Abstract

Aim. This study aims to evaluate the effect of acidic food simulant and (acetic acid 3%) on the shear bond strength (SBS) and adhesive remnant index (ARI) scores of one conventional and three different self-ligating brackets with different base designs. Materials and Methods. Freshly extracted first maxillary premolars (n = 160) were embedded in resin blocks. A conventional stainless steel bracket, Equilibrium 2, and three types of self-ligating brackets, Speed, In-Ovation R, and Damon 3MX, were bonded to teeth and exposed to distilled water (groups 1, 3, 5, and 7) or acetic acid 3% (groups 2, 4, 6, 8) for 12 weeks. SBS and ARI were calculated and statistical analysis was performed with the analysis of variance (SBS) or χ 2 test (ARI) to compare values between the different groups. Results. Equilibrium 2 and In-Ovation R showed a significantly lower SBS in the acidic environment than in distilled water. Significant differences in ARI scores were found for Equilibrium 2 after immersion in an acidic environment, shifting from 0 in distilled water to 2 in an acidic environment. Conclusions. Equilibrium 2 and In-Ovation R brackets showed a significant decrease in SBS after a 12-week immersion in acetic acid 3%, although all groups showed clinically acceptable SBS. Equilibrium 2 showed significant differences in ARI scores when exposed to acetic acid 3%.

Highlights

  • One of the greatest concerns during orthodontic treatment is the bonding strength between the bracket and the enamel surface [1,2,3]

  • Normality of the data was calculated by the Kolmogorov-Smirnov test; Anova showed a significant difference among the various groups

  • The post hoc test showed a significant decrease in shear bond strength (SBS) values for the Equilibrium 2 and In-Ovation R brackets in the acidic environment compared to distilled water (Equilibrium 2, P < 0.05; In-Ovation R, Group 1 (Equilibrium 2) 2 (Equilibrium 2) 3 (Speed) 4 (Speed) 5 (In-Ovation R) 6 (In-Ovation R) 7 (Damon 3MX) 8 (Damon 3MX)

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Summary

Introduction

One of the greatest concerns during orthodontic treatment is the bonding strength between the bracket and the enamel surface [1,2,3]. Bonded brackets are routinely used in fixed orthodontic treatments. Achieving adequate bond strength is of great importance in all fixed orthodontic treatments [4]. Through the evolution of adhesive materials, bondable brackets were introduced in orthodontic treatment in 1975 [4]. Reynolds [5] was the first to evaluate the bond strength between brackets and enamel surfaces. If adequate bond strength is not achieved, debonding will occur and the bracket will need to be replaced, a process which is time consuming and can incur an extra cost for the patient

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