The effect of phosphoric acid etch in conjunction with self-etching primer on enamel surfaces and resultant orthodontic bracket bond strength.

摘要

This study examined the methods of preparing the enamel surface for orthodontic bracket adhesion in overcoming pellicle and possible fluid contamination from prebonding cleaning techniques and the effect of these treatments on the enamel surface and resultant bond strength. Shear bond strength testing, Raman linear mapping, and scanning electron microscopy was used to evaluate shear bond strength, depth of resin interface, and surface and cross-sectional characteristics respectively. Based on an analysis of variance (a=.05), there was a significant effect of pretreatment enamel conditioning prior to self-etching primer application on shear bond strength. This difference was found to exist solely between the pumice prophylaxis group and the 34% phosphoric acid etch group. No difference was found to exist across all groups with regards to depth of resin penetration. Scanning electron microscopy showed no significant differences in enamel surface or resin/enamel interface characteristics. Results suggest that enamel cleaning techniques prior to SEP application are unnecessary and even deleterious to bond strength and resin penetration.