The Effects of Pre-Procedural Mouth Rinses on Shear Bond Strength of Orthodontic Brackets: an in-Vitro Comparative Study

The use of pre-procedural mouth rinse for prevention of COVID-19 can reduce viral load but can alter the bond strength. The purpose of this study was to determine any correlation between the use of these pre-procedural mouth rinse and the shear-bond strength (SBS) of orthodontic brackets.

Thirty-three maxillary premolars extracted for orthodontic purposes were used. The buccal surfaces of all teeth were bonded with orthodontic brackets. Later, each tooth was embedded into acrylic resin and stored in distilled water. Teeth were randomly divided into three groups (group I: hydrogen peroxide mouth rinse, group II: povidone-iodine mouth rinse, and group III: artificial saliva), and stored in each solution for 12 hours. Later, each tooth was subjected to SBS testing using a universal testing machine. Data were statistically evaluated using one-way analysis of variance (ANOVA) and post hoc test (Tukey’s HSD) with a significance of p< 0.05.

The highest mean SBS was observed in the artificial saliva (control group), followed by the povidone-iodine and hydrogen peroxide groups.

Hydrogen peroxide mouth rinses should not be used during fixed orthodontic treatment because it alters bond strength.