantly lower shear bond strength value, and the unconditioned groups had the lowest bond strengths. For each enamel conditioner, no significant difference was reported between dry and blood-contaminated groups. Significant differences in debond locations were found among the groups bonded with the different conditioners. Blood contamination of enamel during the bonding procedure of Fuji Ortho LC did not affect its bond strength values, no matter which enamel conditioner was used.

Effects of blood contamination on the shear bond strengths of conventional and hydrophilic primers

The purpose of this study was to assess the effect of blood contamination on the shear bond strength and failure site of 2 orthodontic primers (Transbond XT and Transbond MIP; 3M/Unitek, Monrovia, Calif) when used with adhesive-precoated brackets (APC II brackets; 3M/Unitek). One hundred twenty bovine permanent mandibular incisors were randomly divided into 8 groups; each group contained 15 specimens. Each primer-adhesive combination was tested under a different enamel surface condition: dry, blood contamination before priming, blood contamination after priming, or blood contamination before and after priming. Stainless steel APC II brackets were bonded to the teeth. After bonding, all samples were stored in distilled water at room temperature for 24 hours and subsequently tested for shear bond strength. Noncontaminated enamel surfaces had the highest bond strengths for both conventional and hydrophilic primers; their values were almost the same. Under blood-contaminated conditions, both primers showed significantly lower shear bond strengths. For each type of primer, no significant differences were reported among the blood-contaminated groups. Significant differences in debond locations were found among the groups bonded with the 2 primers under the various enamel surface conditions. Blood contamination of enamel during the bonding procedure of conventional and hydrophilic primers significantly lowers their bond strength values and might produce a bond strength that is not clinically adequate.

Comparison of bond strength between a conventional resin adhesive and a resin-modified glass ionomer adhesive: An in vitro and in vivo study

The objectives of this study were (1) to compare the in vivo survival rates of orthodontic brackets bonded with a resin-modified glass ionomer adhesive (Fuji Ortho LC; GC America, Alsip, Ill) after conditioning with 10% polyacrylic acid and a conventional resin adhesive (Light Bond; Reliance Orthodontic Products, Itasca, Ill) bonded with 37% phosphoric acid, (2) to compare the in vitro bond shear/peel bond strength between the 2 adhesives, (3) to determine the mode of bracket failure in the in vivo and in vitro tests according to the adhesive remnant index (ARI), and (4) to compare the changes in surface morphology of enamel surface after etching or conditioning with 10% polyacrylic acid, with scanning electron microscopy. In the in vitro study, 50 extracted premolars were randomly divided into 4 groups: brackets bonded with Fuji Ortho LC or Light Bond adhesive that were debonded after either 30 minutes or 24 hours. Bond strengths were determined with a testing machine at a crosshead speed of 1 mm/min. Data were analyzed with analysis of variance and a paired Student t test. The in vivo study consisted of 398 teeth that were randomly bonded with Fuji Ortho LC or Light Bond adhesive in 22 subjects with the split-mouth technique. Bracket survival rates and distribution were followed for 1.3 years. Data were analyzed with Kaplan-Meier product-limit estimates of survivorship function. The in vitro study results showed significant differences (P <.05) among the adhesives and the debond times. Light Bond had significantly greater bond strengths than Fuji Ortho LC at 24 hours (18.46 +/- 2.95 MPa vs 9.56 +/- 1.85 MPa) and 30 minutes (16.19 +/- 2.04 MPa vs 6.93 +/- 1.93 MPa). Mean ARI scores showed that Fuji Ortho LC had significantly greater incidences of enamel/adhesive failure than Light Bond adhesive (4.9 vs 4.1). For the in vivo study, no significant differences in failure rate, sex, or location in dental arch or ARI ratings were found between the 2 adhesives. These results suggest that, compared with conventional resin, brackets bonded with resin-modified glass ionomer adhesive had significantly less shear bond strength in vitro. However, similar survival rates of the 2 materials studied after 1.3 years indicate that resin-reinforced glass ionomers can provide adequate bond strengths clinically. The weaker chemical bonding between the adhesive and the enamel might make it easier for clinicians to clean up adhesives on the enamel surface after debonding.

