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Research Articles
Comparison of bond strengths of ceramic brackets bonded to zirconia surfaces using different zirconia primers and a universal adhesive
Ji-Yeon Lee, Jaechan Ahn, Sang In An, Jeong-won Park
Restor Dent Endod 2018;43(1):e7.   Published online January 22, 2018
DOI: https://doi.org/10.5395/rde.2018.43.e7
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study is to compare the shear bond strengths of ceramic brackets bonded to zirconia surfaces using different zirconia primers and universal adhesive.

Materials and Methods

Fifty zirconia blocks (15 × 15 × 10 mm, Zpex, Tosoh Corporation) were polished with 1,000 grit sand paper and air-abraded with 50 µm Al2O3 for 10 seconds (40 psi). They were divided into 5 groups: control (CO), Metal/Zirconia primer (MZ, Ivoclar Vivadent), Z-PRIME Plus (ZP, Bisco), Zirconia Liner (ZL, Sun Medical), and Scotchbond Universal adhesive (SU, 3M ESPE). Transbond XT Primer (used for CO, MZ, ZP, and ZL) and Transbond XT Paste was used for bracket bonding (Gemini clear ceramic brackets, 3M Unitek). After 24 hours at 37°C storage, specimens underwent 2,000 thermocycles, and then, shear bond strengths were measured (1 mm/min). An adhesive remnant index (ARI) score was calculated. The data were analyzed using one-way analysis of variance and the Bonferroni test (p = 0.05).

Results

Surface treatment with primers resulted in increased shear bond strength. The SU group showed the highest shear bond strength followed by the ZP, ZL, MZ, and CO groups, in that order. The median ARI scores were as follows: CO = 0, MZ = 0, ZP = 0, ZL = 0, and SU = 3 (p < 0.05).

Conclusions

Within this experiment, zirconia primer can increase the shear bond strength of bracket bonding. The highest shear bond strength is observed in SU group, even when no primer is used.

