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TRANSCRIPT
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Endodontology, Vol. 15, 2003
Bond strength of wire-composite resin interface
of dental splints using different wire surface
treatments - An in vitro study*Jacob J **Nandlal B
ABSTRACT
The study was undertaken to evaluate the optimal method of enhancing
the wire-composite bond strength of dental splints using different wire
surface treatments. Further, a comparison of bond strength of the wire-
composite resin interface with commonly used composite materials for
dental splints was also attempted. The study sample consisted of 360
bovine mandibular incisors embedded in acrylic resin which were utilized
as bonding surfaces for evaluation of the bond strength of the wire-composite interface when using light activated composite resin (Gluma)
and chemically activated composite resin (Rely-a-bond) with both
flexible (0.016" round, 0.017" X
0.025" rectangular) and rigid (0.036" round) stainless steelwires.
The results of the study indicated that sandblasting the portions of the
stainless steel wires embedded in composite resin enhanced the strength
of the wire-composite bond for both the types of composite materials. The
use of metal primer on stainless steel wires either separately or in
combination with sandblasting had lower wire-composite interface bond
strength than sandblasting alone, while no surface treatment on the wire
had the least, for both the light activated and chemically activated
composite resins.
Key words : Bond strength, dental splint, luxation injuries, surface treatment of
dental wires.
Introduction
Of the traumatic injuries occurring inchildren, avulsion and displacement of teethare some of the common problems
encountered in the primary as well as mixeddentition period. Dental splinting after
traumatic tooth injury is needed to stabilizesubluxated, luxated, avulsed and root
fractured teeth1. Rigid
* Post Graduate Student
** Professor & Head
Dept. of Pedodontics & Preventive Dentistry
J.S.S. Dental College & Hospital
Mysore - 570 015
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dental splinting has been the treatment ofchoice until the 1970s which were based onthe principles of bone fracture immobilizationin which total immobility improves healing
without cal lus formation 1.However, experimental and clinical studieshave shown that early restoration of
masticatory function improves pulpal and
periodontal healing2.
The bond strength of the wire to the
composite resin is an important factor in a
successful wire-composite splint. Most of the
failures of this wire-composite splint occurs
at the wire-composite resin interface.
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Jacob and Nandlal Wire-composite interface...
Methods of increasing the bond strengthbetween metals and composites werethrough mechanical retention methods likeundercuts and roughening of the metalsurface , microretention methods likesandblasting, electrolytic etching and tin-plating and chemical adhesion through the
use of metal bonding agents (MetalPrimers)3,4,5. Thin flexible wires have beenrecommended for the wire- composite
splint6. Two types of composite materialshave been advocated for the wire- compositesplint; namely the chemically curedcomposite and the light cured composite
resin6,7. This study was to evaluate theoptimal method of enhancing the wire-composite bond strengths of dental splints
using different wire surface treatments.
Materials and Methods
The study sample consisted of 360
bovine mandibular incisors embedded in
acrylic blocks in test groups of 15 samples
each. The test group were different wire
surface treatments like Sandblasting (Sb),
Sandblasting + Metal Primer (Sb+Mp), Metal
Primer alone (Mp) and No surface treatment
(Nst). Two different types of composite
materials namely light activated composite
resin (Gluma) and chemically activated
composite material (Rely-a-bond) were
tested on 0.036" round S.S. wire, 0.016"
round S .S . wire and 0.017" X 0 .025"
rectangular S.S. wire for the different wire
surface treatments. Bovine mandibular
incisors were cleaned of soft tissue and
stored in a refrigerated Chloramine-T
solution. Before bonding, the facial surfacewas cleaned with distilled water to remove
debris and dried with tissue paper. The apical
1/3rd of the roots were sliced with a diamond
disc. The mounting of the bovine tooth was
done using a split rectangular aluminum
box and the tooth was stabilized with self
cure acrylic resin. The bovine tooth
surface was covered with adhesive tape
except for bonding site of radius
4.4mm. This was done to have a uniform
etching and bonding area for all the test
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samples8. To consistently place the wire
within the composite resin, a standard splint
acrylic template was devised. The template
had a round well of 4.4mm diameter and
1.75mm depth with a uniform 15.2mm of
composite bonding surface area. A slot for
the wire extended from the end of the well to
the end of the template. The length of the slot
was 10cms and the width of the slot was1mm more than the diameter of each of the
test wire. The well ensured approximately
1mm of composite over the wire, placing the
wire as close to the bovine tooth surface as
possible while still surrounding it with the
composite resin. The test sample was placed
on a flat surface along with the aligning jig
which aligned as well as stabilized the
bonding template over the bovine tooth
surface. Acid etching and bonding procedurefor both the test composite resins were done
following manufacturers' instructions.
