Scougall Vilchis Rogelio José, Yamamoto Seigo, Kitai Noriyuki, Yamamoto Kohji
Professor, Department of Orthodontics, School of Dentistry, Dental Research Center (CIEAO), Autonomous University of the State of Mexico (UAEM), Toluca, Mexico.
Am J Orthod Dentofacial Orthop. 2009 Sep;136(3):425-30. doi: 10.1016/j.ajodo.2007.08.024.
The purpose of this study was to compare the shear bond strength (SBS) of orthodontic brackets bonded with 4 self-etching adhesives.
A total of 175 extracted premolars were randomly divided into 5 groups (n = 35). Group I was the control, in which the enamel was etched with 37% phosphoric acid, and stainless steel brackets were bonded with Transbond XT (3M Unitek, Monrovia, Calif). In the remaining 4 groups, the enamel was conditioned with the following self-etching primers and adhesives: group II, Transbond Plus and Transbond XT (3M Unitek); group III, Clearfil Mega Bond FA and Kurasper F (Kuraray Medical, Tokyo, Japan); group IV, Primers A and B, and BeautyOrtho Bond (Shofu, Kyoto, Japan); and group V, AdheSE and Heliosit Orthodontic (Ivoclar Vivadent AG, Liechtenstein). The teeth were stored in distilled water at 37 degrees C for 24 hours and debonded with a universal testing machine. The adhesive remnant index (ARI) including enamel fracture score was also evaluated. Additionally, the conditioned enamel surfaces were observed under a scanning electron microscope.
The SBS values of groups I (19.0 +/- 6.7 MPa) and II (16.6 +/- 7.3 MPa) were significantly higher than those of groups III (11.0 +/- 3.9 MPa), IV (10.1 +/- 3.7 MPa), and V (11.8 +/- 3.5 MPa). Fluoride-releasing adhesives (Kurasper F and BeautyOrtho Bond) showed clinically acceptable SBS values. Significant differences were found in the ARI and enamel fracture scores between groups I and II.
The 4 self-etching adhesives yielded SBS values higher than the bond strength (5.9 to 7.8 MPa) suggested for routine clinical treatment, indicating that orthodontic brackets can be successfully bonded with any of these self-etching adhesives.
本研究的目的是比较用4种自酸蚀粘接剂粘接正畸托槽的剪切粘接强度(SBS)。
总共175颗拔除的前磨牙被随机分为5组(n = 35)。第一组为对照组,用37%磷酸酸蚀牙釉质,并用Transbond XT(3M Unitek,蒙罗维亚,加利福尼亚州)粘接不锈钢托槽。在其余4组中,用以下自酸蚀底漆和粘接剂处理牙釉质:第二组,Transbond Plus和Transbond XT(3M Unitek);第三组,Clearfil Mega Bond FA和Kurasper F(可乐丽医疗,东京,日本);第四组,底漆A和B,以及BeautyOrtho Bond(松风,京都,日本);第五组,AdheSE和Heliosit Orthodontic(义获嘉伟瓦登特股份公司,列支敦士登)。将牙齿在37℃的蒸馏水中储存24小时,并用万能试验机进行脱粘。还评估了包括牙釉质骨折评分在内的粘接剂残留指数(ARI)。此外,在扫描电子显微镜下观察处理后的牙釉质表面。
第一组(19.0±6.7 MPa)和第二组(16.6±7.3 MPa)的SBS值显著高于第三组(11.0±3.9 MPa)、第四组(10.1±3.7 MPa)和第五组(11.8±3.5 MPa)。含氟粘接剂(Kurasper F和BeautyOrtho Bond)显示出临床上可接受的SBS值。第一组和第二组之间在ARI和牙釉质骨折评分方面存在显著差异。
这4种自酸蚀粘接剂产生的SBS值高于常规临床治疗建议的粘接强度(5.9至7.8 MPa),表明正畸托槽可以用这些自酸蚀粘接剂中的任何一种成功粘接。