scholarly journals Comparison between Shear Bond Strength of Er:YAG and Er,Cr:YSGG Lasers-Assisted Dentinal Adhesion of Self-Adhering Resin Composite: An Ex Vivo Study

2020 ◽  
Vol 8 (3) ◽  
pp. 66
Author(s):  
Paul Nahas ◽  
Samir Nammour ◽  
Elie Gerges ◽  
Toni Zeinoun

(1) Background: Bonding composite to tooth structure is still evolving with a substitute for phosphoric acid being the main challenge. Lately, a self-adhering composite (SAC) was developed, promising to simplify bonding to tooth structure. Unfortunately, retention especially to dentin, was not as good as the gold standard three steps bonding system. During the last 2 decades, lasers were used to enhance shear bond strength of composite to tooth structure. However, the literature provided limited information regarding laser efficiency in the immediate, as well as the long term, adhesion success of SACs to dentin. The purpose of our study was to define the optimal irradiation conditions to improve the adhesion of self-adhering flowable resin composite to dentin exposed to Er:YAG and Er,Cr:YSGG laser irradiation. (2) Methods: Seventy-two freshly extracted human third molars, prepared to have flat dentinal surfaces, were randomly divided into three groups (n = 24) including a control group (Group 1) in which dentin was left without laser irradiation. The other two groups (Group 2 and 3) received standardized irradiation at a speed of 1 mm/second with Er:YAG (60 mJ; SSP mode = 50 μs; 10 Hz; fluency of 9.4 J/cm2; beam diameter: 0.9 mm; air 6 mL/min; and water 4 mL/min), and Er,Cr:YSGG: 1.5 W; fluency of 17.8 J/cm2; turbo handpiece with MX5 short insert; 20 Hz under air/water spray (65% air, 55% water). Self-adhering flowable resin was applied to dentin in all groups. Half of the specimens were stored in water for 24 h while the other half underwent 3000 thermal cycles. Later, all specimens received a shear bond strength test. Fracture observation was done first under a stereomicroscope then by using a scanning electron microscope. (3) Results: The mean values of shear bond strength for both laser-treated dentin groups (Er:YAG laser: 13.10 ± 1.291, and Er,Cr:YSGG: 14.04 ± 5.233) were higher than in the control group 1 (8.355 ± 2.297) before thermocycling. After thermocycling, shear bond strength decreased in all groups as follows: 10.03 ± 1.503, 10.53 ± 2.631, and 02.75 ± 1.583 for Er:YAG, Er,Cr:YSGG, and nonirradiated dentin, respectively. Shear bond strength values showed a significant difference between the control group (Group 1) and both lasers groups (Group 2 and 3). Statistical analysis of stereomicroscope observation revealed no significant difference between laser irradiation and failure mode (p < 0.136). SEM observation of the dentin surface in both laser-irradiated groups showed opened tubules, absence of smear layer as well as an increase of resin infiltration into dentinal tubules. (4) Conclusion: Er:YAG and Er,Cr:YSGG lasers enhance self-adhering flowable resin shear bond strength values and improve its longevity by eliminating the smear layer, opening dentinal tubules and increasing resin infiltration into the microstructure.

2019 ◽  
Vol 8 (1) ◽  
pp. 20
Author(s):  
Fara Dwiyanti ◽  
Ruslan Effendy ◽  
Setyabudi Setyabudi