Effect of pulse vs continuous micro-xenon irradiation on the shear bond strength of a light-cured orthodontic composite resin

The aim of the study was to evaluate the effect of pulse vs. continuous irradiation on the shear bond strength of a conventional orthodontic composite resin cured with a micro-xenon light (Aurys, Degrè K, Schiltigheim, France). Ninety freshly extracted bovine permanent mandibular incisors were randomly assigned to one of six groups; each group consisting of 15 specimens. Three groups were exposed to continuous irradiation of micro-xenon light for 10, 5, and 2 s, respectively, and used as controls. The remaining three groups were exposed to pulse irradiation of the same light source for 10, 5, and 2 s, respectively. After 24 h, all samples were tested in a shear mode on an Instron Machine (Instron Corp., Canton, MA, USA). Analysis was made by ANOVA with Scheffé's test for comparisons. The chi-square test was used to determine significant differences in the Adhesive Remnant Index scores. The mean shear bond strength of the brackets continuously cured for 10 s was not statistically different from that of the brackets pulse-activated for the same curing time. Also, no statistically significant differences were found between both groups cured for 5 s. The group pulse-activated for 5 s, however, had a significantly lower mean shear bond strength than the control group cured for 10 s. Finally, the group pulse-activated for 2 s showed significantly lower bond strength values than all the other groups tested. Compared with continuous light curing, the micro-xenon pulse activation provides similar shear bond strength values, except when used for only 2 s; but despite lower performance characteristics, the shear bond strength may be clinically acceptable.

Use of a self-etching primer in combination with a resin-modified glass ionomer: effect of water and saliva contamination on shear bond strength

The purpose of this study was to evaluate the effects of 3 different enamel conditioners (10% polyacrylic acid, 37% phosphoric acid, and self-etching primer) on the shear bond strength and site of bond failure of a resin-modified glass ionomer (Fuji Ortho LC, GC Europe, Leuven, Belgium) bonded onto dry, water-moistened, and saliva-moistened enamel. One hundred eighty bovine permanent mandibular incisors were randomly divided into 12 groups; each group consisted of 15 specimens. Three different enamel surface conditions were studied: dry, soaked with water, soaked with saliva. One hundred eighty stainless steel brackets were bonded with the resin-modified glass ionomer. After bonding, all samples were stored in distilled water for 24 hours and then tested in a shear mode on a testing machine. After self-etching primer application, Fuji Ortho LC produced the highest shear bond strengths under all the different enamel surface conditions; these values were significantly higher than those achieved in the remaining groups, except when Fuji Ortho LC was used in combination with 37% phosphoric acid on dry enamel. Fuji Ortho LC bonded without enamel conditioning produced the lowest shear bond strengths. The bond strength of the groups conditioned with 10% polyacrylic acid was significantly lower than that of the groups etched with 37% phosphoric acid, except when both conditioners were used on enamel soaked with water.

Effect of water and saliva contamination on shear bond strength of brackets bonded with conventional, hydrophilic, and self-etching primers

This study assessed the effect of water and saliva contamination on the shear bond strength and bond failure site of 3 different orthodontic primers (Transbond XT, Transbond Moisture Insensitive Primer, and Transbond Plus Self Etching Primer; 3M Unitek, Monrovia, Calif) used with a light-cured composite resin (Transbond XT). Bovine permanent mandibular incisors (315) were randomly divided into 21 groups (15 in each group). Each primer-adhesive combination was tested under 7 different enamel surface conditions: (1) dry, (2) water application before priming, (3) water application after priming, (4) water application before and after priming, (5) saliva application before priming, (6) saliva application after priming, and (7) saliva application before and after priming. Stainless steel brackets were bonded in each test group with composite resin. After bonding, all samples were stored in distilled water at room temperature for 24 hours and then tested for shear bond strength. Noncontaminated enamel surfaces had the highest bond strengths for conventional, hydrophilic, and self-etching primers, which produced the same strength values. In most contaminated conditions, the self-etching primer had higher strength values than either the hydrophilic or conventional primers. The self-etching primer was the least influenced by water and saliva contamination, except when moistening occurred after the recommended 3-second air burst. No significant differences in debond locations were found among the groups bonded with the self-etching primer under the various enamel conditions.

Bond strength for orthodontic brackets contaminated by blood: composite versus resin-modified glass ionomer cements

PURPOSE

The purpose of this study was to evaluate and compare the shear bond strengths of a self-cured glass ionomer versus composite cement for bonding of stainless steel buttons with various enamel surface and setting conditions.

