Shear bond strength and debonding characteristics of metal and ceramic brackets bonded with conventional acid-etch and self-etch primer systems: an in-vivo study
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Mirzakouchaki, Behnam; Shirazi, Sajjad; Sharghi, Reza; Shirazi, Samaneh; Moghimi, Mahsan; Shahrbaf, Shirin
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Aquest document és un/a article, creat/da en: 2016
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Background: Different
in-vitro
studies have reported various results regarding shear bond strength (SBS) of orthodontic brackets when SEP technique is compared to conventional system. This
in-vivo
study was designed to
compare the effect of conventional acid-etching and self-etching primer adhesive (SEP) systems on SBS and debonding characteristics of metal and ceramic orthodontic brackets.
Material and Methods: 120 intact first maxillary and mandibular premolars of 30 orthodontic patients were selected and bonded with metal and ceramic brackets using conventional acid-etch or self-etch primer system. The
bonded brackets were incorporated into the wire during the study period to simulate the real orthodontic treatment
condition. The teeth were extracted and debonded after 30 days. The SBS, debonding characteristics and adhesive
remnant indices (ARI) were determined in all groups.
Results: The mean SBS of metal brackets was 10.63±1.42 MPa in conventional and 9.38±1.53 MPa in SEP system,
(
P
=0.004). No statistically significant difference was noted between conventional and SEP systems in ceramic
brackets. The frequency of 1, 2 and 3 ARI scores and debonding within the adhesive were the most common among
all groups. No statistically significant difference was observed regarding ARI or failure mode of debonded speci
mens in different brackets or bonding systems.
Conclusions: The SBS of metal brackets bonded using conventional system was significantly higher than SEP
system, although the SBS of SEP system was clinically acceptable. No significant difference was found between conventional and SEP systems used with ceramic brackets. Total SBS of metal brackets was significantly higher than
ceramic brackets. Due to adequate SBS of SEP system in bonding the metal brackets, it can be used as an alternative
for conventional system.
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