No and Year of Publication |
Ceramic Type |
Bracket Type |
Adhesive Type |
Additional Testing |
Results |
1994[47] |
Feldspathic |
Ceramic |
Silane/ no silane |
|
Sgn difference when silane was used |
1999[40] |
Amalgam/ precious alloy/ ceramic |
Ceramic Transcend / Fascination silanized brackets |
APA/ HF 9.6% +Fuji Ortho LC/ Photac Bond (GIC) Control groups used Trandbond or Concise |
|
Both GIC satisfactory SBS, silanized brackets lower SBS, only Fuji on metal alloy, composites obtained higher SBS than GIC s |
2005[70] |
Finesse Empress 2 all ceramic/ feldspathic Vita Omega |
Metallic |
Phosphoric acid + silane+ Unite Bond |
|
SBS for Finesse sgn higher, no sgn difference in ARI scores |
2006[59] |
Feldspathic and lithium disilicate |
Metallic |
Silane on glazed/ APA 25um/APA 50 um/ HF 9.6%/ 40um diamond bur/ 60um diamond bur |
Thermocycling |
Lowest SBS HFA sgn difference, highest SBS diamond burs, lithium disilicate higher SBS for all groups |
2006[73] |
Low fusing and high fusing ceramics |
Metallic |
Resin removal with multifluted carbide bur with and without polishing discs |
|
No sgn difference between the 2 types of ceramics on debonding force, no difference between clean-up methods |
2007[72] |
In-Ceram, IPS Impress, ceramo-metal |
Metallic |
|
|
Ceramo-metal and In-Ceram comparable results, IPS_Impress lower SBS sgn |
2007[58] |
Feldspathic, leucite based, lithia disilicate |
Metallic |
Sandblasting/sandblasting+HF/sandblasting+silane /sandblasting+HF+silane /tribochemical silica coating+silane |
Thermocycling |
Lowest SBS sandblasting only, feldspathic and lithia disilicate highest SBS with silica coating, leucite based HF without silane, similar to silica coating. |
2010[68] |
IPS Empress 2/ In-Ceram alumina |
Metallic and ceramic |
HF 9.6%/phosphoric acid/sandblasting for all |
|
Acid etching sgn increased SBS, ceramic brackets sgn different fracture pattern at the adhesive-bracket interface |
2010[74] |
Aluminous and fluorapatite ceramic (Vitadur Alpha/IPS Emax) |
Ceramic and metallic |
Different bracket bases: beads-Inspire Ice, large round pits Crystalline IVs, irregular base Clarity, optimesh stainless brackets for control |
|
Highest SBS Inspire Ice sgn different than the others, all were satisfactory |
2011[72] |
Feldspathic, fluoro-apatite, leucite reinforced |
Metallic |
Air particle abrasion 25 um/ silica coating 30 um |
Thermocycling |
Lowest SBS air particle abrasion feldspathic and fluoro-apatite, highest SBS silica coating leucite reinforced ceramic, silica coating better overall |
2014[67] |
Monolithic zirconium oxide ceramic |
Metallic |
Glazed/polished +air abrasion 30 um/air abrasion 50 um + Monobond Plus+ Transbond XT Primer+Transbond XT |
|
Air abrasion improved SBS |
2014[65] |
Yttria stabilized tetragonal polycrystalline zirconia |
Metallic |
RelyX adhesive cement and RelyXUnicemselfadhesive |
24h or 6 months at 37 degrees C |
Self-adhesive cement RelyXUnicem not able to sustain bond |
2016[66] |
Feldspathic/ zirconia |
Metallic |
Sandblasting all groups + 4% HF, Porcelain Conditioner silane Primer/Reliance Assure/ Reliance Assure Plus/Z Prime Plus |
|
Tensile bond strength similar for all groups, silanization after sandblasting, similar to other protocols |
2016[56] |
CAD/CAM lithium disilicate |
Metallic |
HFA+Silane/ HFA, deglazed/glazed |
|
HF + silane – acceptable SBS values indifferent of adhesive, but slightly higher on roughened surface |
2016[69] |
Silica IPS Classic glazed |
Metallic |
9.6% HF, 9.6% HF+silane/ sandblasting+silane/ tribochemical silica (CoJet) +silane, all TransbondXT |
|
HF alone not sufficient SBS, CoJet + silane and sandblasting+silane higher than the other groups |
2017[18] |
Y-TZP |
Metallic |
Abrasion with alumina/ tribochemical silica coating + ESPE-Sil/Alloy Primer/Clearfil/Scotchbond |
+/-thermocycling |
Thermocycling influences results, better results when mechanically treated |
2018[55] |
Feldspathic and lithium disilicate |
Metallic |
Sandblasting, 9.6% HF, Transbond XT/ Assure Plus |
thermocycling |
Assure Plus better results, minimized damage on lithium disilicate |
2018[19] |
Lithium disilicate |
Ceramic |
HF + All Bond Universal/Adhese Universal/ Clearfil Universal Bond/ Single Bond Universal +/- silane |
Thermocycling, SEM |
Thermocycling influences results. SBS of the silane groups were higher and their microleakage percentages lower than those of the non-pretreated groups |
2019[51] |
IPS e-max CAD |
Ceramic |
HF 60 s/S 3 min/HF+S/MDP adhesive followed by resin cement |
SEM, fractographic analysis |
Monocrystalline brackets with HF or HF+S chowed highest values, Polycrystalline with MDP only – lowest values. |
2019[57] |
IPS E-max and zirconia |
Metallic |
E-max HF + MDP primer 1 coat; Zirconia MDP 1/2/3 coats |
Thermocycling |
E.max and zirconia with 3 MDP primer applications highest SBS |
2019[64] |
Lithium silicate infused with zirconia (CELTRA® DUO, Zirconia and Lithium disilicate |
Metallic |
+/- HF |
|
SBS of the lithium silicate infused with zirconia - significantly lower than HF lithium disilicate group. HF may increase SBS in Celtra DUO. |
2020[53] |
IPS E-max, CAD/CAM, IPS d.Sign Ceramic fused to metal |
Metallic |
Transbond, Light Bond or Blugloo +/- HF |
|
Significant differences in SBS related to ceramic, surface treatment, and resin cement. HF etching increased SBS. |
2019[60] |
Lithium disilicate and zirconia |
Metallic and ceramic |
HF / Phopsphoric acid and silane |
|
HF use on zirconia and lithium-disilicate, does not cause a significant increase in SBS, compared to etching with PhA and silane application. HF can weaken the surface structure. |
2019[21] |
Zirconia |
Ceramic |
MDP ceramic primer + orthodontic primer / universal adhesive / MDP ceramic primer + universal adhesive. |
Thermocycling |
For ceramic brackets to zirconia, ceramic primer used with an orthodontic primer, rather than using a universal adhesive, is recommended. |
2020[22] |
Lithium disilicate E-max and lithium silicate infused with zirconia (CELTRA® DUO) |
Ceramic |
aluminium oxide air abrasion + 3 different brackets |
|
Mean SBS of the E-max groups were significantly less than CELTRA® DUO. Only the Symetri bracket was effective for both substrates. |