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Karaokutan I, Ayvaz I, Ozel GS. Effect of adhesives and mechanical surface treatments on the hard relining of CAD-CAM denture bases. J Prosthodont 2024. [PMID: 39215615 DOI: 10.1111/jopr.13934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2024] [Revised: 07/28/2024] [Accepted: 08/17/2024] [Indexed: 09/04/2024] Open
Abstract
PURPOSE The aim of this study was to evaluate the impact of mechanical roughening, adhesive applications, and aging on the bonding between CAD-CAM denture base materials with distinct chemical contents and hard relining material. MATERIALS AND METHODS A total of 300 denture base specimens were produced by additive, subtractive, and conventional heat-polymerization techniques (N = 100). The specimens have been classified into five subgroups based on the particular surface treatments administered (n = 20): (1) Hard relining material's adhesive application (control); (2) Tungsten carbide bur application for 1 min, and hard reline material's adhesive application; (3) Airborne-particle abrasion (APA) with 110 μm Al2O3, and hard reline material's adhesive application; (4) Scotchbond Universal application; and (5) Visio.link application. Representative specimens from each subgroup were examined under a Scanning Electron Microscope (SEM). Subsequently, self-cure hard relining material was condensed in the center of the specimens. Half of the specimens were thermally aged with 5000 cycles at 5°C-55°C. The shear bond strength (SBS) test was performed, and failure loads were recorded. The data was evaluated by Robust ANOVA and Bonferroni test (p < 0.05). RESULTS No statistically significant difference was obtained between the production techniques (p = 0.051). The lowest SBS was observed in the control group among surface treatments, while mechanical surface treatments and universal adhesive showed the highest SBS for both aged and non-aged groups. Aging caused a significant decrease for all test groups (p = 0.001). CONCLUSIONS Mechanical surface treatments and universal adhesive applications are more effective for maintaining adhesion across all production techniques.
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Affiliation(s)
- Isil Karaokutan
- Department of Prosthodontics, Faculty of Dentistry, Pamukkale University, Denizli, Turkey
| | - Ilayda Ayvaz
- Department of Prosthodontics, Faculty of Dentistry, Pamukkale University, Denizli, Turkey
| | - Gulsum Sayin Ozel
- Department of Prosthodontics, Faculty of Dentistry, Istanbul Medipol University, Istanbul, Turkey
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EL-Awady AA, ElHabbak KS, Mohamed HR, Elwan AE, Adly KS, Abdalla MA, Kamal EM, Alameldin AL. Effect of Different Primers on the Shear Bond Strength of Orthodontic Brackets Bonded to Reinforced Polyetheretherketone (PEEK) Substrate. Dent J (Basel) 2024; 12:188. [PMID: 38920889 PMCID: PMC11202904 DOI: 10.3390/dj12060188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2024] [Revised: 06/09/2024] [Accepted: 06/18/2024] [Indexed: 06/27/2024] Open
Abstract
This in vitro study assessed the effect of different primers on the shear bond strength (SBS) and adhesive remnant index (ARI) of orthodontic brackets bonded to reinforced polyetheretherketone (PEEK) substrate. A total of 40 specimens were randomly distributed to two groups based on the primer used for orthodontic bonding: group 1 (control)-Transbond XT adhesive with Visio.link primer and group 2 (test)-orthodontic adhesive (Transbond XT) with traditional orthodontic primer. After bonding, specimens were thermocycled followed by SBS testing and ARI scoring of debonded specimens. Data were analyzed using the unpaired independent t-test and the Chi-square test. Group 1 specimens showed significantly higher SBS values (21.38 ± 1.48 MPa) compared to group 2 specimens (18.63 ± 1.29 MPa) (p < 0.0001). Adhesive remnant index scores showed no significant variations in bond failure modes and distributions between groups. The SBS obtained by the tested primers exceeded the clinically recommended value. Consequently, there is a comparable clinical application for both tested primers in orthodontic bonding, especially the traditional orthodontic primer, where the availability of Visio.link in clinical practice is not ensured.
