Elekdag-Turk Selma, Isci Devrim, Ozkalayci Nurhat, Turk Tamer
Department of Orthodontics, Faculty of Dentistry, University of Ondokuz Mayis, Samsun, Turkey.
Eur J Orthod. 2009 Feb;31(1):84-9. doi: 10.1093/ejo/cjn067.
The aim of this study was to compare the shear bond strength (SBS) and debonding characteristics of a polymer mesh base ceramic bracket bonded with two different surface conditioning methods. InVu Readi-Base ceramic brackets were bonded to 100 human premolars with different etching protocols. With conventional method (CM), the teeth were etched with 37 per cent phosphoric acid for 30 seconds, while Transbond Plus self-etching primer (SEP) was applied as recommended by the manufacturer. SBS testing was performed on 25 samples of each group while the remaining 25 samples of each group were subjected to plier or machine debonding after thermocycling for 1000 cycles. The adhesive remnant index (ARI) was used to determine the amount of composite resin on the enamel. Statistical analysis included Kruskal-Wallis and Mann-Whitney U-tests and Weibull analysis. No significant difference was observed between the CM (9.22 MPa) and SEP (9.04 MPa) groups (P=0.684). ARI scores of machine and plier debonding for both groups showed a significant difference (P <or= 0.0001). Debonding with pliers showed a pronounced number of ARI scores of 3 for both groups. Polymer mesh base fractures were observed for both groups. Nevertheless, no significant differences were observed between the groups (chi(2)=4.304, P=0.230). The results of this in vitro study are encouraging, since, for the majority of specimens, all of the residual adhesive remained on the enamel surface. This type of debonding pattern has the advantage of protecting the enamel surface. Nevertheless, the base fractures at the ceramic/polymer interface might necessitate modifications in debonding strategy.
本研究的目的是比较采用两种不同表面处理方法粘结的聚合物网基陶瓷托槽的剪切粘结强度(SBS)和脱粘特性。将InVu Readi-Base陶瓷托槽用不同的酸蚀方案粘结到100颗人前磨牙上。采用传统方法(CM)时,牙齿用37%的磷酸酸蚀30秒,而按照制造商的建议应用Transbond Plus自酸蚀底漆(SEP)。对每组25个样本进行SBS测试,同时每组其余25个样本在经过1000次热循环后用钳子或机器进行脱粘。采用粘结剂残留指数(ARI)来确定釉质上复合树脂的量。统计分析包括Kruskal-Wallis检验、Mann-Whitney U检验和威布尔分析。CM组(9.22MPa)和SEP组(9.04MPa)之间未观察到显著差异(P=0.684)。两组的机器脱粘和钳子脱粘的ARI评分均显示出显著差异(P≤0.0001)。两组用钳子脱粘时均显示出明显数量的ARI评分为3。两组均观察到聚合物网基断裂。然而,两组之间未观察到显著差异(χ²=4.304,P=0.230)。这项体外研究的结果令人鼓舞,因为对于大多数标本来说,所有残留粘结剂都留在了釉质表面。这种脱粘模式具有保护釉质表面的优点。然而,陶瓷/聚合物界面处的基底断裂可能需要对脱粘策略进行改进。