Effect of CPP-ACP paste with and without CO2 laser irradiation on demineralized enamel microhardness and bracket shear bond strength

ABSTRACT Introduction: Many patients seeking orthodontic treatment already have incipient enamel lesions and should be placed under preventive treatments. The aim of this in vitro study was to evaluate the effect of CPP-ACP paste and CO2 laser irradiation on demineralized enamel microhardness and...

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Main Authors: Nasrin Farhadian, Loghman Rezaei-Soufi, Seyed Farzad Jamalian, Maryam Farhadian, Shahrzad Tamasoki, Milad Malekshoar, Bahareh Javanshir
Format: Article
Language:English
Published: Dental Press Editora
Series:Dental Press Journal of Orthodontics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512017000400053&lng=en&tlng=en
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author Nasrin Farhadian
Loghman Rezaei-Soufi
Seyed Farzad Jamalian
Maryam Farhadian
Shahrzad Tamasoki
Milad Malekshoar
Bahareh Javanshir
author_facet Nasrin Farhadian
Loghman Rezaei-Soufi
Seyed Farzad Jamalian
Maryam Farhadian
Shahrzad Tamasoki
Milad Malekshoar
Bahareh Javanshir
author_sort Nasrin Farhadian
collection DOAJ
description ABSTRACT Introduction: Many patients seeking orthodontic treatment already have incipient enamel lesions and should be placed under preventive treatments. The aim of this in vitro study was to evaluate the effect of CPP-ACP paste and CO2 laser irradiation on demineralized enamel microhardness and shear bond strength of orthodontic brackets. Methods: Eighty caries-free human premolars were subjected to a demineralization challenge using Streptococcus mutans. After demineralization, the samples were randomly divided into five equal experimental groups: Group 1 (control), the brackets were bonded without any surface treatment; Group 2, the enamel surfaces were treated with CPP-ACP paste for 4 minutes before bonding; Group 3, the teeth were irradiated with CO2 laser beams at a wavelength of 10.6 µm for 20 seconds. The samples in Groups 4 and 5 were treated with CO2 laser either before or through CPP-ACP application. SEM photomicrographs of a tooth from each group were taken to observe the enamel surface. The brackets were bonded to the buccal enamel using a conventional method. Shear bond strength of brackets and ARI scores were measured. Vickers microhardness was measured on the non-bonded enamel surface. Data were analyzed with ANOVA and Tukey test at the p< 0.05 level. Results: The mean shear bond strength and microhardness of the laser group were higher than those in the control group and this difference was statistically significant (p< 0.05). All groups showed a higher percentage of ARI score 4. Conclusion: CO2 laser at a wavelength of 10.6 µm significantly increased demineralized enamel microhardness and enhanced bonding to demineralized enamel.
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spelling doaj.art-a9cb7120a5fe4cbdbe3cdd6abb797cc62022-12-22T01:00:26ZengDental Press EditoraDental Press Journal of Orthodontics2177-6709224536010.1590/2177-6709.22.4.053-060.oarS2176-94512017000400053Effect of CPP-ACP paste with and without CO2 laser irradiation on demineralized enamel microhardness and bracket shear bond strengthNasrin FarhadianLoghman Rezaei-SoufiSeyed Farzad JamalianMaryam FarhadianShahrzad TamasokiMilad MalekshoarBahareh JavanshirABSTRACT Introduction: Many patients seeking orthodontic treatment already have incipient enamel lesions and should be placed under preventive treatments. The aim of this in vitro study was to evaluate the effect of CPP-ACP paste and CO2 laser irradiation on demineralized enamel microhardness and shear bond strength of orthodontic brackets. Methods: Eighty caries-free human premolars were subjected to a demineralization challenge using Streptococcus mutans. After demineralization, the samples were randomly divided into five equal experimental groups: Group 1 (control), the brackets were bonded without any surface treatment; Group 2, the enamel surfaces were treated with CPP-ACP paste for 4 minutes before bonding; Group 3, the teeth were irradiated with CO2 laser beams at a wavelength of 10.6 µm for 20 seconds. The samples in Groups 4 and 5 were treated with CO2 laser either before or through CPP-ACP application. SEM photomicrographs of a tooth from each group were taken to observe the enamel surface. The brackets were bonded to the buccal enamel using a conventional method. Shear bond strength of brackets and ARI scores were measured. Vickers microhardness was measured on the non-bonded enamel surface. Data were analyzed with ANOVA and Tukey test at the p< 0.05 level. Results: The mean shear bond strength and microhardness of the laser group were higher than those in the control group and this difference was statistically significant (p< 0.05). All groups showed a higher percentage of ARI score 4. Conclusion: CO2 laser at a wavelength of 10.6 µm significantly increased demineralized enamel microhardness and enhanced bonding to demineralized enamel.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512017000400053&lng=en&tlng=enOrthodonticsBondingEnamelCasein phosphopeptide-amorphous calcium phosphateLaser.
spellingShingle Nasrin Farhadian
Loghman Rezaei-Soufi
Seyed Farzad Jamalian
Maryam Farhadian
Shahrzad Tamasoki
Milad Malekshoar
Bahareh Javanshir
Effect of CPP-ACP paste with and without CO2 laser irradiation on demineralized enamel microhardness and bracket shear bond strength
Dental Press Journal of Orthodontics
Orthodontics
Bonding
Enamel
Casein phosphopeptide-amorphous calcium phosphate
Laser.
title Effect of CPP-ACP paste with and without CO2 laser irradiation on demineralized enamel microhardness and bracket shear bond strength
title_full Effect of CPP-ACP paste with and without CO2 laser irradiation on demineralized enamel microhardness and bracket shear bond strength
title_fullStr Effect of CPP-ACP paste with and without CO2 laser irradiation on demineralized enamel microhardness and bracket shear bond strength
title_full_unstemmed Effect of CPP-ACP paste with and without CO2 laser irradiation on demineralized enamel microhardness and bracket shear bond strength
title_short Effect of CPP-ACP paste with and without CO2 laser irradiation on demineralized enamel microhardness and bracket shear bond strength
title_sort effect of cpp acp paste with and without co2 laser irradiation on demineralized enamel microhardness and bracket shear bond strength
topic Orthodontics
Bonding
Enamel
Casein phosphopeptide-amorphous calcium phosphate
Laser.
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512017000400053&lng=en&tlng=en
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