Journal of Dental Medicine

Background and Aim: With the introduction of different bondable restorative materials in dentistry, various methods have been suggested to enhance the polymerization and shear bond strength of these materials. The aim of this study was to determine the effects of different methods of enamel conditioning on bond strength of orthodontic brackets and on the bracket/ adhesive failure mode.

Materials and Methods: In this experimental in vitro study, brackets were bonded to thirty-six bovine incisor teeth with different protocols according to the manufacturer's instructions as follows: Group 1: conventional multistep adhesive (n=12) Group 2: self-etching primer system (n=12) Group 3: acid+self-etching primer system (n=12). Specimens were loaded in a universal testing machine (Instron, Canton and Mass) and the mode of failure was recorded. Data were analyzed by ANOVA and Kruskall-Wallis tests with p<0.05 as the limit of significance.

Results: The mean shear bond strength was 11.7 ± 4.2, 10.5 ± 4.4, and 10.9 ± 4.8 MPa for group 1, 2, and 3 respectively. There was no significant difference in bond strength among the three groups (P=0.800). No significant difference was observed among the three groups with respect to residual adhesive on the enamel surfaces (P=0.554).

Conclusion: Based on the results of the present study, the use of self-etching primers may be an alternative to conventional phosphoric acid pre-treatment in orthodontic bonding.

Background and Aims: Moisture contamination of etched enamel during application of sealant is the most frequently cited reason for sealant failure. In previous studies, some hydrophilic bonding agents have been shown to bond to etched enamel after salivary contamination. The purpose of this study was to evaluate the enamelsealant interface following the use of primer on the saliva contaminated and/or moist etched enamel.

Materials and Methods: 40 extracted human incisors were selected. The enamel surfaces were etched for 20 seconds with an acid gel and rinsed for 30 seconds and dried until chalky surface was observed. Teeth were randomly divided into four treatment groups (n=10). Sealant (Deguseal mineral, Degussa) was applied on (1) etched enamel surface as a standard control group, (2) in conjunction with using primer material on moist etched enamel, (3) in conjunction with using primer material on salivary contaminated etched enamel, and (4) on wet contaminated etched enamel surface as a negative control group. Then, the specimens were observed with scanning electron microscopy (SEM) at ×1400 magnification. To evaluate the enamel resin interface, the number of resin tags was counted. Data were analyzed using one-way ANOVA.

Results: The results showed that primer used on moist enamel under sealant had no significantly difference in number and shape of tags in comparison with standard group (P>0.05). Application of primer on saliva contaminated enamel surface under sealant significantly reduced the number of tags and changed the shape and pattern of tags (P<0.001). Following application of sealant on contaminated and etched enamel alone, no resin tags formed.

Conclusion: Application of primer relatively reduced sensitivity to saliva contamination but the pattern was changed and number of tags reduced. Therefore, primer application might be useful whenever the isolation is not possible. However, it should be emphasized that restrict isolation in sealant therapy is recommended.

Background and Aims: The aim of this study was to evaluate the effect of application of two types of primers over bracket bases on the shear bond strength (SBS) and mode of bond failure.
Materials and Methods: In this study, 75 human premolar teeth were divided into three equal groups. In group 1 (control), after surface preparation of enamel by conventional method (acid etching+primer) brackets were bonded with Transbond XT composite. In group 2 (TX), brackets were bonded to enamel same as the first group but Transbond XT primer were used on bracket bases before placement of composite. In group 3 (PL), Transbond plus primer was applied on bracket bases before placement of composite. After 24 h, the SBS test was performed by universal testing machine at crosshead speed of 0.5 mm/min. Then, adhesive remnant index (ARI) scores and percentage of cohesive fracture were determined using stereomicroscopy. SBS data were analyzed by one-way ANOVA and Duncan tests. Kruskal-Wallis and Mann-Whitney tests were used to analyze ARI and cohesive fracture results.
Results: There was significant difference in SBS values among the groups (P<0.001). The highest SBS was shown in TX group and the lowest was seen in PL group. There was no significant difference between control and TX groups in ARI scores (P=0.199). No significant difference was found in cohesive fracture values between the groups (P=0.093). Both the control and TX groups showed significant difference in ARI scores and cohesive fracture compared with the PL group in all of the comparisons (P<0.001).
Conclusion: Application of Transbond XT primer over bracket base affects the bond strength and failure mode. Transbond XT primer increased the bond strength but Transbond plus primer decreased it.