Citations

Citations to this article as recorded by  
  • Effectiveness of universal adhesives for orthodontic bonding to enamel and restorative materials: A systematic review
    Claire-Adeline Dantagnan, Maureen Boudrot, Julia Bosco, Gauthier Dot, Ali Nassif, Philippe François, Jean-Pierre Attal
    International Orthodontics.2026; 24(2): 101089.     CrossRef
  • State-of-the-Art Zirconia and Glass–Ceramic Materials in Restorative Dentistry: Properties, Clinical Applications, Challenges, and Future Perspectives
    Sorin Gheorghe Mihali, Adela Hiller
    Applied Sciences.2025; 15(23): 12841.     CrossRef
  • Shear bond strength and ARI scores of metal brackets to glazed glass ceramics and zirconia: an in vitro study investigating surface treatment protocols
    Claire Pédemay, Philippe François, Vincent Fouquet, Sarah Abdel-Gawad, Jean-Pierre Attal, Claire-Adeline Dantagnan
    BMC Oral Health.2024;[Epub]     CrossRef
  • Impact of different pretreatments and attachment materials on shear bond strength of indirectly bonded brackets using CAD/CAM transfer trays to monolithic zirconia
    Rebecca Jungbauer, Christian M. Hammer, Daniel Edelhoff, Peter Proff, Bogna Stawarczyk
    Dental Materials.2023; 39(2): 170.     CrossRef
  • Mechanical and chemical surface treatment enhances bond strength between zirconia and orthodontic brackets: an in vitro study
    Nareudee Limpuangthip, Atikom Surintanasarn, Ploylada Vitavaspan
    BDJ Open.2023;[Epub]     CrossRef
  • Effect of Different Surface Treatments and Orthodontic Bracket Type on Shear Bond Strength of High‐Translucent Zirconia: An In Vitro Study
    Yasamin Babaee Hemmati, Hamid Neshandar Asli, Mehran Falahchai, Sina Safary, Sandrine Bittencourt Berger
    International Journal of Dentistry.2022;[Epub]     CrossRef
  • Does Surface Treatment With Different Primers Increase The Shear Bond Strength Between Metallic Bracket and Monolithic Zirconia?
    Emine Begüm BÜYÜKERKMEN, Ayşe Selenge AKBULUT, Murat KEÇECİ
    Selcuk Dental Journal.2022; 9(2): 451.     CrossRef
  • Effect of Different Surface Treatments on the Surface Roughness and Orthodontic Bond Strength of Partially-stabilized Zirconia
    Mustafa Borga Dönmez, Betül Ballı Demirel, Münir Demirel, Yasemin Gündoğdu, Hamdi Şükür Kılıç
    Meandros Medical and Dental Journal.2022; 23(3): 335.     CrossRef
  • Shear Bond Strength of Polypropylene Fiber in Orthodontic Adhesive on Glazed Monolithic Zirconia
    Dhanabhol Riowruangsanggoon, Apiwat Riddhabhaya, Nattisa Niyomtham, Irin Sirisoontorn
    Polymers.2022; 14(21): 4627.     CrossRef
  • Effects of Three Novel Bracket Luting Agents Containing Zirconia Primer on Shear Bond Strength of Metal Orthodontic Brackets Attached to Monolithic Zirconia Crowns: A Preliminary In Vitro Study
    Milad Shamohammadi Heidari, Mehrnaz Moradinejad, Hamed Tabatabaei, Vahid Rakhshan, Dinesh Rokaya
    International Journal of Dentistry.2022;[Epub]     CrossRef
  • Impact of different pretreatments and attachment materials on shear bond strength between monolithic zirconia restorations and metal brackets
    Rebecca Jungbauer, Peter Proff, Daniel Edelhoff, Bogna Stawarczyk
    Scientific Reports.2022;[Epub]     CrossRef
  • Bracket Bonding to All-Ceramic Materials with Universal Adhesives
    Cecilia Goracci, Giuseppe Di Bello, Lorenzo Franchi, Chris Louca, Jelena Juloski, Jovana Juloski, Alessandro Vichi
    Materials.2022; 15(3): 1245.     CrossRef
  • Effect of enamel-surface modifications on shear bond strength using different adhesive materials
    Bo-wen Zheng, Shan Cao, Majedh Abdo Ali Al-Somairi, Jia He, Yi Liu
    BMC Oral Health.2022;[Epub]     CrossRef
  • The effect of various mechanical and chemical surface conditioning on the bonding of orthodontic brackets to all ceramic materials
    Dalia A. Abuelenain, Amal I. Linjawi, Ahmed S. Alghamdi, Fahad M. Alsadi
    Journal of Dental Sciences.2021; 16(1): 370.     CrossRef
  • The Performance of Universal Adhesives on Orthodontic Bracket Bonding
    Muhittin Ugurlu, Muhammed Hilmi Buyukcavus
    European Journal of General Dentistry.2021; 10(01): 019.     CrossRef
  • A comparison of shear bond strength of brackets bonded to zirconia
    Hannah Knott, Xiaoming Xu, Edwin Kee, Qingzhao Yu, Paul Armbruster, Richard Ballard
    Australasian Orthodontic Journal.2021; 37(1): 62.     CrossRef
  • Influence of Surface Treatment and Resin Cements on the Bond Strength between the Y-TZP Zirconia and Composite Resin Interface
    Lucas Campagnaro Maciel, Amanda Pádua Proeza, Hélyda Coelho Guimarães Balbino, Marcela Moráo Corteletti, Ricardo Huver De Jesus, Laís Regiane da Silva Concílio
    Journal of Health Sciences.2019; 21(5): 477.     CrossRef
  • Effect of Simplified Bonding on Shear Bond Strength between Ceramic Brackets and Dental Zirconia
    Ga-Youn Ju, Soram Oh, Bum-Soon Lim, Hyun-Seung Lee, Shin Hye Chung
    Materials.2019; 12(10): 1640.     CrossRef
  • 2,234 View
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  • 18 Crossref
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Orthodontic bracket bonding to glazed full-contour zirconia
Ji-Young Kwak, Hyo-Kyung Jung, Il-Kyung Choi, Tae-Yub Kwon
Restor Dent Endod 2016;41(2):106-113.   Published online April 14, 2016
DOI: https://doi.org/10.5395/rde.2016.41.2.106
AbstractAbstract PDFPubReaderePub
Objectives

This study evaluated the effects of different surface conditioning methods on the bond strength of orthodontic brackets to glazed full-zirconia surfaces.

Materials and Methods

Glazed zirconia (except for the control, Zirkonzahn Prettau) disc surfaces were pre-treated: PO (control), polishing; BR, bur roughening; PP, cleaning with a prophy cup and pumice; HF, hydrofluoric acid etching; AA, air abrasion with aluminum oxide; CJ, CoJet-Sand. The surfaces were examined using profilometry, scanning electron microscopy, and electron dispersive spectroscopy. A zirconia primer (Z-Prime Plus, Z) or a silane primer (Monobond-S, S) was then applied to the surfaces, yielding 7 groups (PO-Z, BR-Z, PP-S, HF-S, AA-S, AA-Z, and CJ-S). Metal bracket-bonded specimens were stored in water for 24 hr at 37℃, and thermocycled for 1,000 cycles. Their bond strengths were measured using the wire loop method (n = 10).

