Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2016, vol. 53, nr 1, January-March, p. 50–55

doi: 10.17219/dmp/60907

Publication type: original article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Effectiveness of Using Self Etching Primer and Resin Modified Glass Ionomer on Bonding Orthodontic Brackets – an in Vitro Study

Skuteczność użycia samotrawiącego systemu wiążącego i szklanojonomeru modyfikowanego żywicą do klejenia zamków ortodontycznych – badanie in vitro

Mohamad Ghassan Dandachli1,

1 Orthodontics Department, University of Kalamoon, Deir Atiyah, Syria


Background. Many adhesive systems have been investigated as alternatives to conventional bonding methods. Selfetching primers and resin modified glass ionomer cement have been introduced to overcome the disadvantages of acid etching
Objectives. To assess the effect of using either a self etching primer (SEP) or a resin modified glass ionomer (RMGI) on shear bond strength and failure type in comparison with conventional methods (CM).
Material and Methods. Eighty metal brackets were bonded to buccal surfaces of human upper premolars by the same clinician according to 1of 4 protocols. Group 1, Transbond XT was used with self-etching primer (SEP) Transbond Plus (3M Untiek, Monrovia, Calif). Group 2, resin modified glass ionomer (RMGI) Fuji Ortho LC (GC Crop, Japan). Group 3, light cure resin (LC) Transbond XT (3M Unitek, Monrovia, Calif) were used with 37% phosphoric acid. Group 4, Chemically cure resin (CC) Unite (3M Unitek, Monrovia, Calif) were used with 37% phosphoric acid. The premolars were stored in distilled water for 24 hours at 4ºC. Brackets were loaded to failure in Instron machine. Descriptive statistics were calculated. ANOVA, Bonferroni, Kruskal-Wallis tests and MannWhitney U were used.
Results. The present study indicated that the SEP provided no significantly higher shear bond (10.01 ± 5.46 MPa) than LC adhesive (8.59 ± 4.07 MPa) while RMGI showed the lowest (5.08 MPa). A comparison of the adhesive remnant index (ARI) scores indicated that there was significantly difference between the groups with less residual adhesive remaining on the teeth with SEP and RMGI.
Conclusion. SEP produced bond strength clinically accepted with less amount of residual adhesive left on the enamel while RMGI produced unacceptable bond strength. SEP can use successfully in bond orthodontic brackets.

Key words

shear bond strength, self-etching primer, adhesive remnant index, resin modified glass ionomer

Słowa kluczowe

wytrzymałość bondu na ścinanie, primer samotrawiący, wskaźnik pozostałej adhezyjności, szklanojonomer modyfikowany żywicą

References (47)

