As capability of the enamel surface to micromechanical adhesion with adhesives is not good enough to provide sufficient bond strength, enamel preparation is considered a necessary step before bonding [1]. With the development of the acid etching by Buonocore, enamel preparation by phosphoric acid is considered the most popular used method among orthodontists. Although this technique provides sufficient bond strength to resist orthodontic and masticatory forces [2], it is a multi-stage method and has many disadvantages, including enamel loss through etching [3], the need to dry the field during bonding [4] and the difficulty in removing the remnant resin after debonding [5].In the attempt to reduce phosphoric acid disadvantages and to simplify bonding procedure, different alternatives have been tested [6]. Selfetching primer SEP as a new system was introduced in order to move away from acid etching
AbstractBackground. Self-etching primer and resin modified glass ionomer has been introduced to counter phosphoric etching disadvantages. Objectives. Evaluation of the bond failure rate of MBT stainless steel brackets bonded with either self etching primer SEP or resin modified glass ionomer RMGI in comparison with conventional methods CM. Material and Methods. 46 patients with complete permanent dentition were involved in this study. A total of 920 Gemini MBT ® brackets (3M Unitek, Monrovia, Calif) were bonded using a split-mouth design. For each patient, four adhesives systems were used: self etching primer SEP (Transbond Plus