The Effect of Casein Phosphopeptide Amorphous Calcium Phosphate on the in Vitro Shear Bond Strength of Orthodontic Brackets
Overview
Affiliations
Objective: The purpose of this study was to evaluate the effect of casein phosphopeptide amorphous calcium phosphate (CPP-ACP) on the shear bond strength (SBS) of brackets bonded to non-demineralized teeth with either phosphoric acid etching or self-etching primer.
Methods: Sixty human premolars were randomly assigned to 1 of 4 treatment groups (n = 15 each): phosphoric acid etching (group 1); self-etching primer (group 2); CPP-ACP for 2 weeks + phosphoric acid etching (group 3), and CPP-ACP for 2 weeks + self-etching primer (group 4). After bonding of the maxillary premolar metal brackets, specimens were subjected to shear forces in a testing machine. Scanning electron microscopy was used to observe etching patterns on the enamel surfaces of all teeth. A 2-way analysis of variance was used to test for effects of CPP-ACP and etching system on SBS.
Results: Significantly higher mean SBSs were observed in groups subjected to phosphoric acid etching (i.e., groups 1 and 3; p < 0.05). On the other hand, SBSs did not appear to be influenced by CPP-ACP (i.e., groups 3 and 4; p > 0.05). We observed a uniform and clear etched pattern on the enamel surface of the phosphoric acid etching groups.
Conclusions: CPP-ACP does not significantly affect the SBS of orthodontic brackets bonded to non-demineralized teeth, regardless of which adhesive method is used to bond the brackets.
Joshi S, Ninawe N, Reddy Banda N, Gala U, Doiphode A, Honaje N Cureus. 2023; 15(9):e44795.
PMID: 37809156 PMC: 10557362. DOI: 10.7759/cureus.44795.
Yacout Y, Nabawy Y, El-Harouni N, Yousry T BMC Oral Health. 2023; 23(1):440.
PMID: 37393280 PMC: 10315045. DOI: 10.1186/s12903-023-03103-x.
Nabawy Y, Yousry T, El-Harouni N BMC Oral Health. 2021; 21(1):306.
PMID: 34126965 PMC: 8204548. DOI: 10.1186/s12903-021-01669-y.
Ghadirian H, Geramy A, Shallal W, Heidari S, Noshiri N, Keshvad M J Lasers Med Sci. 2020; 11(2):144-152.
PMID: 32273955 PMC: 7118509. DOI: 10.34172/jlms.2020.25.
Heravi F, Omidkhoda M, Koohestanian N, Hooshmand T, Bagheri H, Ghaffari N J Dent (Tehran). 2017; 14(1):13-20.
PMID: 28828013 PMC: 5557992.