A clinical comparison of two chemically-cured adhesives used for indirect bonding. 2003

P G Miles, and R J Weyant
University of Pittsburgh, USA. info@beautifulsmiles.com.au

OBJECTIVE To compare and evaluate the clinical failure rates of the chemically-cured composite bonding resins Sondhi Rapid Set (SD) and Maximum Cure (MC) when used in an indirect bonding technique. METHODS In vivo study in the private orthodontic practice of a solo practitioner. METHODS Forty consecutive patients meeting the inclusion criteria were assigned to alternating groups in a split-mouth study design. Group 1 had the maxillary right and mandibular left quadrants indirectly bonded using SD adhesive, while the contralateral quadrants were bonded using MC adhesive. Group 2 had the opposite sides bonded to Group 1. One patient was lost from each group. Over a 6-month observation period, all loose brackets were recorded and the data compared with a Wilcoxon sign-rank test. RESULTS Of the 363 brackets placed in each group, 36 with the SD adhesive came loose (9.9 per cent failure rate) compared with five from the MC group (1.4 per cent failure rate, P = 0.0001). In the maxillary arch, seven brackets from the SD quadrants came loose versus one for the MC (P = 0.109). In the mandibular arch 29 brackets from the SD quadrants came loose during the 6-month observation period compared with four from the MC quadrants (P = 0.001). CONCLUSIONS Both chemically-cured adhesives (SD and MC) examined in this study were suitable for the indirect bonding of brackets. The SD adhesive had seven times the number of breakages than the MC adhesive in both arches (P = 0.0001).

UI MeSH Term Description Entries
D008297 Male Males
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D001840 Dental Bonding An adhesion procedure for orthodontic attachments, such as plastic DENTAL CROWNS. This process usually includes the application of an adhesive material (DENTAL CEMENTS) and letting it harden in-place by light or chemical curing. Bonding, Dental,Cure of Orthodontic Adhesives,Curing, Dental Cement,Dental Cement Curing,Orthodontic Adhesives Cure
D003188 Composite Resins Synthetic resins, containing an inert filler, that are widely used in dentistry. Composite Resin,Resin, Composite,Resins, Composite
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000269 Adhesives Substances that cause the adherence of two surfaces. They include glues (properly collagen-derived adhesives), mucilages, sticky pastes, gums, resins, or latex. Glues,Mucilage Adhesive,Mucilage Adhesives,Mucilages, Adhesive,Adhesive,Adhesive Mucilage,Adhesive Mucilages,Adhesive, Mucilage,Adhesives, Mucilage,Glue,Mucilage, Adhesive
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D016910 Orthodontic Brackets Small metal or ceramic attachments used to fasten an arch wire. These attachments are soldered or welded to an orthodontic band or cemented directly onto the teeth. Bowles brackets, edgewise brackets, multiphase brackets, ribbon arch brackets, twin-wire brackets, and universal brackets are all types of orthodontic brackets. Dental Braces,Orthodontic Braces,Brace, Dental,Brace, Orthodontic,Braces, Dental,Braces, Orthodontic,Bracket, Orthodontic,Brackets, Orthodontic,Dental Brace,Orthodontic Brace,Orthodontic Bracket
D019279 Resin Cements Dental cements composed either of polymethyl methacrylate or dimethacrylate, produced by mixing an acrylic monomer liquid with acrylic polymers and mineral fillers. The cement is insoluble in water and is thus resistant to fluids in the mouth, but is also irritating to the dental pulp. It is used chiefly as a luting agent for fabricated and temporary restorations. (Jablonski's Dictionary of Dentistry, 1992, p159) Resin Cement,Cement, Resin,Cements, Resin

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