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Affiliation(s)
- Ahmed Akram EL-Awady
- Department of Orthodontics, Faculty of Dental Medicine (Boys), Al-Azhar University, Cairo 11651, Egypt
| | - Khaled Samy ElHabbak
- Department of Orthodontics, Faculty of Oral and Dental Medicine, MTI University, Cairo 4416301, Egypt;
| | - Hussein Ramadan Mohamed
- Crown and Bridge Department, Faculty of Dental Medicine (Boys), Al-Azhar University, Cairo 11651, Egypt; (H.R.M.); (A.E.E.); (K.S.A.); (A.L.A.)
| | - Ahmed Elsayed Elwan
- Crown and Bridge Department, Faculty of Dental Medicine (Boys), Al-Azhar University, Cairo 11651, Egypt; (H.R.M.); (A.E.E.); (K.S.A.); (A.L.A.)
| | - Karim Sherif Adly
- Crown and Bridge Department, Faculty of Dental Medicine (Boys), Al-Azhar University, Cairo 11651, Egypt; (H.R.M.); (A.E.E.); (K.S.A.); (A.L.A.)
| | - Moamen Ahmed Abdalla
- Department of Substitutive Dental Science, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi Arabia;
| | - Ehab Mohamed Kamal
- Operative Dentistry Department, Faculty of Dental Medicine (Boys), Al-Azhar University, Cairo 11651, Egypt;
| | - Ahmed Leithy Alameldin
- Crown and Bridge Department, Faculty of Dental Medicine (Boys), Al-Azhar University, Cairo 11651, Egypt; (H.R.M.); (A.E.E.); (K.S.A.); (A.L.A.)
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Daher R, Ardu S, di Bella E, Krejci I, Duc O. Efficiency of 3D printed composite resin restorations compared with subtractive materials: Evaluation of fatigue behavior, cost, and time of production. J Prosthet Dent 2024; 131:943-950. [PMID: 36333176 DOI: 10.1016/j.prosdent.2022.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 08/03/2022] [Accepted: 08/08/2022] [Indexed: 11/05/2022]
Abstract
STATEMENT OF PROBLEM Three-dimensionally (3D)-printed composite resins have been marketed as materials for definitive restorations. However, limited information is available regarding the stability of the adhesive interface and the efficiency of 3D printed composite resins. PURPOSE The purpose of this in vitro study was to evaluate the integrity of the marginal adhesive interface before and after thermal and mechanical fatigue of an initial formulation of a 3D printed composite resin and to evaluate the efficiency of this manufacturing method. MATERIAL AND METHODS Freshly extracted molars were prepared for onlays and adhesively restored with either 3D printed composite resin (VarseoSmile Crown Plus) (Group 3D), milled composite resin (Tetric CAD) (Group MCOMP), milled PMMA (Telio CAD) (Group PMMA), and milled lithium disilicate (IPS e.max CAD) (Group EM). Marginal analysis was performed under a scanning electron microscope before and after fatigue by thermomechanical cyclic loading, and initial and terminal percentages of continuous margin (%CM) were compared. The time required for the production of each type of restoration was recorded, and the production costs were also compared. RESULTS Before aging, 3D, MCOMP, and EM presented comparable values of %CM (69.8%, 75.9%, and 63.1%, respectively) that were statistically significantly higher (P<.05) than those of PMMA (45.1%). After aging, 3D and EM had comparable results (44.7% and 43.7%, respectively), which were lower than those of the MCOMP group (68.5%) but higher than those of the PMMA group (20.5%). Regarding time efficiency, 3D printing took less time than MCOMP or PMMA if more than 8 restorations were fabricated. For the production costs, 3D printing was 5.5, 8.7, and 10.2 times less expensive than PMMA, MCOMP, and EM, respectively. The initial equipment cost was also lower for the additive manufacturing method. However, 3D printing did not always considerably reduce waste. CONCLUSIONS In terms of marginal adaptation, the evaluated initial formulation of a 3D printed composite resin behaved similarly to other well-established definitive restoration materials and better than milled PMMA, both before and after fatigue. Three-dimensionally printed resins present advantages in terms of equipment and consumable costs, even for a single restoration, but also for production time when more than 8 restorations were fabricated.