Background: Composite resins are widely used today to replace lost tooth structure. Bonding between dentin and resin is a complex process that is influenced by several factors; one of which is ambient humidity. During drying after acid etching, it is recommended not to leave the surface of preparation too dry or too wet. If the surface is too dry, collagen will shrink and collapse. As a result, the bonding material cannot penetrate into the cavity between the fibers. If the dentine is too wet, the bonding material will also be difficult to bind with the collagen, either chemically or mechanically. The amount of water around the collagen closely correlates with the moisture created around the dentin surface during the drying process and also whether or not a rubber dam was used during the preparation process. This study is aimed to compare water wet bonding and ethanol wet bonding technique to control humidity. One way of measuring the strength of bonding is to measure shear strength. Purpose: to compare water wet-bonding and ethanol wet-bonding technique.Materials and Methods: 32 samples of bovine teeth incisors were randomly divided into 2 group. Each group consists of sixteen samples. Group 1 is treated with water wet-bonding,group 2 is treated with ethanol wet-bonding. Results: There is significant difference between group 1 and group 2. Conclusion: Shear bond strength of the composite resin bonding on dentin with ethanol wet-bonding technique is higher than the shear bond strength of the composite bonding on dentin with water wet-bonding.


2013 ◽  
Vol 1 (2) ◽  
pp. 175
Author(s):  
Bernardo Urbanetto Peres ◽  
Felipe Weidenbach Degrazzia ◽  
Renésio Armindo Ghers ◽  
Fabíola Rossato Arrais ◽  
Vilmar Antonio Ferrazzo

PURPOSE: To evaluate the shear bond strength (SBS) of metallic brackets bonded with Transbond Plus Self-Etching Primer (TPSEP) and Transbond Plus Color Change (TPCC) under contamination with a mixture of saliva and blood. MATERIALS AND METHODS: 42 human premolars were randomly divided into 2 groups (n=21). Group 1 (G1) were bonded under no contamination, and Group 2 (G2) was contaminated with saliva/blood before bonding. Both groups were bonded according to the manufacturer’s instructions and were cleaned with pumice before bonding. The shear bond strength (SBS) tests were performed after 24 hours in distilled water at 37°C and after thermocycling. RESULTS: Both groups showed a homogeneous distribution in the Levene’s test (p>0.05). The main shear bond strength value of G1 was 8.89 MPa with a standard deviation of 2.27; the value for G2 was 6.00 MPa with a standard deviation of 2.62 MPa. There was a significant difference between G1 and G2 (t-student test p<0.05). IRA scores indicated that the main value was IRA 0, and no significant difference (α=0.05) was found between the groups. CONCLUSION: Contamination of blood mixed with saliva significantly decreases the shear bond strength, but even so, the performance is clinically acceptable.


2007 ◽  
Vol 77 (4) ◽  
pp. 701-706 ◽  
Author(s):  
Rodney G. Northrup ◽  
David W. Berzins ◽  
Thomas Gerard Bradley ◽  
William Schuckit

Abstract Objective: To evaluate and compare the shear bond strengths of two adhesives using two types of brackets: a conventional and a self-ligating bracket system. Materials and Methods: Sixty extracted human premolars were collected. The premolars were randomly divided into three groups of 20 teeth. All three groups were direct bonded. Groups 1 and 2 used light-cured adhesive and primer (Transbond XT) with a conventional (Orthos) and a self-ligating bracket (Damon 2), respectively. Group 3 used a light-cured primer (Orthosolo) and a light-cured adhesive (Blūgloo) with a self-ligating bracket (Damon 2). The specimens were stored in distilled water at 37°C for 40 ± 2 hours, after which they were debonded and inspected for Adhesive Remnant Index (ARI) scoring. Results: The mean shear bond strength was 15.2 MPa for group 1, 23.2 MPa for group 2, and 24.8 MPa for group 3. A one-way analysis of variance and post hoc Tukey test showed significant differences in bond strength (P &lt; .001) between group 1 and groups 2 and 3 but no significant difference (P &gt; .05) between groups 2 and 3. A Weibull analysis demonstrated that all three groups provided sufficient bond strength with over 90% survival rate at normal masticatory and orthodontic force levels. A Kruskal-Wallis test showed no significant difference (P &gt; .05) in ARI scores among all three groups. Conclusions: All three groups demonstrated clinically acceptable bond strength. The Damon 2 self-ligating bracket exhibited satisfactory in vitro bond strength with both adhesive systems used.


