The literature contains a large number of publications on in vitro bond strength testing of materials used in orthodontics. The results are often quoted by manufacturers to support their products. Little attention has been paid to the detail of the test procedures used. However, a review of the literature revealed a large variation in the methods used for bond strength testing in orthodontics making comparison of papers difficult and often impossible. The case for a possible standard technique is suggested. It is hoped that this will lead to more meaningful testing of new products, which will produce more reliable guidance for the clinical orthodontist.

A critique of bond strength testing in orthodontics.

The purpose of the present study was to test a new in vivo debonding device and compare in vivo bond strengths recorded by this device with in vitro bond strengths recorded by a universal testing machine such as the Instron. For the in vitro part of the study, 60 extracted premolar teeth were divided into 2 groups of 30 each. Both groups of 30 teeth had 3M Unitek Victory Twin brackets, precoated with Transbond XT composite resin, bonded to them. Shear bond strength tests were carried out in vitro using the universal testing machine on one group of 30 teeth while the debonding device was used on the other group of 30 teeth. The mean shear bond strength of the group debonded using the universal machine was 11.02 MPa and that of the group debonded with the debonding device was 12.82 MPa. For the in vivo part of the study, 8 patients randomly assigned to the research clinician from patients in The University of Alabama School of Dentistry, Department of Orthodontics, had a total of 60 premolar teeth bonded with 3M Unitek Victory Twin brackets. Following comprehensive orthodontic treatment (average time of 23 months), shear bond strength tests were carried out using the debonding device, which can measure debonding forces in vivo. The mean shear bond strength recorded in vivo was 5.47 MPa. Statistically significant differences were found between all 3 groups tested. The results appear to indicate that mean bond strengths recorded in vivo following comprehensive orthodontic treatment are significantly lower than bond strengths recorded in vitro.

Orthodontic In Vivo Bond Strength: Comparison with In Vitro Results

Variables influencing the bond strength of metal orthodontic bracket bases.

The influence of orthodontic bracket base design on shear bond strength.

An in vitro evaluation of bond strength of three glass ionomer cements.

Direct bonding of orthodontic brackets

Summary

For a four-component acrylate adhesive system the influence of viscosity and penetration on adhesion to enamel was investigated. While low viscous monomer adhesives yield both inter- and intraprismatic penetration in enamel after polymerization, highly viscous adhesives result in the former type only. This difference in penetration of the adhesive in enamel is reflected quantitatively in the tensile strength values. Scanning electron microscopic measurements on the tag formation under various circumstances have been carried out. The SEM experiments show, e.g. that at polymerization times less than 1·5–2 min (a clinical necessity) polymer-tags were usually fractured from the bulk material due to stresses generated.

Polymer adhesion to enamel. The influence of viscosity and penetration.

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Direct bonding of orthodontic brackets

Polymer adhesion to enamel. The influence of viscosity and penetration.