Comparative Effectiveness of Multiple Laser Scanning and Conventional Techniques on Zirconia Shear Bond Strength

Effect of enamel-surface modifications on shear bond strength using different adhesive materials

BACKGROUND

This study aimed to investigate the effect of enamel-surface modifications on the shear bond strength between ceramic brackets bonded using different adhesive materials and the enamel surface and to identify the most suitable clinical adhesive and bonding method. Whether the non-acid-etching treatment met the clinical bond strength was also determined.

METHODS

A total of 108 extracted premolars were divided into nine groups (n = 12) based on the different enamel-surface modification techniques (acid etching, deproteinization, and wetting). Group 1 was bonded with Transbond™ XT adhesive, whereas groups 2-9 were bonded with resin-modified glass ionomer cement (RMGIC). The treatment methods for each group were as follows: groups 1 and 2, acid etching; group 3, acid etching and wetting; group 4, acid etching and deproteinization; group 5, acid etching, deproteinization, and wetting; group 6, deproteinization; group 7, deproteinization and wetting; group 8, without treatment; and group 9, wetting. The samples' shear bond strength was measured using an universal testing machine. Adhesive remnant index (ARI) was examined using a stereomicroscope. The enamel-surface morphology was observed with a scanning electron microscope. One-way ANOVA with Tukey's post-hoc test and chi-square test were used for statistical analysis, and p < 0.05 and α = 0.05 were considered statistically significant.

RESULTS

The ARIs of groups 1-5 and 6-9 were statistically significant (p = 0.000). The enamel surface of groups 1-5 was demineralized, and only a tiny amount of protein remained in groups 7 and 8, whereas a thick layer of protein remained in groups 8 and 9.

CONCLUSIONS

RMGIC adhesive did not damage the enamel surface and achieved the required clinical bond strength. The enamel surface was better treated with 5.25% sodium hypochlorite preferably under non-acid-etching conditions.

Study of Al–SiO2 Aesthetic Composite Coating on Orthodontic Metal Archwire

Nickel–titanium orthodontic wires (NTWs) play an essential role in orthodontic treatment. However, their corrosion and aesthetic properties limit their applications. To improve the aesthetic effects of nickel–titanium orthodontic archwires, we prepared aluminium–silicon dioxide (Al–SiO2) as a biocompatible layer coated onto the NTWs. The Al–SiO2 coating was first fabricated using physical vapor deposition magnetron sputtering, and its physicochemical and biocompatibility properties were investigated. Al–SiO2 layers were well coated on the NTWs. The corrosion currents in the nickel–titanium (NiTi) control, Al–SiO2-coated NiTi experimental, stainless steel (SS) control and Al–SiO2-coated SS experimental groups were 23.72 μA cm−2, 1.21 μA cm−2, 0.22 μA cm−2 and 0.06 μA cm−2, respectively. Al–SiO2-coated NTWs with reduced corrosion current density indicated that the preparation of Al–SiO2 coating on the surface of NiTi and SS could reduce the tendency of electrochemical corrosion. The friction coefficients of orthodontic wires in the NiTi control, NiTi experimental, SS control, and SS experimental groups were 0.68, 0.46, 0.58 and 0.45, respectively. A low friction coefficient was observed in the Al–SiO2-coated NTWs, and the reduced friction coefficient improved the efficiency of orthodontics. Furthermore, the excellent biocompatibility of the NTWs and SS coated with Al–SiO2 indicates that Al–SiO2 as a novel aesthetic layer could improve the physicochemical properties of NTW and SS without causing cytotoxicity, which has considerable potential for modification of NTW and SS surfaces.