2017 ◽  
Vol 41 (4) ◽  
pp. 280-283 ◽  
Author(s):  
Pallavi Hasija ◽  
Vinod Sachdev ◽  
Shivani Mathur ◽  
Rishi Rath

Objective: The aim of this study was to compare the effect of different deproteinizing agents on shear bond strength of composite to primary teeth enamel. Study Design: Forty sound primary molars divided in 4 groups of 10 teeth each. In control group 1, enamel was etched for 60 seconds with 37% phosphoric acid and rinsed with water. Group 2: after acid etching deproteinizing agent 5 % sodium hypochlorite was applied for 60 seconds and rinsed. Group 3: after acid etching deproteinizing agent papain gel was applied for 60 seconds and rinsed. Group 4: after acid etching deproteinizing agent bromelain gel applied for 60 seconds and rinsed. Following this, bonding agent was applied to treated enamel surface and composite resin disc were build. Samples were then tested for shear bond strength using Universal Testing Machine. Results: Mean SBS was highest for group 4 and lowest for group 1. No statistically significant difference (p value &gt;0.05) was found between all the four groups. Conclusion: Among deproteinizing agents, deproteinization when carried out with bromelain gel and sodium hypochlorite showed effective bond strength as compared to papain.


Author(s):  
Rajith Radhakrishnan ◽  
Ravikumar Nesamani ◽  
Kavitha Sanjeev ◽  
Mahalaxmi Sekar

Introduction: The search to replace the chemical bleaching agent namely the Hydrogen Peroxide (HP) with a natural substance to whiten the discoloured tooth is a need of the hour, due to the severe roughing and compromised bonding of resin composite to enamel surface by this agent. Aim: To evaluate and compare the colour and surface changes in enamel surface, and the micro-shear bond strength of resin composite to enamel following bleaching with 35% HP and 2% Strawberry Extract (SE). Materials and Methods: In this in-vitro study, 30 bovine maxillary central incisors were decoronated and allocated randomly to two groups: group 1 (negative control) (n=15) and group 2 (experimental) (n=15). To evaluate the bleaching efficacy, group 2 specimens were experimentally stained with tea. Baseline colour coordinates (pre-bleach values) (L*, a*, b*) (∆E) were recorded. The crowns were sectioned to obtain four equal parts to obtain 60 specimens and these were allotted randomly to 4 subgroups a, b, c, d (n=15 each) based on the bleaching protocol. Subgroup a, Hydrogen Peroxide (HP). subgroup b, Strawberry Extract (SE); subgroup c, HP+SE (HPS); subgroup d, HP/P (HP/ Proanthocyanidin). Following bleaching, colour coordinates (post-bleach values) (L*, a*, b*) (∆E) were measured as mentioned before. Qualitative analysis of the surface (n=2) for each group was performed using scanning electron microscopy. Micro-shear bond strength of resin composite to the treated specimens (n=13) was determined using universal testing machine at a crosshead speed of 1 mm/min. Kruskal-Wallis one-way Analysis of Variance (ANOVA) was used to calculate the p-value and Post-Hoc Tukey Honest significant Test (HSD) was used to identify the significant groups, p-value (<0.05). Results: All the post-bleach specimens showed significantly higher mean ∆E (more whiter) values compared to their respective pre-bleach specimens (baseline values) (p-value -<0.05). Among the post-bleach groups, highest ∆E values (more whiter) were observed in subgroup 2c(HPS) (p-value=0.029). Similarly minimal morphological surface irregularities were observed in HPS. Group 1 (negative control) had the highest micro-shear bond strength compared to the experimental groups (group 2). Significantly, higher micro-shear bond strength was observed in subgroups 2b,c,d (SE, HPS, HPP) compared to subgroup 2a(HP) (p-value <0.001). Conclusion: SE alone or in combination with HP is an efficient and effective dental bleaching agent.


2017 ◽  
Vol 22 (4) ◽  
pp. 53-60 ◽  
Author(s):  
Nasrin Farhadian ◽  
Loghman Rezaei-Soufi ◽  
Seyed Farzad Jamalian ◽  
Maryam Farhadian ◽  
Shahrzad Tamasoki ◽  
...  

