The effect of antimicrobial agents on bond strength of orthodontic adhesives: a meta-analysis of in vitro studies

The effect of antimicrobial agents on bond strength of orthodontic adhesives: a meta-analysis of in vitro studies

Antimicrobial orthodontic adhesives aim to reduce white spot lesions' incidence in orthodontic patients, but they should not jeopardizing its properties. Systematic review and meta‐analysis were performed to answer the question whether the association of antimicrobial agents with orthodontic ad...

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Bibliographic Details
Published in:Orthodontics & craniofacial research Vol. 19; no. 1; pp. 1 - 9
Main Authors: Altmann, A. S. P., Collares, F. M., Leitune, V. C. B., Samuel, S. M. W.
Format: Journal Article
Language:English
Published: England Blackwell Publishing Ltd 01-02-2016
Wiley Subscription Services, Inc
Subjects:
Anti-Infective Agents
antimicrobial agent
Dental Bonding
Dental Cements
Dental Enamel
Dental Stress Analysis
Dentistry
Humans
Materials Testing
orthodontic adhesives
orthodontic bracket
Orthodontic Brackets
Resin Cements
Shear Strength
systematic review
orthodontic bracket
orthodontic adhesives
antimicrobial agent
systematic review
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Summary:Antimicrobial orthodontic adhesives aim to reduce white spot lesions' incidence in orthodontic patients, but they should not jeopardizing its properties. Systematic review and meta‐analysis were performed to answer the question whether the association of antimicrobial agents with orthodontic adhesives compromises its mechanical properties and whether there is a superior antimicrobial agent. PubMed and Scopus databases. In vitro studies comparing shear bond strength of conventional photo‐activated orthodontic adhesives to antimicrobial photo‐activated orthodontic adhesives were considered eligible. Search terms included the following: orthodontics, orthodontic, antimicrobial, antibacterial, bactericidal, adhesive, resin, resin composite, bonding agent, bonding system, and bond strength. The searches yielded 494 citations, which turned into 467 after duplicates were discarded. Titles and s were read and 13 publications were selected for full‐text reading. Twelve studies were included in the meta‐analysis. The global analysis showed no statistically significant difference between control and experimental groups. In the subgroup analysis, only the chlorhexidine subgroup showed a statistically significant difference, where the control groups had higher bond strength than the experimental groups. Many studies on in vitro orthodontic bond strength fail to report test conditions that could affect their outcomes. The pooled in vitro data suggest that adding an antimicrobial agent to an orthodontic adhesive system does not influence bond strength to enamel. It is not possible to state which antimicrobial agent is better to be associated.
Bibliography:istex:B07E581FA77525305BAC557B7F5AFBBD7AC99C44
ark:/67375/WNG-630G59HQ-J
ArticleID:OCR12100
Table S1. Additional file 1 - AMSTAR.
ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
ObjectType-Review-4
content type line 23
ObjectType-Undefined-3
ObjectType-Article-1
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ISSN:1601-6335
1601-6343
DOI:10.1111/ocr.12100