An Investigation to Estimate the Flouride Uptake Adjacent to a Fluoride-releasing Bonging Agent

1995 ◽  
Vol 22 (2) ◽  
pp. 113-122 ◽  
Author(s):  
S. M. Chadwick ◽  
P. H. Gordon
Keyword(s):  
At Risk ◽  
Clinical Significance ◽  
Orthodontic Treatment ◽  
Bonding Agent ◽  
Bonding Agents ◽  
Acid Etch ◽  
Fixed Appliances

Decalcification of the teeth remains a problem during orthodontic treatment with fixed appliances. It has been suggested that bonding agents which release fluoride could supply it to the area of the tooth most at risk from decalcification. The aim of this study was to estimate uptake by enamel adjacent to a fluoride releasing bonding agent. Acid etch biopsies were used to estimate the concentration of fluoride in enamel adjacent to brackets bonded with Vitrabond® and Geristore®. Results indicate that there was a significant increase in the concentration of fluoride in enamel adjacent to Vitrabond®. The clinical significance of the increase in the concentration of fluoride adjacent to Vitrabond® and the mechanism by which fluoride moves from the material into the enamel remain unclear.

Effect of Laser and Air Abrasion Pretreatment on the Microleakage of a Fissure Sealant Applied with Conventional and Self Etch Adhesives

2013 ◽  
Vol 37 (3) ◽  
pp. 281-288
Author(s):  
RE Tirali ◽  
C Çelik ◽  
N Arhun ◽  
G Berk ◽  
SB Cehreli
Keyword(s):  
Tooth Enamel ◽  
Statistical Significance ◽  
Qualitative Evaluation ◽  
Bonding Agent ◽  
Air Abrasion ◽  
Bonding Agents ◽  
Fissure Sealant ◽  
Acid Etch ◽  
Self Etch ◽  
Sealant Material

Aim: The purpose of this study was to investigate the effects of different pretreatment protocols along with different bonding agents on the microleakage of a fissure sealant material. Method: A total of 144 freshly extracted noncarious human third molars were used. The teeth were randomly assigned into three groups with respect to the pretreatment protocol employed: A. Air Abrasion B. Er,Cr:YSGG laser C. No pretreatment (Control). In each group specimens were further subjected to one of the following procedures before application of the sealant: 1. %36 Phosphoric acid-etch (AE) (DeTrey Conditioner 36/ Denstply, UK) 2.AE+Prime&Bond NT (Dentsply,UK) 3.Clearfil S3 Bond (Kuraray, Japan) 4.Clearfil SE Bond (Kuraray, Japan). All teeth were sealed with the same fissure sealant material (Conseal F/ SDI, Australia). Sealed teeth were further subjected to thermocycling, dye penetration test, sectioning and quantitative image analysis. Statistical evaluation of the microleakage data was performed with two way independent ANOVA and multiple comparisons test at p=0.05. For qualitative evaluation 2 samples from each group were examined under Scanning Electron Microscopy. Results: Microleakage was affected by both the type of pretreatment and the subsequent bonding protocols employed (p<0.05). Overall, the highest (Mean=0.36mm) and lowest (Mean=0.06 mm) microleakage values were observed in samples with unpretreated enamel sealed by S3+Conseal F and samples with laser pretreated enamel sealed by Acid Etch+Prime&Bond+Conseal F protocols, respectively (p<0.05). In the acid-etch group samples pretreated with laser yielded in slightly lower microleakage scores when compared with unpretreated samples and samples pretreated with air abrasion but the statistical significance was not important (p=0,179). Similarly, when bonding agent is applied following acid-etching procedure, microleakage scores were not affected from pretreatment protocol (p=0,615) (intact enamel/laser or air-abrasion). For both all-in one and two step self etch adhesive systems, unpretreated samples demonstrated the highest microleakage scores. Conclusions: For the groups in which bonding agent was utilized, pretreatments did not effected microleakage. Both the tested pretreatment protocols and adhesive procedures had different effects on the sealing properties of Conseal F in permanent tooth enamel.

