Orthodontic Bracket Bonding Using Self-adhesive Cement to Facilitate Bracket Debonding

Purpose: To evaluate shear bond strength (SBS), adhesive remnant index (ARI), and orthodontic bracket base after debonding of orthodontic brackets bonded using two different adhesives. Materials and Methods: Ninety sound human premolars were divided into three groups of n = 30. 1. Transbond, where brackets were bonded with Transbond XT (3M Unitek); 2. Multilink, where brackets were bonded with Multilink Speed (Ivoclar Vivadent); 3. Multilink+etch, where brackets were bonded using Multilink Speed after etching enamel. ARI scores were obtained using a stereomicroscope. SEM was used to evaluate the treated enamel surfaces and the base of the brackets. One-way ANOVA was performed to statistically analyze SBS. The Kruskal-Wallis test was conducted to investigate ARI scores, followed by multiple comparison tests (p 0.05). Results: SBS was significantly lower in the Multilink group compared to the other groups (p 0.05). SEM evaluation revealed minimum penetration of resin tags within the enamel and that most of the resin was attached to the base of the brackets in the Multilink group compared to the other two groups (p 0.05). Conclusion: Application of Multilink Speed on nonetched enamel provides acceptable SBS of orthodontic brackets bonded to enamel with minimum penetration of resin tags into enamel and less residual resin on tooth surfaces. Keywords: orthodontic bracket bonding, SBS, self-adhesive resin cement, SEM, EDS