MATERIALS AND METHODS

Stainless steel orthodontic buttons were bonded using composite material under 3 different enamel and setting conditions: 1) conditioned and dry enamel surface, 2) conditioned and precontamination of the enamel surface with blood before bonding, 3) conditioned and immediate blood contamination postbonding and were compared with 3 different enamel conditions and setting for bonding with the glass ionomer cement: 1) nonconditioned and wet enamel surfaces, 2) nonconditioned and blood contamination of enamel before bonding, and 3) nonconditioned and immediate blood contamination postbonding. The brackets were bonded to 109 recently extracted teeth and allowed to set in a moist plastic container for 24 hours. They were subsequently tested in shear mode with a universal testing machine. The maximum bond strength and the site of bond failure were recorded. In addition, the location of the bond failure was studied.

RESULTS

Composite was capable of sustaining greater forces than the resin-modified glass ionomer materials. Hence, it took more force to debond a bracket cemented with composite than with resin-modified glass ionomer. The effect of contamination was similar in both of the materials, and the magnitude of the decrease in bond strength was nearly of the same proportion. The postcontamination values were not significantly different from the uncontaminated bond strength for either material. The type of bond failure was significantly different for the different materials, and there were significant differences among the treatment conditions.

CONCLUSION

Composite resin had significantly greater shear strength than resin-reinforced glass ionomer cement. Both materials showed a significant decrease in bond strength when precontaminated with blood. The postcontamination values were not significantly different from the uncontaminated bond strength for either material.

Shear bond strength of rebonded mechanically retentive ceramic brackets

The purpose of this study was to evaluate the bond strength of rebonded mechanically retentive ceramic brackets. Twenty new and 100 sandblasted rebonded ceramic brackets (Clarity, 3M Unitek, Monrovia, Calif) were bonded to 120 extracted human premolars with composite resin and divided into 6 equal groups according to how the bracket bases were treated: (1) new brackets, (2) rebonded/sandblasted, (3) rebonded/sandblasted/sealant, (4) rebonded/sandblasted/hydrofluoric acid (HF), (5) rebonded/sandblasted/HF/sealant on bracket base, and (6) rebonded/sandblasted/silane. Shear bond strength of each sample was tested with a testing machine. Results showed that the new brackets group had the highest mean strength (15.66 +/- 7.05 megapascals [MPa]), followed by the rebonded/sandblasted/sealant group (7.65 +/- 5.62 MPa), the rebonded/sandblasted/silane group (5.94 +/- 5.33 MPa), the rebonded/sandblasted group (2.97 +/- 2.29 MPa), the rebonded/sandblasted/HF group (1.22 +/- 1.66 MPa), and the rebonded/sandblasted/HF/sealant group (0.82 +/- 1.16 MPa). Statistical analysis showed that only the rebonded/sandblasted/sealant group was comparable with the new brackets group in bond strength (P >.05). It was concluded that in the process of rebonding mechanically retentive ceramic brackets, (1) new brackets have the highest mean bond strength when compared with rebonded brackets, (2) the bond strength of sandblasted rebonded brackets with sealant is not significantly different from new brackets, (3) silane does not increase bond strength of rebonded brackets significantly, and (4) HF treatment on sandblasted rebonded brackets significantly decreases bond strength.

Etching conditions for resin-modified glass ionomer cement for orthodontic brackets

This study reports the tensile bond strength of orthodontic eyelets (RMO, Inc, Denver, Colo) bonded to human extracted teeth with a resin-modified glass ionomer cement (RMGIC) (Fuji Ortho LC, GC America, Alsip, Ill) and various acid etchants (Etch-37 and All-Etch, Bisco, Schaumburg, Ill; Ultra Etch, 3M Unitek, St Paul, Minn) for enamel preparation before bonding. The enamel etch conditions were as follows: 37% phosphoric acid with silica; 37% phosphoric acid, silica-free; 10% phosphoric acid, silica-free; 10% polyacrylic acid; and unetched enamel. Bond strength was measured by pulling in tension on the eyelet with a 0.018-in steel wire perpendicular to the enamel surface with a testing machine (Instron model 1125, Canton, Mass) at a speed of 2 mm/min. A light-cured resin cement (Transbond XT, 3M Unitek, Monrovia, Calif) applied to enamel etched with 37% phosphoric acid containing silica served as a control. Each group included 30 specimens. The Weibull distribution (m) was used for statistical analysis with a 90% CI. The different etchants used with RMGIC did not affect tensile bond strength. The resin cement group had the highest tensile strength. Significantly lower bond strengths were observed when glass ionomer cement was used to bond orthodontic attachments to nonetched teeth. However, unlike resin cement, RMGIC can bond effectively to etched teeth in a moist environment without an additional bonding agent.

