scholarly journals Do fluoride and casein phosphopeptide–amorphous calcium phosphate affect shear bond strength of orthodontic brackets bonded to a demineralized enamel surface?

2011 ◽  
Vol 81 (3) ◽  
pp. 490-495 ◽  
Author(s):  
Tancan Uysal ◽  
Asli Baysal ◽  
Banu Uysal ◽  
Mustafa Aydınbelge ◽  
Talal Al-Qunaian
2011 ◽  
Vol 82 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Asli Baysal ◽  
Tancan Uysal

Abstract Objective: To evaluate and compare the effects of enamel microabrasion, casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), and their combination on the shear bond strength (SBS) of orthodontic brackets bonded to demineralized enamel surface. Materials and Methods: One hundred human first premolar teeth were randomly allocated to one of five groups. Group I was considered as the control of other groups. For the remaining groups, demineralization was performed via solutions. In group II, brackets were directly bonded to the demineralized enamel surface. CPP-ACP was applied in group III, microabrasion was performed in group IV, and both microabrasion and CPP-ACP application were performed in group V. The specimens were tested for SBS. Bond failures were scored according to the Adhesive Remnant Index (ARI). Analysis of variance and Tukey tests were used to compare the SBS of the groups. ARI scores of the groups were evaluated with a G-test. The statistical significance was set at P <. 05 level. Results: Statistically significant difference was found among the five investigated groups (F  =  111.870; P < .001). The SBS of groups II and IV were significantly lower than the other groups. No statistically significant difference was found among groups I (control; mean 24.1 ± 4.1 MPa), III (mean 22.0 ± 3.6 MPa), and V (mean 24.3 ± 1.9 MPa). Microabrasion and combination with CPP-ACP showed higher SBS compared to the control group. The differences between ARI scores of the groups were statistically significant (P < .001). Conclusion: CPP-ACP pretreatment, microabrasion of the enamel, and the combination of these two methods improve the bonding to demineralized enamel.


2015 ◽  
Vol 16 (10) ◽  
pp. 794-799 ◽  
Author(s):  
Maryam Doozandeh ◽  
Milad Mirmohammadi

ABSTRACT Aim This study evaluated the simultaneous effect of extended etching time and casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) containing paste application on shear bond strength (SBS) of etch-and-rinse adhesive to cariesaffected- dentin (CAD). Materials and methods Fifty human third molars were used; 10 normal in group 1 and 40 caries-affected teeth in groups 2 to 5. In the CAD groups, teeth were randomly assigned into four groups (n = 10). In groups 2 and 4, phosphoric acid etching for 15 and 45 seconds was used and in groups 3 and 5, after 15 or 45 seconds etching respectively, CPP-ACP containing paste (MI paste) was applied for 3 minutes. After rinsing, single bond adhesive system and Z250 composite were used for resin composite build-up in all groups. After storage, SBS test was measured at cross head speed of 0.5 mm/min. Data were analyzed using one/two-way ANOVA and Tukey HSD test (α = 0.05). Results Normal dentin groups showed the highest SBS among different groups. There was a statistically significant difference between different etching times in CAD groups (p < 0.05), but there were no significant differences between SBS of SB adhesive to CAD with or without CPP-ACP pretreated in both etching times. Most of the failure modes were adhesive except in groups 1 and 5 which cohesive failure in composite was also observed. Conclusion The results of our study indicated that extended etching time up to 45 seconds could enhance the SBS of CAD and approach nearly to SBS of normal dentin. Moreover, MI paste pretreatment had not significant effect on SBS of etchand- rinse adhesive in CAD. Clinical significance Simultaneous application of extended etching time and CPP-ACP containing paste may be a suggested method in increasing the SBS of adhesive to CAD. How to cite this article Doozandeh M, Firouzmandi M, Mirmohammadi M. The Simultaneous Effect of Extended Etching Time and Casein Phosphopeptide-Amorphous Calcium Phosphate containing Paste Application on Shear Bond Strength of Etch-and-rinse Adhesive to Caries-affected Dentin. J Contemp Dent Pract 2015;16(10):794-799.


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