  1. Singh C.: Text book of Orthodontics. Second edition, Jaypee Brothers, 2007.
  2. Aljubouri Y.D., Millet D.T., Gilmour W.H.: Six and 12 month evolution of a self-etching primer versus tow stages etch and primer for orthodontic bonding : a randomized clinical trial. Eur. J. Orthod. 2004, 26, 565–571.
  3. Lee B.S., Hsieh T.T., Lee Y.L., Wan-Hong L., Hsu Y.D., Wen P.H., Lin C.P.: Bond strengths of orthodontic bracket after acid etched, Er:Yag Laser-irradiated and combined treatment on enamel surface. Angle Orthod. 2003, 73, 565–570.
  4. Manappallil J.J.: Basic dental materials. Jaypee Brothers Medical Publishers, 2003.
  5. Bishara S.E., Von Wald L., Laffon J.F., Warren J.J.: Effect of using a new cynoacrylate adhesive on the shear bond strength of orthodontic brackets. Angle Orthod. 2001, 71, 466–469.
  6. Kula K., Nash T.D.: Shear-peel bond strength of orthodontic primers in wet conditions. Orthod. Craniofacial Res. 2003, 6, 96–100.
  7. Millett D.T., Cummings A., Letters S., Roger E., Lovel J.: Resin-modified glass ionomer, modified composite or conventional glass ionomer for bond cementation – an in vitro evaluation. Eur. J. Orthod. 2003, 25, 609–614.
  8. Matalon S., Slutzky H., Weiss E.: Anti bacteria properties of 4 orthodontic cements. Am. J. Orthod. Dentofacial Orthop. 2005, 127, 56–63.
  9. Hotz P., McClean J.W., Sced I., Wilson A.D.: The bonding of glass ionomer cements to metal and tooth substrates. Br. Dent. J. 1977, 142, 41–47.
  10. Cook P.A., Youngson C.C.: An in vitro study of the bond strength of a glass ionomer cement in the direct bonding of orthodontic brackets. Br. J. Orthod. 1988, 15, 247–253.
  11. Dunn D.W.: Shear bond strength of an amorphous calcium-phosphate-containing orthodontic resin cement. Am. J. Orthod. Dentofacial Orthop. 2007, 131, 243–247.
  12. Cacciafesta V., Francesca M.S., Klersy C., Giuseppe S.: Polymerization with micro-xenon light of resin-modified glass ionomer: a shear bond strength study in 15 minutes after bonding. Eur. J. Orthod. 2002, 24, 689–697.
  13. Cacciafesta V., Sfondrini M.F., Blaga L., Scribante A., Klersy C.: Use of a self-etching primer in comparison with a resin-modified glass ionemer: effect of water and saliva contamination on shear bond strength. Am. J. Orthod. Dentofacial Orthop. 2003, 124, 420–426.
  14. Owens J.R., Miller B.H.: A comparison of shear bond strength of three visible light-cured orthodontic adhesives. Angle Orthod. 2000, 70, 352–356.
  15. Paschosa E., Kleinschrodtb T., Tatiana C.L., Huthd K.C., Hickele R., Kunzelmannf K., Jansong I.R.: Effect of different bonding agents on prevention of enamel demineralization around orthodontic brackets. Am. J. Orthod. Dentofacial Othop. 2009, 135, 613–620.
  16. Sudjalima T.R., Woodsb M.G., Mantonc D.J., Reynoldsd E.C.: Prevention of demineralization around orthodontic brackets in vitro. Am. J. Orthod. Dentofacial Othop. 2007, 131, 705.e1–705.e9.
  17. Choo S.C., Ierland A.I., Sherriff M.: An in vitro investigation to the use resin-modified glass poly (alkenoate) cements as orthodontic bonding agents. Eur. J. Orthod. 2001, 23, 243–252.
  18. Chung C.H., Cuozzo P.T., Mante F.K.: Shear bond strength of resin-reinforced glass ionomer cement: An in vitro comparative study. Am. J. Orthod. Dentofacial Orthop. 1999, 115, 52–54.
  19. Wendl B., Droschl H.: A comparative in vitro study of the strength of directly bonded brackets using different curing techniques. Eur. J. Orthod. 2004, 26, 535–545.
  20. Komori A., Ishikawa H.: Evaluation of a resin-reinforced glass ionomer cement for use as an orthodontic bonding agent. Angle Orthod. 1997, 67, 189–196.
  21. Silverman E., Cohen M., Semke R.S., Silverman M.: A new light cured glass ionomer cement that bonds brackets to teeth without etching in the presence of saliva. Am. J. Orthod. Dentofacial Orthop. 1995, 108, 231–236.
  22. Davidson C.L., Major I.A.: Advances in glass ionomer cements. Quintessence Publishing Co, Inc. 1999.
  23. Vicente A., Bravo L.A., Romero M.: Self-etching primer and a non-rinse conditioner versus phosphoric acid: alternative method for bonding brackets. Eur. J. Orthod. 2006, 28, 173–178.
  24. Dorminey J.C., Dunn W.J., Taloumis L.J.: Shear bond strength of orthodontics brackets bonded with a modified 1-step etchant-and-primer technique. Am. J. Orthod. Dentofacial Orthop. 2003, 124, 410–413.
