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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

Publication:
May 2012
Volume 43 , Issue 5

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Initial shear bond strength of orthodontic brackets bonded to bleached teeth with a self-etching adhesive system

Rieko Ozoe, DDS, PhD/Toshiya Endo, DDS, PhD/Ryota Abe, DDS, PhD/Koichi Shinkai, DDS, PhD/Yoshiroh Katoh, DDS, PhD

Pages: e60-e66
PMID: 22536597

Objectives: To examine the initial shear bond strength of orthodontic brackets bonded to bleached teeth with a self-etching adhesive system, as well as the effect of the length of time after bleaching on the initial bond strength. Method and Materials: Ninety premolars were collected and divided equally among a control group (CG) of unbleached teeth with brackets bonded, an immediate group (IG) with teeth bonded soon after bleaching, and a delayed group (DG) consisting of teeth bleached and then immersed in artificial saliva for 7 days before bracket bonding. Subsequently, the teeth of each group were equally assigned to two different primer adhesive systems: the acid-etch-and-rinse adhesive system (35% phosphoric acid gel and Transbond XT primer) and the self-etching adhesive system (Transbond Plus self-etching primer). Initial bond strength was measured 24 hours after bracket bonding. Results: IG registered the lowest mean initial bond strength when the self-etching adhesive system was in use, followed by DG and CG (in that order). As for the acid-etch-and-rinse adhesive system, the mean initial bond strength was significantly lower in IG than in CG and DG. Significant differences in mean initial bond strength were noted between the two adhesive systems in IG and DG. Conclusion: In trials using a self-etching adhesive system, the mean initial bond strength that declined immediately after bleaching returned to a clinically acceptable level of 6 MPa after the specimens were immersed in artificial saliva for 7 days but fell short of the level of unbleached teeth. (Quintessence Int 2012;43:e60e66)

Key words: bleaching, hydrogen peroxide, orthodontic bracket, self-etching primer, shear bond strength

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