scholarly journals Efficacy of CPP-ACP fluoride varnish applied with and without acid etching in preventing enamel demineralization compared to light-curable fluoride varnish

2021 ◽  
Author(s):  
Moufida Abufarwa ◽  
Amal Noureldin ◽  
Rosemary Dziak ◽  
David Covell
Keyword(s):  
Enamel Surface ◽  
Spherical Particles ◽  
Fluoride Varnish ◽  
Acid Etching ◽  
Control Group ◽  
Glass Ionomer ◽  
Surface Microhardness ◽  
Enamel Demineralization ◽  
Significant Difference ◽  
Resin Modified Glass Ionomer

ABSTRACT Objectives To compare efficacy of casein phosphopeptide (CPP)–amorphous calcium phosphate (ACP) fluoride varnish and light-curable resin modified glass ionomer fluoride varnish (FV) in preventing white spot lesions and evaluating acid etching prior to CPP-ACPFV application on its efficacy. Materials and Methods Molars and premolars were transected and halves divided into four groups (n = 18/group): (1) resin-modified glass ionomer FV: etched and Clinpro-XT varnish (3M ESPE, Pymble, New South Wales, Australia) application; (2) CPP-ACPFV: MI varnish (GC America, Alsip, IL) application; (3) Etch+CPP-ACPFV: etched and MI varnish application; (4) Control: etched and no surface treatment. To simulate 12 weeks in an intraoral environment, samples were subjected to thermocycling, brushing, and pH cycling. Enamel surface microhardness was evaluated at baseline and after the simulated 12 weeks. Representative samples were also assessed using scanning electron microscopy (SEM). Results At baseline there was no significant difference in microhardness among groups. After the simulated 12 weeks, all groups showed significant within-group differences (P < .001). Control showed the highest percentage loss of surface microhardness (89%), followed by CPP-ACPFV (58%), RMGIFV (51%), and Etch+CPP-ACPFV (24%). The control group had a significant decrease in microhardness compared to all experimental groups (P < .001). No difference was found between the RMGIFV and CPP-ACPFV varnish groups. The Etch+CPP-ACPFV group had significantly less decrease in microhardness compared to the RMGIFV (P < .001) and CPP-ACPFV groups (P < .001). With SEM, control samples showed signs of enamel surface damage, while experimental groups showed spherical particles on a relatively intact surface. Conclusions RMGIFV and CPP-ACPFV are effective in reducing enamel demineralization. Acid etching the enamel surface prior to CPP-ACPFV varnish application increased its efficacy.

scholarly journals Efficiency of Amorphous Calcium Phosphate–Containing Orthodontic Composite and Resin Modified Glass Ionomer on Demineralization Evaluated By a New Laser Fluorescence Device

2009 ◽  
Vol 03 (02) ◽  
pp. 127-134 ◽  
Author(s):  
Tancan Uysal ◽  
Mihri Amasyali ◽  
Alp Erdin Koyuturk ◽  
Deniz Sagdic
Keyword(s):  
Calcium Phosphate ◽  
Amorphous Calcium Phosphate ◽  
Glass Ionomer Cement ◽  
Laser Fluorescence ◽  
Orthodontic Brackets ◽  
Glass Ionomer ◽  
Enamel Demineralization ◽  
Significant Difference ◽  
Resin Modified Glass Ionomer

ABSTRACTObjectives: The aim of this in vitro study was to compare the efficacy of Amorphous Calcium Phosphate (ACP)-containing orthodontic composite and resin-modified glass ionomer cement (RMGIC) on enamel demineralization adjacent to orthodontic brackets evaluated by a new laser fluorescence device.Methods: Sixty extracted maxillary premolars were used in the present study. Twenty orthodontic brackets were bonded with ACP-containing orthodontic adhesive (Aegis-Ortho), 20 were bonded with RMGIC (Fuji Ortho LC) ad20 were bonded with Transbond XT composite as the control. All samples were then cycled for 21 days through a daily procedure of demineralization for 6 hours and remineralization for 17 hours. After this procedure, demineralization evaluations were undertaken by a pen-type laser fluorescence device (DIAGNO-dent Pen). Analysis ofvariance (ANOVA) and Tukey test was used for statistical evaluation, at P<.05 level.Results: According to ANOVA, significant demineralization variations (ΔD) were determined among groups (F=6.650; P<.01). The ACP-containing composite showed the lowest (mean: 8.98±2.38) and the control composite showed the highest (mean:12.15±3.83) ΔD, during 21 days demineralization process (P<.01). Significant difference was also observed between the ΔD scores of the RMGIC (mean: 9.24±2.73) and control (P<.05).No significant differences was found in preventive effects of ACP-containing composite and RMGIC (P<.05) against demineralization.Conclusions: The use of both ACP-containing orthodontic composite and RMGIC should be recommended for any at-risk orthodontic patient to provide preventive actions and potentially remineralize subclinical enamel demineralization. (Eur J Dent 2009;3:127-134)

scholarly journals Glass Ionomer Cements can be used for Bonding Orthodontic Brackets After Cancer Radiation Treatment?

