scholarly journals Enamel Surface Damage following Debonding of Ceramic Brackets: A Hospital-Based Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Neelutpal Bora ◽  
Putul Mahanta ◽  
Deepjyoti Kalita ◽  
Sangeeta Deka ◽  
Ranjumoni Konwar ◽  
...  

Background and Objective. The primary responsibility of an orthodontist is to preserve the dental enamel structure during debonding ceramic brackets. The enamel injury caused at the time of bracket removal causes inconvenience to the patient and disturbs the treating orthodontist. This paper aims for an effective evidence-based debonding protocol to keep the enamel surface intact. Methods. The current study includes 80 extracted premolars of human from the patient visiting for orthodontic treatment of Coorg Institute of Dental Sciences, Karnataka, India. The brackets were debonded using four different methods. The enamel surface damage after the procedure was assessed with the Enamel Surface Index (ESI); similarly, the Adhesive Remnant Index (ARI) score was used to determine the adhesive residual deposit. Scanning electron microscopy (SEM) was used to visualize better microporosities and micromechanical retention of adhesive remnants on the enamel surface. The normality of the data was tested using the Kolmogorov–Smirnov test. Depending upon the normality test result, the one-way ANOVA test or Kruskal–Wallis test was used to test the mean ESI and mean ARI differences among different debonding methods along with the appropriate post hoc tests. The necessary ethical clearance was obtained from the Ethics Committee of the institute. Results. The ultrasonic scaler (US) technique led to more significant enamel surface damage, with 13 (65%) samples in the ESI scores III and IV against the satisfactory surface in 2 (10%) samples with the ligature cutter (LC) technique (ESI-I) reflecting LC as a better technique. The ESI scores (III and IV) for debonding plier (DP) and thermal method (TM) reflected a higher value in 12 (60%) and 10 (50%) samples and caused more damage to the enamel surface as compared to the LC technique. The ARI score was highest (ARI-1 = 40%) with the LC technique, followed by the US (ARI-1 = 20%), TM (ARI-1 = 15%), and DP (ARI-1 = 5%) methods. We have observed a significant association ( p value <0.05) of the ARI score among four different debonding ways in terms of each tooth’s residual adhesive after the bracket removal. Conclusion. The result establishes the LC technique as a more acceptable one as it causes minimal harm to the debonded surface. The adhesive left on the debonded area is also minimum as compared to the other three methods tested. Therefore, it can be suggested as an ideal method.


2019 ◽  
Vol 11 (4) ◽  
pp. 92-102 ◽  
Author(s):  
Michal Stoklasa

Abstract This article aims to examine the effects of new technology on the purchase of regional brands in Czechia and draw conclusions that will help to adapt the brands to customer needs. Regional brands are a speciality of Central Europe, which emerged due to consumer dissatisfaction with low-quality of global retail products. These traditional local handmade products are heavily influenced by new technology and customers requiring them to be purchasable online with a massive online presence. The sample consisted of 1050 residents of the Czech Republic. The data were gathered by a professional marketing agency Ipsos using a questionnaire survey. The sample was tested using the one-way Chi-square test, which had good compliance to test the basic sample characteristics, followed with the one-sample Kolmogorov-Smirnov test to test the data distribution, and then, the dependencies were tested with the Kruskal-Wallis test. Finally, a post-hoc test suitable for the type of analysis could be chosen to better understand the type of factors that could influence the results and their possible effect. The main findings indicate a slow change in the demand as customers are neutral in relation to regional brands available from online shops as well as their about social media presence but require them to have a good-quality website. Solutions are proposed using a government-run brand with a platform providing web layouts and hybrid e-shop. The type of content is proposed, indicating the appropriate execution, which should be done based on the researched-derived segmentation criteria.





Author(s):  
Hasan Gündal ◽  
Burçak Kaya

During fixed orthodontic treatment, there is great possibility that the dental enamel could be damaged due to the process of debonding the bracket. Enamel cracks are one of the most common aspects that can develop or increase during debonding. This review aimed to conduct an examination of cracks in the enamel that occur both prior to and following metal or ceramic brackets being debonded.



