Color-Change Adhesives: The Future of Orthodontic Bonding?
"A closer look at how color-change adhesives can improve the orthodontic experience and outcomes."
For decades, orthodontists have relied on bonding brackets to teeth as a primary method of treatment. The advent of direct bonding techniques dramatically reduced the need for full mouth bands, enhancing patient comfort, aesthetics, and hygiene. Now, self-etching primers have further streamlined the bonding process, reducing the steps required and making the procedure more efficient.
Despite these advancements, challenges remain. One persistent issue is the difficulty in removing excess adhesive after bracket placement. Because many adhesives share a similar shade to natural enamel, identifying and removing these remnants can be tricky, potentially leading to bacterial colonization, decalcification, and gingival irritation. This has led to the development of color-changing adhesives to aid in easier and more complete cleanup.
This article explores the innovative use of color-change adhesives in orthodontic bonding. We'll delve into a study that compares the shear bond strengths of two color-change adhesives (Transbond Plus and Grengloo) with a conventional light-cure adhesive (Transbond XT), all used in conjunction with a self-etching primer. By examining their performance over time, we can gain insights into the efficacy and potential benefits of this evolving technology.
Color-Change Adhesives: A Clear Advantage?
A recent study investigated the bond strengths of color-change adhesives compared to traditional adhesives, focusing on ease of use and long-term effectiveness. The research team tested two color-change adhesives, Transbond Plus and Grengloo, against a control, Transbond XT, using a self-etching primer to prepare the teeth. One hundred and eighty extracted bovine incisors were used, divided into nine groups and evaluated at three different time intervals: 15 minutes, 24 hours, and 1 week.
- Preparation: Bovine incisors were mounted in acrylic resin and ground to create a uniform surface for bonding.
- Grouping: The teeth were randomly divided into three main groups, each assigned to a different adhesive: Transbond Plus, Grengloo, or Transbond XT. Each group was further divided into three subgroups for testing at different time points.
- Bonding: The teeth were prepared with Transbond Plus self-etching primer, following the manufacturer's instructions. Orthodontic brackets were bonded to the teeth using the assigned adhesive and light-cured.
- Testing: The shear bond strength was tested using a universal Instron testing machine at a crosshead rate of 1.0 mm/minute.
- Evaluation: After debonding, the Adhesive Remnant Index (ARI) was used to assess the amount of adhesive remaining on the tooth surface.
The Future is Clear(ly Colored)
The study suggests that color-change adhesives, when used with self-etching primers, offer comparable bond strengths to traditional adhesives. One of the most important benefits is the color change that facilitates easier removal of excess adhesive. The Grengloo adhesive showed a particularly promising trend with less adhesive remaining on the tooth surface after debonding.
While in vitro studies provide valuable insights, further clinical research is needed to fully evaluate the performance of color-change adhesives in the complex oral environment. Factors such as saliva contamination, temperature fluctuations, and varying enamel composition can influence bonding outcomes. Testing these adhesives by bonding directly to the enamel surface (without a metal bracket) may also help evaluate the bond strength at the enamel-adhesive interface.
Color-change adhesives represent a step forward in orthodontic bonding, offering the potential to improve precision, reduce enamel damage, and enhance aesthetics. As technology advances, these innovative materials may become a standard tool in the orthodontist's arsenal, helping to create healthier, more beautiful smiles.