scholarly journals Effects of Diode Laser Debonding of Ceramic Brackets on Enamel Surface and Pulpal Temperature

2015 ◽  
Vol 16 (4) ◽  
pp. 270-274 ◽  
Author(s):  
Soghra Yassaei ◽  
Azadeh Soleimanian ◽  
Zahra Ebrahimi Nik
Keyword(s):  
Bond Strength ◽  
Diode Laser ◽  
Surface Characteristics ◽  
Enamel Surface ◽  
Dental Tissue ◽  
Adhesive Remnant Index ◽  
Significant Difference ◽  
Chi Squared ◽  
Ceramic Brackets ◽  
Pulpal Temperature

ABSTRACT Aim Debonding of ceramic brackets due to their high bond strength and low fracture toughness is one of the most challenging complications of orthodontic clinicians. Application of lasers might be effective in the debonding of ceramic brackets as they reduce bond strength of resins and, therefore, can eliminate the risk of enamel damage. However, the thermal effects of laser radiation on dental tissue can cause undesirable results. The aim of this study is to evaluate the enamel surface characteristics and pulpal temperature changes of teeth after debonding of ceramic brackets with or without laser light. Materials and methods Thirty polycrystalline brackets were bonded to 30 intact extracted premolars, and later debonded conventionally or through a diode laser (2.5 W, 980 nm). The laser was applied for 10 seconds with sweeping movement. After debonding, the adhesive remnant index (ARI), the lengths and frequency of enamel cracks were compared among the groups. The increase in intrapulpal temperature was also measured. The collected data were analyzed by Chi-squared test and paired t-test using Statistical Package for Social Sciences (SPSS) software. Results There was no case of enamel fracture in none of the groups. Laser debonding caused a significant decrease in the frequency and lengths of enamel cracks, compared to conventional debonding. In laser debonding group, the increase in intrapulpal temperature (1.46°C) was significantly below the benchmark of 5.5°C for all the specimens. No significant difference was observed in ARI scores among the groups. Conclusion Laser-assisted debonding of ceramic brackets could reduce the risk of enamel damage, without causing thermal damage to the pulp. However, some increases in the length and frequency of enamel cracks should be expected with all debonding methods. How to cite this article Yassaei S, Soleimanian A, Nik ZE. Effects of Diode Laser Debonding of Ceramic Brackets on Enamel Surface and Pulpal Temperature. J Contemp Dent Pract 2015;16(4):270-274.

scholarly journals Etching Enamel for Orthodontics with an Erbium, Chromium:Yttrium-Scandium-Gallium-Garnet Laser System

2007 ◽  
Vol 77 (1) ◽  
pp. 117-124 ◽  
Author(s):  
Güvenç Basaran ◽  
Törün Özer ◽  
Nükhet Berk ◽  
Orhan Hamamcı
Keyword(s):  
Bond Strength ◽  
Laser Irradiation ◽  
Shear Bond Strength ◽  
Laser System ◽  
Surface Characteristics ◽  
Enamel Surface ◽  
Acid Etching ◽  
Adhesive Remnant Index ◽  
Significant Difference ◽  
Power Outputs

Abstract Objective: To test the shear bond strength, surface characteristics, and fracture mode of brackets that are bonded to enamel etched with an erbium, chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser operated at different power outputs: 0.5 W, 1 W, and 2 W. Materials and Methods: Human premolars that had been extracted for orthodontic purposes were used. Enamel was etched with an Er,Cr:YSGG laser system operated at one of three power outputs or with orthophosphoric acid. Results: The shear bond strength associated with the 0.5-W laser irradiation was significantly less than the strengths obtained with the other irradiations. Both the 1-W and 2-W laser irradiations were capable of etching enamel in the same manner. This finding was confirmed by scanning electron microscopy examination. The evaluation of adhesive-remnant-index scores demonstrated no statistically significant difference in bond failure site among the groups, except for the 0.5-W laser–etched group. Generally, more adhesive was left on the enamel surface with laser irradiation than with acid etching. Conclusion: The mean shear bond strength and enamel surface etching obtained with an Er,Cr: YSGG laser (operated at 1 W or 2 W for 15 seconds) is comparable to that obtained with acid etching.

scholarly journals Shear bond resistance and enamel surface comparison after the bonding and debonding of ceramic and metallic brackets