2012 ◽  
Vol 17 (4) ◽  
pp. 77-84 ◽  
Author(s):  
Lilian Maria Brisque Pignatta ◽  
Sillas Duarte Júnior ◽  
Eduardo César Almada Santos

INTRODUCTION: Preserving the dental enamel structure during removal of orthodontic accessories is a clinician's obligation. Hence the search for an evidence based debonding protocol. OBJECTIVE: to evaluate and compare, by means of scanning electron microscopy (SEM), the effects of four different protocols of bracket debonding and subsequent polishing on enamel surface, and to propose a protocol that minimizes damage to enamel surface. METHODS: Twelve bovine permanent incisors were divided into four groups according to the instrument used for debonding and removal of the adhesive remnant. In groups 1 and 2, brackets were debonded with a straight debonding plier (Ormco Corp., Glendora, California, USA), and in groups 3 and 4, debonding was performed with the instrument Lift-Off (3M Unitek, Monrovia, California, USA). In groups 1 and 3, the adhesive remnant was removed using a long adhesive removing plier (Ormco Corp., Glendora, California, USA) and in groups 2 and 4, residual adhesive was removed with a tungsten carbide bur (Beavers Dental) at high-speed. After each stage of debonding and polishing, enamel surfaces were replicated and electron micrographs were obtained with 50 and 200X magnification. RESULTS: All four protocols of debonding and polishing caused enamel irregularities. CONCLUSION: Debonding brackets with straight debonding plier, removal of adhesive remnant with a tungsten carbide bur and polishing with pumice and rubber cup was found to be the protocol that caused less damage to enamel surface, therefore this protocol is suggested for debonding brackets.



Author(s):  
Hasan Gündal ◽  
Burçak Kaya

During fixed orthodontic treatment, there is great possibility that the dental enamel could be damaged due to the process of debonding the bracket. Enamel cracks are one of the most common aspects that can develop or increase during debonding. This review aimed to conduct an examination of cracks in the enamel that occur both prior to and following metal or ceramic brackets being debonded.



2016 ◽  
Vol 49 (4) ◽  
pp. 189
Author(s):  
Pinandi Sri Pudyani ◽  
Setiarini Widiarsanti

Background: Fixed orthodontic appliances with ceramic brackets are used frequently to fulfill the aesthetic demand of patient through orthodontic treatment. Ceramic brackets have some weaknesses such as bond strength and enamel surface damage. In high bond strength the risk of damage in enamel surfaces increases after debonding. Purpose: This study aimed to determine the effect of silane on base of bracket and adhesive to shear bond strength and enamel structure of ceramic bracket. Method: Sixteen extracted upper premolars were randomly divided into four groups based on silane or no silane on the bracket base and on the adhesive surface. Design of the base on ceramic bracket in this research was microcrystalline to manage the influence of mechanical interlocking. Samples were tested in shear mode on a universal testing machine after attachment. Following it, adhesive remnant index (ARI) scores were used to assess bond failure site. Statistical analysis was performed using a two-way Anova and the Mann-Whitney test. A scanning electron microscope (SEM) with a magnification of 2000x was used to observe enamel structure after debonding. Result: Shear bond strength was increased between group without silane and group with silane on the base of bracket (p<0,05). There was no significance different between group without silane and group with silane on adhesive (p<0,05). Conclusion: Application of silane on base of bracket increases shear bond strength, however, application of silane on adhesive site does not increase shear bond strength of ceramic bracket. Most bonding failure occurred at the enamel adhesive interface and damage occurred on enamel structure in group contains silane of ceramic bracket.



2018 ◽  
Vol 69 (7) ◽  
pp. 1714-1717
Author(s):  
Roxana Ionela Vasluianu ◽  
Norina Consuela Forna ◽  
Elena Raluca Baciu ◽  
Mirela Zaltariov ◽  
Lavinia Vasiliu ◽  
...  

The anti-erosion effect of fluoride on the enamel surface was investigated by ATR-FTIR, SEM and EDX techniques. Four extracted teeth (two incisors and two premolars) were initially bleached with carabamide peroxide and etched with ortho-phosphoric acid then fluoride treatment was applied. Significant differences in enamel composition and morphology were observed providing the effect of fluoride application in remineralization of teeth. Infrared spectroscopy was employed to probe the changes in enamel structure. Scanning electron microscopy/energy dispersive X-ray spectroscopy analysis revealed higher content in F of teeth enamel. Morphology changes revealed a re-mineralization of enamel surface after the treatment with fluoride gel.



2019 ◽  
Vol 20 (12) ◽  
pp. 1004-1010
Author(s):  
Marcin Oplawski ◽  
Konrad Dziobek ◽  
Nikola Zmarzły ◽  
Beniamin Grabarek ◽  
Tomasz Halski ◽  
...  

