International Journal of Scientific Research in Dental and Medical Sciences

International Journal of Scientific Research in Dental and Medical Sciences

Evaluation of the Effect of Chitosan and Titanium Dioxide Nanoparticles Mixed with Orthodontic Primer on Shear Bond Strength: A Systematic Review and Meta-analysis

Document Type : Review Article

Authors
1 Department of Public Health, UFR of Medicine and Paramedical Professions, Clermont Auvergne University, France
2 Department of Orthodontics, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran
3 Department of Periodontics, School of of Dentistry, Centro Escolar University, Manila, Philippines
4 Department of Orthodontics, Faculty of Dentistry, Tehran Azad University of Medical Sciences, Tehran, Iran
5 Department of Periodontics, School of Dentistry, Urmia University of Medical Sciences, Urmia, Iran
6 Department of Oral and Maxillofacial Medicine, School of Dentistry, Urmia University of Medical Sciences, Urmia, Iran
Abstract
Background and aim: Orthodontic adhesives, commonly used to bond brackets, can significantly enhance bacterial biofilm. Nanoparticles have strong antimicrobial properties without compromising bond strength. Therefore, the aim of the present study was to evaluate the effect of chitosan and TiO2 NPs mixed with orthodontic primer on shear bond strength.
Material and methods: For this systematic review and meta-analysis study, international databases such as MEDLINE (PubMed and Ovid), Web of Science, and Scopus were searched until October 2024 using keywords relevant to the study objectives. STATA/MP. v17 software was used to analyze data.
Results: The present study included twelve in-vitro studies with a total sample size of 684 human premolars. The mean difference in SBS score between the 1% and 5% chitosan NPs group and control group was -1.11 MPa (MD, -1.11 MPa; 95% CI, -2.27, 0.04; p=0.16) and 5.08 MPa (MD, -5.08 MPa; 95% CI, -7.80, -2.35; p=0.09), respectively. there were no statistically significant differences after comparing the mean SBS differences between the 1% TiO2 NPs group and control group (MD, -0.43 MPa; 95% CI, -0.99, 0.12; p=0.13).
Conclusions: According to the results of the present meta-analysis, 1% and 5% chitosan NPs and 1% TiO2 have potential as promising adjuncts in dental adhesive formulations, improving antimicrobial activity without compromising adhesive properties.
Keywords

Subjects


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Volume 6, Issue 4
Autumn 2024
Pages 184-191

  • Receive Date 11 October 2024
  • Revise Date 18 November 2024
  • Accept Date 24 November 2024
  • Publish Date 01 December 2024