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Hu Y, Gao J, Huang X, Li Y, Chen Z, Zhan D, Sano H, Carvalho RM, Fu J. The possibility of clinical bonding between metal/ceramic brackets to zirconia: in vitro study. Front Bioeng Biotechnol 2024; 12:1354241. [PMID: 38288261 PMCID: PMC10822958 DOI: 10.3389/fbioe.2024.1354241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Accepted: 01/04/2024] [Indexed: 01/31/2024] Open
Abstract
Objective: The present study aimed to assess the bond strength and durability of six bonding agents concerning their application to metal or ceramic brackets and zirconia. Materials and Methods: Six resin cement bonding agents (XT, XTS, RSBU, RGBU, SBPM, and GMP) were chosen for this investigation. Specimens were either stored in distilled water at 37°C for 24 h or subjected to 5,000 thermocycles before conducting a Shear Bond Strength (SBS) test. Statistical analysis of the SBS data was performed using three-way ANOVA and Games-Howell tests (α = 0.05). The Adhesive Remnant Index was examined, and the debonding surface details on brackets and zirconia were observed. Results: For metal brackets, all groups demonstrated clinically acceptable bond strength, irrespective of storage conditions, except for the XT group. Regarding ceramic brackets, all groups displayed acceptable bond strength after 24 h of water storage. However, following thermocycling, a significant decrease in SBS was noted across all groups (p < 0.05), with SBPM exhibiting a higher bond strength. Three-way ANOVA analysis indicated that SBS values were notably influenced by each factor, and an interaction among the three independent variables was observed (p = 0.000). Conclusion: The reliable bond strength between ceramic brackets and zirconia was significantly lower after thermocycling compared to that of metal brackets and zirconia. SBPM exhibited consistent and robust bond strength between ceramic/metal brackets and zirconia across various storage conditions. Furthermore, the HEMA-free adhesive demonstrated a potentially more consistent bonding performance compared to the HEMA-containing adhesive employed in this study.
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Affiliation(s)
- Yichun Hu
- School and Hospital of Stomatology, China Medical University, Shenyang, China
| | - Jiayang Gao
- School and Hospital of Stomatology, China Medical University, Shenyang, China
| | - Xinyue Huang
- School and Hospital of Stomatology, China Medical University, Shenyang, China
| | - Yutong Li
- School and Hospital of Stomatology, China Medical University, Shenyang, China
| | - Ziyi Chen
- School and Hospital of Stomatology, China Medical University, Shenyang, China
| | - Desong Zhan
- Department of Dental Materials Science, The Second Department of Prosthodontics, School and Hospital of Stomatology, China Medical University, Shenyang, China
| | - Hidehiko Sano
- Department of Restorative Dentistry, Division of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Sapporo, Japan
| | - Ricardo M. Carvalho
- Department of Oral Biological and Medical Sciences, Division of Biomaterials, Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada
| | - Jiale Fu
- Department of Dental Materials Science, The Second Department of Prosthodontics, School and Hospital of Stomatology, China Medical University, Shenyang, China
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