Stainless steel brackets failure rate after topical fluoride application in etching procedures


Enamel demineralization that occurs adjacent to directly bonded orthodontic attachments is of great concern to orthodontists. One of the suggested procedures to overcome this problem is to use topical fluoride treatment after acid etching. The purpose of this study was to evaluate the failure rate of stainless steel bracket with metal mash base after topical application of(1.1%) neutral sodium fluoride gel after(37%) phosphoric acid etching. Twenty patients with full maxillary and mandibular "0.018" standard edgewise fixed appliances were included. Maxillary right, mandibular left sides were received the topical sodium fluoride gel application after etching with(37%) H3PO4 for(30) seconds. The gel was applied for(4) minutes after etching, then rinse with air and water stream for(5) seconds; while in the contralateral sides the bonding was done conventionally. The bonding adhesive was the No-Mix chemical cure adhesive. The follow-up period was(12-15) months. The results showed that brackets failure rate in fluoridated group did not differ significantly from the non-fluoridated one. Hence the(1.1%) neutral sodium fluoride may have a clinical application in preventing demineralization that occurred around and under orthodontic brackets without any significant increase in failure rate of stainless steel brackets