Results

Except for BR, the surface pre-treatments failed to expose the zirconia substructure. A significant difference in bond strengths was found between AA-Z (4.60 ± 1.08 MPa) and all other groups (13.38 ± 2.57 - 15.78 ± 2.39 MPa, p < 0.05). For AA-Z, most of the adhesive remained on the bracket.

Conclusions

For bracket bonding to glazed zirconia, a simple application of silane to the cleaned surface is recommended. A zirconia primer should be used only when the zirconia substructure is definitely exposed.

Citations

Citations to this article as recorded by  
  • Evaluation of Different Surface Roughening Techniques on Clear Aligner Attachments Bonded to Monolithic Zirconia: In Vitro Study
    Nehal F Albelasy, Ahmad M Hafez, Abdullah S Alhunayni
    The Journal of Contemporary Dental Practice.2025; 25(12): 1104.     CrossRef
  • An Innovative Method of Permanent Retention on Veneered Crowns
    Yugandhar Garlapati, Sampath Krishna Veni, Jashva Vamsi Kogila, Polisetty Siva Krishna, K. N. Anand Kumar
    Journal of Indian Orthodontic Society.2025; 59(3): 279.     CrossRef
  • Effect of Different Primers on the Shear Bond Strength of Orthodontic Brackets Bonded to Reinforced Polyetheretherketone (PEEK) Substrate
    Ahmed Akram EL-Awady, Khaled Samy ElHabbak, Hussein Ramadan Mohamed, Ahmed Elsayed Elwan, Karim Sherif Adly, Moamen Ahmed Abdalla, Ehab Mohamed Kamal, Ahmed Leithy Alameldin
    Dentistry Journal.2024; 12(6): 188.     CrossRef
  • The Effect of Various Lasers on the Bond Strength Between Orthodontic Brackets and Dental Ceramics: A Systematic Review and Meta-Analysis
    Seyed Ali Mosaddad, Jaafar Abduo, Mehrnaz Zakizade, Hamid Tebyaniyan, Ahmed Hussain
    Photobiomodulation, Photomedicine, and Laser Surgery.2024; 42(1): 20.     CrossRef
  • Shear Bond Strength of Clear Aligner Attachment Using 4-META/MMA-TBB Resin Cement on Glazed Monolithic Zirconia
    Kasidit Nitasnoraset, Apiwat Riddhabhaya, Chidchanok Sessirisombat, Hitoshi Hotokezaka, Noriaki Yoshida, Irin Sirisoontorn
    Polymers.2024; 16(14): 1988.     CrossRef
  • Orthodontic bonding in special circumstances
    Angus Burns, Annie Hughes, Michael O’Sullivan
    British Dental Journal.2024; 237(5): 400.     CrossRef
  • Bonding Effectiveness of Saliva-Contaminated Monolithic Zirconia Ceramics Using Different Decontamination Protocols
    Necla Demir, Ozge Genc, Ipek Balevi Akkese, Meral Arslan Malkoc, Mutlu Ozcan, Konstantinos Michalakis
    BioMed Research International.2024; 2024: 1.     CrossRef
  • Comparison of shear bond strength of metallic orthodontic brackets bonded to zirconia models underwent different surface conditioning methods and different primer systems
    Amena Raafat Khaled, Enas Talb Al-Jwary
    APOS Trends in Orthodontics.2024; 15: 251.     CrossRef
  • Shear bond strength and ARI scores of metal brackets to glazed glass ceramics and zirconia: an in vitro study investigating surface treatment protocols
    Claire Pédemay, Philippe François, Vincent Fouquet, Sarah Abdel-Gawad, Jean-Pierre Attal, Claire-Adeline Dantagnan
    BMC Oral Health.2024;[Epub]     CrossRef
  • Enhanced Bracket Retention on Reinforced Polyetheretherketone: Role of Specialized Primers in Shear Bond Strength
    Mehmet Yılmaz, Ayşe Demir
    International Journal of Dental Research and Allied Sciences.2024; 4(2): 64.     CrossRef
  • Mechanical and chemical surface treatment enhances bond strength between zirconia and orthodontic brackets: an in vitro study
    Nareudee Limpuangthip, Atikom Surintanasarn, Ploylada Vitavaspan
    BDJ Open.2023;[Epub]     CrossRef
  • Shear bond strength of orthodontic brackets bonded to a new version of zirconium all ceramic restoration: An in vitro comparative study
    Assem Abd EL-wahab, Marwa Shamaa, Ahmed Hafez, Noha El-Wassefy, Shaza Hammad
