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.
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.
Alhasyimi AA, Pudyani PS, Hafizi I. Effect of mangosteen peel extract as an antioxidant agent on the shear bond strength of orthodontic brackets bonded to bleached teeth. Dental Press J Orthod 2018;23(5):58–64. DOI: 10.1590/2177-6709.23.5.058-064.oar
Ambersari SE, Karunia D, Alhasyimi AA. Effect of different desensitizer treatments on the shear bond strength of orthodontic metal brackets following in-office bleaching: an in vitro study. Eur J Dent 2023. DOI: 10.1055/s-0043-1776119
Abdullah AO, Muhammed FK, Zheng B, et al. An overview of extrinsic tooth bleaching and its impact on oral restorative materials. World J Dent 2017;8(6):503–510. DOI: 10.5005/jp-journals-10015-1494
Mahardhika MH, Karunia D, Pudyani PS, et al. Effect of a desensitizing agent on shear bond strength of ceramic bracket on previously bleached teeth. App Sci 2023;13(14):8351. DOI: 10.3390/app13148351
Akin M, Aksakalli S, Basciftci FA, et al. The effect of tooth bleaching on the shear bond strength of orthodontic brackets using self-etching primer systems. Eur J Dent 2013;7(1):55–60.
Oztaş E, Bağdelen G, Kiliçoğlu H, et al. The effect of enamel bleaching on the shear bond strengths of metal and ceramic brackets. Eur J Orthod 2012;34(2):232–237. DOI: 10.1093/ejo/cjq193
Øgaard B, Fjeld M. The enamel surface and bonding in orthodontics. Semin Orthod 2010;16(1):37–48. DOI: 10.1053/j.sodo.2009.12.003
Ratih DN, Widyastuti A. Effect of antioxidants on the shear bond strength of composite resin to enamel following extra-coronal bleaching. J Clin Exp Dent 2019;11(2):e126–e132. DOI: 10.4317/jced.55359
Britto FA, Lucato AS, Valdrighi HC, et al. Influence of bleaching and desensitizing gel on bond strength of orthodontic brackets. Dental Press J Orthod 2015;20(2):49–54. DOI: 10.1590/2176-9451.20.2.049-054.oar
Gungor AY, Ozcan E, Alkis H, et al. Effects of different bleaching methods on shear bond strengths of orthodontic brackets. Angle Orthod 2013;83(4):686–690. DOI: 10.2319/071812-586.1
Keçik D, Cehreli SB, Sar C, et al. Effect of acidulated phosphate fluoride and casein phosphopeptide-amorphous calcium phosphate application on shear bond strength of orthodontic brackets. Angle Orthod 2008;78(1):129–133. DOI: 10.2319/122506-529.1
Federer WT. On the existence and construction of a complete set of orthogonal F (4t; 2t, 2t) -squares design. Ann Statist 1977;5(3):561–564. DOI: 10.1214/aos/1176343856
Dalaie K, Mirfasihi A, Eskandarion S, et al. Effect of bracket base design on shear bond strength to feldspathic porcelain. Eur J Dent 2016;10(3):351–355. DOI: 10.4103/1305-7456.184161
Amin A, Thalib B, Hasyim R, et al. An analysis of dental enamel after bleaching using 35% hydrogen peroxide with energy-dispersive X-ray spectroscopy. World J Dent 2017;8(5):393–397. DOI: 10.5005/jp-journals-10015-1472
Pamungkas GB, Karunia D, Suparwitri S. Desensitizing agents’ post-bleaching effect on orthodontic bracket bond strength. Dent J 2024;57(1):45–49. DOI: 10.20473/j.djmkg.v57.i1.p45-49
Vilhena KFB, Nogueira BCL, Fagundes NCF, et al. Dental enamel bleached for a prolonged and excessive time: morphological changes. PLoS One 2019;14(4):e0214948. DOI: 10.1371/journal.pone.0214948
Pinto CF, Oliveira Rd, Cavalli V, et al. Peroxide bleaching agent effects on enamel surface microhardness, roughness and morphology. Braz Oral Res 2004;18(4):306–311. DOI: 10.1590/s1806-83242004000400006
Cavalli V, Rosa DAD, Silva DPD, et al. Effects of experimental bleaching agents on the mineral content of sound and demineralized enamels. J Appl Oral Sci 2018;26:e20170589. DOI: 10.1590/1678-7757-2017-0589
Srinivasan N, Kavitha M, Loganathan SC. Comparison of the remineralization potential of CPP-ACP and CPP-ACP with 900 ppm fluoride on eroded human enamel: an in situ study. Arch Oral Biol 2010;55(7):541–544. DOI: 10.1016/j.archoralbio.2010.05.002
Shivananda DH, Ansar W, Dinsha AR, et al. Effectiveness of various dental varnishes in prevention of enamel demineralization around orthodontic brackets: an in vitro study. J Contemp Dent Pract 2020;21(6):621–625.
Aref NS, Alrasheed MK. Casein phosphopeptide amorphous calcium phosphate and universal adhesive resin as a complementary approach for management of white spot lesions: an in-vitro study. Prog Orthod 2022;23(1):10. DOI: 10.1186/s40510-022-00404-9
Giulio AB, Matteo Z, Serena IP, et al. In vitro evaluation of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) effect on stripped enamel surfaces. A SEM investigation. J Dent 2009;37(3):228–232. DOI: 10.1016/j.jdent.2008.11.015
Gonçalves FMC, Delbem ACB, Gomes LF, et al. Effect of fluoride, casein phosphopeptide-amorphous calcium phosphate and sodium trimetaphosphate combination treatment on the remineralization of caries lesions: an in vitro study. Arch Oral Biol 2021;122:105001. DOI: 10.1016/j.archoralbio.2020.105001
Mehta R, Nandlal B, Prashanth S. Comparative evaluation of remineralization potential of casein phosphopeptide-amorphous calcium phosphate and casein phosphopeptide-amorphous calcium phosphate fluoride on artificial enamel white spot lesion: an in vitro light fluorescence study. Indian J Dent Res 2013;24(6):681–689. DOI: 10.4103/0970-9290.127610
Guzman UA, Jerrold L, Vig PS, et al. Comparison of shear bond strength and adhesive remnant index between precoated and conventionally bonded orthodontic brackets. Prog Orthod 2013;14:39. DOI: 10.1186/2196-1042-14-39
Henkin FS, Macêdo ÉO, Santos KD, et al. In vitro analysis of shear bond strength and adhesive remnant index of different metal brackets. Dental Press J Orthod 2016;21(6):67–73. DOI: 10.1590/2177-6709.21.6.067-073.oar