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Affiliation(s)
- René Daher
- Lecturer, Division of Cariology and Endodontology, Clinique Universitaire de Médecine Dentaire (CUMD), University of Geneva, Geneva, Switzerland.
| | - Stefano Ardu
- Senior Lecturer, Treatment Plan Unit and Division of Cariology and Endodontology, Clinique Universitaire de Médecine Dentaire (CUMD), University of Geneva, Geneva, Switzerland
| | - Enrico di Bella
- Assistant Professor, Department of Political Science, University of Genoa, Genoa, Italy
| | - Ivo Krejci
- Full Professor and Chairman, Division of Cariology and Endodontology, Clinique Universitaire de Médecine Dentaire (CUMD), University of Geneva, Geneva, Switzerland
| | - Olivier Duc
- Senior Lecturer, Division of Cariology and Endodontology, Clinique Universitaire de Médecine Dentaire (CUMD), University of Geneva, Geneva, Switzerland
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Biadsee A, Rosner O, Khalil C, Atanasova V, Blushtein J, Levartovsky S. Comparative evaluation of shear bond strength of orthodontic brackets bonded to three-dimensionally-printed and milled materials after surface treatment and artificial aging. Korean J Orthod 2023; 53:45-53. [PMID: 36597666 PMCID: PMC9877367 DOI: 10.4041/kjod22.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Revised: 09/07/2022] [Accepted: 10/12/2022] [Indexed: 01/05/2023] Open
Abstract
Objective This study aimed to evaluate the shear bond strength (SBS) of orthodontic brackets bonded to three-dimensionally (3D)-printed materials after various surface treatments and artificial aging compared with that bonded to computer-aided design/computer-aided manufacturing (CAD-CAM) polymethyl methacrylate (PMMA)-milled materials. Methods Eighty cylindrical specimens were 3D printed and divided into the following four subgroups (n = 20 each) according to the surface treatment and artificial aging procedure. Group A, sandblasted with 50 μm aluminum oxide particles (SA) and aging; group B, sandblasted with 30 μm silica-coated alumina particles (CO) and aging; group C, SA without aging; and group D, CO without aging. For the control group, 20 CAD-CAM PMMA-milled cylindrical specimens were sandblasted with SA and aged. The SBS was measured using a universal testing machine (0.25 mm/min), examined at ×2.5 magnification for failure mode classification, and statistically analyzed (p = 0.05). Results The retention obtained with the 3D-printed materials (groups A-D) was higher than that obtained with the PMMA-milled materials (control group). However, no significant difference was found between the study and control groups, except for group C (SA without aging), which showed significantly higher retention than the control group (PMMA-SA and thermocycling) (p = 0.037). Study groups A-D predominantly exhibited a cohesive specimen mode, indicating specimen fracture. Conclusions Orthodontic brackets bonded to 3D-printed materials exhibit acceptable bonding strengths. However, 3D-printed materials are prone to cohesive failure, which may result in crown fractures.
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Affiliation(s)
- Ameer Biadsee
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel,Corresponding author: Ameer Biadsee. Clinical Instructor, Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Klatchkin 4, Tel Aviv 69978, Israel., Tel +972-525833906 e-mail
| | - Ofir Rosner
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Carol Khalil
- The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Vanina Atanasova
- Department of Orthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Joel Blushtein
- Department of Orthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Shifra Levartovsky
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Buyukcavus E, Ugurlu M, Buyukcavus MH. Shear bond strength of orthodontic molar tubes to composite restoration bonded with particular adhesives after different surface pre-treatments. Orthod Craniofac Res 2022; 25:541-548. [PMID: 35080117 DOI: 10.1111/ocr.12567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 11/25/2021] [Accepted: 01/19/2022] [Indexed: 12/24/2022]
Abstract
OBJECTIVE To evaluate in vitro the shear bond strength of orthodontic molar tubes to composite restoration bonded with particular adhesives after different surface pre-treatments. SETTING AND SAMPLE POPULATION The sample population is 60 extracted molars. MATERIALS AND METHODS After the teeth were thermocycled, they were randomly divided into six groups according to the adhesive and various surface pre-treatments that had been applied. The surface pre-treatments included sandblasting with 50-μm aluminium oxide particles and roughening with diamond bur and 37% phosphoric acid. Transbond XT Adhesive Primer (3M Unitek) (TXT) and Assure Plus (Reliance Orthodontic Products) adhesives were used in the study. Following the application of the adhesives, the brackets were bonded to the surfaces of the teeth. Shear bond strength was measured using a universal testing machine. Data were analysed with one-way ANOVA and LSD tests (P = .05). The adhesive remnant index (ARI) was determined using a stereomicroscope. Data from the ARI scores were submitted to Pearson's chi-squared test (P = .05). RESULTS The highest shear bond strengths were obtained in the Assure Plus group 15.05 ± 3.72 MPa after sandblasting (P < .05). The lowest shear bond strengths were found in the TXT group (7.52 ± 2.89 MPa; P < .05). Sandblasting and bur pre-treatment for TXT and Assure Plus adhesives increased shear bond strength in both of them. There were no significant differences in the ARI scores between the groups (P > .05). CONCLUSION Sandblasting and roughening pre-treatment can increase the bond strength of teeth with composite restoration. Assure Plus is also more effective than conventional adhesive systems.