Silent Venous Thrombosis Revealed by Impedance and 125I-Fibrinogen

1975 ◽  
Author(s):  
M. Hume
Keyword(s):  
At Risk ◽  
Pulmonary Embolism ◽  
Venous Thrombosis ◽  
Clinical Significance ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Clinical Evidence ◽  
Impedance Plethysmography ◽  
Patients At Risk ◽  
Lung Scan

100 post-operative subjects were observed following total hip replacement using 125I-fibrinogen (125I-Fg) and impedance plethysmography (IPG) with thigh cuff. Phlebo-grams were obtained if these tests indicated venous thrombosis. Also, lung scan was obtained if clinical evidence of pulmonary embolism developed. Sustained significant isotope localization occurred in 40. 32 of these had abnormal IPG. Four patients had minor pulmonary embolism, which was associated with abnormality of either 125I-Fg or IPG. All major obstructive venous thrombosis and all moderately extensive thrombosis was associated with abnormal IPG. Only minute thrombi were not correctly classified by IPG. The following conclusions are supported by this experience. 1) If prospectively applied in patients at risk, the combination of both techniques (125I-Fg, IPG) is capable of detecting all silent venous thrombosis even minute thrombi of negligible significance. 2) IPG is capable of detecting all major obstructive and all moderately extensive thrombi, that is, all thrombosis of clinical significance arising in the leg. 3) Minute thrombi will not be detected by IPG alone and small emboli resulting from detachment of such minute thrombi would be unheralded unless monitoring includes 125I-Fg.

Changes in the Complexity of Orthodontic Treatment for Patients Referred to a Teaching Hospital

1988 ◽  
Vol 15 (1) ◽  
pp. 27-32 ◽  
Author(s):  
C. D. Stephens ◽  
N. W. Harradine
Keyword(s):  
General Practitioner ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Further Training ◽  
Fixed Appliance ◽  
Dental Hospital ◽  
Orthodontic Patients ◽  
Specialist Treatment ◽  
Fixed Appliances ◽  
Removable Appliance

The records of 200 orthodontic patients accepted for treatment by the Orthodontic Department of the Bristol Dental Hospital in 1977 were compared with 200 taken on in 1985 in order to determine whether there had been any change in the proportion of referred cases requiring more complex procedures. Within each sample, cases were categorized as follows: (a) suitable for removable appliance treatment by an undergraduate or general practitioner; (b) requiring simple one arch fixed appliance treatment such as might he attempted by a general practitioner after a period of further training; (c) needing specialist treatment such as full multibracketed fixed appliances or orthognathic surgery. It was found that there had been no change in the proportions of simple and complex cases referred during the 8-year period although the proportion of patients now receiving complex treatment had increased greatly. Possible explanations and implications are discussed.

scholarly journals Use of Cantilever Mechanics for Impacted Teeth: Case Series

2013 ◽  
Vol 7 (1) ◽  
pp. 186-197 ◽  
Author(s):  
Sergio Paduano ◽  
Gianrico Spagnuolo ◽  
Gerardo Franzese ◽  
Gioacchino Pellegrino ◽  
Rosa Valletta ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Case Series ◽  
Permanent Teeth ◽  
Impacted Teeth ◽  
Adolescents And Adults ◽  
Fixed Appliances

This paper describes the orthodontic treatment, and the biomechanics of cantilevers for the impaction of permanent teeth in youngs, adolescents, and adults. In these case series, multibracket straightwire fixed appliances, together with cantilever mechanics, were used to treat the impaired occlusion.

scholarly journals Maxillomandibular Plane Angle Bisector (MM) Adjunctive to Occlusal Plane to evaluate Anteroposterior Measurement of Dental Base

