Nasser Al-musoay for Dental Specialization Center, Department of Orthodontics, Department of Alnajaf Health and Medical Services, Al-shahied Najaf, Iraq.
Tehran University of Medical Sciences, Faculty of Dentistry, Department of Orthodontics, Tehran, Iran.
Int Orthod. 2021 Mar;19(1):130-136. doi: 10.1016/j.ortho.2021.01.001. Epub 2021 Feb 3.
It is claimed that a hydrophilic primer, called the moisture insensitive primer (MIP), can be used with both dry and wet enamel surfaces. This study sought to assess the shear bond strength (SBS) of APC Plus adhesive coated appliance system to enamel using MIP in wet and dry conditions.
This in vitro experimental study evaluated 24 extracted maxillary premolars with intact buccal enamel. The teeth were randomly divided into two groups (n=12), and APC Plus premolar brackets were bonded to their buccal surface using moisture insensitive primer (MIP) under wet and dry enamel conditions. The SBS values were measured by a universal testing machine. The adhesive remnant index (ARI) score was also determined under a stereomicroscope. Data were analyzed using t-test and Mann-Whitney test at P<0.05 level of significance.
The SBS in wet condition was significantly lower than that in dry condition (mean value of 18.37MPa versus 25.5MPa, P<0.001). The two groups had no significant difference regarding the ARI scores (P>0.05). However, in both groups, less adhesive was left on the tooth surface. This suggests that bond failure occurred at the adhesive-enamel interface.
APC Plus adhesive coated appliance system in combination with hydrophilic MIP can be effective in clinical conditions with high risk of moisture contamination.
据称,一种名为“不敏感水基底涂剂(MIP)”的亲水性底涂剂可用于干燥和湿润牙釉质表面。本研究旨在评估在湿润和干燥条件下使用 MIP 时,APC Plus 牙釉质粘接剂对牙釉质的剪切粘接强度(SBS)。
本体外实验研究评估了 24 颗具有完整颊面牙釉质的上颌前磨牙。将牙齿随机分为两组(n=12),并在湿润和干燥牙釉质条件下使用不敏感水基底涂剂(MIP)将 APC Plus 前磨牙托槽粘接于其颊面。通过万能试验机测量 SBS 值。在立体显微镜下还确定了粘接残留指数(ARI)评分。数据采用 t 检验和曼-惠特尼检验进行分析,P<0.05 为差异有统计学意义。
湿润条件下的 SBS 明显低于干燥条件下的 SBS(平均值分别为 18.37MPa 和 25.5MPa,P<0.001)。两组在 ARI 评分方面无显著差异(P>0.05)。然而,在两组中,牙表面的粘接剂残留较少。这表明粘接失效发生在粘接剂-牙釉质界面。
在高湿度污染风险的临床条件下,结合亲水 MIP 的 APC Plus 牙釉质粘接剂系统可能有效。