Se. Bishara et al., EFFECT OF AN ACIDIC PRIMER ON SHEAR BOND STRENGTH OF ORTHODONTIC BRACKETS, American journal of orthodontics and dentofacial orthopedics, 114(3), 1998, pp. 243-247
A unique characteristic of some new etching systems is that they combi
ne the conditioning and priming agents into a single acidic primer sol
ution. The purpose of this study was to determine the effects on the s
hear bond strength and the bracket/adhesive failure mode when an acidi
c primer and other enamel etchants were used to condition the enamel s
urface before bonding. The brackets were bonded to extracted human tee
th according to one of four protocols following the manufacturers inst
ructions. Group I, teeth were etched with 37% phosphoric acid, the bra
ckets were then bonded with System 1+ adhesive (Ormco Corporation. Ora
nge, Calif.); group II, teeth were etched with 10% maleic acid, the br
ackets were also bonded with System 1+ adhesive; group III, an acidic
primer that contains both the acid (phenyl-P) and the primer (hema and
dimethacrylate) were placed on the enamel for 30 seconds. The adhesiv
e used on this group was a lightly filled resin that contains Bis-GMA
and HEMA. (Clearfil Liner Bond 2. J.C. Moritta, Kuraway, Japan); Group
IV, the same acidic primer was used as in group Ill, the adhesive use
d was highly filled (Panavia 21. J.C. Moritta) and contains Bis-GMA. T
he present in vitro findings indicated that the use of acidic primers
to bond orthodontic brackets to the enamel surface could provide clini
cally acceptable shear bond forces ((x) over bar = 10.4 +/- 4.4 MPa) w
hen used with a highly (77%) filled adhesive (Panavia 21). These debon
ding forces were comparable to those obtained when the enamel was cond
itioned with either Phosphoric ((x) over bar = 11.8 +/- 4.1 MPa) or Ma
leic ((x) over bar = 10.9 +/- 4.4 MPa) acids. With the use of a lightl
y (10%) filled adhesive (Clearfil Liner Bond 2), the shear bond streng
th was significantly lower ((x) over bar = 5.9 +/- 5.6 MPa). It is of
interest to note that there was a tendency to have less residual adhes
ive remaining on the tooth when an acid primer was used than when phos
phoric and maleic acids were used. This might be of advantage to the c
linician because it will require less time to clean the teeth after de
bonding.