There was insufficient evidence to assess the effect of bonding modality on demineralization rates .
CONCLUSIONS There is weak evidence indicating higher odds of failure with self-etch primer than acid etch over 12 months in orthodontic patients , and there is strong evidence that a self-etch primer is likely to result in a modest time savings ( 8 minutes for full bonding ) compared with acid etch
INTRODUCTION The use of self-etch primers has increased steadily because of their time savings and greater simplicity ; however , overall benefits and potential disadvantages and harms have not been assessed systematic ally .
In this study , we review ed r and omized controlled trials to assess the risk of attachment failure , bonding time , and demineralization adjacent to attachments between 1-stage ( self-etch ) and 2-stage ( acid etch ) bonding in orthodontic patients over a minimum follow-up period of 12 months .
An Investigation into the Use of a Single Component Self-etching Primer Adhesive System for Orthodontic Bonding: A Randomized Controlled Clinical Trial
Objective This study assessed the in vivo bond failure of the single component orthodontic self-etching primer system , Ideal 1 ( GAC Orthodontic Products ) and compared it with the conventional acid etching using a conventional 37 % o-phosphoric acid , rinsing and drying regimen when bonding stainless steel orthodontic brackets to enamel . Design Prospect i ve r and omized , controlled clinical trial . Setting Orthodontic Department , Bristol Dental School . Material and methods Twenty consecutive patients undergoing upper and lower fixed orthodontic treatment entered this cross-mouth control study . Diagonally opposite quadrants were r and omly allocated to either the self-etching primer group or the conventional etching group . A total of 339 teeth were bonded with Ideal 1 light-cured adhesive . Bond failures and locus of bond failure were then recorded at 1 , 6 and 12 months . Results Significantly more bond failures occurred at each of the 3 time intervals , 1 , 6 and 12 months , where the enamel was pretreated with the Ideal I self-etching primer , than when the enamel was treated with the conventional etchant , 37 % o-phosphoric acid . With the latter the cumulative bond failure rates were 3.0 , 5.3 and 14.8 % , respectively . With the self-etching primer the cumulative failure rates were 29.4 , 56.5 and 72.4 % . Conclusion The study found that enamel pre-treatment with the Ideal 1 self-etching primer system prior to orthodontic bonding results in an unacceptably high bond failure rate when compared with conventional enamel acid etching
There was insufficient evidence to assess the effect of bonding modality on demineralization rates .
CONCLUSIONS There is weak evidence indicating higher odds of failure with self-etch primer than acid etch over 12 months in orthodontic patients , and there is strong evidence that a self-etch primer is likely to result in a modest time savings ( 8 minutes for full bonding ) compared with acid etch
INTRODUCTION The use of self-etch primers has increased steadily because of their time savings and greater simplicity ; however , overall benefits and potential disadvantages and harms have not been assessed systematic ally .
In this study , we review ed r and omized controlled trials to assess the risk of attachment failure , bonding time , and demineralization adjacent to attachments between 1-stage ( self-etch ) and 2-stage ( acid etch ) bonding in orthodontic patients over a minimum follow-up period of 12 months .