title: Effect of blood and saliva contamination on bond strength of brackets bonded with a protective liquid polish and a light-cured adhesive.
abstract: BACKGROUND
  The application of a polymer coating to the labial enamel tooth surface before bonding can help keep white spot lesions from forming. Previous studies evaluating the effects of blood and saliva contamination on the bond strengths of light-cured composites showed significant reductions in bond strength values. The purpose of this study was to investigate whether the bond strength of a light-cured system (Transbond XT, 3M Unitek, Puchheim, Germany) used with a liquid polish (BisCover, Bisco, Schaumburg, Ill) is affected by contamination with blood or saliva.
  
  
  METHODS
  One hundred twenty permanent human premolars were randomly divided into 6 groups of 20. Various enamel surface conditions were studied: dry, blood contaminated, and saliva contaminated. A light-cured bonding system (Transbond XT) was used in all groups. The teeth in group 1 were bonded with Transbond XT. In the second group, BisCover polymeric resin polish was applied on the etched tooth surfaces before the brackets were bonded with Transbond XT resin. Comparison of the first and second groups showed no statistically significant difference. Groups 3 through 6 were bonded without Transbond XT. For groups 3 and 5, a layer of blood or saliva, respectively, was applied to the etched enamel followed by BisCover. In groups 4 and 6, blood or saliva, respectively, was applied on the light-cured BisCover. Shear forces were applied to the samples with a universal testing machine, and bond strengths were measured in megapascals.
  
  
  RESULTS
  The protective liquid polish (BisCover) layer did not affect bond strength.
  
  
  CONCLUSIONS
  Blood contamination on acid-etched surfaces affects bond strength more than saliva contamination. When a protective liquid polish (BisCover) is applied to the tooth surface, the effect of contamination by blood or saliva is prevented.
authors.affiliation: Faculty of Dentistry, Yeditepe University, Istanbul, Turkey. drkorkmaz@yeditepe.edu.tr
authors.forename: Korkmaz
authors.initials: K
authors.lastname: Sayinsu
authors.forename: Fulya
authors.initials: F
authors.lastname: Isik
authors.forename: Serdar
authors.initials: S
authors.lastname: Sezen
authors.forename: Bulent
authors.initials: B
authors.lastname: Aydemir
mesh_terms: D000179:Acrylates / Q000737:chemistry*; D000704:Analysis of Variance; D001769:Blood; D016001:Confidence Intervals; D001840:Dental Bonding / Q000379:methods; D003731:Dental Caries / Q000517:prevention & control; D017220:Dentin-Bonding Agents / Q000737:chemistry*; D004340:Drug Contamination / Q000517:prevention & control; D006801:Humans; D016910:Orthodontic Brackets; D010895:Pit and Fissure Sealants / Q000737:chemistry*; D019279:Resin Cements / Q000737:chemistry*; D012463:Saliva; D033081:Shear Strength
chemical_list: D000179:Acrylates; C481141:BisCover; D017220:Dentin-Bonding Agents; D010895:Pit and Fissure Sealants; D019279:Resin Cements; C477790:Transbond XT