Background: Vascular endothelial growth factor (VEGF)-C, -D, and VEGF receptor-3 are proteins characterized as crucial for tumor lymphangiogenesis. It is accompanied by angiogenesis during wound healing, but also in the neoplastic process. The research studies have shown that the lymphatic system plays a key role in the progression of carcinogenesis. Objective: The aim of this study was to evaluate changes in the expression of VEGF-C, VEGF-D and VEGFR-3 in different grades of endometrial cancer (G1-G3). Methods: The study included 45 patients diagnosed with endometrial cancer (G1=17; G2=15; G3=13) and 15 patients without neoplastic changes. The expression of VEGF-C, VEGF-D, and VEGFR-3 was assessed using microarray technique and immunohistochemistry. Statistical analysis was performed using the one-way ANOVA and Tukey's post-hoc test. Results: Statistically significant changes in the expression at the transcriptome level were found only in the case of VEGF-C (G1 vs. C, fold change - FC = -1.15; G2 vs. C, FC = -2.33; G3 vs. C, FC = - 1.68). However, VEGF-D and VEGFR-3 were expressed at the protein level. Analysis of VEGF-D expression showed that the optical density of the reaction product in G1 reached 101.7, while the values in G2 and G3 were 142.7 and 184.4, respectively. For VEGF-R3, the optical density of the reaction product reached the following levels: 72 in control, 118.77 in G1, 145.8 in G2, and 170.9 in G3. Conclusion: : An increase in VEGF-D and VEGFR-3 levels may indicate that VEGF-D-dependent processes are intensified along with the dedifferentiation of tumor cells. The lack of VEGF-C expression in endometrial cancer samples may suggest that this tumor is characterized by a different mechanism of metastasis than EMT. Our study emphasizes that when analyzing the metastatic potential of cancer, the expression of more than one factor should be taken into account.





2018 ◽  
pp. 83-87
Author(s):  
Marianna Takács ◽  
János Oláh

An apiary trial was conducted in 2016 August to October in Szabolcs-Szatmár-Bereg County, Nyírmada to evaluate the influence of queen’s age on the Varroa destructor-burden in the treatment colonies. Sixty colonies of bees belonging to the subspecies Apis mellifera carnica pannonica in Hunor loading hives (with 10 frames in the brood chamber/deep super) were used. The colonies were treated with amitraz and the organophosphate pesticide coumaphos active ingredients. The amitraz treatment includes 6 weeks. The coumaphos treatment with Destructor 3.2% can be used for both diagnosis and treatment of Varroasis. For diagnosis, one treatment is sufficient. For control, two treatments at an interval of seven days are required. The colonies were grouped by the age of the queen: 20 colonies with one-year-old, 20 colonies with two-year-old and 20 colonies with three-year-old queen. The mite mortality of different groups was compared. The number of fallen mites was counted at the white bottom boards. The examination of spring growth of honey bee colonies has become necessary due to the judgement of efficiency of closing treatment. The data was recorded seven times between 16th March 2017 and 19th May 2017. Data on fallen mites were subjected to one-way analysis of variance (ANOVA) and Post-Hoc Tukey-test. Statistical analysis was performed using the software of IBM SPSS (version 21.). During the first two weeks after treatments, the number of fallen mites was significantly higher in the older queen’s colonies (Year 2014). The total mite mortality after amitraz treatment in the younger queen’s colonies was lower (P<0.05) compared to the three-year-old queen’s colonies. According to Takács and Oláh (2016) although the mitemortality tendency, after the coumaphos (closing) treatment in colonies which have Year 2014 queen showed the highest rate, considering the mite-burden the colonies belongs to the average infected category. The colonial maintenance ability of three-year-old queen cannot be judged based on the influencing effect on the mite-burden. The importance of the replacement of the queen was judged by the combined effect of several factors. During the spring-growth study (16th March–19th May) was experienced in the three-year-old queen’s colonies the number of brood frames significantly lower compared to the one- and two-year-old queen’s colonies. In the study of 17th April and 19th May each of the three queen-year-groups were varied. Therefore in the beekeeping season at different times were determined the colonial maintenance ability of queens by more factors: efficiency of closing treatment in early spring, the spring-growth of bee colonies, the time of population shift (in current study, this time was identical in each queen-year), honey production (from black locust).



Sign in / Sign up

Export Citation Format

Share Document