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Title: What Is the Most Effective Technique for Bonding Brackets on Ceramic-A Systematic Review and Meta-Analysis
Authors: Francisco, Inês 
Travassos, Raquel 
Nunes, Catarina 
Ribeiro, Madalena 
Marques, Filipa 
Pereira, Flávia 
Marto, Carlos Miguel 
Carrilho, Eunice 
Oliveiros, Bárbara 
Paula, Anabela Baptista 
Vale, Francisco 
Keywords: adhesion; bonding; dental porcelain; glass ceramics; orthodontic bracket; shear strength
Issue Date: 3-Jan-2022
Serial title, monograph or event: Bioengineering
Volume: 9
Issue: 1
Abstract: Background: There has been an increase in demand for orthodontic treatment within the adult population, who likely receive restorative treatments using ceramic structures. The current state of the art regarding the most effective method to achieve an appropriate bond strength of brackets on ceramic surfaces isn't consensual. This systematic review aims to compare the available surface treatments to ceramics and determine the one that allows to obtain the best bond strength. Methods: This systematic review followed the PRISMA guidelines and the PICO methodology was used, with the question "What is the most effective technique for bonding brackets on ceramic crowns or veneers?". The research was carried out in PubMed, Web of Science, Embase and Cochrane Library databases. In vitro and ex vivo studies were included. The methodological quality was evaluated using the guidelines for reporting of preclinical studies on dental materials by Faggion Jr. Results: A total of 655 articles searched in various databases were initially scrutinized. Sevety one articles were chosen for quality analysis. The risk of bias was considered medium to high in most studies. The use of hydrofluoric acid (HF), silane and laser afforded the overall best results. HF and HF plus laser achieved significantly highest bond strength scores in felsdphatic porcelain, while laser was the best treatment in lithium disilicate ceramics. Conclusions: The most effective technique for bonding brackets on ceramic is dependent on the type of ceramic.
ISSN: 2306-5354
DOI: 10.3390/bioengineering9010014
Rights: openAccess
Appears in Collections:FMUC Medicina - Artigos em Revistas Internacionais
I&D ICBR - Artigos em Revistas Internacionais
I&D CIBB - Artigos em Revistas Internacionais

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