The shear bond strengths of stainless steel and ceramic brackets used with chemically and light-activated composite resins. 1990

V P Joseph, and E Rossouw
Department of Conservative Dentistry, Oral and Dental Teaching Hospital, University of the Western Cape, Tygerberg, Republic of South Africa.

Since the introduction of ceramic brackets to orthodontic therapy, a need has arisen to test the manufacturer's claims regarding these brackets. Forty-eight noncarious human canine teeth were divided equally into groups A to D. Brackets were bonded to these teeth with the use of the acid-etch technique and a composite resin according to the manufacturer's instructions. The combination within each group was as follows: A = stainless steel brackets and chemically cured resin; B = ceramic brackets and chemically cured resin; C = ceramic brackets and light-cured resin; D = stainless steel brackets and light-cured resin (via transillumination). After curing, the teeth were stored for 1 week in distilled water at 37 degrees C. The Instron machine was used to test the shear bond strengths of the brackets to the teeth. The brackets were individually tested to failure of the bond, which was recorded along with the site of fracture. The conclusions are as follows: (1) all combinations produced shear bond strengths that were greater than those that are considered clinically acceptable, (2) the ceramic groups exhibited a significantly higher bond strength than that of the stainless steel group, and (3) enamel fractures occurred among the B group in 40% of the samples tested in that group. It is thus apparent that a fracture of enamel is a real possibility during therapy or at debonding of the ceramic brackets, especially if the tooth is nonvital.

UI MeSH Term Description Entries
D009967 Orthodontic Appliances Devices used for influencing tooth position. Orthodontic appliances may be classified as fixed or removable, active or retaining, and intraoral or extraoral. (Boucher's Clinical Dental Terminology, 4th ed, p19) Appliance, Orthodontic,Appliances, Orthodontic,Orthodontic Appliance
D011109 Polymethacrylic Acids Poly-2-methylpropenoic acids. Used in the manufacture of methacrylate resins and plastics in the form of pellets and granules, as absorbent for biological materials and as filters; also as biological membranes and as hydrogens. Synonyms: methylacrylate polymer; poly(methylacrylate); acrylic acid methyl ester polymer. Methacrylic Acid Polymers,Acid Polymers, Methacrylic,Acids, Polymethacrylic,Polymers, Methacrylic Acid
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
D002516 Ceramics Products made by baking or firing nonmetallic minerals (clay and similar materials). In making dental restorations or parts of restorations the material is fused porcelain. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed & Boucher's Clinical Dental Terminology, 4th ed) Ceramic
D003188 Composite Resins Synthetic resins, containing an inert filler, that are widely used in dentistry. Composite Resin,Resin, Composite,Resins, Composite
D003743 Dental Enamel A hard thin translucent layer of calcified substance which envelops and protects the dentin of the crown of the tooth. It is the hardest substance in the body and is almost entirely composed of calcium salts. Under the microscope, it is composed of thin rods (enamel prisms) held together by cementing substance, and surrounded by an enamel sheath. (From Jablonski, Dictionary of Dentistry, 1992, p286) Enamel,Enamel Cuticle,Dental Enamels,Enamel, Dental,Enamels, Dental,Cuticle, Enamel,Cuticles, Enamel,Enamel Cuticles,Enamels
D003799 Dental Stress Analysis The description and measurement of the various factors that produce physical stress upon dental restorations, prostheses, or appliances, materials associated with them, or the natural oral structures. Analyses, Dental Stress,Analysis, Dental Stress,Stress Analyses, Dental,Stress Analysis, Dental,Dental Stress Analyses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000704 Analysis of Variance A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable. ANOVA,Analysis, Variance,Variance Analysis,Analyses, Variance,Variance Analyses
D013193 Stainless Steel Stainless steel. A steel containing Ni, Cr, or both. It does not tarnish on exposure and is used in corrosive environments. (Grant & Hack's Chemical Dictionary, 5th ed) Stainless Steels,Steel, Stainless,Steels, Stainless

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