What Is the Most Effective Technique for Bonding Brackets on Ceramic—A Systematic Review and Meta-Analysis

<i>Background</i>: There has been an increase in demand for orthodontic treatment within the adult population, who likely receive restorative treatments using ceramic structures. The current state of the art regarding the most effective method to achieve an appropriate bond strength of b...

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Main Authors: Inês Francisco, Raquel Travassos, Catarina Nunes, Madalena Ribeiro, Filipa Marques, Flávia Pereira, Carlos Miguel Marto, Eunice Carrilho, Bárbara Oliveiros, Anabela Baptista Paula, Francisco Vale
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/9/1/14
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author Inês Francisco
Raquel Travassos
Catarina Nunes
Madalena Ribeiro
Filipa Marques
Flávia Pereira
Carlos Miguel Marto
Eunice Carrilho
Bárbara Oliveiros
Anabela Baptista Paula
Francisco Vale
author_facet Inês Francisco
Raquel Travassos
Catarina Nunes
Madalena Ribeiro
Filipa Marques
Flávia Pereira
Carlos Miguel Marto
Eunice Carrilho
Bárbara Oliveiros
Anabela Baptista Paula
Francisco Vale
author_sort Inês Francisco
collection DOAJ
description <i>Background</i>: There has been an increase in demand for orthodontic treatment within the adult population, who likely receive restorative treatments using ceramic structures. The current state of the art regarding the most effective method to achieve an appropriate bond strength of brackets on ceramic surfaces isn’t consensual. This systematic review aims to compare the available surface treatments to ceramics and determine the one that allows to obtain the best bond strength. <i>Methods</i>: This systematic review followed the PRISMA guidelines and the PICO methodology was used, with the question “What is the most effective technique for bonding brackets on ceramic crowns or veneers?”. The research was carried out in PubMed, Web of Science, Embase and Cochrane Library databases. In vitro and ex vivo studies were included. The methodological quality was evaluated using the guidelines for reporting of preclinical studies on dental materials by Faggion Jr. <i>Results</i>: A total of 655 articles searched in various databases were initially scrutinized. Sevety one articles were chosen for quality analysis. The risk of bias was considered medium to high in most studies. The use of hydrofluoric acid (HF), silane and laser afforded the overall best results. HF and HF plus laser achieved significantly highest bond strength scores in felsdphatic porcelain, while laser was the best treatment in lithium disilicate ceramics. <i>Conclusions</i>: The most effective technique for bonding brackets on ceramic is dependent on the type of ceramic.
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spelling doaj.art-0f4c8d276df24c909b4b56abd62a66492023-11-23T12:59:04ZengMDPI AGBioengineering2306-53542022-01-01911410.3390/bioengineering9010014What Is the Most Effective Technique for Bonding Brackets on Ceramic—A Systematic Review and Meta-AnalysisInês Francisco0Raquel Travassos1Catarina Nunes2Madalena Ribeiro3Filipa Marques4Flávia Pereira5Carlos Miguel Marto6Eunice Carrilho7Bárbara Oliveiros8Anabela Baptista Paula9Francisco Vale10Institute of Orthodontics, Faculty of Medicine, University of Coimbra, 3004-531 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3004-531 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3004-531 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3004-531 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3004-531 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3004-531 Coimbra, PortugalInstitute of Integrated Clinical Practice, Faculty of Medicine, University of Coimbra, 3004-531 Coimbra, PortugalInstitute of Integrated Clinical Practice, Faculty of Medicine, University of Coimbra, 3004-531 Coimbra, PortugalCoimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3004-531 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3004-531 Coimbra, PortugalInstitute of Orthodontics, Faculty of Medicine, University of Coimbra, 3004-531 Coimbra, Portugal<i>Background</i>: There has been an increase in demand for orthodontic treatment within the adult population, who likely receive restorative treatments using ceramic structures. The current state of the art regarding the most effective method to achieve an appropriate bond strength of brackets on ceramic surfaces isn’t consensual. This systematic review aims to compare the available surface treatments to ceramics and determine the one that allows to obtain the best bond strength. <i>Methods</i>: This systematic review followed the PRISMA guidelines and the PICO methodology was used, with the question “What is the most effective technique for bonding brackets on ceramic crowns or veneers?”. The research was carried out in PubMed, Web of Science, Embase and Cochrane Library databases. In vitro and ex vivo studies were included. The methodological quality was evaluated using the guidelines for reporting of preclinical studies on dental materials by Faggion Jr. <i>Results</i>: A total of 655 articles searched in various databases were initially scrutinized. Sevety one articles were chosen for quality analysis. The risk of bias was considered medium to high in most studies. The use of hydrofluoric acid (HF), silane and laser afforded the overall best results. HF and HF plus laser achieved significantly highest bond strength scores in felsdphatic porcelain, while laser was the best treatment in lithium disilicate ceramics. <i>Conclusions</i>: The most effective technique for bonding brackets on ceramic is dependent on the type of ceramic.https://www.mdpi.com/2306-5354/9/1/14adhesionbondingdental porcelainglass ceramicsorthodontic bracketshear strength
spellingShingle Inês Francisco
Raquel Travassos
Catarina Nunes
Madalena Ribeiro
Filipa Marques
Flávia Pereira
Carlos Miguel Marto
Eunice Carrilho
Bárbara Oliveiros
Anabela Baptista Paula
Francisco Vale
What Is the Most Effective Technique for Bonding Brackets on Ceramic—A Systematic Review and Meta-Analysis
Bioengineering
adhesion
bonding
dental porcelain
glass ceramics
orthodontic bracket
shear strength
title What Is the Most Effective Technique for Bonding Brackets on Ceramic—A Systematic Review and Meta-Analysis
title_full What Is the Most Effective Technique for Bonding Brackets on Ceramic—A Systematic Review and Meta-Analysis
title_fullStr What Is the Most Effective Technique for Bonding Brackets on Ceramic—A Systematic Review and Meta-Analysis
title_full_unstemmed What Is the Most Effective Technique for Bonding Brackets on Ceramic—A Systematic Review and Meta-Analysis
title_short What Is the Most Effective Technique for Bonding Brackets on Ceramic—A Systematic Review and Meta-Analysis
title_sort what is the most effective technique for bonding brackets on ceramic a systematic review and meta analysis
topic adhesion
bonding
dental porcelain
glass ceramics
orthodontic bracket
shear strength
url https://www.mdpi.com/2306-5354/9/1/14
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