In vitro evaluation of an adhesive monomer as a bonding agent for orthodontic brackets to primary teeth and nickel-chromium ion crowns.

The adhesive monomer, Clearfil New Bond, was used to enhance the bond strength between orthodontic brackets and primary molars, premolars, and NiCr crowns. Twenty specimens of each had this dental adhesive applied according to the manufacturer's instructions in addition to a chemically cured composite material. The remaining specimens (20 each) were bonded without the adhesive monomer. Shear bond strengths were determined using a universal testing machine. Fracture sites were examined to determine the type of bond failure. All bond strengths were significantly increased with the addition of Clearfil New Bond (P < or = 0.0001). The shear bond strength to NiCr crowns with the addition of the adhesive monomer was 7.76 kg. This is comparable to the shear bond strength observed for primary molars (8.66 kg) and premolars (8.65 kg) without adhesive monomer. The observed decrease in adhesive bond failures with the addition of Clearfil New Bond indicated a stronger shear bond strength between the tooth surface and the bracket base. Clearfil New Bond can significantly increase the shear bond strength of orthodontic brackets to both primary molars and premolars. Additionally, it was shown that orthodontic brackets can be successfully bonded to Ni-Cr crowns at strengths comparable to primary or permanent enamel.