Chin, Mervyn Y.H., Sandham, Andrew, Rumachik, Elena N., Ruben, Jan L., and Huysmans, Marie-Charlotte D.N.J.M. (2009) Fluoride release and cariostatic potential of orthodontic adhesives with and without daily fluoride rinsing. American Journal of Orthodontics and Dentofacial Orthopedics, 136 (4). pp. 547-553.

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Abstract

Introduction: In this study, we aimed to evaluate the fluoride-release profiles and caries lesion development in an enamel model with brackets cemented with 4 orthodontic adhesives with and without daily fluoride exposure.

Methods: Four orthodontic adhesives (Ketac Cem m, 3M ESPE, Seefeld, Germany; Fuji Ortho LC, GC Corporation, Tokyo, Japan; Light-Bond, Reliance Orthodontic Products, Itasca, Ill; and Transbond XT,3M Unitek, Monrovia, Calif) were used. Brackets were bonded on bovine enamel with each adhesive (n510) and subjected to alternate cycles of demineralizing (pH 4.55) and remineralizing (pH 6.8) solutions. Unbracketed enamel samples served as a reference. Five samples from each group were immersed in a fluoride mouth rinse (250 ppm fluoride) for 1 minute each day (test groups). Fluoride release was measured at regular intervals over 28 days. The mineral distribution of peribracket enamel after 28 days was quantified by transversal microradiographs.

Results: Fluoride-release profiles of Ketac Cem m, Fuji Ortho LC, and Light-Bond were high for the first 24 hours and reached a constant level after 2 weeks. Fuji Ortho LC released significantly more fluoride than did the other adhesives in both the control and test groups (P\0.01, repeated measures ANOVA and Bonferroni test). Enamel bonded with Fuji Ortho LC had significantly shallower lesions and less mineral loss (P\0.01, 2-way ANOVA, and Tukey HSD).

Conclusions: Bonding of orthodontic brackets with Fuji Ortho LC resulted in less peribracket enamel demineralization with and without daily fluoride rinsing, mainly due to its better fluoride-release profile. In contrast, Transbond XT and Light-Bond offered few cariostatic effects to the enamel.

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