2014 ◽  
Vol 19 (1) ◽  
pp. 77-85 ◽  
Author(s):  
José Maurício da Rocha ◽  
Marco Abdo Gravina ◽  
Marcio José da Silva Campos ◽  
Cátia Cardoso Abdo Quintão ◽  
Carlos Nelson Elias ◽  
...  
Keyword(s):  
Bond Strength ◽  
Surface Topography ◽  
Level Set ◽  
Shear Bond Strength ◽  
Enamel Surface ◽  
Tissue Loss ◽  
Significance Level ◽  
Mineral Particles ◽  
Significant Difference ◽  
Ceramic Brackets

OBJECTIVE: To evaluate, in vitro, the shear bond strength presented by three brands of polycrystalline ceramic brackets and one brand of metallic bracket; verify the adhesive remnant index (ARI) after the tests, and analyze, through scanning electron microscopy (SEM) the enamel surface topography after debonding, detecting the release of mineral particles. METHODS: Sixty bovine lower incisors were used. Three ceramic brackets (Allure(r), InVu(r), and Clarity(r)) and one metallic bracket (Geneus(r)) were bonded with Transbond XT(r). Kruskal-Wallis's test (significance level set at 5%) was applied to the results of share bond and ARI. Mann Whitney's test was performed to compare the pairs of brackets in relation to their ARI. Brown-Forsythe's test (significance level set at 5%) was applied to the results of enamel chemical composition. Comparisons between groups were made with Games-Howell's and the Post-hoc tests. RESULTS: No statistically significant difference was observed in relation to the shear bond strength loads. Clarity(r) brackets were the most affected in relation to the surface topography and to the release of mineral particles of enamel (calcium ions). CONCLUSION: With regard to the ARI, there was a prevalence of score 4 (40.4%). As for enamel surface topography, the Geneus(r) bracket was the only one which did not show superficial tissue loss. The InVu(r) and Clarity(r) ones showed cohesive fractures in 33.3% and the Allure(r) in 50%, the latter being the one that presented most fractures during removal.

scholarly journals Effect of Different Surface Treatments for Ceramic Bracket Base on Bond Strength of Rebonded Brackets

2015 ◽  
Vol 26 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Monique Kruger Guarita ◽  
Alexa Helena Köhler Moresca ◽  
Estela Maris Losso ◽  
Alexandre Moro ◽  
Ricardo Cesar Moresca ◽  
...  
Keyword(s):  
Bond Strength ◽  
Shear Bond Strength ◽  
Silica Coating ◽  
Surface Treatments ◽  
Enamel Surface ◽  
Control Group ◽  
Significant Difference ◽  
Ceramic Brackets ◽  
Ceramic Bracket ◽  
Bracket Base

The aim of this study was to evaluate the shear bond strength of rebonded ceramic brackets after subjecting the bracket base to different treatments. Seventy-five premolars were selected and randomly distributed into five groups (n=15), according to the type of the bracket surface treatment: I, no treatment, first bonding (control); II, sandblasting with aluminum oxide; III, sandblasting + silane; IV, silica coating + silane; and V, silicatization performed in a laboratory (Rocatec system). The brackets were fixed on an enamel surface with Transbond XT resin without acid etching. The brackets were then removed and their bases were subjected to different treatments. Thereafter, the brackets were fixed again to the enamel surface and the specimens were subjected to shear bond strength (SBS) test. The adhesive remnant index (ARI) was then evaluated for each specimen. Data were subjected to ANOVA and Tukey's tests (α=0.05). A statistically significant difference was observed only between Rocatec and the other groups; the Rocatec group showed the lowest SBS values. The highest SBS values were observed for group 1, without any significant difference from the values for groups II, III and IV. Most groups had a higher percentage of failures at the enamel-resin interface (score 1). It was concluded that the surface treatments of rebonded ceramic brackets were effective, with SBS values similar to that of the control group, except Rocatec group.

scholarly journals Immediate and Delayed Effects of Diode Laser on Debonding of Ceramic Brackets: An in vitro Study

2016 ◽  
Vol 17 (4) ◽  
pp. 275-281
Author(s):  
N Rajvikram ◽  
P Rajakumar ◽  
R Saravanan ◽  
Praveena Anand ◽  
PB Anand ◽  
...  
Keyword(s):  
Bond Strength ◽  
Diode Laser ◽  
Wall Temperature ◽  
Shear Bond Strength ◽  
In Vitro Study ◽  
Control Group ◽  
Delayed Effects ◽  
Significant Difference ◽  
Ceramic Brackets

