Evaluation of Different Pretreatment Efficacy with Fluoride-releasing Material on Shear Bond Strength of Orthodontic Bracket: An In Vitro Study

Abstract

Aim:The aim of this study was to assess the efficacy of different pretreatments with fluoride-releasing material on shear bond strength (SBS) of orthodontic bracket. Materials and methods: A total of 60 human mandibular premolars were taken in this study. These samples were stored in periodically changed distilled water at room temperature so as to stop bacterial growth. All samples were randomized to three pretreatment groups: group I, acid etching; group II, fluoride varnish; group III, casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) paste. Later, Transbond XT was applied on brackets made of stainless steel and brackets were centered buccally and then light-cured. The INSTRON universal machine was used to measure SBS. Based on the values, the adhesive remnant index (ARI) was estimated. Results: The maximum SBS was seen in group III (18.84 ± 1.04), followed by group II (14.18 ± 0.23), and the minimum bond strength was found in group I (13.90 ± 1.22). The one-way analysis of variance (ANOVA) showed high statistically significant difference within the pretreatment groups. The pretreatment group comparisons showed statistically significant difference between group I vs group III and group II vs group III. Score 0 was more in group III [8 (40%)] followed by group II [4 (20%)] and group I [2 (10%)]. The lowest number of score 3 was found in CPP-ACP paste group. After comparing the ARI scores within the groups, the Chi-square test showed a probability of 0.001 which was statistically significant. Conclusion:Our study established that the CPP-ACP paste pretreatment improves the SBS of orthodontic bracket significantly followed by fluoride varnish and acid etching. Clinical significance: The bond strength of orthodontic brackets that were bonded should be adequate to resist orthodontic forces applied during treatment. The effect of the adhesive material to improve the adequate bond strength depends on the efficient pretreatment methods.

Adhesion of Teeth

“…The powder is composed of mainly zinc oxide (ZnO), magnesium oxide (MgO), bismuth (Bi 2 O 3 ) and aluminum oxide (Al 2 O 3 ). It may also contain stannous fluoride (SnF 2 ) where disappearance of fluoride improves the shear bond strength (SBS) of the orthodontic bracket (Khargekar et al, 2019).…”