Ferin, Pradeep S*, Ravi S and Christin R Jacob

Orthodontics and Dentofacial Orthopedics, JSSAHER, India

*Corresponding Author: Pradeep S, Orthodontics and Dentofacial Orthopedics, JSSAHER, India.

Received: April 13, 2022; Published: May 05, 2022

Abstract

Objectives: The objective of this research was to evaluate the effect of conditioning the enamel surface with 10% papain gel and 5.25% sodium hypochlorite on the shear bond strength of orthodontic brackets and correlate it with the conventional bonding mechanism utilizing a Universal Testing Machine.

Methodology: 90 extracted human premolars divided into three groups: In group 1, treatment with 5.25% sodium hypochlorite for 60 seconds on enamel surface followed by etchant and primer application. In group 2, treatment with 10% Papain gel for 40 seconds followed by etching and primer application. In group 3, etching was followed by primer application. A universal testing machine was used to record the shear bond strength of the orthodontic brackets.

Results: 5.25% sodium hypochlorite(15.10 ± 2.66) and 10% papain gel (15.66 ± 2.83) treatment on enamel before acid etching when compared to the control group (12.82 ± 2.03) increased the shear bond strength with a statistically significant difference between them ( p = 0.002, p < 0.001). The experimental groups, sodium hypochlorite (15.10 ± 2.66) and papain gel (15.66 ± 2.83) group were comparable but did not show any statistically significant difference between them (p = 0.665).

Conclusion: Shear bond strength of orthodontic brackets can be significantly increased if the enamel is deproteinized with 5.25% NaOCl and 10% papain gel before acid etching with 37% phosphoric acid compared to the conventional bonding technique. Deprot- einizing enamel can be considered a cost-effective ally to increase orthodontic brackets' bond strength and thereby reduce the dura- tion of orthodontic treatment.

Keywords: Deproteinization; White Spot Lesion; Enamel Conditioning; Shear Bond Strength; Papain Gel; Sodium Hypochlorite

References

1. Eliades T. “Orthodontic materials research and applications: Part 2. Current status and projected future developments in materials and biocompatibility”. American Journal of Orthodontics and Dentofacial Orthopedics 2 (2007): 253-262.
2. Phase A and Yusuf Ahammed AR. “Comparative evaluation of shear bond quality of three commercially available orthodontic adhesives based upon their filler content- an in Vitro Study”. Journal of Critical Reviews 12 (2020): 786-791.
3. Jacobson A. “Effects of enamel bleaching on the bond strength of orthodontic brackets: an in vivo and in vitro study”. American Journal of Orthodontics and Dentofacial Orthopedics6 (2005): 812-813.
4. Kapoor V., et al. “Comparative evaluation of antimicrobial efficacy of MTAD, DMSA (Di Mercaptosuccinic acid), sodium hypochlorite (NaOCl) and chlorhexidine against E. faecalis: An ex-vivo study”. IP Indian Journal of Conservative and Endodontics 4 (2014): 128-132.
5. Shenvi S and Shiva Kumar B. “An in vitro study to compare the effectiveness of F-file with ultrasonically activated K-file to remove smear layer by using a scanning electron microscope”. The Journal of Contemporary Dental Practice 5 (2013): 825-829.
6. Espinosa R., et al. “Resin Replica in Enamel Deproteinization and its Effect on Acid Etching”. Journal of Clinical Pediatric Dentistry 1 (2010): 47-51.
7. Nayak BS., et al. “Wound healing activity of Carica papaya L. In experimentally induced diabetic rats”. Indian Journal of Experimental Biology 8 (2007): 739-743.
8. De Almeida Nevesa A., et al. “Current concepts and techniques for caries excavation and adhesion to residual dentin”. The Journal of Adhesive Dentistry 1 (2011): 7-22.
9. Bin-Shuwaish MS. “Effects and effectiveness of cavity disinfectants in operative dentistry: A literature review”. The Journal of Contemporary Dental Practice10 (2016): 867-879.
10. Neel EAA., et al. “Demineralization-remineralization dynamics in teeth and bone”. International Journal of Nanomedicine 11 (2016): 4743-4763.
11. Gwinnett AJ and Garcia-Godoy F. “Effect of etching time and acid concentration on resin shear bond strength to primary tooth enamel”. Journal of the American Dental Association 5 (1992): 237-239.
12. Pithon MM., et al. “Effect of different concentrations of papain gel on orthodontic bracket bonding”. Progress in Orthodontics 1 (2013): 1-5.
13. Pithon MM., et al. “Effect of 10% papain gel on enamel deproteinization before bonding procedure”. The Angle Orthodontist 3 (2012): 541-545.
14. Sharafeddin F and Safari M. “Effect of papain and bromelain enzymes on shear bond strength of composite to superficial dentin in different adhesive systems”. The Journal of Contemporary Dental Practice 9 (2019): 1077-1081.
15. Şaroǧlu I., et al. “Effect of Deproteinization on composite bond strength in hypocalcified amelogenesis imperfecta”. Oral Diseases 3 (2006): 305-308.
16. Chauhan K., et al. “Effect of bromelain enzyme for dentin deproteinization on bond strength of adhesive system”. Journal of Conservative Dentistry 5 (2015): 360-363.
17. Justus R., et al. “A New Technique With Sodium Hypochlorite to Increase Bracket Shear Bond Strength of Fluoride-releasing Resin-modified Glass Ionomer Cements: Comparing Shear Bond Strength of Two Adhesive Systems With Enamel Surface Deproteinization Before Etching”. Seminars in Orthodontics 1 (2010): 66-75.
18. Harleen N., et al. “Enamel deproteinization before acid etching and its effect on the shear bond strength - An in vitro study”. The Journal of Clinical Pediatric Dentistry 1 (2011): 19-24.
19.  

Citation

Citation: Pradeep S., et al. “A Comparative Evaluation Of Shear Bond Strength Of Orthodontic Brackets Bonded After Conditioning Of Enamel With 5.25% Sodium Hypochlorite And 10% Papain Gel: An In-Vitro Study". Acta Scientific Dental Sciences 6.6 (2022): 03-08.

Copyright

Copyright: © 2022 Pradeep S., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.