Comparison of Bracket Failure with Resin Modified Glass Ionomer Cement and Resin-Based Adhesive: Resin Modified Glass Ionomer Cement and Resin-Based Adhesive

Abdul Jabbar; Maheen Aqeel; Ashique Hussain Sahito; Muhammad Siddique Khatri; Syed Rizwan Shah; Junaid Tariq

doi:10.54393/pjhs.v5i09.1868

Authors

Abdul Jabbar Department of Orthodontics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Maheen Aqeel Department of Orthodontics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Ashique Hussain Sahito Department of Periodontology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Muhammad Siddique Khatri Department of Orthodontics, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
Syed Rizwan Shah Specialized Dental Center, Gurayyat General Hospital, Al Jouf Health Cluster, Ministry of Health, Saudia Arabia
Junaid Tariq Department of Orthodontics, Baqai Dental College, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i09.1868

Keywords:

Dental Composite, Resin Modified Glass Ionomer Cement, Orthodontic Bracket

Abstract

A high strength of bonding materials is needed for orthodontic attachments to sustain therapeutic forces and patients’ masticatory habits. Objectives: To compare the bond strength of the resin modified glass ionomer cement (RMGIC) and resign based adhesive system which leads to bracket failure in orthodontic treatment (failure to bracket attachment) for the duration of 6 months at the a tertiary care hospital at Hyderabad, Sindh Pakistan. Methods: This comparative cross-sectional study involved 30 patients, each with 20 brackets, using non-probability sampling. Participants were between the ages of 13 and 30 with fully erupted permanent teeth and mild skeletal discrepancies. Quadrants were randomized, and 120 attachments were placed in total, split evenly between the two types of materials. The study involved bonding orthodontic brackets using either composite resin or RMGIC. The teeth were prepared and cleansed, and the brackets were bonded following standard procedures. Patients were monitored each month for six months (six visits) to check for any debonded or missing brackets. Chi-Square test was run to compare bracket failure between two groups. Results: There were significant differences in bracket failure rates between the composite and RMGIC sides. Composite had a lower failure rate, with 90% of brackets remaining intact compared to 63.3% with RMGIC (p=0.04). Gender comparisons showed both male and female participants experienced more failures with RMGIC than with composite, with p-values of 0.039 and 0.038, respectively. Conclusion: RMGIC could not withstand the forces experienced during fixed appliance treatment as effectively as composite resin, resulting in a higher debonding rate.

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