Comparison of shear bond strength of orthodontic metal brackets recylced using different methods: An in-vitro study

Faisal Ayub Mulla, Waheed Ahmed Shaikh, Ajit J Kalia
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Abstract

The aim of this study was to compare the effect of recycling orthodontic metal brackets by sandblasting with aluminum oxide particles of different sizes and by laser blow method after first and second rebonding /recycling. 120 human premolars extracted for orthodontic purpose were randomly divided into four groups. 40 MBT prescription Orthodontic metallic brackets were bonded on the buccal surface of the samples. Brackets were recycled by sandblasting with 3 different particles size and laser. Debonding of all brackets was performed using a universal testing machine and shear bond strength was determined. Brackets were examined under Field emission scanning electron microscope from each group at each level to compare the surface characteristic of new and rebonded brackets. Data were analyzed with paired test, ANOVA, and post hoc tests.The shear bond strength of group I (sandblasted with 25µm alumina) was significantly higher at the end of 1st recycling compared to group II(50 µm) and III(100 µm) but it was comparable to group IV(laser) at the end of 1st recycling. Group IV showed clinically significant higher shear bond strength compared to group II and III after 1st and 2nd recycling. The shear bond strength for group II and III (sandblasted with 50 and 110µm alumina) was significantly much lower after 2nd recycling as compared to new i.e., Control (p value<0.001⁎⁎⁎).25µm alumina sandblasting and Er-YAG laser blow method obtained better results after three successive recycling. Overall sandblasting emerged as the best method to recycle the orthodontic brackets.
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不同方法回收的正畸金属托槽剪切粘结强度的体外比较研究
本研究的目的是比较不同大小的氧化铝颗粒喷砂和激光吹砂法在一次和二次再粘/回收后对正畸金属托槽的回收效果。将120颗拔除用于正畸的人前磨牙随机分为4组。将40个MBT处方正畸金属托槽粘接在口腔表面。支架采用三种不同粒度的激光喷砂回收。使用万能试验机对所有支架进行脱粘,并测定剪切粘接强度。在场发射扫描电子显微镜下对每一组、每一层的支架进行检查,比较新支架和再粘合支架的表面特征。数据分析采用配对检验、方差分析和事后检验。在第一次回收结束时,I组(喷砂25µm氧化铝)的剪切结合强度明显高于II组(50µm)和III组(100µm),但在第一次回收结束时与IV组(激光)相当。第1次和第2次循环后,IV组的剪切粘接强度明显高于II组和III组。第II组和第III组(用50和110µm氧化铝喷砂)的剪切强度在第二次循环后明显低于新组,即对照组(p值<0.001)。25µm氧化铝喷砂法和Er-YAG激光吹砂法连续三次回收后效果较好。整体喷砂是修复正畸托槽的最佳方法。
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