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Fluoride ion emission, shear bond strength, and adhesive remnant index of calcium fluoride nanoparticles-containing orthodontic primer: an In Vitro study

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03. Juni 2025

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COVER HERUNTERLADEN

Figure 1.

FESEM view of (A) Control primer at a magnification of X 1000; (B) nCaF2-containing orthodontic primer with a concentration of 30% nCaF2 at a magnification of X 80; and (C) nCaF2-containing orthodontic primer with a concentration of 30% nCaF2 at a magnification of X 1000.
FESEM view of (A) Control primer at a magnification of X 1000; (B) nCaF2-containing orthodontic primer with a concentration of 30% nCaF2 at a magnification of X 80; and (C) nCaF2-containing orthodontic primer with a concentration of 30% nCaF2 at a magnification of X 1000.

Figure 2.

(A) and (B) Mean fluoride ion released from control, 20%, 30%, and 40% nCaF22-containing orthodontic primer.
(A) and (B) Mean fluoride ion released from control, 20%, 30%, and 40% nCaF22-containing orthodontic primer.

Shapiro–Wilk test results for Group A (Control/0% nCaF2-containing orthodontic primer)

Day Statistic df p
1 0.840 7 0.099
2 0.664 7 0.001*
3 0.000 7 0.000*
4 0.000 7 0.000*
5 0.000 7 0.000*
6 0.000 7 0.000*
7 0.000 7 0.000*
8 0.000 7 0.000*
9 0.000 7 0.000*
10 0.000 7 0.000*
11 0.000 7 0.000*
12 0.000 7 0.000*
13 0.000 7 0.000*
14 0.000 7 0.000*

Shapiro–Wilk test (Normality test) for SBS

Group Statistic df p
Control 0.888 7 0.262
20% 0.901 7 0.340
30% 0.917 7 0.444
40% 0.890 7 0.277

Levene test for SBS

Levene stat df1 df2 p
Based on mean 1.962 3 24 0.147

Frequency of adhesive remnant index scores between groups

Frequency
Group 0 1 2 3
Control 1 (100.0%) 2 (14.29%) 4 (40.0%) 0 (0.0%)
20% 0 (0.0%) 4 (28.57%) 2 (20.0%) 1 (33.33%)
30% 0 (0.0%) 2 (14.29%) 3 (30.0%) 2 (66.67%)
40% 0 (0.0%) 6 (42.86%) 1 (10.0%) 0 (0.0%)

Mean, standard deviation, and range (minimum - maximum) of the fluoride ion releases for each group

Control 20% nCaF2 30% naFC2 40% nCaF2
Mean SD Min Max Mean SD Min Max Mean SD Min Max Mean SD Min Max
Day 1 0.019 0.007 0.01 0.03 0.066 0.010 0.05 0.08 1.329 0.206 1.10 1.60 1.971 0.1 1 1 1.80 2.10
Day 2 0.004 0.005 0.00 0.01 0.041 0.009 0.03 0.05 0.869 0.385 0.90 1.10 1.086 0.107 1.00 1.30
Day 3 0.000 0.000 0.00 0.00 0.01 1 0.004 0.01 0.02 0.083 0.018 0.06 0.1 1 0.120 0.022 0.09 0.15
Day 4 0.000 0.000 0.00 0.00 0.016 0.008 0.01 0.03 0.036 0.024 0.01 0.07 0.051 0.042 0.00 0.1 1
Day 5 0.000 0.000 0.00 0.00 0.01 1 0.004 0.01 0.02 0.013 0.008 0.00 0.02 0.043 0.035 0.00 0.09
Day 6 0.000 0.000 0.00 0.00 0.014 0.010 0.00 0.03 0.006 0.005 0.00 0.01 0.026 0.025 0.00 0.07
Day 7 0.000 0.000 0.00 0.00 0.010 0.006 0.00 0.02 0.010 0.006 0.00 0.02 0.021 0.015 0.01 0.05
Day 8 0.000 0.000 0.00 0.00 0.010 0.006 0.00 0.02 0.01 1 0.004 0.01 0.02 0.026 0.008 0.02 0.04
Day 9 0.000 0.000 0.00 0.00 0.01 1 0.004 0.01 0.02 0.013 0.008 0.01 0.03 0.017 0.008 0.01 0.03
Day 1 0 0.000 0.000 0.00 0.00 0.01 1 0.004 0.01 0.02 0.009 0.004 0.00 0.01 0.014 0.008 0.01 0.03
Day 1 1 0.000 0.000 0.00 0.00 0.01 1 0.004 0.01 0.02 0.009 0.004 0.00 0.01 0.01 1 0.004 0.01 0.02
Day 12 0.000 0.000 0.00 0.00 0.009 0.004 0.00 0.01 0.009 0.004 0.00 0.01 0.013 0.005 0.01 0.02
Day 1 3 0.000 0.000 0.00 0.00 0.007 0.005 0.00 0.01 0.003 0.005 0.00 0.01 0.019 0.009 0.01 0.03
Day 14 0.000 0.000 0.00 0.00 0.007 0.008 0.00 0.02 0.007 0.005 0.00 0.01 0.019 0.007 0.01 0.03

