Comparative evaluation of ceramic bracket base designs.

Since the initial introduction of ceramic brackets, base designs have been modified to reduce tooth damage during debonding. The purpose of this study was to compare shear and tensile bond strengths and fracture sites of four second-generation ceramic brackets: Allure IV (A) (GAC International, Inc., Central Islip, N.Y.), Ceramaflex (C) (TP Orthodontics, Inc., LaPorte, Ind.), Intrigue (I) (Lancer Orthodontics, Carlsbad, Calif.), Transcend 2000 (T) (Unitek Corp., Monrovia, Calif.), and a foil-mesh base stainless steel bracket, DynaBond II (D) (Unitek Corp., Monrovia, Calif.). Twenty brackets of each type were bonded to 100 mandibular bovine incisor teeth with Concise bonding adhesive. The samples were thermocycled for 24 hours and the brackets were debonded with an Instron universal testing machine (Instron Corp., Canton, Mass.). A modified Transcend debonding instrument was used for tensile debonding, whereas a chisel was used for shear debonding. An analysis of variance was performed with a 0.05 level of confidence. Mean shear strengths (kg/cm2) necessary to debond were 174.0 (A), 71.0 (C), 189.0 (I), 228.0 (T), and 160.0 (D). Mean tensile strengths (kg/cm2) were 27.0 (A), 26.7 (C), 51.3 (I), 56.5 (T), and 48.6 (D). Fracture sites examined with a light microscope showed no enamel damage with any of the ceramic brackets. Intrigue was the only bracket to fracture and had 30% bracket fracture in the tensile mode and 20% bracket fracture in the shear mode. The percentage of fractures at the adhesive-bracket base interface for shear and tensile modes, respectively, were 80, 100 (A); 100, 90 (C); 10, 60 (I); 60, 90 (T); and 90, 80 (D).(ABSTRACT TRUNCATED AT 250 WORDS)