Abstract
Purpose
The goal of this study was to compare the shear bond strength (SBS) and failure modes of three different adhesive resins following the use of two different dental curing light units.
Methods
A total of 160 human premolars were randomly divided into four groups (N = 40 for each): group 1, Transbond™ XT (3M Unitek, Monrovia, CA, USA) adhesive paste; group 2, Heliosit Orthodontic paste with no primer; group 3, Maxcem Elite (Kerr, Orange, CA, USA) self-adhesive resin with prior etching; group 4, Maxcem Elite self-adhesive resin with no etching. Each group was further divided into 2 subgroups: half (named “a”) were cured with VALO LED (Ultradent Products, South Jordan, UT, USA), and the other half (named “b”) with the Elipar LED unit (3M Unitek LED, Monrovia, CA, USA). The brackets were submitted to SBS testing 24 h after bonding. Adhesive Remnant Index (ARI) scores and bonding time were also measured. Two-way analysis of variance (ANOVA) and Kruskal–Wallis tests were used for statistical analysis.
Results
No significant differences in SBS were observed when comparing the two different LED devices within the same bonding material. The mean SBS of group 1 was significantly higher compared to groups 2, 3, and 4 (p < 0.001). Mean SBS values of groups 2 and 3 were significantly higher than that of group 4 (p < 0.001). ARI scores were significantly different in groups 4a and 4b compared to the other groups (p < 0.05). Group 4a showed significantly lower bonding time/tooth compared to the other groups except to groups 3a and 4b (p < 0.001).
Conclusions
Decreasing curing time using high-power LED device did not significantly affect SBS. However, the composite type did affect SBS.
Zusammenfassung
Ziel
Ziel dieser Studie war der Vergleich der Scherhaftfestigkeit (SBS) und der Versagensmodi von 3 verschiedenen Adhäsiven nach der Verwendung von 2 unterschiedlichen Lichthärtegeräten.
Methoden
Insgesamt 160 menschliche Prämolaren wurden randomisiert in 4 Gruppen aufgeteilt (jeweils n = 40): Gruppe 1, Transbond™ XT (3M Unitek, Monrovia, CA, USA) Adhäsivpaste; Gruppe 2, Heliosit Orthodontic Paste ohne Primer; Gruppe 3, Maxcem Elite (Kerr, Orange, CA, USA) selbstadhäsiver Kunststoff mit vorheriger Ätzung; Gruppe 4, Maxcem Elite selbstadhäsiver Kunststoff ohne Ätzung. Jede Gruppe wurde weiter in 2 Untergruppen unterteilt: Die Hälfte (genannt „a“) wurde mit VALO LED (Ultradent Products, South Jordan, UT, USA) ausgehärtet, die andere Hälfte (genannt „b“) mit dem Elipar LED Gerät (3M Unitek LED, Monrovia, CA, USA). Die Brackets wurden 24 h nach dem Bonding einem SBS-Test unterzogen. Außerdem wurden die Werte für den Adhäsivrestindex (ARI) und die Verklebungszeit gemessen. Für die statistische Analyse wurden die Zwei-Wege-Varianzanalyse (ANOVA) und der Kruskal-Wallis-Test verwendet.
Ergebnisse
Beim Vergleich der beiden verschiedenen LED-Geräte mit demselben Bondingmaterial wurden keine signifikanten Unterschiede im SBS festgestellt. Der mittlere SBS-Wert der Gruppe 1 war im Vergleich zu denen der Gruppen 2, 3 und 4 signifikant höher (p < 0,001). Die mittleren SBS-Werte der Gruppen 2 und 3 waren signifikant höher als die der Gruppe 4 (p < 0,001). Die ARI-Scores waren in den Gruppen 4a und 4b signifikant unterschiedlich im Vergleich zu den anderen Gruppen (p < 0,05). Gruppe 4a zeigte im Vergleich zu den anderen Gruppen mit Ausnahme der Gruppen 3a und 4b eine signifikant niedrigere Bondingzeit/Zahn (p < 0,001).
Schlussfolgerungen
Die Verkürzung der Aushärtezeit mit dem High-power-LED-Gerät hatte keine signifikante Auswirkung auf die SBS. Beim Komposittyp dagegen war ein Einfluss auf die SBS zu beobachten.
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Funding
This study was supported by scientific research project of Hacettepe University (project number of 17479).
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E. Atik, M. Kızılırmak, C.A. Akcan and T. Taner declare that they have no competing interests.
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All procedures performed were in accordance with the ethical standards of the institutional ethics committee (Institutional ethics committee with a number of GO 18/749-07) and the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent: Written informed consent was obtained from the participants and their parent/guardian.
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56_2021_340_MOESM1_ESM.pdf
Supplementary Fig. 1 An example for groups 2a and 2b with stereomicroscopic images of teeth and bracket; Supplementary Fig. 2 An example for groups 3a and 3b with stereomicroscopic images of teeth and bracket; Supplementary Fig. 3 An example for groups 4a and 4b with stereomicroscopic images of teeth and bracket
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Atik, E., Kızılırmak, M., Akcan, C.A. et al. No-primer adhesive vs. self-adhesive resin: bonding strength following LED curing. J Orofac Orthop 83, 141–150 (2022). https://doi.org/10.1007/s00056-021-00340-z
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DOI: https://doi.org/10.1007/s00056-021-00340-z