Shear bond strength in two types of indirect orthodontic cementation.

Background: To compare the shear bond strength of brackets cemented to dental enamel according to the cementation techniques. Material and Methods: Experimental study. We used 90 premolars and placed them in printed polylactic acid (PLA) filament models to simulate the dental arch shape and to then cement brackets using the direct, indirect technique with Transbond™XT and indirect technique with Orthocem®. Then, we carried out a shear bond strength test using a universal testing machine, and we evaluated the enamel surface using the adhesive resin remaining index. Dunn's test was used for the inferential statistical analysis of shear bond strength, and Fisher's exact test was used for the adhesive resin remaining index. Results: The shear bond strength of the brackets recorded mean values of 16.74±4.48Mpa, 15.93±6.49Mpa and 12.09±5.07Mpa in the direct, indirect technique with Transbond™XT and indirect technique with Orthocem® respectively. At an inferential level, a lower statistically significant difference was found in the indirect group with OrthoCem® in contrast to the other two groups. In the evaluation of resin remaining after detachment, the direct technique group registered 46.7% of teeth with more than half of resin remaining and the indirect technique groups with Transbond™XT and Orthocem® registered less than half of resin remaining with an incidence of 53.3% and 43.3% respectively. At an inferential level, a statistically significant difference between groups was evidenced. Conclusions: The indirect cementation technique using Transbond™ XT is more recommended since it presents a higher shear bond strength than using Orthocem®.