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Affiliation(s)
- Esra Buyukcavus
- Department of Restorative Dentistry, Isparta Dental Health Center, Isparta, Turkey
| | - Muhittin Ugurlu
- Department of Restorative Dentistry, Faculty of Dentistry, Suleyman Demirel University, Isparta, Turkey
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Hu B, Hu Y, Li X, Gao J, Sun R, Zhan D, Sano H, Fu J. Shear bond strength of different bonding agents to orthodontic metal bracket and zirconia. Dent Mater J 2022; 41:749-756. [PMID: 36070928 DOI: 10.4012/dmj.2022-028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study aimed to evaluate the shear bond strength (SBS) of four bonding agents used to bond metal brackets to zirconia under different storage conditions. Four bonding agents were used [FLC: (Fuji ORTHO LC), XT: (TransbondTM XT), RUC-SBU: (Rely XTM Ultimate Clicker Adhesive Resin Cement+Single Bond Universal), and RUC-GBU: (Rely XTM Ultimate Clicker Adhesive Resin Cement+Gluma Bond Universal)] to bond two types of metal brackets (PT/3M) to zirconia surfaces, and they were stored in water at 37ºC for 24 h or thermocycling for 3,000 cycles. The SBS data of RUC-SBU and RUC-GBU using PT brackets were significantly higher than those of 3M brackets before and after thermocycling. It could be concluded that RUC-SBU and RUC-GBU could offer sufficient bond strength between metal brackets and zirconia for the short term compared with FLC and XT. The design of brackets can significantly affect the bond strength to zirconia.
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Affiliation(s)
- Bo Hu
- School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Disease
| | - Yichun Hu
- School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Disease
| | - Xiangyi Li
- School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Disease
| | - Jiayang Gao
- School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Disease
| | - Ruitong Sun
- School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Disease
| | - Desong Zhan
- Department of Dental Materials Science, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Disease
| | - Hidehiko Sano
- Department of Restorative Dentistry, Division of Oral Health Science, Faculty of Dental Medicine, Hokkaido University
| | - Jiale Fu
- Department of Dental Materials Science, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Disease
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Effectiveness of surface treatment on bond strength of ceramic brackets to two types of CAD/CAM-prepared nanohybrid composites. J Orofac Orthop 2022; 84:123-132. [PMID: 35190866 DOI: 10.1007/s00056-022-00377-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Accepted: 01/13/2022] [Indexed: 10/19/2022]
Abstract
OBJECTIVES The aim of this study was to assess the influence of surface treatment on the shear bond strength of two different adhesive-coated orthodontic ceramic brackets to computer-aided design/computer-aided manufacturing (CAD/CAM) nanohybrid composite. METHODS A total of 120 specimens (10 mm × 10 mm × 3 mm) were prepared from each type of CAD/CAM block (Grandio [GR], VOCO Cuxhaven, Germany; Lava Ultimate [LU], 3M ESPE, St. Paul, MN, USA). For each type of CAD/CAM block, the plates were divided into four groups based on the applied surface treatment: hydrofluoric acid (HF), grinding bur (GB), silica coating with CoJet system (CS), and titanium tetrafluoride (TiF4) 2 wt/v%. Maxillary central incisors of adhesive-coated ceramic orthodontic brackets (APC Flash-free Clarity Advanced Ceramic, 3M Unitek, Monrovia, CA, USA) were bonded using Transbond XT Primer (3M Unitek, Monrovia, CA, USA). Shear bond strength was conducted, and the modes of failure were assessed utilizing the adhesive remnant index. Surface roughness and topography of treated CAD/CAM were evaluated. Data were statistically analyzed using two-way analysis of variance (ANOVA) and Tukey's test. The Weibull analysis was conducted on shear bond strength data. RESULTS Surface treatment with 2% TiF4 wt/v revealed significantly higher bond strength (GR, 14.51 ± 2.57 MPa; LU, 11.19 ± 2.17 MPa) than other groups for both types of CAD/CAM restorative materials (p < 0.05). Adhesive failures were the predominant mode of failure. Surface treatment with CS revealed higher surface roughness than other groups (p < 0.05). CONCLUSIONS Surface treatment with 2% TiF4 wt/v enhanced the adhesion between orthodontic ceramic brackets to GR and LU CAD/CAM composite restorative materials. GR CAD/CAM nanohybrid composite had higher bond strength than LU to ceramic orthodontic brackets.
