Open Access Open Badges Research

Effects of different chlorhexidine pretreatments on adhesion of metal brackets in vitro

Corinne Frey1, Enver Yetkiner2*, Bogna Stawarczyk3, Thomas Attin4 and Rengin Attin5

Author Affiliations

1 Private Practice, Winterthur, Switzerland

2 Department of Orthodontics, University of Ege, Izmir, Turkey

3 Department for Prosthodontics, University of Munich, Munich, Germany

4 Clinic of Preventive Dentistry, Periodontology and Cariology, Center of Dental Medicine, University of Zurich, Zürich, Switzerland

5 Department of Orthodontics and Pediatric Dentistry, University of Zurich, Zürich, Switzerland

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Head & Face Medicine 2012, 8:36  doi:10.1186/1746-160X-8-36

Published: 28 December 2012



To investigate the effect of chlorhexidine applications in various forms and concentrations on adhesion and failure modes of metal brackets in vitro.

Material and methods

Ninety bovine enamel specimens were allocated to six groups (n=15). Metal brackets were bonded on all specimens after chlorhexidine pre-treatments forming the following groups: (1) untreated specimens (control); (2) 40% varnish (EC40, Biodent BV, Netherlands), remnants removed with brushing mimicking patient cleaning; (3) 40% varnish (EC40), remnants removed with brushing mimicking professional cleaning; (4) 1% varnish (Cervitec Plus, Ivoclar vivadent, Schaan, Liechtenstein), remnants not removed; (5) brushed with% 1 gel (Corsodyl, GlaxoSmithKline, Münchenbuchsee, Germany), remnants not removed; (6) immersed in 0.07% mouthrinse (Corsodyl, GlaxoSmithKline, Münchenbuchsee, Germany), remnant not rinsed. Debonding of brackets was performed using a universal testing machine. Data were analysed using one-way ANOVA and post-hoc Scheffé test.


Group 4 performed significantly inferior than all the other groups and the control. Group 4 presented the highest number of adhesive failures at the enamel-resin interface whereas in other groups no failures at adhesive-resin interface was observed.


Presence of chlorhexidine varnish prior to bracket bonding adversely affects adhesion. Concentration of chlorhexidine pre-treatment has no influence on shear bond strength.

Chlorhexidine; Adhesion; Shear bond strength