The Influence of Er:YAG Laser Conditioning versus Self-Etching Adhesives with Acid Etching on the Shear Bond Strength of Orthodontic Brackets

2007 ◽  
Vol 25 (6) ◽  
pp. 508-512 ◽  
Author(s):  
Aylin Gokcelik ◽  
Yonca Ozel ◽  
Emre Ozel ◽  
Neslihan Arhun ◽  
Nuray Attar ◽  
...  
Author(s):  
Elahe Soltanmohamadi Borujeni ◽  
Javad Chalipa ◽  
Ardavan Etemadi ◽  
Maryam Nasiri ◽  
Mohammad Javad Kharrazifard ◽  
...  

Objectives: The aim of the present study was to compare shear bond strength (SBS), adhesive remnant index and enamel cracks in bonding and rebonding of brackets to enamel, conditioned with erbium-doped yttrium aluminium garnet (Er:YAG) laser and conventional acid-etching. Materials and Methods: Fifty-two bovine lower incisors were randomly divided into four groups consisting of group 1 (acid-conditioning in both bondings), group 2 (acid-conditioning in first and laser-conditioning in second bonding), group 3 (laser-conditioning in first- and acid-conditioning in second bonding), and group 4 (laser-conditioning in both bondings). After bracket placement, the samples were thermocycled and tested for SBS in both bonding procedures. Adhesive remnant index scores and enamel cracks were also determined. Tukey's test and one-way analysis of variance was used for statistical analysis (P<0.05). Results: Mean SBS in the first bonding was 23.59MPa in groups 1 and 2, and 6.9MPa in groups 3 and 4. (P<0.001). The acid-etched teeth had a significantly lower SBS in rebonding, regardless of the reconditioning method (P<0.001). The SBS of the teeth conditioned with Er:YAG laser in the first bonding did not show significant changes in rebonding, although mean SBS was higher compared to the first bonding (P=0.675). Bonding most often failed at the enamel-adhesive interface and enamel cracks were observed in a few teeth. Conclusion: The method of primary enamel preparation can affect SBS in rebonding. Based on our results, the mean SBS of Er:YAG-conditioned groups was clinically acceptable in bonding and rebonding, although it was lower compared to the acidetched samples.


2013 ◽  
Vol 83 (6) ◽  
pp. 973-980 ◽  
Author(s):  
Serkan Sağır ◽  
Aslıhan Usumez ◽  
Ebru Ademci ◽  
Serdar Usumez

ABSTRACT Objective: To compare the effect of laser irradiation at two different pulse settings and acid etching on the shear bond strength (SBS) of orthodontic brackets to enamel. Materials and Methods: Thirty-six premolars were allocated to three groups (n  =  12): (1) 37% phosphoric acid etching, (2) erbium-doped yttrium aluminum garnet (Er:YAG) laser etching with medium-short pulse mode (MSP; 100 µs, 120 mj, 10 Hz, 1.2 W), and (3) Er:YAG laser etching with quantum-square pulse mode (QSP; 120 mj, 10 Hz, 1.2 W). Metallic brackets were bonded with Transbond XT. After photopolymerization, the samples were subjected to 5000 thermal cycles and debonded with a universal testing machine, and the SBS values were recorded. Surface morphology was evaluated with profilometric examination, scanning electron microscopy, and atomic force microscopy. The adhesive remnant index (ARI) was evaluated to assess the remaining adhesive. Results: The results of SBS testing were analyzed by one-way analysis of variance and Tukey honestly significant diffference tests. The mean SBS values of QSP and MSP laser groups were 11.80 ± 2.7 MPa and 10.10 ± 4.5 MPa, respectively, and the QSP group demonstrated significantly higher SBS (P &lt; .01) than that of the acid-etched group (6.6 ± 2.4 MPa). No significant difference was observed between the SBS values of the two laser groups (P &lt; .05). The difference between the ARI scores of the laser groups and the acid-etched group was statistically significant (P &lt; .05). Conclusion: Laser etching at MSP and QSP modes present successful alternatives to acid etching; however, long-term clinical studies are required to verify clinical success.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Rosalía Contreras-Bulnes ◽  
Rogelio J. Scougall-Vilchis ◽  
Laura E. Rodríguez-Vilchis ◽  
Claudia Centeno-Pedraza ◽  
Oscar F. Olea-Mejía ◽  
...  

The purpose of this study was to evaluate the shear bond strength, the adhesive remnant index scores, and etch surface of teeth prepared for orthodontic bracket bonding with self-etching primer and Er:YAG laser conditioning. One hundred and twenty bovine incisors were randomly divided into four groups. In Group I (Control), the teeth were conditioned with 35% phosphoric acid for 15 seconds. In Group II the teeth were conditioned with Transbond Plus SEP (5 sec); III and IV were irradiated with the Er:YAG 150 mJ (11.0 J/cm2), 150 mJ (19.1 J/cm2), respectively, at 7–12 Hz with water spray. After surface preparation, upper central incisor stainless steel brackets were bonded with Transbond Plus Color Change Adhesive. The teeth were stored in water at 37°C for 24 hours and shear bond strengths were measured, and adhesive remnant index (ARI) was determined. The conditioned surface was observed under a scanning electron microscope. One-way ANOVA and chi-square test were used. Group I showed the significantly highest values of bond strength with a mean value of 8.2 megapascals (MPa). The lesser amount of adhesive remnant was found in Group III. The results of this study suggest that Er:YAG laser irradiation could not be an option for enamel conditioning.


