Shear Bond Strength of Orthodontic Brackets on Demineralized Enamel Before and After Application of a Resin Infiltrant Remineralizing Agent: An In Vitro Study

Background/Objectives: We evaluated whether resin infiltration treatment of demineralized enamel improves shear bond strength (SBS). Methods: Thirty permanent bovine incisor teeth were assigned randomly into three groups (n = 10 per group): control group, demineralized enamel pretreated with ICON® resin infiltrant (Exp1 group), and demineralized enamel without pretreatment (Exp2). Demineralization was induced using a pH 4.5 solution for 21 days and was monitored using swept-source optical coherence tomography on days 0, 7, 14, and 21. The lesion depth (LD) was quantified and evaluated using ImageJ software. In the Exp1 group, ICON® was applied prior to bracket bonding; no pretreatment was applied in the Exp2 group. In all groups, brackets were bonded using Super-Bond/Clear fluoride-free self-cure adhesive resin (4-META/MMA-TBB, Sun Medical) following Phosphoric acid (65%; Red Activator, Sun Medical). After debonding, enamel surfaces were evaluated to determine the adhesive remnant index (ARI). Results: No significant difference (p = 0.631) was noted in LD between Exp1 and Exp2 groups. The SBS values significantly differed (p < 0.05) between the control (4.1 ± 1.0 MPa) and Exp1 (5.5 ± 1.4 MPa) groups and between the Exp1 and Exp2 (3.8 ± 1.3 MPa) groups. However, SBS did not differ significantly between the control and Exp2 groups. Furthermore, ARI scores showed no significant difference between the control and Exp1 groups, whereas the Exp2 group recorded significantly elevated ARI scores relative to the control group (p = 0.0127). Conclusions: These findings suggest that resin infiltration with ICON® may improve bracket adhesion on demineralized enamel.