Enhanced Degree of Monomer Conversion of Orthodontic Adhesives Using a Glass-Fiber Layer under the Bracket

Abstract

Abstract Objective: To test the hypothesis that there is no difference in the degree of conversion (DC%) of orthodontic composites during the light-curing process with or without the use of a glass-fiber reinforcement. Materials and Methods: Two light-curing orthodontic adhesives, Transbond XT (TB) and Beauty Ortho Bond (BO), were used with woven preimpregnated glass fibers. The degree of monomer conversion was determined for both adhesives in three settings (n = 5 per group): in the first group, the adhesive was cured without a bracket (control); in the second group, the bracket was bonded using adhesive without fiber reinforcement; and in the third group, a layer of glass-fiber net was added between the bracket and resin. The adhesive resin was light cured, and the DC% was determined by Fourier transform infrared spectroscopy. Results: A two-way analysis of variance revealed significant differences in the DC% (P < .001) between adhesives and between the fiber-reinforced and nonreinforced groups. When the nonreinforced adhesives were light cured under the brackets, the DC% was significantly lower (TB: 37.0%, SD 3.4; BO: 36.9%, SD 1.9) compared with the control (TB: 54.7%, SD 0.6; BO: 65.9%, SD 0.5). A higher DC% was found when the resin was light cured in the presence of a glass-fiber net (TB: 44.1%, SD 0.3; BO: 55.3%, SD 1.7). Conclusion: The hypothesis is rejected. The degree of monomer conversion of the light-curing adhesive resin under stainless steel bracket can be improved by adding a thin layer of glass-fiber–reinforced composite between the bracket and adhesive resin.