Shapiro–Wilk test results for Group C (30% nCaF2-containing orthodontic primer)

Day Statistic df p
1 0.888 7 0.000*
2 0.538 7 0.000*
3 0.955 7 0.772
4 0.902 7 0.346
5 0.833 7 0.086
6 0.664 7 0.001*
7 0.777 7 0.024*
8 0.453 7 0.000*
9 0.453 7 0.000*
10 0.453 7 0.000*
11 0.453 7 0.000*
12 0.453 7 0.000*
13 0.600 7 0.000*
14 0.600 7 0.000*

Mean, standard deviation, and range (minimum – maximum) of shear bond strength

Group Mean SD Min Max
Control 9.50 2.08 7.15 13.11
20% 10.70 3.00 7.65 16.28
30% 9.61 1.74 6.59 12.50
40% 5.44 3.72 1.95 11.93

Kruskal Wallis ANOVA test results for differences of mean fluoride ion released between the four groups

Day Kruskal–Wallis H p-value
1 25.491 0.000*
2 20.590 0.000*
3 25.153 0.000*
4 16.195 0.001*
5 13.351 0.004*
6 11.750 0.008*
7 17.334 0.001*
8 22.755 0.000*
9 19.897 0.000*
10 19.890 0.000*
11 20.431 0.000*
12 18.680 0.000*
13 18.105 0.000*
14 16.819 0.001*

Friedman ANOVA test results for pairwise differences in the mean fluoride ion released between the four groups

95% Confidence interval
Group Mean difference Std error p-value Lower bound Upper bound
Control
20% -0.0153 0.00091 0.000* -0.0184 -0.0122
30% -0.1701 0.01094 0.000* -0.2102 -0.1300
40% -0.2439 0.00766 0.000* -0.2719 -0.2158
20%
Control 0.0153 0.00091 0.000* 0.0122 0.0184
30% -0.1548 0.01097 0.000* -0.1948 -0.1148
40% -0.2286 0.00770 0.000* -0.2565 -0.2006
30%
Control 0.1701 0.01094 0.000* 0.1300 0.2102
20% 0.1548 0.01097 0.000* 0.1148 0.1948
40% -0.0738 0.01335 0.001* -0.1159 -0.0317
40%
Control 0.2439 0.00766 0.000* 0.2158 0.2719
20% 0.2286 0.00770 0.000* 0.2006 0.2565
30% 0.0738 0.01335 0.001* 0.0317 0.1159

Shapiro-Wilk test results for Group B (20% nCaF2-containing orthodontic primer)

Day Statistic df p
1 0.937 7 0.609
2 0.818 7 0.062
3 0.453 7 0.000*
4 0.769 7 0.020*
5 0.453 7 0.000*
6 0.937 7 0.609*
7 0.777 7 0.024*
8 0.777 7 0.024*
9 0.453 7 0.000*
10 0.453 7 0.000*
11 0.453 7 0.000*
12 0.453 7 0.000*
13 0.600 7 0.000*
14 0.833 7 0.086*

Post-hoc pairwise comparison of shear bond strength

Group Mean difference p 95% Confidence interval
Lower bound Upper bound
Control
20% -1.20 0.845 -5.249 2.848
30% -0.11 1.000 -4.161 3.935
40% 4.06* 0.049 0.015 8.111
20%
Control 1.20 0.845 -2.848 5.249
30% 1.09 0.880 -2.961 5.135
40% 5.26* 0.008 1.216 9.312
30%
Control 0.11 1.000 -3.935 4.161
20% -1.09 0.880 -5.135 2.961
40% 4.18* 0.041 0.128 8.225
40%
Control -4.06* 0.049 -8.111 -0.015
20% -5.26* 0.008 -9.312 -1.216
30% -4.18* 0.041 -8.225 -0.128

Shapiro-Wilk test results for Group D (40% nCaF2-containing orthodontic primer)

Day Statistic df p
1 0.922 7 0.482
2 0.781 7 0.026*
3 0.978 7 0.949
4 0.928 7 0.533
5 0.916 7 0.443
6 0.909 7 0.391
7 0.816 7 0.590
8 0.769 7 0.200
9 0.833 7 0.086
10 0.646 7 0.010*
11 0.453 7 0.000*
12 0.600 7 0.000*
13 0.818 7 0.062
14 0.840 7 0.099
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