ABSTRACT Introduction: Many patients seeking orthodontic treatment already have incipient enamel lesions and should be placed under preventive treatments. The aim of this in vitro study was to evaluate the effect of CPP-ACP paste and CO2 laser irradiation on demineralized enamel microhardness and shear bond strength of orthodontic brackets. Methods: Eighty caries-free human premolars were subjected to a demineralization challenge using Streptococcus mutans. After demineralization, the samples were randomly divided into five equal experimental groups: Group 1 (control), the brackets were bonded without any surface treatment; Group 2, the enamel surfaces were treated with CPP-ACP paste for 4 minutes before bonding; Group 3, the teeth were irradiated with CO2 laser beams at a wavelength of 10.6 µm for 20 seconds. The samples in Groups 4 and 5 were treated with CO2 laser either before or through CPP-ACP application. SEM photomicrographs of a tooth from each group were taken to observe the enamel surface. The brackets were bonded to the buccal enamel using a conventional method. Shear bond strength of brackets and ARI scores were measured. Vickers microhardness was measured on the non-bonded enamel surface. Data were analyzed with ANOVA and Tukey test at the p< 0.05 level. Results: The mean shear bond strength and microhardness of the laser group were higher than those in the control group and this difference was statistically significant (p< 0.05). All groups showed a higher percentage of ARI score 4. Conclusion: CO2 laser at a wavelength of 10.6 µm significantly increased demineralized enamel microhardness and enhanced bonding to demineralized enamel.


2013 ◽  
Vol 07 (01) ◽  
pp. 055-060 ◽  
Author(s):  
Mehmet Akin ◽  
Sertac Aksakalli ◽  
Faruk Ayhan Basciftci ◽  
Abdullah Demir

ABSTRACTObjective: The purpose of this study was to determine the effect of 10% carbamide peroxide and 38% hydrogen peroxide bleaching agents on the shear bond strength of orthodontic brackets using self-etching primer systems.Methods: Forty five freshly extracted human premolar teeth were randomly divided into 3 groups of 15 teeth each: control (group 1), 10% carbamide peroxide at-home bleached (group 2), and 38% hydrogen peroxide in-office bleached (group 3). Three weeks later, all brackets were bonded using a self-etching primer system. The shear bond strength of these brackets was measured and recorded in MPa. Adhesive remnant index (ARI) scores were determined after the brackets failed. Data were analyzed using Kruskal- Wallis test, pairwise comparisons were made using the Mann-Whitney U test and ARI scores were analyzed using a chi-square test at a significance level of P<.05.Results: The shear bond strengths of group 1 (mean: 17.7 ± 9.7 MPa) were significantly higher (P<.05) than those of group 3 (mean: 9.9 ± 5.4 MPa). No significant differences were found between group 2 (mean: 12.3 ± 4.7) and either group 1 or group 3 (P>.05). ARI scores did not differ significantly among the 3 groups.Conclusions: The use of 10% carbamide peroxide bleaching does not significantly reduce shear bond strength values. In contrast, use of 38% hydrogen peroxide bleaching significantly reduces these values. (Eur J Dent 2013;7:55-60)


2011 ◽  
Vol 82 (1) ◽  
pp. 56-61 ◽  
Author(s):  
Rengin Attin ◽  
Bogna Stawarczyk ◽  
Defne Keçik ◽  
Michael Knösel ◽  
Dirk Wiechmann ◽  
...  

