Department of Orthodontics, School of Dentistry, University of Marmara, Istanbul, Turkey.
Angle Orthod. 2011 May;81(3):510-6. doi: 10.2319/071810-412.1. Epub 2011 Jan 24.
To test the hypothesis that short curing times using a high-intensity light-emitting diode (LED) or high-power halogen are not associated with compromised shear bond strength (SBS) of metal brackets before and after thermocycling.
Two hundred forty extracted human premolar teeth were divided into six groups of 40 each. Metal brackets were bonded using a light-cured composite (Transbond XT). In group 1 a conventional halogen light (Hilux) was used for 40 seconds. In groups 2, 3, and 4 a high-power halogen light (Swiss Master) was used for 2, 3, and 6 seconds, respectively. In groups 5 and 6 a high-intensity LED (Bluephase) was used for 10 and 20 seconds, respectively. After bonding, half of the specimens in each group were thermocycled, and all specimens were tested for SBS. After debonding, the bracket bases and the enamel surfaces were scored according to the Adhesive Remnant Index.
Two-way analysis of variance detected significant differences in SBS values with respect to curing method (type of light-curing unit and curing time) (P = .0001) and thermocycling (P = .01). Tukey post hoc analysis showed that with or without thermocycling the mean SBS values of groups 1, 4, 5, and 6 were not significantly different, whereas group 2 showed the lowest SBS values. The predominant failure site for groups 2 and 3 was between the bracket and the adhesive and for groups 4, 5, 6 it was at the tooth/adhesive interface.
Curing time can be reduced to 6 seconds with high-power halogen light and to 10 seconds with high-intensity LED without compromising in vitro SBS of metal brackets.
验证以下假设,即使用高强度发光二极管(LED)或高功率卤素灯进行短时间固化不会影响金属托槽在热循环前后的剪切粘结强度(SBS)。
将 240 颗人离体前磨牙分为 6 组,每组 40 颗。使用光固化复合树脂(Transbond XT)粘结金属托槽。第 1 组使用传统卤素灯(Hilux)照射 40 秒。第 2、3 和 4 组分别使用大功率卤素灯(Swiss Master)照射 2、3 和 6 秒。第 5 和 6 组分别使用高强度 LED(Bluephase)照射 10 和 20 秒。粘结后,每组的一半样本进行热循环,所有样本均进行 SBS 测试。脱落后,根据黏附残留指数对每个样本的托槽基底和牙釉质表面进行评分。
双因素方差分析检测到粘结方法(光固化设备类型和固化时间)(P =.0001)和热循环(P =.01)对 SBS 值有显著差异。Tukey 事后检验分析表明,无论是否进行热循环,第 1、4、5 和 6 组的平均 SBS 值均无显著差异,而第 2 组的 SBS 值最低。第 2 和 3 组的主要失效部位在托槽与黏合剂之间,而第 4、5 和 6 组的主要失效部位在牙与黏合剂界面。
使用高功率卤素灯可将固化时间缩短至 6 秒,使用高强度 LED 可缩短至 10 秒,而不会影响金属托槽的体外 SBS。