2012 ◽  
Vol 13 (4) ◽  
pp. 539-544
Author(s):  
Chanamallappa R Ganiger ◽  
KU Cariappa ◽  
AR Yusuf Ahammed
Keyword(s):  
Clinical Significance ◽  
Orthodontic Treatment ◽  
Clinical Usefulness ◽  
Occlusal Plane ◽  
Reference Plane ◽  
Plane Angle ◽  
B Values ◽  
Angle Bisector ◽  
Lateral Cephalograms ◽  
Relationship Of

ABSTRACT Aim This study was undertaken to analyze the clinical usefulness of the maxillomandibular bisector, its reproducibility, its validity and its relationship to the functional occlusal plane, the bisecting occlusal plane and the nature of its cant. Materials and methods Thirty pretreatment lateral cephalograms, each of adolescents (above 18 years of age) and children (10- 12 years), seeking orthodontic treatment were randomly selected and the Wits technique of anteroposterior measurement was used to compare A-B values measured to the new plane with those measured to the functional occlusal plane (FOP) and to the traditional or bisecting occlusal plane (BOP). Results Present study showed that MM bisector plane is more reproducible and valid reference plane, than the FOP and BOP. Conclusion A new plane, geometrically derived from the dental base planes, has been tested as an occlusal plane substitute for the measurement of anteroposterior jaw relationships. It lies close to but at an angle and inferior to the traditional occlusal planes and is highly reproducible at all times. Clinical significance Maxillomandibular planes angle bisector may be a useful adjunct for the cephalometric assessment of sagittal relationship of the patient. How to cite this article Ganiger CR, Nayak USK, Cariappa KU, Ahammed ARY. Maxillomandibular Plane Angle Bisector (MM) Adjunctive to Occlusal Plane to evaluate Anteroposterior Measurement of Dental Base. J Contemp Dent Pract 2012; 13(4):539-544.

scholarly journals Comparison of InvisalignⓇ Aligners versus Fixed Appliance Treatment in pain perception: a systematic review and meta-analysis

2019 ◽  
Author(s):  
Dinis Pereira ◽  
Vanessa Machado ◽  
João Botelho ◽  
José João Mendes ◽  
Ana Sintra Delgado
Keyword(s):  
Systematic Review ◽  
Random Effects ◽  
Orthodontic Treatment ◽  
Pain Perception ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Multiple Time ◽  
Case Control Studies ◽  
Standard Material ◽  
Fixed Appliances

Abstract Background: This systematic review aimed to compare the pain discomfort levels between InvisalignⓇ aligners comparing with traditional fixed appliances at multiple time points, through Pain Visual Analog Scale (VAS). Methods: Four electronic databases (Pubmed, Medline, CENTRAL and Scholar) were searched up to February 2019. There were no restrictions on year and publication status. Randomized clinical trials (RCTs) and case-control studies comparing pain perception through VAS in patients treated with Invisalign aligners and with labial appliances were included. Risk of bias within and across studies was assessed using Cochrane tool and Newcastle-Ottawa Scale (NOS) approach. Random-effects meta-analysis were conducted. VAS score at 1, 3 and 7 days, and analgesic consumption was collected. Pairwise and Binary Random-Effects Meta-analyses were used to synthesize available data. Results: At the initial search, a total of 87 articles were retrieved. Following the review protocol, 4 articles met the inclusion criteria and were included, with a total of 214 participants (139 females, 75 males). All studies were considered of high methodological quality. The results demonstrate that Invisalign aligners seems to be associated with significantly less pain than fixed appliances at 7 days after beginning the orthodontic treatment, although at 1 and 3 days the pain experience was similar in both orthodontics appliances. In regard to the type of material, SmartTrackⓇ aligners appear to give significantly better comfort for orthodontic patients than previous standard material, being that 3 days after appliance’s insertion this pain differential becomes significant, and this difference is more pronounced at 7 days. Conclusion: Patients treated with Invisalign experience less pain discomfort than those treated with fixed appliances and consume less analgesics. Overall, Invisalign promotes better pain and discomfort experience for the patient in the course of orthodontic treatment. Larger RCTs are needed to definitely demonstrate these findings throughout the orthodontic treatment.

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