Comparison of the Initial Repeated Bond Strength among Three Orthodontic Bonding Systems

Abstract

One of the problems that often occurred during orthodontic treatment is bracket failure. This is usually the result either of the patient’s accidentally, applying inappropriate forces to the bracket or of a poor bonding technique. Thus, a significant number of teeth have to be rebonded in an orthodontic practice. Objective: The aim of this study was to evaluate the in vitro initial repeated shear bond strength of the three adhesive systems at two and five minutes after placement of a bracket. Materials and Methods: The three bonding agent adhesives are System1+, Rely-a-bond, Unite. Two hundred and forty human premolar teeth were divided into two groups, a control and an experimental group. Each group was further divided into three subgroups for bonding brackets with the three different adhesives. Only the teeth in the experimental group were sequentially bonded and debonded two times with the same adhesive. The teeth in control and experimental groups were tested for shear bond strength (at two and five minutes after the bracket was bonded) with an Instron testing machine. Results: The studies were found that : (1) there were differences between the shear bond strength of each adhesive in the control and experimental group. Unite had the highest shear bond strength followed by Rely-a-bond and System1+ at two minutes and five minutes, (2) the experiment group ( rebonded brackets) had higher shear bond strength than control group and Unite had in significant difference (p<0.05) of initial repeated bond strength with System1+ and Rely-a-bond at two minutes and five minutes and (3) there were mostly significant difference (p<0.05) between repeated shear bond strength at two minutes and repeated shear bond strength at five minutes. Conclusion: There were significant difference of the initial repeated shear bond strength of each adhesive. The orthodontists should be aware of applying force for tooth movement into the repeated bonding brackets.