An 18-month clinical study of bond failures with resin-modified glass ionomer cement in orthodontic practice

The purpose of this study was to evaluate, over an 18-month period, the clinical performances of a resin-modified glass ionomer cement for bonding orthodontic brackets and to analyze various factors that influenced their survival and failure rates. Two orthodontists using the edgewise technique participated in this study; 6113 brackets, including 20 molar tubes, were bonded with Fuji Ortho LC (GC, Europe, N.V. Leuven, Belgium) in 135 patients. Ceramic, metal, and resin brackets were tested, and both operators used the same bonding method for the brackets. The survival rate and the failure rate of the brackets were evaluated. The rates were determined by operator, bracket type, tooth position in the dental arch, and age and sex of the patients. Bracket survival rates were estimated using the Kaplan-Meier test. The Cox-Mantel statistical test with a level of significance set at 0.05 was used to compare survival curves. The chi-square test was used at a level of P < .05 to compare failure rates. The overall failure rate for the sample was 7%, and the overall survival rate was equal to 0.918. Age had no significant influence on the failure rate (P = .07); however, it had a significant influence on the survival rate (P < .01). The best survival rates were obtained in the groups aged 16 to 20 years (S[t] = 0.943) and older than 20 years (S[t] = 0.929). The difference between males and females was not statistically significant in terms of failure rate (P = .17). However, the Cox-Mantel test showed a higher bracket survival rate for the males (S[t] = 0.924) than for the females (S[t] = 0.839) (P < .00001). The influence of the operator was not statistically significant on the failure rate (P = .08); however, it was significant on the survival rate (P < .0002). Location in the arch had a significant influence on the failure and survival rates. The worst results were obtained in the upper incisors and the canines, and the best results in the lower premolars. Fifteen percent of the molar tubes failed; their survival rate was equal to 0.833. The failure rate was significantly greater for resin brackets than for metal or ceramic brackets (P = .007). The highest survival rate was obtained with ceramic brackets (P = .0001). This in vivo study showed that bonding brackets and molar tubes with Fuji Ortho LC is compatible with clinical orthodontic practice.

Effects of conventional and high-intensity light-curing on enamel shear bond strength of composite resin and resin-modified glass-ionomer

The purpose of this study was to evaluate the shear bond strengths of a composite resin (Transbond XT; 3M/Unitek, Monrovia, Calif) and a resin-modified glass ionomer (Fuji Ortho LC; GC America Inc, Alsip, Ill) cured with 2 different light-curing units: a conventional visible light unit (Ortholux XT; 3M Dental Products, St Paul, Minn) and a xenon arc light unit (Plasma Arc Curing [PAC] System; American Dental Technologies, Corpus Christi, Texas). One hundred twenty freshly extracted bovine permanent mandibular incisors were randomly divided into 1 of 8 groups; each group consisted of 15 specimens. Two groups (1 group for each type of adhesive) were exposed to the visible light for 20 seconds (Transbond XT) and 40 seconds (Fuji Ortho LC), respectively, and used as control groups. The remaining 6 groups (3 for each adhesive) were cured with the xenon arc light for 2, 5, and 10 seconds. After bonding, all samples were stored in distilled water at room temperature for 24 hours and subsequently tested in a shear mode on an Instron universal testing machine (Instron Corp, Canton, Mass). For the groups bonded with Transbond XT, no statistically significant differences (P =.868) were found between the shear bond strength of the control group cured with Ortholux XT and those of the groups cured with the PAC System for 2, 5, or 10 seconds. When the shear bond strengths of the groups bonded with Fuji Ortho LC were evaluated, no statistically significant differences (P =.087) were found between the control group that was cured with Ortholux XT and those cured with the PAC System. The bond strength of the composite resin was significantly higher than that of the resin-modified glass ionomer in all the groups tested (P <.0001). The present findings indicate that, compared with visible light-curing, the xenon arc light enables the clinician to significantly reduce the curing time of both bonding agents, without affecting their shear bond strengths. Therefore, xenon arc light sources can be recommended as an advantageous alternative for curing both composite resins and resin-modified glass ionomers.