2009 ◽  
Vol 79 (5) ◽  
pp. 945-950 ◽  
Author(s):  
Ding Xiaojun ◽  
Lu Jing ◽  
Guo Xuehua ◽  
Ruan Hong ◽  
Yu Youcheng ◽  
...  

Abstract Objective: To evaluate the effect of casein phosphopeptide–amorphous calcium phosphate (CPP-ACP) paste on shear bond strength and debonding failure modes of orthodontic brackets. Materials and Methods: Freshly extracted premolars were randomly divided into four groups (n =18) as follows: in groups 1 and 3, the enamel was treated with a solution of CPP-ACP dissolved in artificial saliva; groups 2 and 4 served as controls, and the enamel was treated with artificial saliva. After conventional acid etching, in groups 1 and 2, brackets were bonded using a light-cured bonding system (Blugloo); while in groups 3 and 4, brackets were bonded using a conventional bonding system (Unite Bonding Adhesive). Bonded specimens were subjected to thermal cycling for 1000 cycles before debonding procedures. After debonding, teeth and brackets were examined under a stereomicroscope at 10× magnification to determine whether any adhesive remained, in accordance with the adhesive remnant index. The acid-etched enamel surfaces were also observed using scanning electron microscopy after treatment with and without CPP-ACP paste. Results: The shear bond strengths of group 1 were significantly higher than those seen in group 2 (P &lt; .01). There was no significant difference in the shear bond strengths of groups 3 and 4 (P &gt; .05). Scanning electron microscopic observation showed that the pretreated enamel surface was rougher than that of the control surface after acid etching. Conclusion: The use of CPP-ACP can be considered as an alternative prophylactic application in orthodontic practice since it did not compromise bracket bond strength.


2015 ◽  
Vol 39 (4) ◽  
pp. 348-357 ◽  
Author(s):  
RM Agarwal ◽  
R Yeluri ◽  
C Singh ◽  
AK Munshi

Objective: To suggest Papacarie® as a new deproteinizing agent in comparison with indigenously prepared 10% papain gel before and after acid etching that may enhance the quality of the bond between enamel surface and composite resin complex. Study design: One hundred and twenty five extracted human premolars were utilized and divided into five groups: In the group 1, enamel surface was etched and primer was applied. In group 2, treatment with papacarie® for 60 seconds followed by etching and primer application. In group 3, etching followed by treatment with papacarie® for 60 seconds and primer application. In group 4, treatment with 10% papain gel for 60 seconds followed by etching and primer application. In group 5, etching followed by treatment with 10% papain gel for 60 seconds and primer application . After bonding the brackets, the mechanical testing was performed using a Universal testing machine. The failure mode was analyzed using an adhesive remnant index. The etching patterns before and after application of papacarie® and 10% papain gel was also evaluated using SEM. The values obtained for shear bond strength were submitted to analysis of variance and Tukey test (p &lt; 0.05). Results: It was observed that group 2 and group 4 had the highest shear bond strength and was statistically significant from other groups (p=0.001). Regarding Adhesive remnant index no statistical difference was seen between the groups (p=0.538). Conclusion: Papacarie® or 10% papain gel can be used to deproteinize the enamel surface before acid etching to enhance the bond strength of orthodontic brackets.


Materials ◽  
2021 ◽  
Vol 14 (9) ◽  
pp. 2093
Author(s):  
Jan Kiryk ◽  
Jacek Matys ◽  
Anna Nikodem ◽  
Karolina Burzyńska ◽  
Kinga Grzech-Leśniak ◽  
...  

We sought to evaluate the effects of Er:YAG laser (LightTouch, LightInstruments, Israel) conditioning on enamel roughness and shear bond strength of orthodontic brackets on enamel. Eighteen human molars (n = 9) and premolars (n = 9), were divided into 3 groups depending on the enamel conditioning method; Er:YAG laser (G1, n = 6), conventional etching with 37% orthophosphoric acid (G2, n = 6), Er:YAG laser combined with conventional etching (G3, n = 6). Er:YAG laser parameters were as follows: energy: 100 mJ, frequency: 10 Hz, exposure time: 10 s, applicator diameter: 600 μm, fluence: 35.37 J/cm2, distance: 1 mm away from a tooth, cooling: 80%. An MTS 858 MiniBionix® machine was used to determine the shear bond strength (MTS System, Eden Prairie, MN, USA). The enamel structure was assessed using X-ray microtomography (SkyScan 1172, Bruker, Kontich, Belgium). The highest values of shear bond strength were obtained in the G3 group (9.23 ± 2.38 MPa) and the lowest values in the G2 group (6.44 ± 2.11 MPa) (p < 0.05). A significant change in the enamel surface was noted after applying laser, reaching up to 9% of enamel thickness, which was not observed in the etched samples. Moreover, the Er:YAG laser-irradiated enamel surface was characterized by the greatest roughness. The combined use of an Er:YAG laser with a conventional etching improves the adhesion of composite materials to the tooth.


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