<?xml version="1.0"?>
<Articles JournalTitle="Frontiers in Dentistry">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Frontiers in Dentistry</JournalTitle>
      <Issn>2676-296X</Issn>
      <Volume>20</Volume>
      <Issue>0</Issue>
      <PubDate PubStatus="epublish">
        <Year>2023</Year>
        <Month>11</Month>
        <Day>26</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">The Effect of Recommended Mouthwashes on the Shear Bond Strength of Orthodontic Brackets During the Covid-19 Pandemic: An In Vitro Study</title>
    <FirstPage>1</FirstPage>
    <LastPage>9</LastPage>
    <AuthorList>
      <Author>
        <FirstName>AmirHossein</FirstName>
        <LastName>Mirhashemi</LastName>
        <affiliation locale="en_US">Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Rashin</FirstName>
        <LastName>Bahrami</LastName>
        <affiliation locale="en_US">Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2022</Year>
        <Month>04</Month>
        <Day>22</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2022</Year>
        <Month>11</Month>
        <Day>24</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Objectives: This study aimed to assess the impact of recommended mouthwashes (chlorhexidine, hydrogen peroxide, and povidone-iodine) used during the COVID-19 pandemic on the shear bond strength (SBS) of orthodontic brackets.
Materials and Methods: A total of 52 human premolar teeth were divided into 4 groups (N=13) consisting of no intervention (control group), 0.2% chlorhexidine, 1.5% hydrogen peroxide, and 0.2% povidone-iodine. Following immersion in the mouthwashes, orthodontic brackets were bonded to enamel surfaces. Then, the brackets were debonded using a universal testing machine. The specimens were evaluated with a scanning electron microscope (SEM) and adhesive remnant index (ARI) score was assessed. One-way ANOVA and Tukey test were used for statistical analysis and P&lt;0.05 was considered significant.
Results: The SBS of the experimental groups decreased compared to the control group. The highest SBS mean value was observed in the controls and the lowest was found in the 0.2% povidone-iodine group. Significant differences in SBS values were found between the 0.2% povidone-iodine group and the 1.5% hydrogen peroxide group when compared to the control group (P=0.023, P=0.028, respectively). SEM analysis revealed similar characteristics among the groups, with a closer resemblance between the chlorhexidine and control groups. Additionally, these groups exhibited greater etching depth compared to the other groups.
Conclusion: Our findings highlight the importance of careful selection and application of mouthwashes in orthodontic procedures. While 1.5% hydrogen peroxide and 0.2% povidone-iodine may have some impact on bond strength, their use can still be considered acceptable within defined limits.</abstract>
    <web_url>https://fid.tums.ac.ir/index.php/fid/article/view/4446</web_url>
  </Article>
</Articles>