    Heliyon.2023; 9(5): e16249.     CrossRef
  • Evaluation of the effects of different composite materials and surface roughening techniques in bonding attachments of clear aligner on monolithic zirconia
    Semiha Arslan, Hamiyet Kilinc
    Orthodontics & Craniofacial Research.2023; 26(4): 546.     CrossRef
  • Effect of Different Types of Adhesive Agents on Orthodontic Bracket Shear Bond Strength: A Cyclic Loading Study
    Irfan Eser, Orhan Cicek, Nurhat Ozkalayci, Mehmet Yetmez, Hande Erener
    Materials.2023; 16(2): 724.     CrossRef
  • Bracket Bonding to All-Ceramic Materials with Universal Adhesives
    Cecilia Goracci, Giuseppe Di Bello, Lorenzo Franchi, Chris Louca, Jelena Juloski, Jovana Juloski, Alessandro Vichi
    Materials.2022; 15(3): 1245.     CrossRef
  • Effects of Three Novel Bracket Luting Agents Containing Zirconia Primer on Shear Bond Strength of Metal Orthodontic Brackets Attached to Monolithic Zirconia Crowns: A Preliminary In Vitro Study
    Milad Shamohammadi Heidari, Mehrnaz Moradinejad, Hamed Tabatabaei, Vahid Rakhshan, Dinesh Rokaya
    International Journal of Dentistry.2022;[Epub]     CrossRef
  • Does Surface Treatment With Different Primers Increase The Shear Bond Strength Between Metallic Bracket and Monolithic Zirconia?
    Emine Begüm BÜYÜKERKMEN, Ayşe Selenge AKBULUT, Murat KEÇECİ
    Selcuk Dental Journal.2022; 9(2): 451.     CrossRef
  • Effect of different primer agents on shear bond strength of ceramic orthodontic brackets bonded to zirconia ceramics
    Ebru Kucukkaraca, Canan Akay
    Journal of the Australian Ceramic Society.2022; 58(2): 645.     CrossRef
  • Shear Bond Strength of Polypropylene Fiber in Orthodontic Adhesive on Glazed Monolithic Zirconia
    Dhanabhol Riowruangsanggoon, Apiwat Riddhabhaya, Nattisa Niyomtham, Irin Sirisoontorn
    Polymers.2022; 14(21): 4627.     CrossRef
  • Bond Integrity and Surface Topography of Orthodontic Metal Brackets to Ceramic and Polymer-Based Restorations. An In-Vitro Study Design
    Ali Alqerban
    Science of Advanced Materials.2021; 13(4): 650.     CrossRef
  • The effect of surface treatment and thermocycling on the shear bond strength of orthodontic brackets to the Y-TZP zirconia ceramics: A systematic review
    Tamzid AHMED, Nashid FAREEN, Mohammad Khursheed ALAM
    Dental Press Journal of Orthodontics.2021;[Epub]     CrossRef
  • Orthodontic Bonding: Review of the Literature
    Ali H. Alzainal, Ahmed Shehab Majud, Abdulfatah M. Al-Ani, Adil O. Mageet
    International Journal of Dentistry.2020; 2020: 1.     CrossRef
  • Shear bond strength between orthodontic metal brackets and Y-TZP according to the various ceramic surface treatments before and after thermocycling
    Ji-Bong Choi, Seon-Mi Byeon
    Korean Journal of Dental Materials.2020; 47(2): 83.     CrossRef
  • Bond Strength and Failure Pattern of Orthodontic Tubes Adhered to a Zirconia Surface Submitted to Different Modes of Application of a Ceramic Primer
    Francisco da Silva Araújo Milagres, Dauro Douglas Oliveira, Giordani Santos Silveira, Emanuelle de Fátima Ferreira Oliveira, Alberto Nogueira da Gama Antunes
    Materials.2019; 12(23): 3922.     CrossRef
  • Shear bond strength of orthodontic brackets bonded to a new all-ceramic crown composed of lithium silicate infused with zirconia: An in vitro comparative study
    Ryan Gardiner, Richard Ballard, Qingzhao Yu, Edwin Kee, Xiaoming Xu, Paul Armbruster
    International Orthodontics.2019; 17(4): 726.     CrossRef
  • Comparison of bond strengths of ceramic brackets bonded to zirconia surfaces using different zirconia primers and a universal adhesive
    Ji-Yeon Lee, Jaechan Ahn, Sang In An, Jeong-won Park
    Restorative Dentistry & Endodontics.2018;[Epub]     CrossRef
  • 1,988 View
  • 12 Download
  • 26 Crossref
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