ABSTRACT Aim The aim of the study is to evaluate the immediate and delayed effects of diode laser on debonding of ceramic brackets. Materials and methods A total of 60 human extracted premolar teeth were randomly assigned to three different treatment groups. All teeth were bonded with adhesive precoated (APC) ceramic brackets (3M Unitek). A total of 20 teeth were debonded without lasing (group 1), 20 immediately after lasing (group 2), and 20 1 hour after lasing (group 3). For the lasing groups (groups 2 and 3), access cavity was prepared on the occlusal surface to a 2 mm diameter. A transbond plus self-etching primer (3M Unitek, Monrovia, CA, USA) and APC PLUS clarity advanced brackets (3M, Unitek, Monrovia, CA, USA) were used. The shear bond strength (SBS) and adhesive remnant index (ARI) were measured. The internal pulpal wall temperature was noted for the laser groups. Results The mean SBS was 15.4, 11.57, and 11.79 MPa for groups 1 to 3 respectively. Post hoc test showed significant difference (p < 0.001) between the control group and the lased groups. For groups 2 and 3, the rise in temperature was at an average of 1.4 and 1.3°C respectively. Conclusion The SBS of APC brackets decreased by 33.3% on application of diode laser without increasing the internal pulp chamber wall temperature significantly. Shear bond strength remains more or less the same whether debonding is done immediately after lasing or 1 hour after lasing. Diode lasers increased the ARI scores and thus decreased the risk of enamel fracture. How to cite this article Anand P, Anand PB, Prabhakar R, Rajvikram N, Rajakumar P, Atali VR, Saravanan R. Immediate and Delayed Effects of Diode Laser on Debonding of Ceramic Brackets: An in vitro Study. J Contemp Dent Pract 2016;17(4):275-281.

Effects of 445-nm Diode Laser-Assisted Debonding of Metallic Brackets on Shear Bond Strength and Enamel Surface Morphology

2020 ◽  
Vol 38 (3) ◽  
pp. 160-166 ◽  
Author(s):  
Thomas Knaup ◽  
Heike Korbmacher-Steiner ◽  
Andreas Braun ◽  
Johannes-Simon Wenzler ◽  
Isabel Knaup ◽  
...  
Keyword(s):  
Surface Morphology ◽  
Bond Strength ◽  
Diode Laser ◽  
Shear Bond Strength ◽  
Enamel Surface

scholarly journals Effects of Fluorosis and Self Etching Primers on Shear Bond Strengths of Orthodontic Brackets

2009 ◽  
Vol 03 (03) ◽  
pp. 173-177 ◽  
Author(s):  
Ahmet Yalcin Gungor ◽  
Hakan Turkkahraman ◽  
Necdet Adanir ◽  
Huseyin Alkis
Keyword(s):  
Bond Strength ◽  
Testing Machine ◽  
Orthodontic Brackets ◽  
Universal Testing ◽  
Adhesive Remnant Index ◽  
Halogen Light ◽  
Significant Difference ◽  
Bond Strengths ◽  
Group Ii ◽  
Clinical Changes

ABSTRACTObjectives: To evaluate the effects fluorosis and self etching primers (SEP) on shear bond strengths (SBS) of orthodontic brackets.Methods: A total of 48 (24 fluorosed and 24 non-fluorosed) non-carious freshly extracted human permanent premolar teeth were used in this study. Fluorosed teeth were selected according to the modified Thylstrup and Fejerskov index (TFI), which is based on the clinical changes in fluorosed teeth. Fluorosed and non-fluorosed teeth were randomly assigned to 4 groups of 12 each. In groups I (non-fluorosed teeth) and II (fluorosed teeth), standard etching protocol was used and brackets were bonded with Light Bond. In groups III (non-fluorosed teeth) and IV (fluorosed teeth), Transbond Plus SEP was used and brackets were bonded with Transbond XT Light Cure Adhesive. All specimens were cured with a halogen light. After bonding, SBS of the brackets were tested with Universal testing machine. After debonding, all teeth and brackets in the test groups were examined under 10x magnifications. Any adhesive remained after debonding was assessed and scored according to the modified Adhesive Remnant Index (ARI).Results: ANOVA indicated a significant difference between groups (P<.001). SBS in group II (Light Bond+Fluorosis) were significantly lower than other groups. ARI scores of the groups were also significantly different (P<.001). There was a greater frequency of ARI scores of 1,2 and 3 in group II (Light Bond+Fluorosis).Conclusions: When standard etching protocol was used enamel fluorosis significantly decreased the bond strength of orthodontic brackets. Satisfactory bond strengths were obtained when SEP was used for bonding brackets to the fluorosed teeth. (Eur J Dent 2009;3:173-177)

scholarly journals Shear Bond Strength of Brackets Bonded with Self-Etching Primers Compared to Conventional Acid-Etch Technique: A Randomized Clinical Trial

