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      Effect of Cyclic Loading on Shear Bond Strength of Orthodontic Brackets: An In Vitro Study

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          Abstract

          Objectives:

          In clinical conditions, orthodontic brackets are exposed to periodic stresses mainly induced by mastication and intraoral forces. The objective of the present study was to evaluate the effects of cyclic loading to simulate masticatory forces on shear bond strength (SBS) of metal brackets bonded to teeth using self-etch and total-etch bonding systems.

          Materials and Methods:

          Eighty-four caries- and crack-free bovine mandibular incisors were selected and randomly assigned to two groups based on the type of bonding system. After bonding, all samples were thermocycled (500 cycles) followed by cyclic loading of the half of the specimens in each group by applying 40 N load with 2 Hz frequency for 10,000 cycles. The SBS was measured using a universal testing machine. The adhesive remnant index (ARI) score was calculated subsequently. Data were analyzed using Kolmogorov-Smirnov test, two-way ANOVA and Mann-Whitney test.

          Results:

          The SBS was 10.09±3.78 MPa and 14.44±6.06 MPa for self-etch and total-etch bonding systems in cyclic loading group, respectively. The SBS was 9.43±5.3 MPa and 11.31±5.42 MPa in self-etch and total-etch groups without cyclic loading, respectively. Cyclic loading did not cause any significant difference in SBS (P>0.05). The ARI scores of the groups were significantly different (P<0.05).

          Conclusions:

          The present results demonstrated that low masticatory forces at 10,000 cycles did not have a significant impact on bracket-adhesive SBS; however, they significantly changed the ARI score. Even though the total-etch bonding system yielded higher SBS than the self-etch system, the performance of both was clinically acceptable.

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          Most cited references29

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          Buonocore memorial lecture. Adhesion to enamel and dentin: current status and future challenges.

          Bonding to tooth tissue can be achieved through an "etch&rinse," "self-etch" or "glass-ionomer" approach. In this paper, the basic bonding mechanism to enamel and dentin of these three approaches is demonstrated by means of ultramorphological and chemical characterization of tooth-biomaterial interfacial interactions. Furthermore, bond-strength testing and measurement of marginal-sealing effectiveness (the two most commonly employed methodologies to determine "bonding effectiveness" in the laboratory) are evaluated upon their value and relevance in predicting clinical performance. A new dynamic methodology to test biomaterial-tooth bonds in a fatigue mode is introduced with a recently developed micro-rotary fatigue-testing device. Eventually, today's adhesives will be critically weighted upon their performance in diverse laboratory studies and clinical trials. Special attention has been given to the benefits/drawbacks of an etch&rinse versus a self-etch approach and the long-term performance of these adhesives. Correlating data gathered in the laboratory with clinical results clearly showed that laboratory research CAN predict clinical effectiveness. Although there is a tendency to simplify bonding procedures, the data presented confirm that conventional three-step etch&rinse adhesives still perform most favorably and are most reliable in the long-term. Nevertheless, a self-etch approach may have the best future perspective. Clinically, when adhesives no longer require an "etch&rinse" step, the application time, and probably more importantly, the technique-sensitivity are substantially reduced. Especially "mild," two-step self-etch adhesives that bond through a combined micromechanical and chemical interaction with tooth tissue closely approach conventional three-step systems in bonding performance.
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            A review of direct orthodontic bonding

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              Bovine teeth as possible substitutes in the adhesion test.

              In order to find a substitute for human teeth in the adhesion test, the adhesive strength to bovine teeth was compared with that to human teeth using five dental cements and two composite resins. The adhesion to enamel and the superficial layer of dentin showed no statistically significant difference between human and bovine teeth, although the mean values were always slightly lower with bovine teeth. Adhesion to bovine dentin decreased considerably with the depth of dentin.
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                Author and article information

                Journal
                J Dent (Tehran)
                J Dent (Tehran)
                JOD
                JOD
                Journal of Dentistry (Tehran, Iran)
                Tehran University of Medical Sciences
                1735-2150
                2008-2185
                November 2018
                : 15
                : 6
                : 351-357
                Affiliations
                [1 ]Assistant Professor, Department of Orthodontics, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
                [2 ]Dental Research Center, Dentistry Research Institute, Department of Dental Biomaterials, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
                [3 ]Dentist, Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
                [4 ]Professor, Dental Research Center, Dentistry Research Institute, Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
                Author notes
                [* ]Corresponding author: M. S. Ahmad Akhoundi, Dental Research Center, Dentistry Research Institute, Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran ahmadakh@ 123456tums.ac.ir
                Article
                jod-15-351
                6399460
                299c9583-12f2-4c7e-97bd-413ff70dcea5
                Copyright© Dental Research Center, Tehran University of Medical Sciences

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 02 March 2018
                : 17 November 2018
                Categories
                Original Article

                Dentistry
                shear strength,dental bonding,orthodontic brackets,bite force
                Dentistry
                shear strength, dental bonding, orthodontic brackets, bite force

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