Comparison of shear bond strength of three bonding agents with metal and ceramic brackets.

Abstract

Shear bond strengths of a light-cured composite resin, a light-cured glass ionomer cement, and a light-cured compomer used with metal and ceramic brackets were compared, and ARI scores were evaluated. Ceramic brackets showed statistically higher shear bond strengths than metal brackets when bonded with all test materials (p<0.001). When used with metal brackets, the light-cured glass ionomer cement (LCGIC) and compomer materials demonstrated statistically lower shear bond strengths than the light-cured composite (p<0.01 and p<0.001, respectively). When used with ceramic brackets, LCGIC was found to have significantly lower shear bond strength than the composite material (p<0.001). Despite its relatively low shear bond strength, LCGIC demonstrated optimal bonding values (8.39+/-3.24 MPa) with ceramic brackets. Bond failures within the LCGIC groups occurred at the adhesive-tooth interface, whereas in the compomer and composite groups, failures were detected at the adhesive-bracket interface. In the metal bracket group, clinically acceptable shear bond strength was obtained only with the composite resin (7.06+/-1.65 MPa). Compomer and LCGIC demonstrated values well below the accepted standard for metal brackets (4.32+/-1.75 MPa and 4.45+/-1.06, respectively), while in the ceramic bracket group, values for composite and compomer were above the desired level (14.40+/-5.88 MPa and 12.31+/-6.09, respectively). LCGIC showed reasonably good bond strength with ceramic brackets, suggesting that this material may be considered suitable for use with ceramic brackets in clinical situations where moisture cannot be controlled.