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Orthodontic bonding to several ceramic surfaces: are there acceptable alternatives to conventional methods?

Karan S, Büyükyilmaz T, Toroğlu MS

Department of Orthodontics, Faculty of Dentistry, Cukurova University, Adana, Turkey. s-karan@hotmail.com

INTRODUCTION: The objectives of this study were to determine the effects of various surface conditioning methods on 3 types of ceramic materials (feldsphatic, leucite-based, and lithia disilicate-based) in orthodontic bonding. METHODS: A total of 210 ceramic disk samples were fabricated and divided into 3 groups. In each group, 5 subgroups were prepared by sandblasting; sandblasting and hydrofluoric (HF) acid; sandblasting and silane; sandblasting, HF acid, and silane; and tribochemical silica coating and silane. Mandibular incisor brackets were bonded with light-cured adhesive. The samples were stored in water for 24 hours at 37 degrees C and then thermocycled. Shear bond tests were performed, and the failure types were classified with adhesive remnant index scores. RESULTS: In all 3 ceramic groups, the lowest shear bond strength values were found in the sandblasted-only samples. For the feldspathic and lithia disilicate-based ceramic, the highest bond strength values were obtained with silica coating (15.2 and 13.2 MPa, respectively). For the leucite-based ceramic, HF without silane produced the highest bond strength value (14.7 MPa), but comparable values were obtained with silicatization also (13.4 MPa). CONCLUSIONS: The silica-coating technique could replace the other conditioning techniques in bonding brackets to ceramic. However, debonding must be done carefully because of the risk of porcelain fracture.

Published 13 August 2007 in Am J Orthod Dentofacial Orthop, 132(2): 144.e7-14.
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