Authors :
Dr. Sharath Kumar Shetty B.; Dr. Brigit Alphonsa Gervasis; Dr. T. B. Binshad Mohammed; Dr. Jayaprakash K.
Volume/Issue :
Volume 10 - 2025, Issue 10 - October
Google Scholar :
https://tinyurl.com/r8f58tc3
Scribd :
https://tinyurl.com/45sm33aw
DOI :
https://doi.org/10.38124/ijisrt/25oct047
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Abstract :
Aim and Objectives:
The study aimed to analyze and compare the shear bond strength (SBS) of metal brackets bonded to bleached enamel
treated with different antioxidants. The objectives were to assess SBS in unbleached enamel, bleached enamel, and bleached
enamel treated with Açai Berry extract, Sodium Ascorbate, and Theaflavin, and to compare their effectiveness in restoring
SBS.
Materials and Methods:
60 extracted human first premolars were randomly assigned to five groups (n=12):
Group I: Control (unbleached, bonded)
Group II: Bleached with 35% hydrogen peroxide
Group III: Bleached + 10% Açai Berry extract
Group IV: Bleached + 10% Sodium Ascorbate
Group V: Bleached + 10% Theaflavin
Antioxidants were applied for 10 minutes after bleaching. Brackets (MBT 0.022” slot, 3M Unitek) were bonded with
Transbond XT adhesive. SBS was tested after 24 hours using a Universal Testing Machine, and results were analyzed with
one-way ANOVA and Tukey’s post-hoc test (p < 0.05).
Results:
Mean SBS values (MPa) were: Group I (25.9), Group II (6.1), Group III (19.2), Group IV (14.1), and Group V (23.9).
Statistical analysis showed bleaching significantly reduced SBS (p < 0.001). All antioxidants improved SBS compared to the
bleached group. Theaflavin restored SBS values closest to the control, followed by Açai Berry, while Sodium Ascorbate was
least effective.
Conclusion:
Bleaching significantly compromises bracket bond strength. Antioxidants effectively restore SBS, with Theaflavin
demonstrating the best performance, nearly equivalent to unbleached enamel, followed by Açai Berry and Sodium
Ascorbate. Antioxidant pretreatment can be recommended to enhance bonding efficiency after bleaching.
Keywords :
Shear Bond Strength, Bleaching, Antioxidants, Açai Berry Extract, Sodium Ascorbate, Theaflavin, Orthodontic Brackets.
References :
- Titley KC, Torneck CD, Smith DC, Chernecky R, Adibfar A. Effect of carbamide peroxide bleaching on the shear bond strength of orthodontic brackets. Am J Orthod Dentofacial Orthop. 1991;100(1):62–65.
- Lai SCN, Tay FR, Cheung GSP, Mak YF, Carvalho RM, Wei SH, et al. Reversal of compromised bonding in bleached enamel. J Dent Res. 2001;80(10):1919–24.
- Bulut H, Kaya AD, Turkun M. Tensile bond strength of brackets after antioxidant treatment on bleached teeth. Eur J Orthod. 2005;27(5):466–71.
- Torres CRG, Koga AF, Borges AB. The effects of anti-oxidant agents as neutralizers of bleaching agents on enamel bond strength. Braz J Oral Sci. 2006;5(16):971–6.
- Subramaniam P, Pandey A. Effect of different antioxidants on the bond strength of brackets to bleached enamel: An in vitro study. J Orthod Sci. 2016;5(2):37–41.
- Kavitha M, Shobha V, Tiku A, Nagesh L, Shashikiran ND. Comparative evaluation of the shear bond strength of brackets bonded to bleached enamel pretreated with antioxidants – an in vitro study. Angle Orthod. 2013;83(6):1034–40.
- Aristizábal JF, Arroyave SP, Gaviria J, Ossa N. Effect of sodium ascorbate on bond strength of brackets after bleaching with hydrogen peroxide. Dental Press J Orthod. 2020;25(6):34–41.
- Manoharan M, Choudhary R, Ponnambathayil S, Pillai P. Effect of newer antioxidants on the bond strength of orthodontic brackets bonded to bleached enamel: An in vitro study. J Indian Soc Pedod Prev Dent. 2016;34(4):383–8.
- Moharam LM, Elkassas DW, Fawzy AS. Effect of Acai Berry extract on bond strength of orthodontic brackets to bleached enamel. J Clin Exp Dent. 2022;14(4): e320–6.
- Censi R, Di Martino P, Vermonden T, Hennink WE. Polysaccharide-based nanoparticles for drug delivery and biomedical applications. Cosmetics. 2018;5(2):48. (Use for antioxidant content of Açai Berry extract).
- Olmedo D, Medina A, Gracia I, Carvajal JC. Antioxidants in dentistry: review of their effectiveness in restoring bond strength after bleaching. Eur J Oral Sci. 2021;129(3): e127–34.
Aim and Objectives:
The study aimed to analyze and compare the shear bond strength (SBS) of metal brackets bonded to bleached enamel
treated with different antioxidants. The objectives were to assess SBS in unbleached enamel, bleached enamel, and bleached
enamel treated with Açai Berry extract, Sodium Ascorbate, and Theaflavin, and to compare their effectiveness in restoring
SBS.
Materials and Methods:
60 extracted human first premolars were randomly assigned to five groups (n=12):
Group I: Control (unbleached, bonded)
Group II: Bleached with 35% hydrogen peroxide
Group III: Bleached + 10% Açai Berry extract
Group IV: Bleached + 10% Sodium Ascorbate
Group V: Bleached + 10% Theaflavin
Antioxidants were applied for 10 minutes after bleaching. Brackets (MBT 0.022” slot, 3M Unitek) were bonded with
Transbond XT adhesive. SBS was tested after 24 hours using a Universal Testing Machine, and results were analyzed with
one-way ANOVA and Tukey’s post-hoc test (p < 0.05).
Results:
Mean SBS values (MPa) were: Group I (25.9), Group II (6.1), Group III (19.2), Group IV (14.1), and Group V (23.9).
Statistical analysis showed bleaching significantly reduced SBS (p < 0.001). All antioxidants improved SBS compared to the
bleached group. Theaflavin restored SBS values closest to the control, followed by Açai Berry, while Sodium Ascorbate was
least effective.
Conclusion:
Bleaching significantly compromises bracket bond strength. Antioxidants effectively restore SBS, with Theaflavin
demonstrating the best performance, nearly equivalent to unbleached enamel, followed by Açai Berry and Sodium
Ascorbate. Antioxidant pretreatment can be recommended to enhance bonding efficiency after bleaching.
Keywords :
Shear Bond Strength, Bleaching, Antioxidants, Açai Berry Extract, Sodium Ascorbate, Theaflavin, Orthodontic Brackets.