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Shear bond strength of metallic brackets using a 6 and 12 second curing time with high power monowave and polywave LED unitsMcCarthy, Shannon 01 January 2013 (has links)
A thesis submitted to the College of Dental Medicine of Nova Southeastern University of the degree of Master of Science in Dentistry.
Objectives: To date, the literature has shown that a 10 second curing time is necessary to consistently achieve effective shear bond strengths (SBS) of greater than 10 MPa. Recently, several manufacturers have developed high power curing lights that claim only a 6 second cure time is needed. The purpose of this study was to evaluate the shear bond strength of orthodontic brackets when using two new high power LED curing lights after a 6 and 12 second light curing time. Methods: 120 extracted premolars were divided into 6 groups (n=20). Metallic brackets were bonded using Transbond XT (3M-Unitek) and cured for 6 or 12 seconds using two high power LED curing lights (Ortholux Luminous LED, 3M-Unitek; OrthoValo, Ultradent) and one control LED unit (Ortholux LED, 3M-Unitek). The samples were stored in distilled water for 24 hours at 37°C, thermocycled and then debonded using an Instron Universal Testing Machine at a crosshead speed of 5mm/min. Bond failure was evaluated under optical microscopy using a modified adhesive remnant index (ARI). Results: All sample groups produced mean SBS higher than 10MPa. Significant reductions in SBS were observed with the Ortholux LED when the curing time was reduced from 12 to 6 seconds. The OrthoValo had significantly higher SBS than the Ortholux LED and the Ortholux Luminous LED at 6 seconds. At 12 seconds, OrthoValo SBS were significantly higher than Ortholux LED only. A higher frequency of enamel damage occurred in the OrthoValo group (28.2%) compared to the Ortholux LED (12.5%) and Ortholux Luminous LED (7.5%). No significant correlation was found between ARI score and SBS. Conclusions: Higher SBS were obtained in the OrthoValo group. This coincided with a higher frequency of enamel damage.
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