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. 2023 Apr 27;15(4):e38227.
doi: 10.7759/cureus.38227. eCollection 2023 Apr.

Evaluation of the Impact of Chlorhexidine Mouth Rinse on the Bond Strength of Polycarbonate Orthodontic Brackets: A Case-Control Study

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Evaluation of the Impact of Chlorhexidine Mouth Rinse on the Bond Strength of Polycarbonate Orthodontic Brackets: A Case-Control Study

Jaideep Singh et al. Cureus. .

Abstract

Background: Shear bond analysis is the procedure used most frequently to gauge the tensile strength of adhesives incorporated in orthodontic treatments. In shear tensile strength analysis, pressure is placed as close as feasible to the interface between the orthodontic bracket and the surface of the tooth, parallel to the long axis of the tooth. Although numerous research on extracted teeth of human and bovine teeth have been conducted, there may still be variables such as pH, humidity, temperature, and others that could affect how these materials behave in the mouth cavity. The impact of chlorhexidine (CHX) on the binding capacity for non-metallic orthodontic brackets in vivo is not well understood.

Objective: The goal of the current study is to determine how mouth rinses containing 0.12% CHX affect the adhesive strength of polycarbonate orthodontic brackets.

Methods and materials: Thirty-four patients were part of the test category, and they were instructed to wash their oral cavity for approximately 30 seconds using 20 ml of 0.12% CHX gluconate (Septodent). Thirty-four patients made up the control category and were instructed to wash their oral cavity for 30 seconds with a placebo mouthwash of a similar hue (20 ml). Both types of mouthwash were administered to the participants by an administrator who was not specifically involved in the trial and were kept in 120 ml labeled plastic bottles. The study participants were also kept unaware of the type of mouthwash. For the mouthwash utilized by study participants, a double-blinding technique was applied.

Results: Thirty-four patients were evaluated in the test category. Since the orthodontic bracket broke in two patients, therefore, 32 patients were evaluated in the control category. The mean value of the strength of the shear bond in the experimental category was 15.32 megapascal (Mpa). The SD value was 2.51. The mean value of the strength of the shear bond in the control subgroup was 15.63. On statistical analysis, the t-value was 0.47. The p-value was 0.671. The difference in findings of the strength of the shear bond was statistically non-significant.

Conclusion: The results of this investigation allow us to draw the conclusion that the shear bond properties of polycarbonate orthodontic brackets are unaffected when treated with 0.12% CHX preceding the binding. The clinically meaningful adhesion strength was likewise attained by the polycarbonate orthodontic brackets.

Keywords: brackets; chlorhexidine; orthodontics; polycarbonate brackets; shear bond strength.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Schematic as well as lab image of the procedure

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References

    1. Effect of orthodontic treatment on prevalence of Streptococcus mutans in plaque and saliva. Scheie AA, Arneberg P, Krogstad O. Scand J Dent Res. 1984;92:211–217. - PubMed
    1. Incidence of white spot formation after bonding and banding. Gorelick L, Geiger AM, Gwinnett AJ. Am J Orthod. 1982;81:93–98. - PubMed
    1. Effects of combined application of antimicrobial and fluoride varnishes in orthodontic patients. Øgaard B, Larsson E, Henriksson T, Birkhed D, Bishara SE. Am J Orthod Dentofacial Orthop. 2001;120:28–35. - PubMed
    1. Effect of fluoride-releasing light-cured resin on shear bond strength of orthodontic brackets. Tuncer C, Tuncer BB, Ulusoy C. Am J Orthod Dentofacial Orthop. 2009;135:14–16. - PubMed
    1. The effect of topical fluorides on decalcification in patients with fixed orthodontic appliances: a systematic review. Chadwick BL, Roy J, Knox J, Treasure ET. Am J Orthod Dentofacial Orthop. 2005;128:601–606. - PubMed

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