World Journal of Dentistry

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VOLUME 15 , ISSUE 6 ( June, 2024 ) > List of Articles

ORIGINAL RESEARCH

The Effect of Casein Phosphopeptide-amorphous Calcium Phosphate after Bleaching on the Shear Bond Strength of Ceramic Brackets

Esti Puspitasari, Dyah Karunia, Sri Suparwitri, Ananto A Alhasyimi

Keywords : Bleaching, Casein phosphopeptide-amorphous calcium phosphate, Orthodontic, Shear bond strength

Citation Information : Puspitasari E, Karunia D, Suparwitri S, Alhasyimi AA. The Effect of Casein Phosphopeptide-amorphous Calcium Phosphate after Bleaching on the Shear Bond Strength of Ceramic Brackets. World J Dent 2024; 15 (6):483-488.

DOI: 10.5005/jp-journals-10015-2453

License: CC BY-NC 4.0

Published Online: 05-08-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aims: To investigate the effect of postbleaching casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) on the shear bond strength (SBS) of ceramic brackets. Materials and methods: This in vitro experiment was conducted on 27 healthy upper premolars that were randomly allocated to one of three groups (n = 9): the control group, the bleached group followed by casein phosphopeptide-amorphous calcium fluoride phosphate (CPP-ACFP) treatment, and the bleached group followed by CPP-ACP treatment. All of the samples were instantly attached to ceramic brackets, soaked for 24 hours, and then debonded with a universal testing machine. The adhesive remnant index (ARI) was measured with a stereomicroscope to determine how much adhesive was left. SBS data were evaluated using one-way analysis of variance (ANOVA) followed by Tukey's test, while ARI index data were analyzed using Kruskal–Wallis and Mann–Whitney U tests with a significance level of 5%. Results: Analysis of variance analysis of the shear strength revealed a significant difference between the groups (p < 0.05) in the shear strength. A significant difference between the control and treatment groups was shown by post hoc Tukey (p < 0.05); however, there was no significant difference between the two treated groups (CPP-ACFP and CPP-ACP). Regarding the ARI, there were no notable differences across the groups (p > 0.05). Conclusion: Bleaching decreased the SBS of ceramic brackets bonded with glass ionomer cement. However, the CPP-ACFP and CPP-ACP were able to increase the SBS of ceramic brackets immediately after bleaching. Clinical significance: By applying CPP-ACFP and CPP-ACP to provide adequate SBS during orthodontic treatment, bonding of orthodontic brackets can be performed immediately following bleaching.


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