Journal List > Korean J Orthod > v.41(2) > 1043658

Yagci, Uysal, Akinci, and Uysal: Effects of a new desensitizing paste containing 8% arginine and calcium carbonate on the shear bond strength of orthodontic brackets

Abstract

Objective

The purpose of this study was to evaluate shear bond strength (SBS) and failure site location of brackets bonded to enamel with or without desensitizer application.

Methods

Sixty-six freshly extracted human premolar teeth were randomly divided into 3 groups of 22. Group 1 served as the control. Desensitizer was applied to the remaining teeth at two time intervals (Group 2, bonded immediately after Pro-ReliefTM (Colgate-Palmolive Co., New York, NY, USA) application and Group 3, bonded 30 days after Pro-ReliefTM application with the teeth stored in artificial saliva during the 30 days). Orthodontic brackets were bonded with a light cure composite resin and cured with a halogen light. After bonding, the SBS of the brackets was tested using a universal testing device. Adhesive remnant index (ARI) scores were determined after the brackets failed. Data were analyzed with analysis of variance, Tukey’s HSD, and G tests.

Results

The SBS was significantly lower in Group 2 than in Groups 1 (p = 0.024) and 3 (p = 0.017). Groups 1 and Group 3 did not differ (p = 0.991). ARI scores did not differ significantly among groups.

Conclusions

The Pro-ReliefTM desensitizer agent applied immediately before bonding significantly reduces bond strength, but the SBS values still exceed the minimum 5.9 - 7.8 MPa required for adequate clinical performance. Immersing the teeth in artificial saliva for 30 days after applying the Pro-ReliefTM desensitizer agent and before bonding increased the SBS to control levels.

REFERENCES

1.Addy M. Dentine hypersensitivity: new perspectives on an old problem. Int Dent J. 2002. 52:367–75.
crossref
2.Brannstrom M. Dentin sensitivity and aspiration of odon-toblasts. J Am Dent Assoc. 1963. 66:366–70.
3.Cummins D. Dentin hypersensitivity: from diagnosis to a breakthrough therapy for everyday sensitivity relief. J Clin Dent. 2009. 20:1–9.
4.Walters PA. Dentinal hypersensitivity: a review. J Contemp Dent Pract. 2005. 6:107–17.
crossref
5.Swift EJ Jr. Causes, prevention, and treatment of dentin hypersensitivity. Compend Contin Educ Dent. 2004. 25:95–106.
6.West NX. Dentine hypersensitivity. In: Lussi A editor. Dental erosion. Basel: Karger;2006. p. 173–89.
7.Türkkahraman H., Adanir N. Effects of potassium nitrate and oxalate desensitizer agents on shear bond strengths of orthodontic brackets. Angle Orthod. 2007. 77:1096–100.
crossref
8.Kleinberg I. SensiStat. A new saliva-based composition for simple and effective treatment of dentinal sensitivity pain. Dent Today. 2002. 21:42–7.
9.Yip CK. The need and demand of orthodontics among Chinese adults in Hong Kong (dissertation). Hong Kong: Univ of Hong Kong. 1993.
11.Aranha AC., Siqueira Junior Ade S., Cavalcante LM., Pimenta LA., Marchi GM. Microtensile bond strengths of composite to dentin treated with desensitizer products. J Adhes Dent. 2006. 8:85–90.
12.Malkoc S., Demir A., Sengun A., Ozer F. The effect on shear bond strength of different antimicrobial agents after acid etching. Eur J Orthod. 2005. 27:484–8.
crossref
13.Holzmeier M., Ernst CP., Willershausen B., Hirschfelder U. In-vitro shear bond strength of self-etching versus traditional adhesives for orthodontic luting. J Orofac Orthop. 2006. 67:244–59.
crossref
14.Garcia-Godoy F., Garcia-Godoy A., Garcia-Godoy C. Effect of a desensitizing paste containing 8% arginine and calcium carbonate on the surface roughness of dental materials and human dental enamel. Am J Dent. 2009. 22:21A–4A.
15.Artun J., Bergland S. Clinical trials with crystal growth conditioning as an alternative to acid-etch enamel pretreatment. Am J Orthod. 1984. 85:333–40.
16.Oliver RG. The effect of different methods of bracket removal on the amount of residual adhesive. Am J Orthod Dentofacial Orthop. 1988. 93:196–200.
17.Addy M. Etiology and clinical implications of dentine hypersensitivity. Dent Clin North Am. 1990. 34:503–14.
18.Trowbridge HO., Silver DR. A review of current approaches to in-office management of tooth hypersensitivity. Dent Clin North Am. 1990. 34:561–81.
19.Panagakos F., Schiff T., Guignon A. Dentin hypersensitivity: effective treatment with an in-office desensitizing paste containing 8% arginine and calcium carbonate. Am J Dent. 2009. 22:3A–7A.
20.Josey AL., Meyers IA., Romaniuk K., Symons AL. The effect of a vital bleaching technique on enamel surface morphology and the bonding of composite resin to enamel. J Oral Rehabil. 1996. 23:244–50.
crossref
21.Schiff T., Delgado E., Zhang YP., Cummins D., DeVizio W., Mateo LR. Clinical evaluation of the efficacy of an in-office desensitizing paste containing 8% arginine and calcium carbonate in providing instant and lasting relief of dentin hypersensitivity. Am J Dent. 2009. 22:8A–15A.
22.Reynolds IR. A review of direct orthodontic bonding. Br J Orthod. 1975. 2:171–8.
crossref
23.Zachrisson YO., Zachrisson BU., Büyükyilmaz T. Surface preparation for orthodontic bonding to porcelain. Am J Orthod Dentofacial Orthop. 1996. 109:420–30.
crossref
24.Bishara SE., Olsen ME., Von Wald L. Evaluation of debonding characteristics of a new collapsible ceramic bracket. Am J Orthod Dentofacial Orthop. 1997. 112:552–9.
crossref
25.Forsberg CM., Hagberg C. Shear bond strength of ceramic brackets with chemical or mechanical retention. Br J Orthod. 1992. 19:183–9.
crossref

Table 1.
Descriptive statistics and the results of ANOVA comparing the SBS of the three groups tested
Group testeda Bond strength (Mpa) ANOVA comparison Tukey’s HSD
N Mean Standard deviation Minimum Maximum Group 2 Group 3
1 22 17.9 5.4 8.2 26.9 p = 0.009 十 p = 0.024* p = 0.991 NS
2 22 13.8 3.4 8.4 28.4 p = 0.017*
3 22 18.1 4.5 10.9 27.8

a Group 1, Control Group 2, bonded immediately after desensitizer paste application Group 3, bonded 30 days after desensitizer paste application. NS, Not significant; SBS, shear bond strength. *p < 0.05; p < 0.01.

Table 2.
Adhesive remnant index (ARI) scores (%)
Group testeda N ARI scoreb G-Test
0 1 2 3
1 22 2 (9.1%) 9 (40.9%) 6 (27.3%) 5 (22.7%) p = 0.9071, NS
2 22 2 (9.1%) 8 (36.4%) 1 (4.5%) 11 (50%)
3 22 2 (9.1%) 5 (22.7%) 6 (27.3%) 9 (40.9%)

a Group 1, Control; Group 2, bonded immediately after desensitizer paste application; Group 3, bonded 30 days after desensitizer paste application.

b ARI scores: Score 0, No adhesive remaining on the tooth; Score 1, less than half of the adhesive left on the tooth; Score 2, more than half of the adhesive left on the tooth; Score 3, all adhesive left on the tooth with a distinct impression of the bracket mesh. NS, Not significant.

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