ORIGINAL ARTICLE
Effect of argon laser curing on the shear bond
strength of metal brackets bonded with
light-cured glass ionomer cement
Glaucio Serra,
a
Aldo Brugnera,
b
Carlos Nelson Elias,
c
and Ana Maria Bolognese
d
Rio de Janeiro and São Paulo, Brazil
Introduction: The purpose of this study was to evaluate the shear bond strength and debonding
characteristics of glass ionomer cement cured with an argon laser. Methods: Thirty extracted first premolars
were divided into 2 groups of 15. The teeth were cleaned and mounted in resin, and metal brackets were
bonded with glass ionomer cement. In the control group, the bond was cured with a halogen light for 40
seconds (20 seconds mesial and 20 seconds distal). In the test group, the specimens were cured with an argon
laser for 5 seconds. Brackets were debonded in shear; bond strength was measured, and the adhesive remnant
index was scored. Results: The difference in mean shear bond strength was not statistically significant
between groups when compared with a t test. More adhesive remained on the enamel surface in the laser
group than in the control group. Conclusions: Argon laser curing produces bond strengths equivalent to
those obtained with traditional light curing in much less time, but it leaves more adhesive on the tooth
surface. (Am J Orthod Dentofacial Orthop 2005;128:740-3)
S
ince their introduction to dentistry in the 1960s,
many uses have been found for lasers,
1
including
applications in orthodontics. The argon laser was
introduced in the 1990s. In 1993, Hicks et al
2
reported
that enamel demineralization induced with 37% phos-
phoric acid could be reduced if the teeth were first
exposed to the argon laser.
2
Later, the same authors
combined the argon laser with fluoride treatment and
concluded that applying fluoride after laser exposure
significantly increased the resistance to demineraliza-
tion.
3
Shanthala
4
compared bond strengths when compos-
ite resin was cured with visible light and with an argon
laser and concluded that the argon laser produced
higher shear bond strengths.
4
Lalani et al
5
evaluated the bonding of metal brack-
ets cured with the argon laser or halogen light and
found that curing time was shortened by 87.5% with the
argon laser and there were no statistical differences in
shear bond strength or adhesive remnant index scores.
5
Talbot et al
6
varied the laser intensity and found that
argon laser bonding could reduce curing time by 75%.
They reported that laser curing after regular curing
resulted in greater bond strength and that a power of
200 to 300 mW should be used for efficient curing.
Pulpal histology from in-vivo testing confirms that
the argon laser, when used at the energy levels recom-
mended for restorative dentistry applications, creates
neither short-term nor long-term pulpal pathology.
7
Glass ionomer cement can be used with the argon
laser for orthodontic bonding.
8-11
The physical-chemi-
cal adhesion of the cement to enamel improves biocom-
patibility and has anticariogenic effects because fluo-
ride is released by ionic dissolution around the bond.
However, the cement has a short working time and a
long setting time.
11-13
The development of photo-cured
glass ionomers led to greater working and curing
times.
10,11
The purpose of this study was to evaluate the shear
bond strength and debonding characteristics of metal
brackets bonded with glass ionomer to human premo-
lars and cured with an argon laser.
MATERIAL AND METHODS
Thirty extracted first premolars were selected. The
soft tissues were removed, and the teeth were evaluated
under halogen light
12
to determine their soundness.
The teeth were stored in 0.1% thymol dissolved in
distilled water and held at 31°C 1°C.
13,14
They were
randomly divided into 2 groups of 15 teeth each: a
a
Private practice, Rio de Janeiro, RJ, Brazil.
b
Chairman of biomedical laser center, IPD-UNIVAP, São José dos Campos,
São Paulo, Brazil.
c
Professor, University Federal Fluminense, Rio de Janeiro, Brazil.
d
Professor, Department of Orthodontics, University of Brazil (UFRJ), Rio de
Janeiro, RJ, Brazil.
Reprint requests to: Glaucio Serra, Av Nossa Senhora de Copacabana 1355,
Apartment 805, Copacabana, Rio de Janeiro, RJ, Brazil; e-mail, dr.g.serra@
medcenter.com.
Submitted, February 2004; revised and accepted, August 2004.
0889-5406/$30.00
Copyright © 2005 by the American Association of Orthodontists.
doi:10.1016/j.ajodo.2004.08.021
740