Using Hemostatic Agents During Orthodontic Bonding: An In Vitro Study

Objective:The aim of this in vitro study was to compare the effect of a traditional hemostatic agent on the shear bond strength (SBS) of conventional and self-etching bonding systems to find an efficient procedure for orthodontic bonding.Material and Methods:Extracted human premolars (n=108) were di...

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Main Authors: Berat Serdar Akdeniz, Abdullah Alper Oz, Nursel Arici, Onur Demir, Selim Arici
Format: Article
Language:English
Published: Galenos Yayinevi 2015-06-01
Series:Turkish Journal of Orthodontics
Subjects:
Online Access: http://www.turkjorthod.org/archives/archive-detail/article-preview/using-hemostatic-agents-during-orthodontic-bonding/53531
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author Berat Serdar Akdeniz
Abdullah Alper Oz
Nursel Arici
Onur Demir
Selim Arici
author_facet Berat Serdar Akdeniz
Abdullah Alper Oz
Nursel Arici
Onur Demir
Selim Arici
author_sort Berat Serdar Akdeniz
collection DOAJ
description Objective:The aim of this in vitro study was to compare the effect of a traditional hemostatic agent on the shear bond strength (SBS) of conventional and self-etching bonding systems to find an efficient procedure for orthodontic bonding.Material and Methods:Extracted human premolars (n=108) were divided into 6 equal groups. Conventional light cure primer was used in groups 1, 2, and 3. Acid etching and primer were applied directly in group 1. Enamel surfaces were covered with a Ankaferd Blood Stopper (ABS), which was used as a hemostatic agent in groups 2 and 3. Orthophosphoric acid was applied on ABS-covered enamel in group 2. Before the acid was applied, the enamel surface was cleaned with wet surgical gauze in group 3. A self-etching primer was used in groups 4, 5, and 6. Similar to the first 3 groups, primer was applied on the enamel surface in group 4. Samples were covered with ABS before the primer was applied in groups 4 and 5. The ABS residue was cleaned with gauze before primer application in group 6. The samples were debonded using a universal testing machine. In addition, SBS and residual adhesive were evaluated.Results:Samples contaminated with hemostatic agent and bonded with the self-etching primer without cleaning the hemostatic agent showed significantly lower SBS (p,0.05). Cleaning the ABS on the enamel surfaces increased the bonding strength of self-etching primers. Groups 5 and 6 showed significantly lower ARI scores (p,0.05).Conclusion:Before bonding orthodontic attachments with conventional and light-cure primers, ABS can be safely used. However, using self-etch primers directly on the ABS-applied enamel surface should be avoided. (Turkish J Orthod 2015;28:38– 43)
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spelling doaj.art-66b0e8abb2454c89b4ffdb53ad3f076e2023-08-01T12:07:03ZengGalenos YayineviTurkish Journal of Orthodontics2528-96592148-95052015-06-01282384310.13076/TJO-D-14-0002913049054Using Hemostatic Agents During Orthodontic Bonding: An In Vitro StudyBerat Serdar Akdeniz0Abdullah Alper Oz1Nursel Arici2Onur Demir3Selim Arici4 Specialist, Baskent University, Faculty of Dentistry, Department of Orthodontics, Ankara, Turkey Assistant professor, Ondokuz Mayis University, Faculty of Dentistry, Orthodontics Department, Samsun, Turkey Assistant Professor, Biruni University, Faculty of Dentistry, Orthodontics Department, Istanbul, Turkey Specialist, Nimet Bayraktar Oral and Dental Health Center, Kayseri, Turkey Professor and Department Chair. Biruni University, Faculty of Dentistry, Orthodontics Department, Istanbul, Turkey Objective:The aim of this in vitro study was to compare the effect of a traditional hemostatic agent on the shear bond strength (SBS) of conventional and self-etching bonding systems to find an efficient procedure for orthodontic bonding.Material and Methods:Extracted human premolars (n=108) were divided into 6 equal groups. Conventional light cure primer was used in groups 1, 2, and 3. Acid etching and primer were applied directly in group 1. Enamel surfaces were covered with a Ankaferd Blood Stopper (ABS), which was used as a hemostatic agent in groups 2 and 3. Orthophosphoric acid was applied on ABS-covered enamel in group 2. Before the acid was applied, the enamel surface was cleaned with wet surgical gauze in group 3. A self-etching primer was used in groups 4, 5, and 6. Similar to the first 3 groups, primer was applied on the enamel surface in group 4. Samples were covered with ABS before the primer was applied in groups 4 and 5. The ABS residue was cleaned with gauze before primer application in group 6. The samples were debonded using a universal testing machine. In addition, SBS and residual adhesive were evaluated.Results:Samples contaminated with hemostatic agent and bonded with the self-etching primer without cleaning the hemostatic agent showed significantly lower SBS (p,0.05). Cleaning the ABS on the enamel surfaces increased the bonding strength of self-etching primers. Groups 5 and 6 showed significantly lower ARI scores (p,0.05).Conclusion:Before bonding orthodontic attachments with conventional and light-cure primers, ABS can be safely used. However, using self-etch primers directly on the ABS-applied enamel surface should be avoided. (Turkish J Orthod 2015;28:38– 43) http://www.turkjorthod.org/archives/archive-detail/article-preview/using-hemostatic-agents-during-orthodontic-bonding/53531 bondinghemorrhageimpacted teethshear bond strength
spellingShingle Berat Serdar Akdeniz
Abdullah Alper Oz
Nursel Arici
Onur Demir
Selim Arici
Using Hemostatic Agents During Orthodontic Bonding: An In Vitro Study
Turkish Journal of Orthodontics
bonding
hemorrhage
impacted teeth
shear bond strength
title Using Hemostatic Agents During Orthodontic Bonding: An In Vitro Study
title_full Using Hemostatic Agents During Orthodontic Bonding: An In Vitro Study
title_fullStr Using Hemostatic Agents During Orthodontic Bonding: An In Vitro Study
title_full_unstemmed Using Hemostatic Agents During Orthodontic Bonding: An In Vitro Study
title_short Using Hemostatic Agents During Orthodontic Bonding: An In Vitro Study
title_sort using hemostatic agents during orthodontic bonding an in vitro study
topic bonding
hemorrhage
impacted teeth
shear bond strength
url http://www.turkjorthod.org/archives/archive-detail/article-preview/using-hemostatic-agents-during-orthodontic-bonding/53531
work_keys_str_mv AT beratserdarakdeniz usinghemostaticagentsduringorthodonticbondinganinvitrostudy
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AT nurselarici usinghemostaticagentsduringorthodonticbondinganinvitrostudy
AT onurdemir usinghemostaticagentsduringorthodonticbondinganinvitrostudy
AT selimarici usinghemostaticagentsduringorthodonticbondinganinvitrostudy