2019 ◽  
Author(s):  
Nasrin Farhadian ◽  
Amirfarhang Miresmaeili ◽  
Vahid Shahidi Zandi
Keyword(s):  
Clinical Trial ◽  
Bond Strength ◽  
Randomized Clinical Trial ◽  
Shear Bond Strength ◽  
Allocation Concealment ◽  
Wilcoxon Test ◽  
Adhesive Remnant Index ◽  
Significant Difference ◽  
Acid Etch ◽  
Registration Number

Objectives: The purpose of this randomized clinical trial (RCT) was to compare the shear bond strength (SBS) of orthodontic brackets bonded to enamel with conventional acid-etch (AE) technique and self-etching primers (SEP). Materials and Methods: Twenty-two patients, requiring extraction of two bicuspids for orthodontic reasons, were recruited. In each individual, following blinding and allocation concealment, one intact premolar received conventional AE, whereas the contralateral premolar received SEP with a split-mouth design. Bonded brackets remained in the oral cavity for two months. Afterward, the teeth were extracted without debonding the brackets. SBS and adhesive remnant index (ARI) were measured using a Universal Instron machine and a stereomicroscope, respectively. Results: The mean SBS of the conventional AE and SEP groups was 9.53 and 9.20 MPa, respectively. Paired t-test showed no statistically significant difference between the two groups (P=0.096). Comparison of ARI between the two groups, using Wilcoxon test, indicated that significantly less adhesive remained on enamel with brackets bonded with SEP compared to brackets bonded with conventional AE (P<0.001) although the SBS was higher in the AE group. Conclusion: The present study indicated that although there is no significant difference in SBS between SEP and conventional AE for bonding orthodontic metal brackets, the amount of residual adhesive on the enamel surface is significantly less with SEP than with conventional AE. (IRCT registration number: IRCT201705099086N3).

scholarly journals Effect of Ceramic Surface Treatment and Adhesive Systems on Bond Strength of Metallic Brackets

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Patrapan Juntavee ◽  
Hattanas Kumchai ◽  
Niwut Juntavee ◽  
Dan Nathanson
Keyword(s):  
Bond Strength ◽  
Surface Treatment ◽  
Damage Index ◽  
Resin Cement ◽  
Ceramic Surface ◽  
Adhesive Remnant Index ◽  
Chi Squared ◽  
Ceramic Bracket ◽  
Bonding Systems ◽  
Post Hoc

Objective. This study evaluated the effect of ceramic surface treatments on bond strength of metal brackets to machinable ceramics and veneering porcelain using different adhesive resins. Materials and methods. Machined ceramic specimens (10 × 10 × 2 mm) were prepared from Vitablocs mark II (Vita) and IPS e.max® CAD (Ivoclar). Layered porcelain fused to metal (IPS d.Sign®, Ivoclar) was used to fabricate PFM specimens (n = 60/group). Half of specimens were etched (9.6% HF, 15 sec), and the rest were nonetched. Three resin bonding systems were used for attaching metal brackets (Victory series™ APC II, 3M) to each group (n = 10): Transbond™ XT (3M), Light Bond™ (Reliance), or Blugloo™ (Ormco), all cured with LED curing unit (Bluephase G1600, Vivadent) for 50 s each. Specimens were immersed in deionized water at 37°C for 24 hours prior to shear bond testing (Instron) at crosshead speed of 0.5 mm/min. Debond surface of ceramic and bracket base was examined for failure mode (FM), Ceramic Damage Index (CDI), and Adhesive Remnant Index (ARI). ANOVA and post hoc multiple comparisons were used to analyze the differences in bond strength. The chi-squared test was used to determine significance effect of FM, CDI, and ARI. Results. Significant differences in shear bond strength among group were found (p≤0.05) related to ceramic, surface treatment, and resin cement. Conclusion. Bond strength of bracket to ceramic is affected by type of ceramic, resin cement, and ceramic surface conditioning. Etching ceramic surface enhanced ceramic-bracket bond strength. However, bond strengths in nontreated ceramic surface groups were still higher than bond strength required for bonding in orthodontic treatment.

scholarly journals Glass Ionomer Cements can be used for Bonding Orthodontic Brackets After Cancer Radiation Treatment?

