Evidence map›Paper›PMID 40839037›Full record

ArticleJournal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie2026

Comparative in vitro study of bond strength of two-step orthodontic bonding systems : Self-adhesive composite vs. self-etching primer.

Marwan El Helou, Eva Canamas, Emmanuel Nicolas, Alexis Gravier, Elias Estephan, Frederic Cuisinier, Stephane Barthelemi

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Marwan El HelouLaboratory of Bioengineering and Nanosciences EA 4203, Dental School, University of Montpellier, 545 Avenue du Professeur Jean-Louis Viala, 34193, Cedex 5, Montpellier, France. marwan.el.helou@hotmail.com.
Eva CanamasCenter for Research in Clinical Dentistry (CROC), University of Clermont Auvergne BP 10448, Clermont-Ferrand, France.
Emmanuel NicolasCenter for Research in Clinical Dentistry (CROC), University of Clermont Auvergne BP 10448, Clermont-Ferrand, France.
Alexis GravierSigma-Clermont, BP 10448, Université Clermont Auvergne, 63000, Clermont-Ferrand, France.
Elias EstephanLaboratory of Bioengineering and Nanosciences EA 4203, Dental School, University of Montpellier, 545 Avenue du Professeur Jean-Louis Viala, 34193, Cedex 5, Montpellier, France.
Frederic CuisinierLaboratory of Bioengineering and Nanosciences EA 4203, Dental School, University of Montpellier, 545 Avenue du Professeur Jean-Louis Viala, 34193, Cedex 5, Montpellier, France.
Stephane BarthelemiLaboratory of Bioengineering and Nanosciences EA 4203, Dental School, University of Montpellier, 545 Avenue du Professeur Jean-Louis Viala, 34193, Cedex 5, Montpellier, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis in vitro study aimed to compare the shear bond strength (SBS) and Adhesive Remnant Index (ARI) scores of two-step orthodontic bonding systems: self-etching primer (SEP) and a self-adhesive composite. Both systems were compared to a control group with a conventional three-step adhesive.

methodsA total of 72 extracted maxillary and mandibular premolars were randomly divided into four groups (n = 18): group 1(XT), the control group, used Transbond™ XT (conventional adhesive; 3M Unitek, Monrovia, CA, USA); group 2 (GC) used GC Ortho Connect™ (self-adhesive composite; GC Orthodontics Inc., Tokyo, Japan); group 3 (GCP) used GC primer with GC Ortho Connect™; and group 4 (SEP) used Transbond™ Plus Self-Etching Primer with Transbond™ XT. Teeth were stored in water at 37 °C for 24 h prior to SBS testing using an Instron 5543 device (Instron, Norwood, MA, USA), and ARI scores were assessed under a stereomicroscope. Data were analyzed using analysis of variance (ANOVA) and nonparametric tests.

resultsIn total, 60 samples were analyzed. The GCP group exhibited the highest SBS (8.35 MPa ± 1.99), significantly higher than the XT (4.99 MPa ± 1.32, p < 0.001) and SEP (5.69 MPa ± 2.10, p = 0.001) groups. The GC group (7.50 MPa ± 1.92) also showed higher SBS than XT (p = 0.003) and the SEP group (p = 0.048). ARI scores showed no significant difference between groups overall (p = 0.303), but the GCP group had significantly higher ARI scores than the SEP group (p = 0.023).

conclusionGC Ortho Connect™ with or without primer demonstrated superior bond strength compared to conventional and self-etching systems, making it a viable alternative for clinical use. Further in vivo studies are needed to confirm these findings.

Indexed as

BicuspidComposite ResinsDental BondingOrthodontic BracketsResin CementsAdhesivenessDental Stress AnalysisHumansIn Vitro TechniquesMaterials TestingShear StrengthComposite ResinsResin CementsAdhesive remnant indexOrthodontic bracketsSelf-adhesive compositeSelf-etching primerTooth enamel damage

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.