The wires were sandblasted with a 50
microns aluminium oxide at a pressure of 75
psi for approximately 15 seconds, resulting in
approximately the last 6-7 mm of the wire
etched to a dull finish. The metal bonding
agent (Alloy Primer) was applied directly to
the wire surface with a brush for 15 seconds
and then air dried for 5 seconds. The wires
were then immediately bonded to the
composite resin. The cured samples were
placed in distilled water and stored in an
incubator at 37C for
48 hours and then thermocycled between
4C and 60C for 100 cycles with a dwelltime in each therma l bath of 1 minute9. Afte r thermocycling, the samples werefurther returned to the incubator for storage
before testing 24 hours later. Testing of thesamples was done using a Universal Testing
Machine (Llyods) at a crosshead speed of1mm per minute. The test samples were
placed in the lower jaw of the testingmachine and the wire was pulled along its
long axis by the testing machine until the wirewas fully dislodged from the composite
resin. The maximum force needed todislodge the wire was recorded. The force
was converted to MPa by using the
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surface area of the wires. In analyzing the
results of the variables under various
methods considered in this s tudy, the
statistical techniques like Arithmetic Mean,
Standard Deviation, Student's 't' test,
Analysis of Variance (ANOVA) and the
Duncan's Multiple Range Test (DMRT) were
used appropriately.
Results
Results are shown numerically in Table1,
2, 3. Different surface treatments of wires in
both light activated and chemically cured
composite resin were significantly different
from each other (ANOVA, P
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Endodontology, Vol. 15, 2003
and adhesion promoters on the wire-
composite interface bond strength of dental
splints are few.
With both, the light activated composite
resin (Gluma) and chemically activated(Rely- a-bond), sandblasting of the 0.036"
stainless steel wires provided thestrongest wire- composite interface. The
bond strength of the wire-compositeinter face obta ined wi th sandblasted
wires (268.45MPa) was significantly higherthan no surface treatment (13.59MPa)
(p
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treatmentsDMRT
activatedMean F value
activatedMean F value 't' value
S.D. (MPa) S.D. (Mpa)
Sb (d) 235.102.92 79467.70 191.191.26 126574.78 053.52***
Sb+Mp (c) 227.890.98 184.101.37 100.83***
Mp (b) 31.821.20 24.650.94 018.19***
Nst (a) 11.890.44 10.310.52 009.00***
Jacob and Nandlal Wire-composite interface...
TABLE 1: Mean Bond strength of the 0.036" wire-composite interface
Surfacetreatments
Lightactivated
Chemicallyactivated
Mean S.D. (MPa)
F value Mean S.D. (Mpa)
F value 't' value
Sb (d) 268.454.84 31354.93 206.072.06 69601.23 45.94***Sb+Mp (c) 246.102.83 194.621.80 59.47***
Mp (b) 43.791.46 36.667.39 31.02***
Nst (a) 13.590.49 11.870.90 6.55***
ANOVA : Mean bond strength were significantly different from each other (p
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bond strengths when compared with
sandblasting (p