In-vitro study of resin-modified glass ionomer cements for cementation of orthodontic bands. Isolation, surplus removal and humidity as factors influencing the bond strength between enamel, cement and metal

The aim of this in vitro study was to investigate different light-cured and chemically cured resin-modified glass ionomer cements used for the cementation of orthodontic bands and to analyze various factors influencing the adhesive strength between enamel, cement and stainless steel. Four resin-modified glass ionomers (Fuji Ortho LC/GC, Fuji Duet/GC, Unitek Multi-Cure Glass Ionomer Orthodontic Band Cement/3M Unitek, Vitremer/3M) and 1 compomer (Band-Lok/Reliance) were examined. Flattened and polished bovine teeth embedded in polyurethane resin were used as enamel specimens. Before cementation, 50% of the specimens were moistened with the aerosol of an inhalation device, while the rest were dried with compressed air. Stainless steel cylinders (CrNi 18 10) were perpendicularly bonded onto the polished enamel using a custom-made cementation device and immediately topped with a pressure of 0.25 MPa. The cement was isolated with either Ketac Glaze/ESPE, Fuji Coat/GC, Cacao Butter/GC, Dryfoil/Jalenko or Final Varnish/VOCO, or was left uncoated. Eight minutes after the beginning of mixing, either the surplus cement was removed with a scalpel or surplus removal was simulated with ultrasound. After 24 hours storage in a water bath at 37 degrees C and 1,000 thermocycles the shear bond strength was determined. Significant differences with respect to the shear bond strength were found among the following cements, ranking from highest to lowest: Fuji Duet, Unitek cement > Fuji Ortho LC > Vitremer > Band-Lok. The application of a barrier coating significantly increased the shear bond strength of all cements except Fuji Ortho LC. The light-cured resin Ketac Glaze proved to be the most effective barrier coating. A dry enamel surface increased the bond strength of all investigated cements except Unitek cement. The use of ultrasound led to no significant reduction in shear bond strength in comparison with surplus removal with a scalpel.

Tensile and shear stresses in the orthodontic attachment adhesive layer with 3D finite element analysis

The tests commonly used for the evaluation of orthodontic adhesives measure tensile and shear bond strength. The two methods were compared with finite element analysis using a three-dimensional model and the effect of misalignment of the tensile and shear forces was calculated. Applying a shear load produces significant compressive and tensile stresses in the adhesive layer. Under ideal conditions of shear loading, the induced tensile stress is over 5 times the induced shear stress. The model shows that a tensile load induces predominantly tensile stresses in the adhesive layer. The calculations indicate that the tensile test method is a robust testing method with low sensitivity to misalignment of the applied load.

Shear bond strengths of two resin-modified glass ionomer cements to porcelain

Shear bond strength of a composite resin adhesive (Concise) and two resin-modified glass ionomer cements (Fuji Ortho LC and Geristore) bonded to porcelain surface was tested. Orthodontic brackets were bonded to 120 porcelain disks (Finesse) etched with 9% HF. Samples were divided into six groups: (1) Concise, (2) Concise/silane, (3) Geristore, (4) Geristore/silane, (5) Fuji, (6) Fuji/silane. No statistical difference in mean shear bond strength was found between silanated Concise (15.8 MPa), Geristore (19.4 MPa), and Fuji (18.5 MPa) groups, which were significantly higher than nonsilanated groups. Porcelain fracture was observed in all silanated groups and nonsilanated Geristore group. We conclude that (1) silane increases bond strength to porcelain significantly for composite resin and resin-modified glass ionomer cement, (2) Concise, Geristore, and Fuji Ortho LC provide comparable shear bond strength to porcelain.

Shear bond strength of a resin-reinforced glass ionomer cement: an in vitro comparative study

Shear bond strength of Concise (a composite resin adhesive) and Fuji Ortho LC (a light-cured resin-reinforced glass ionomer cement) bonded to extracted teeth was tested under different bonding conditions: (1) Concise/etched/dry (2) Fuji/etched/dry (3) Fuji/etched/wet (4) Fuji/unetched/dry (5) Fuji/unetched/wet. Concise/etched/dry and Fuji/etched/dry groups showed comparable mean shear bond strength (10.5 and 8.2 MPa, respectively); the other three groups had considerably lower values. The difference between Fuji/etched/dry and Fuji/etched/wet was not statistically significant. The site of bond failure was between bracket and adhesive in all etched groups and between adhesive and enamel in the unetched groups. We conclude that (1) enamel surface etching is required for Fuji Ortho LC to achieve optimum bond strength, (2) moisture does not affect bond strength of Fuji Ortho LC significantly.