2018 ◽  
Vol 29 (2) ◽  
pp. 128-132 ◽  
Author(s):  
Gabriela Cristina Santin ◽  
Alexandra Mussolino de Queiroz ◽  
Regina Guenka Palma-Dibb ◽  
Harley Francisco de Oliveira ◽  
Paulo Nelson Filho ◽  
...  
Keyword(s):  
Bond Strength ◽  
Shear Bond Strength ◽  
Glass Ionomer Cement ◽  
Enamel Surface ◽  
Orthodontic Brackets ◽  
Glass Ionomer ◽  
Clinical Practices ◽  
Significant Difference ◽  
Resin Modified Glass Ionomer ◽  
Ionomer Cement

Abstract Patients undergoing radiotherapy treatment present more susceptibility to dental caries and the use of an orthodontic device increases this risk factor due to biofilm accumulation around the brackets. The objective of this study was to evaluate the shear bond strength to irradiated permanent teeth of orthodontic brackets bonded with conventional glass ionomer cement and resin-modified glass ionomer cement due to the fluoride release capacity of these materials. Ninety prepared human premolars were divided into 6 groups (n=15), according to the bonding material and use or not of radiation: CR: Transbond XT composite resin; RMGIC: Fuji Ortho LC conventional glass ionomer cement; GIC: Ketac Cem Easymix resin-modified glass ionomer cement. The groups were irradiated (I) or non-irradiated (NI) prior to bracket bonding. The specimens were subjected to a fractioned radiation dose of 2 Gy over 5 consecutive days for 6 weeks. After the radiotherapy, the brackets were bonded on the specimens with Transbond XT, Fuji Ortho LC and Ketac Cem Easymix. After 24 h, the specimens were subjected to shear bond strength test. The image of enamel surface (classified by Adhesive Remnant Index - ARI) was also evaluated and its frequency was checked among groups/subgroups. The shear bond strength variable was evaluated with ANOVA and Tukey’s post-hoc test. GIC group showed the lowest adhesion values among the groups (p<0.05). There was no statistically significant difference among non-irradiated and irradiated groups (p>0.05). As for the ARI, the CR-I group showed the highest material retention on enamel surface among the irradiated groups. RMGIC group showed the highest values for shear bond strength and presented ARI acceptable for clinical practices.

scholarly journals Light Activation and Thermocycling Methods on the Shear Bond Strength of Brackets Bonded to Porcelain Surfaces

2020 ◽  
Vol 31 (1) ◽  
pp. 52-56
Author(s):  
Gustavo Vallandro Lopes ◽  
Lourenço Correr-Sobrinho ◽  
Américo Bortolazzo Correr ◽  
Ana Paula Terossi de Godoi ◽  
Silvia Amélia Scudeler Vedovello ◽  
...  
Keyword(s):  
Bond Strength ◽  
Analysis Of Variance ◽  
Hydrofluoric Acid ◽  
Shear Bond Strength ◽  
Composite Resin ◽  
Deionized Water ◽  
Light Activation ◽  
Thermal Cycles ◽  
Adhesive Remnant Index ◽  
Significant Difference

Abstract The present study was evaluated the effect of different light activation and thermocycling methods on the shear bond strength (SBS) and on the adhesive remnant index (ARI) of metal brackets bonded to feldspathic ceramic. Hundred metal brackets were bonded to 20 porcelain cylinders, divided into four groups (n=25) based on light activation and thermocycling processes. The cylinders were etched with 10% hydrofluoric acid for 60 s and coated with two layers of silane. The brackets were bonded with Transbond XT composite resin. Light activation in Groups 1 and 3 was performed during 3 s using the VALO Ortho Cordless appliance with irradiance 3,200 mW/cm2 and in Groups 2 and 4 for 40 s using Optilight Max appliance with irradiance 1,200 mW/cm². The samples were stored in deionized water at 37°C for 24 h and the samples from Groups 1 and 2 were submitted to the SBS test at a rate of 1 mm/min, whereas the samples from Groups 3 and 4 were submitted to 7,000 thermal cycles (5°/55°C) before to the SBS test. The data were assessed by two-way analysis of variance and by Tukey’s test (a=0.05). No significant difference was observed between SBS means in the different light activation devices used. The samples subjected to thermocycling revealed lower SBS values (p≤0.05). There was predominance of score 0 for ARI in all groups. Therefore, the different light activation methods did not interfere in SBS, but thermocycling reduced SBS.

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