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Bracket Bonding to All-Ceramic Materials with Universal Adhesives. MATERIALS 2022; 15:ma15031245. [PMID: 35161189 PMCID: PMC8839010 DOI: 10.3390/ma15031245] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Revised: 01/19/2022] [Accepted: 01/28/2022] [Indexed: 01/27/2023]
Abstract
The need for bracket bonding to ceramic restorations is increasing. The aim of this study was to evaluate the effect of universal adhesives on bracket adhesion to polished or glazed lithium disilicate (LDS) and monolithic zirconia (MZ) surfaces. One hundred and twenty brackets (N = 10) were bonded to either polished or glazed LDS (e.max CAD B32, Ivoclar Vivadent, Schaan, Liechtenstein) and MZ (In-Ceram® YZ, VITA, Bad Sackingen, Germany) blocks using three different adhesives combined with Transbond™ XT Paste (3M Unitek, Monrovia, CA, USA). Tested universal adhesives were Scotchbond™ Universal Adhesive (SU, 3M St. Paul, MN, USA) and Assure Plus (AP, Reliance, Itasca, IL, USA). Transbond™ XT Primer (XTP, 3M Unitek, Monrovia, CA, USA) served as a control adhesive. Bracket bond strength was measured in shear mode (SBS). Failure type was determined by the Modified Adhesive Remnant Index (ARI). Data were statistically analyzed. On polished LDS, SU yielded bracket SBS significantly superior to those of AP and XTP. On polished MZ, the use of SU and AP significantly enhanced bracket retention as compared with XTP. Low SBS values, below the threshold of clinical acceptability, were reached by all tested adhesives on glazed LDS and MZ specimens. SBS measurements corresponded with failure type observations. Universal adhesives SU and AP could be considered for use on polished LDS and MZ surfaces.
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Park JH, Choi JY, Oh SH, Kim SH. Three-Dimensional Digital Superimposition of Orthodontic Bracket Position by Using a Computer-Aided Transfer Jig System: An Accuracy Analysis. SENSORS (BASEL, SWITZERLAND) 2021; 21:5911. [PMID: 34502801 PMCID: PMC8434098 DOI: 10.3390/s21175911] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/21/2021] [Revised: 08/28/2021] [Accepted: 08/30/2021] [Indexed: 11/16/2022]
Abstract
Accurate bracket placement is essential for successful orthodontic treatment. An indirect bracket bonding system (IDBS) has been developed to ensure proper bracket positioning with three-dimensional computer-aided transfer jigs. The purpose of this study was to investigate the accuracy of bracket positioning by a one-body transfer jig according to the tooth type and presence/absence of a resin base. In total, 506 teeth from 20 orthodontic patients were included in this study. After initial dental models were scanned, virtual setup and bracket positioning procedures were performed with 3D software. Transfer jigs and RP models were fabricated with a 3D printer, and brackets were bonded to the RP model with or without resin base fabrication. The best-fit method of 3D digital superimposition was used to evaluate the lineal and angular accuracy of the actual bracket position compared to a virtual bracket position. Although all the measurements showed significant differences in position, they were clinically acceptable. Regarding the tooth types, premolars and molars showed higher accuracy than anterior teeth. The presence or absence of a resin base did not consistently affect the accuracy. In conclusion, the proper application of IDBS should be performed considering the errors, and resin base fabrication might not be essential in ensuring high-accuracy IDBS.
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Affiliation(s)
- Jae-Hyun Park
- Department of Orthodontics, Graduate School of Dentistry, Kyung Hee University, Seoul 02447, Korea; (J.-H.P.); (J.-Y.C.)
| | - Jin-Young Choi
- Department of Orthodontics, Graduate School of Dentistry, Kyung Hee University, Seoul 02447, Korea; (J.-H.P.); (J.-Y.C.)
| | - Song Hee Oh
- Department of Oral and Maxillofacial Radiology, Graduate School of Dentistry, Kyung Hee University, Seoul 02447, Korea;
| | - Seong-Hun Kim
- Department of Orthodontics, Graduate School of Dentistry, Kyung Hee University, Seoul 02447, Korea; (J.-H.P.); (J.-Y.C.)
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