Abstract Objective: To compare the influence of demineralized and variously pretreated demineralized enamel on the shear bond strength of orthodontic brackets. Materials and Methods: Sixty bovine enamel specimens were allocated to five groups (n  =  12). Specimens of group 1 were not demineralized and were not pretreated, but served as controls. The other specimens were demineralized to form artificial carious lesions. Samples from group 2 were only demineralized and were kept untreated in artificial saliva. The other samples were pretreated with highly concentrated fluoride preparations (group 3: Elmex Gelee, 1.23% F; group 4: Clinpro White Varnish, 2.23% F) or with an infiltrating resin (group 5: Icon). After respective pretreatments, brackets were adhesively fixed on all specimens with an adhesive system after etching with 35% phosphoric acid and application of a primer and bracket resin cement (Transbond XT). Bracket shear bond strength was evaluated with a universal testing machine. Statistical analysis was performed by one-way analysis of variance followed by a post-hoc Scheffé test. Results: Shear bond strength in control group 1 was statistically significantly greater compared with that in all other groups. Application of the infiltrating resin Icon (group 5) as pretreatment resulted in statistically significantly greater bond strength as compared with pretreatments with fluoride compounds (groups 3 and 4) and treatment provided without pretreatment (group 2). Groups 2, 3, and 4 did not significantly differ from each other. Conclusion: Pretreatment with the infiltrating resin is a beneficial approach to increasing the shear bond strength of brackets to demineralized enamel.


2018 ◽  
Vol 7 (2) ◽  
pp. 28-31
Author(s):  
Varunjeet Chaudhary ◽  
Sanad Singh Solanki ◽  
Varsha Yadav ◽  
Seema Lahoti

Objective: To evaluate the shear bond strength of stainless steel brackets bonded with fluoride-releasing composite resins, comparing effect of adhesion booster and conventional primer.Materials & Method: Sixty extracted premolars were subjected to bracket bonding with fluoride-releasing composite resin; which were bonded by randomly divided into two groups of bonding agents: Group 1- conventional primer as control group, Group 2- adhesion booster. After bonding, the samples were thermocycled (500 cycles) at 5ºC and 55ºC temperatures. After 48 hours they were subjected to shear bond strength testing in occluso-gingival direction, using an MTS 810 Universal Testing Machine with load speed of 0.5 mm/min.Result: Mean shear bond strength was significantly more in samples bonded with adhesion booster (14.792±3.805 Mpa) as compared to conventional primers (11.327±4.047 Mpa). There was statistically significant difference in shear bond strength between the groups (p=0.001).Conclusion: The use of the adhesion booster significantly increased the bond strength of bracket bonded with fluoride-releasing composite.


2008 ◽  
Vol 78 (1) ◽  
pp. 129-133 ◽  
Author(s):  
Defne Keçik ◽  
Sevi Burçak Çehreli ◽  
Çağla Şar ◽  
Bahtiyar Ünver

Abstract Objective: To evaluate the effect of a recently introduced prophylactic agent, casein phosphopeptide–amorphous calcium phosphate (CPP-ACP), on shear bond strength of brackets and compare it with the effect of acidulated phosphate fluoride (APF). Materials and Methods: Forty-eight freshly extracted mandibular bovine incisors were used. Teeth were randomly divided into four groups (n = 12) as follows: group 1 served as control, and no pretreatment was performed on the enamel; group 2, enamel was treated with 1.23% APF and CPP-ACP, respectively; group 3, enamel was treated with CPP-ACP; and group 4, enamel was treated with 1.23% APF for 4 minutes. In all groups, brackets were bonded using a conventional acid-etch and bond system (Transbond XT, 3M Unitek, Monrovia, Calif). Bonded specimens were first stored in deionized water at 37°C for 24 hours, subjected to thermal cycling for 1000 cycles, and further stored in distilled water for 6 weeks before debonding procedures. After debonding, teeth and brackets were examined under a stereomicroscope at 10× magnification for any adhesive remaining, in accordance with the modified adhesive remnant index. Results: The shear bond strengths of all experimental groups were significantly higher than that of the control group (P &lt; .01). There was no significant difference between the shear bond strengths of the experimental groups (P &gt; .05). Conclusion: The use of CPP-ACP either alone or combined with APF could be considered as an alternative prophylactic application in orthodontic practice since it did not compromise bracket bond strength.


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