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Comparison of Bond Strength of Metal and Ceramic Brackets

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Comparison of Bond Strength of Metal and Ceramic Brackets
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Appropriate bond strength between bracket and tooth surface is one of the most important aspects of orthodontic treatments [1,2]. Bonding of MIM monoblock metal bracket to enamel started in the mid 1960s [3,4]. Only auto-polymerizing materials were available at the time. Bonding of orthodontic brackets with visible light-cure adhesives was first reported by Tavas and Watts [5]. The light-cure adhesives were widely accepted due to their advantages in comparison with other chemical-cure adhesives. These advantages include high primary bond strength, better physical characteristics because of air inhibition phenomenon, user friendly application, extended working time for precise bracket placement and better removal of adhesive excessMIM bondable metal bracket with a nominal base area of 15.1mm 2 were bonded to the etched enamel and other steps were performed similar to group A. The adhesive was high-power light-cured for three seconds (1.5 seconds from mesial and 1.5 seconds from distal).

Group C: Metal brackets (American Orthodontics, Sheboygan, WI, USA) with a nominal base area of 11.3mm 2 were bonded to the etched enamel and other steps were performed similar to other groups. The adhesive was light-cured conventionally (600 mW/cm 2 ; Dr’s light, Good Doctors Co., Ltd., Incheon, South Korea) for 20 seconds (10 seconds from mesial and 10 seconds from distal).


The mean, standard deviation, minimum and maximum values of SBS of metal and ceramic brackets to tooth surfaces using two models of light-curing units were computed and reported. The SBS data were analyzed using one-way ANOVA, followed by Tukey’s post hoc test. Failure mode data were subjected to Kruskal-Wallis nonparametric test, followed by LSD post hoc test. Statistical significance was set at alpha=0.05.

Objective. Clinical comparison of the survival rates between stainless steel and ceramic brackets over a 12-month period. Materials and Methods. The study involved 20 consecutive patients with diagnosed malocclusion that required two-arch fixed appliance treatment. The participants were randomly divided into two 10-member groups. Group 1 was treated with Abzil Agile (3M Unitek) stainless steel brackets; group 2 was treated with Radiance (American Orthodontics) monocrystalline ceramic brackets. All the sapphire brackets were bonded by the same operator. Over the next 12 months, all bracket failures were recorded with each appointment. The received data were processed statistically using the Mantel–Cox test, Kaplan–Meier method, and Cox hazard model. Results. A total of 381 brackets were bonded, 195 of which were metallic brackets and 186 were ceramic ones. In the 12-month observation period, 

 that evaluated the bond strength of zirconia brackets were carried out as in vitro experiments under ideal laboratory conditions that may not reflect all clinical conditions. In vitro experiments provide information about initial bond strength to the enamel but cannot serve as predictors of bracket survivability [12–14]. Therefore, more accurate guidance on the clinical relevance of adhesion protocols is provided by in vivo tests, which assess the failure rate of the enamel-boding agent-bracket interface during treatment.



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