Bonding of Clear Aligner Composite Attachments to Ceramic Materials: An In Vitro Study

Background: We aim to evaluate the effect of surface conditioning, bonding agents and composite types on surface roughness (SR) and shear bond strength (SBS) of clear aligner composite attachments bonded to ceramics. Methods: One hundred and eighty IPS e.max CAD specimens were prepared. For SR, 60 s...

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Main Authors: Bashair A. Alsaud, Maher S. Hajjaj, Ahmad I. Masoud, Ensanya A. Abou Neel, Dalia A. Abuelenain, Amal I. Linjawi
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/15/12/4145
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author Bashair A. Alsaud
Maher S. Hajjaj
Ahmad I. Masoud
Ensanya A. Abou Neel
Dalia A. Abuelenain
Amal I. Linjawi
author_facet Bashair A. Alsaud
Maher S. Hajjaj
Ahmad I. Masoud
Ensanya A. Abou Neel
Dalia A. Abuelenain
Amal I. Linjawi
author_sort Bashair A. Alsaud
collection DOAJ
description Background: We aim to evaluate the effect of surface conditioning, bonding agents and composite types on surface roughness (SR) and shear bond strength (SBS) of clear aligner composite attachments bonded to ceramics. Methods: One hundred and eighty IPS e.max CAD specimens were prepared. For SR, 60 specimens were divided according to surface conditioning (<i>n</i> = 15) into four groups: control, 9.6% hydrofluoric acid (HFA), 37% phosphoric acid (PhA), air abrasion (AA). SR was measured using a Profilometer and Atomic Force Microscopy. For SBS, 120 specimens were divided according to conditioning methods (<i>n</i> = 40) (9.6% HFA and 37% PhA or AA), then according to bonding agents (<i>n</i> = 20) (Assure universal bond (AUB) or Single bond universal (SBU)) and then according to composite type (<i>n</i> = 10): Filtek™ Z350 and Filtek™ Z350 XT flowable composite. SBS was measured using Instron testing machine. Descriptive and group comparison were calculated (<i>p</i> < 0.05). Results: AA had the highest SR, while the control had the lowest SR (<i>p</i> < 0.05). HFA had the highest, but insignificant SBS, followed by AA (<i>p</i> > 0.05). AUB had higher SBS than SBU (<i>p</i> < 0.001). Filtek™ Z350 produced higher SBS than Filtek™ Z350 XT flowable composite (<i>p</i> < 0.01). Conclusion: The combination of AA, AUB, and Filtek Z350 produced the highest SBS, followed by HFA, AUB, and Filtek Z350.
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spelling doaj.art-ebcc7ec199494ccc98071a63cdd449c92023-11-23T17:43:26ZengMDPI AGMaterials1996-19442022-06-011512414510.3390/ma15124145Bonding of Clear Aligner Composite Attachments to Ceramic Materials: An In Vitro StudyBashair A. Alsaud0Maher S. Hajjaj1Ahmad I. Masoud2Ensanya A. Abou Neel3Dalia A. Abuelenain4Amal I. Linjawi5Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah 27272, United Arab EmiratesDepartment of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi ArabiaBackground: We aim to evaluate the effect of surface conditioning, bonding agents and composite types on surface roughness (SR) and shear bond strength (SBS) of clear aligner composite attachments bonded to ceramics. Methods: One hundred and eighty IPS e.max CAD specimens were prepared. For SR, 60 specimens were divided according to surface conditioning (<i>n</i> = 15) into four groups: control, 9.6% hydrofluoric acid (HFA), 37% phosphoric acid (PhA), air abrasion (AA). SR was measured using a Profilometer and Atomic Force Microscopy. For SBS, 120 specimens were divided according to conditioning methods (<i>n</i> = 40) (9.6% HFA and 37% PhA or AA), then according to bonding agents (<i>n</i> = 20) (Assure universal bond (AUB) or Single bond universal (SBU)) and then according to composite type (<i>n</i> = 10): Filtek™ Z350 and Filtek™ Z350 XT flowable composite. SBS was measured using Instron testing machine. Descriptive and group comparison were calculated (<i>p</i> < 0.05). Results: AA had the highest SR, while the control had the lowest SR (<i>p</i> < 0.05). HFA had the highest, but insignificant SBS, followed by AA (<i>p</i> > 0.05). AUB had higher SBS than SBU (<i>p</i> < 0.001). Filtek™ Z350 produced higher SBS than Filtek™ Z350 XT flowable composite (<i>p</i> < 0.01). Conclusion: The combination of AA, AUB, and Filtek Z350 produced the highest SBS, followed by HFA, AUB, and Filtek Z350.https://www.mdpi.com/1996-1944/15/12/4145attachmentsceramicsclear alignercompositein vitroorthodontics
spellingShingle Bashair A. Alsaud
Maher S. Hajjaj
Ahmad I. Masoud
Ensanya A. Abou Neel
Dalia A. Abuelenain
Amal I. Linjawi
Bonding of Clear Aligner Composite Attachments to Ceramic Materials: An In Vitro Study
Materials
attachments
ceramics
clear aligner
composite
in vitro
orthodontics
title Bonding of Clear Aligner Composite Attachments to Ceramic Materials: An In Vitro Study
title_full Bonding of Clear Aligner Composite Attachments to Ceramic Materials: An In Vitro Study
title_fullStr Bonding of Clear Aligner Composite Attachments to Ceramic Materials: An In Vitro Study
title_full_unstemmed Bonding of Clear Aligner Composite Attachments to Ceramic Materials: An In Vitro Study
title_short Bonding of Clear Aligner Composite Attachments to Ceramic Materials: An In Vitro Study
title_sort bonding of clear aligner composite attachments to ceramic materials an in vitro study
topic attachments
ceramics
clear aligner
composite
in vitro
orthodontics
url https://www.mdpi.com/1996-1944/15/12/4145
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AT ahmadimasoud bondingofclearalignercompositeattachmentstoceramicmaterialsaninvitrostudy
AT ensanyaaabouneel bondingofclearalignercompositeattachmentstoceramicmaterialsaninvitrostudy
AT daliaaabuelenain bondingofclearalignercompositeattachmentstoceramicmaterialsaninvitrostudy
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