Kr. Reisner et al., ENAMEL PREPARATION FOR ORTHODONTIC BONDING - A COMPARISON BETWEEN, THE USE OF A SANDBLASTER AND CURRENT TECHNIQUES, American journal of orthodontics and dentofacial orthopedics, 111(4), 1997, pp. 366-373
Four methods of enamel preparation before orthodontic bonding that are
currently in use or proposed for use were investigated. The study con
sisted of two parts. Part one evaluated the roughness of the prepared
enamel surfaces by using optical profilometry and scanning electron mi
croscopy (SEM). Part two compared the debonding force for the prepared
enamel surfaces by using a mechanical testing machine. The teeth were
divided into four groups as follows: In group A, the surfaces were on
ly sandblasted. In group B, the surfaces were sandblasted and acid etc
hed. In group C, the surfaces were buffed with an 1172 fluted bur and
acid etched. In group D, the surfaces were pumiced and acid etched. Th
ere was no statistical difference in surface roughness among the four
groups at p < 0.05, nor was there any statistical difference in bond s
trength among the three groups that were acid etched. However, there w
as a significant difference in bond strength between these groups and
the group that received only sandblasting (no acid etching). Thus, in
this preliminary study, sandblasting does not appear to damage the ena
mel surface and can therefore be used as a substitute for polishing wi
th pumice. It should be followed by acid etching to produce enamel sur
faces with comparable bond strengths.