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Table 1.

Materials, manufacturers, and full chemical compositions used in this study.

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Table 1 Expand

Fig 1.

Study workflow outlining specimen preparation.

Sandblasted zirconia crowns were bonded with customized lingual bracket bases manufactured either by 3D-printing or by casting. Two primers were evaluated: a 10-methacryloyloxydecyl dihydrogen phosphate (MDP) primer and a universal primer. Two polymerization modes were used: a light-cure orthodontic composite and a dual-cure resin cement. After bonding, specimens underwent thermocycling and were tested for shear bond strength.

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Fig 2.

Representative scanning electron micrographs (1000×).

(A–C) Zirconia surfaces after sandblasting, with 10-methacryloyloxydecyl dihydrogen phosphate (MDP) primer, and universal primer. (D–F) 3D-printed bracket bases after sandblasting, with MDP primer, and universal primer. (G–I) Cast bracket bases after sandblasting, with MDP primer, and universal primer.

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Table 2.

Results of three-way ANOVA on shear bond strength according to fabrication method, primer, and adhesive polymerization.

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Table 2 Expand

Table 3.

Shear bond strength by fabrication method and primer, stratified by adhesive polymerization type.

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Table 3 Expand

Fig 3.

Box plots of shear bond strength by bracket fabrication modality, primer category, and adhesive polymerization mode.

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Fig 3 Expand

Fig 4.

Representative images of Adhesive Remnant Index (ARI) scores.

A, ARI 0: no adhesive remaining on the zirconia surface. B, ARI 1: less than 50% of the adhesive remaining on the zirconia surface. C, ARI 2: more than 50% of the adhesive remaining on the zirconia surface. D, ARI 3: all adhesive remaining on the zirconia surface.

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Fig 4 Expand

Fig 5.

Stacked bar chart showing the distribution of Adhesive Remnant Index (ARI) scores (0-3) by bracket fabrication modality, primer, and adhesive polymerization mode.

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Fig 5 Expand