  25. Grubisae H.S., Heo G., Raboud D., Glover K.E., Major P.W.: An evaluation and comparison of orthodontic brackets bond strength achieved with self-etching primer. Am. J. Orthod Dentofacial Orthop. 2004, 126, 213–219.
  26. Buyukyllmaz T., Usumez S., Karamen A.: Effect of self-etching primers on shear bond strength – are the reliable? Angle Orthod. 2003, 73, 64–70.
  27. Ghiza M.A., Nganb P., Kaoc E., Martind C., Gunele E.: Effects of sealant and self-etching primer on enamel decalcification. Part II: An in-vivo study. Am. J. Orthod. Dentofacial Othop. 2009, 235, 206–213.
  28. Pithon M.M., Antonio Ruellas A.O., Sant’Anna E.F., de Oliveira M.V., Luiz Bernardes A.A.: Shear bond strength of brackets bonded to enamel with a self-etching primer. Angle Orthod. 2009, 79, 133–137.
  29. Rogelio J.S., Hotta Y., Yamamoto K.: Examination of enamel-adhesive interface with focused ion beam and scanning electron microscopy. Am. J. Orthod. Dentofacial Orthop. 2007, 131, 646–650.
  30. Ostby A.W., Bisharab S.E., Denehyc G.E., Laffoona J.F., Warrend J.J.: Effect of self-etchant pH on the shear bond strength of orthodontic brackets. Am. J. Orthod. Dentofacial Othop. 2008, 134, 203–208.
  31. Banks P., Thiruvenkatachari B.: Long-term clinical evaluation of bracket failure with self-etching primer: A randomized controlled trial. J. Orthod. 2007, 34, 243–251.
  32. Eliades G., Brantly W.A., Watts D.C.: Dental materials in vivo aging and related phenomena. Quiescence Publishing Co, Inc, 2003.
  33. Grandhi R.K., Combe E.C., Speidel T.M.: Shear bond strength of stainless steel orthodontic brackets with a moistureinsensitive primer. Am. J. Orthod. Dentofacial Orthop. 2001, 119, 251–255.
  34. Artun J., Bergland S.: Clinical trials with crystal growth conditioning as an alternative to acid-etch enamel pretreatment. Am. J. Orthod. Dentofacial Orthop. 1984, 85, 333–340.
  35. Surmont P., Dermaut L., Martens L., Moors M.: Comparison in shear bond strength of orthodontic brackets between four bonding systems related to different etching times: An in vitro study. Am. J. Orthod. Dentofacial Orthop. 1992, 101, 414–419.
  36. Tolendo M., Osorio E., Romeo A., Higuera B., García G.F.: Bond strength of orthodontic brackets using different light and self-curing cements. Angle Orthod. 2003, 73, 56–63.
  37. Klockowski R., Davis E.L., Joynt R.B., Wieczkowski G., Buffalo A.M.: Bond strength and durability of glass ionomer cements used as bonding agents in the placement of orthodontic brackets. Am. J. Orthod. Dentofacial Orthop. 1989, 96, 60–64.
  38. Kent B.E., Lewis G.G., Wilson A.D.: The properties of a glass ionomer cement. Br. Dent. J. 1973, 135, 322–326.
  39. Reynolds I.R.: A review of direct orthodontic bonding. Br. J. Orthod. 1975, 2, 171–178.
  40. Sfondrin M.F., Cacciafesta V., Seribante A., Angleis M., Relersy C.: Effect of blood contamination on shear bond strength of brackets bonded with conventional and self-etching primes. Am. J. Orthod. Dentofacial Orthop. 2004, 125, 357–360.
  41. Turk T., Truk K.E., Devrim I.: Effects of self-etching primer on shear bond strength of orthodontic brackets at different debond times. Angle Orthod. 2007, 77, 108–112.
  42. Coups K.S., Rossouw P.E., Titley K.C.: Glass ionomer cements as luting agents for orthodontic brackets. Angle Orthod. 2003, 73, 436–444.
  43. Rieko Y., Tohru H., Kazutaka K.: Effect of using self-etching primer for bonding orthodontic brackets. Angle Orthod. 2002, 72, 558–564.
  44. Bishara S.E., Ajloun R., Laffoon J.F., Warren J.J.: Comparison of shear bond strength of tow self etch primer/ adhesive systems. Angle Orthod. 2005, 76, 123–126.
  45. Graenlaw R., Way C.D., Galil A.K.: An in vitro evaluation of visible light-cured resin system used in bonding. Am. J. Orthod. Dentofacial Orthop. 1989, 96, 214–220.
  46. Bradburn G., Ortto M., Peader N.: An in vitro study of the bond strength of tow light-cured composites used in the direct bonding of orthodontic brackets to molar. Am. J. Orthod. Dentofacial Orthop. 1992, 102, 418–426.
  47. Mc Sherry P.F.: An in vitro evaluation of the tensile and shear strength of four adhesives used in orthodontics. Eur. J. Orthod. 1996, 18, 319–327.