Abstract
Objective
The goal of this work was to assess the shear bond strength (SBS) and fracture mode of a self-adhering flowable composite when used after thermocycling for lingual retainer bonding.
Materials and methods
A total of 80 human mandibular incisor teeth were categorized into four equal groups: group 1: Vertise™ Flow (VF) without acid etching; group 2: VF with acid etching; group 3: VF with a self-etching bonding agent accompanied by an additional acid etching; group 4: Transbond LR control. Either VF or Transbond LR was applied to the lingual surface of the teeth by packing the material into cylindrical plastic matrices to simulate the lingual retainer bonding area. After all teeth were thermocycled (5000 cycles, 5 and 55 °C), fracture modes were examined under ×20 magnification. The SBS data were assessed via analysis of variance (ANOVA) and Tukey’s tests. Fracture modes were analyzed by the χ2 test at a significance level of 0.05.
Results
Statistically significant differences in SBS values between groups (p < 0.001) were observed. Group 4 exhibited the highest (14.63 ± 1.36 MPa) and group 1 the lowest SBS (2.67 ± 1.35 MPa) values. Statistically significant differences were noted in fracture modes between groups 1, 3, and 4 (p < 0.001). In all the self-adhering flowable composite groups, the adhesive type (tooth–composite interface) fracture occurred more frequently than cohesive and mixed-type fractures.
Conclusion
When applied to bond lingual retainers to unetched enamel or with self-etching bonding agent accompanied by an additional acid etching, Vertise™ Flow resulted in a significant decrease in bond strength.
Zusammenfassung
Studienziel
Ziel der Studie war die Beurteilung der Scherhaftfestigkeit von lingualen Retainern und der damit verbundenen Bruchmuster nach adhäsiver Befestigung mit einem selbsthaftenden fließfähigen Komposit (VertiseTM Flow, Kerr) und nach Temperaturwechselbelastung.
Material und Methode
Insgesamt 80 menschliche Unterkieferschneidezähne wurden zur Prüfung unterschiedlicher Adhäsivtechniken in 4 gleich große Gruppen unterteilt. In 3 Gruppen erfolgte die Befestigung mit VertiseTM Flow (ohne bzw. mit Säureätzen bzw. nach Anwendung eines selbstätzendem Haftvermittlers mit zusätzlichem Säureätzen) und in einer Gruppe zur Kontrolle mit TransbondTM LR (3M Unitek). Zur Simulation eines Retainer-Haftareals wurde das Adhäsiv jeweils in einen Kunststoffzylinder gefüllt auf die Lingualfläche geklebt. Nach Temperaturwechselbelastung (5000 Zyklen, 5–55 °C) wurden diese Prüfkörper auf Bruch scherbelastet und bei 20-facher Vergrößerung die Bruchstellen lokalisiert. Die Scherhaftfestigkeiten wurden per Varianzanalyse und Tukey-Test analysiert, die Bruchmuster per χ2-Test (Signifikanzniveau: 0,05).
Resultate
Die Scherhaftfestigkeiten offenbarten signifikante Gruppenunterschiede (p < 0,001). Die Werte waren in der Kontrollgruppe am höchsten (14,63 ± 1,36 MPa), in der Vertise-Flow-Gruppe ohne Säureätzen an niedrigsten (2,67 ± 1,35 MPa). Signifikante Unterschiede bei den Bruchtypen zeigten sich zwischen der Vertise-Flow-Gruppe ohne Säureätzen, der Vertise-Flow-Gruppe mit selbstätzendem Haftvermittler und zusätzlichem Säureätzen sowie der Kontrollgruppe (p < 0,001). In allen Gruppen mit dem selbsthaftenden fließfähigen Komposit ereigneten sich Adhäsionsbrüche (zwischen Zahn und Komposit) häufiger als Kohäsionsbrüche und Mischbrüche.
Schlussfolgerung
Erfolgte die adhäsive Befestigung mit VertiseTM Flow am ungeätzten Schmelz oder nach Anwendung eines selbstätzenden Haftvermittlers mit zusätzlichem Säureätzen, so reduzierte sich Haftfestigkeit der lingualen Retainer signifikant.
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Compliance with ethical guidelines
Conflict of interest. I. Veli, M. Akin, E. Kucukyilmaz, and T. Uysald state that there are no conflicts of interest. The accompanying manuscript does not include studies on humans or animals.
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Interessenkonflikt. I. Veli, M. Akin, E. Kucukyilmaz und T. Uysald geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.
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Veli, I., Akin, M., Kucukyilmaz, E. et al. Shear bond strength of a self-adhering flowable composite when used for lingual retainer bonding. J Orofac Orthop 75, 374–383 (2014). https://doi.org/10.1007/s00056-014-0231-y
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DOI: https://doi.org/10.1007/s00056-014-0231-y