title: Comparison of Shear Bond Strength of New Self-etching Primer with Conventional Self-etching Primers: An In-vitro Study.
abstract: BACKGROUND
  In the past few years, there has been a major research drive to increase bond strength between dental materials and dental hard tissue and to reduce the associated demineralization around fixed orthodontic appliances. Thus, a recent approach is to incorporate an antibacterial agent into the primer to reduce the demineralization and enhance bond strength. The objective of this study was: (1) To evaluate the shear bond strength of orthodontic preadjusted edgewise appliance brackets bonded to extracted premolar teeth with antimicrobial self-etch primer (Reliance self-etching primer, Clearfil Protect Bond) and self-etching primer without antimicrobial agent (Clearfil SE bond). (2) To compare the mean shear bond strength values of the tested materials to conventional self-etching primer Transbond Plus.
  
  
  METHODS
  A total of 125 extracted human premolar teeth were randomly divided into five groups of 25 teeth each. Each sample was embedded in an acrylic block of polymethyl meth acrylate resin till coronal portion. Instron testing machine model LR LOYD 50 K was used for testing the shear bond strength of individual samples.
  
  
  RESULTS
  The results of the study showed that all five groups had adequate clinically acceptable bond strength. In intergroup comparison, there was statistically significant difference in bond strength of Reliance self-etching primer, Promt L pop, Clearfil Protect Bond, clearfil SE bond and Transbond Plus.
  
  
  CONCLUSIONS
  Reliance self-etching primer showed highest bond strength, followed by Clearfil Protect Bond, clearfil SE bond, and Transbond Plus. Clearfil Protect Bond primer containing methacryloxy dodecyl pyridium bromide have been demonstrated to kill Streptococcus mutans within a short time of contact and also exhibits an inhibitory effect on the growth of bacteria on its surface.
authors.affiliation: Reader, Department of Orthodontics and Dentofacial Orthopaedics, A.J. Institute of Dental Sciences, Mangalore, Karnataka, India.
authors.forename: Abhinay
authors.initials: A
authors.lastname: Sorake
authors.affiliation: Professor & Head, Department of Orthodontics and Dentofacial Orthopaedics, A.J. Institute of Dental Sciences, Mangalore, Karnataka, India.
authors.forename: Rohan
authors.initials: R
authors.lastname: Rai
authors.affiliation: Reader, Department of Orthodontics and Dentofacial Orthopaedics, A.J. Institute of Dental Sciences, Mangalore, Karnataka, India.
authors.forename: Gautham
authors.initials: G
authors.lastname: Hegde
authors.affiliation: Lecturer, Department of Conservative Dentistry and Endodontics, Gulf Medical University, Ajman, UAE.
authors.forename: Ridhima
authors.initials: R
authors.lastname: Suneja
authors.affiliation: Assistant Professor, Department of Orthodontics and Dentofacial Orthopaedics, A.J. Institute of Dental Sciences, Mangalore, Karnataka, India.
authors.forename: Naveena
authors.initials: N
authors.lastname: Kumar
authors.affiliation: Post-graduate Student, Department of Orthodontics and Dentofacial Orthopaedics, A.J. Institute of Dental Sciences, Mangalore, Karnataka, India.
authors.forename: Jibin
authors.initials: J
authors.lastname: Skaria
keywords: Methacryloxy dodecyl pyridium bromide; self-etching primer; shear bond strength; tooth demineralization