2018 ◽  
Vol 29 (2) ◽  
pp. 128-132 ◽  
Author(s):  
Gabriela Cristina Santin ◽  
Alexandra Mussolino de Queiroz ◽  
Regina Guenka Palma-Dibb ◽  
Harley Francisco de Oliveira ◽  
Paulo Nelson Filho ◽  
...  
Keyword(s):  
Bond Strength ◽  
Shear Bond Strength ◽  
Glass Ionomer Cement ◽  
Enamel Surface ◽  
Orthodontic Brackets ◽  
Glass Ionomer ◽  
Clinical Practices ◽  
Significant Difference ◽  
Resin Modified Glass Ionomer ◽  
Ionomer Cement

Abstract Patients undergoing radiotherapy treatment present more susceptibility to dental caries and the use of an orthodontic device increases this risk factor due to biofilm accumulation around the brackets. The objective of this study was to evaluate the shear bond strength to irradiated permanent teeth of orthodontic brackets bonded with conventional glass ionomer cement and resin-modified glass ionomer cement due to the fluoride release capacity of these materials. Ninety prepared human premolars were divided into 6 groups (n=15), according to the bonding material and use or not of radiation: CR: Transbond XT composite resin; RMGIC: Fuji Ortho LC conventional glass ionomer cement; GIC: Ketac Cem Easymix resin-modified glass ionomer cement. The groups were irradiated (I) or non-irradiated (NI) prior to bracket bonding. The specimens were subjected to a fractioned radiation dose of 2 Gy over 5 consecutive days for 6 weeks. After the radiotherapy, the brackets were bonded on the specimens with Transbond XT, Fuji Ortho LC and Ketac Cem Easymix. After 24 h, the specimens were subjected to shear bond strength test. The image of enamel surface (classified by Adhesive Remnant Index - ARI) was also evaluated and its frequency was checked among groups/subgroups. The shear bond strength variable was evaluated with ANOVA and Tukey’s post-hoc test. GIC group showed the lowest adhesion values among the groups (p<0.05). There was no statistically significant difference among non-irradiated and irradiated groups (p>0.05). As for the ARI, the CR-I group showed the highest material retention on enamel surface among the irradiated groups. RMGIC group showed the highest values for shear bond strength and presented ARI acceptable for clinical practices.

In vitro Evaluation of Topical Fluoride Varnishes Effect on Enamel Demineralization Around Orthodontic Brackets

2018 ◽  
Vol 69 (11) ◽  
pp. 3013-3017
Author(s):  
Roxana Oancea ◽  
Anca Mesaros ◽  
Octavia Iulia Balean ◽  
Angela Codruta Podariu
Keyword(s):  
Resin Composite ◽  
Glass Ionomer Cement ◽  
Orthodontic Brackets ◽  
Fluoride Varnish ◽  
Control Group ◽  
Glass Ionomer ◽  
Mean Values ◽  
Resin Modified Glass Ionomer ◽  
Ionomer Cement

The aim of this in vitro study was to test the effectiveness of applying the fluoride varnish on bracketed teeth with 2 types of bonding agent. 10 patients aged 12-18 (mean age 13.06 +/- 1.72 years) were scheduled to have the four fist premolar teeth extracted. The teeth were dived in 4 groups: 2 experimental and 2 controls. The teeth were cut in half so 80 surfaces were analyzed. The brackets were collated with Transbond XT and Fuji Ortho Lc. For each of the materials that have been used there was a test and a control group. The tests groups received one single application of Duraphat. The content in fluoride was measured by spectrophotometer. The mean values of fluoride indicated an important increase in the fluoride content after using resin modified glass ionomer cement and fluoride varnish. Statistically significant differences were determined between each of the control and treatment group when both materials have been used, after 10 days and one month application of the varnish. The study pointed out that the fluoride varnish combined with resin modified glass ionomer cement is more efficient than the classical resin composite in preventing demineralization around orthodontic brackets.

scholarly journals Assessment of Enamel Demineralization Adjacent to Orthodontic Brackets Using a Polarized Microscope

2020 ◽  
pp. 030157422095169
Author(s):  
Santosh Ramegowda ◽  
Shilpa Joy ◽  
Nishitha C Gowda ◽  
Shailaja AM ◽  
Bharath Reddy ◽  
...  
Keyword(s):  
Polarized Light ◽  
Orthodontic Brackets ◽  
Fluoride Varnish ◽  
Control Group ◽  
Single Application ◽  
Enamel Demineralization ◽  
Time Period ◽  
Significant Difference ◽  
Experimental Group ◽  
Effect Of Light

Background and Objectives: This study was conducted to assess the effect of light-curable fluoride varnish on enamel demineralization adjacent to orthodontic brackets using polarized light microscopy and to compare the depth of demineralization at different time periods. Method: In 15 patients, the first premolars were allocated into 2 groups. In the experimental group light-curable fluoride varnish was applied. At the end of each time period (60, 90, and 120 days), first premolar brackets were debonded and premolars were extracted. Buccolingual sections were evaluated under a polarized light microscope and depth of demineralization was assessed. Results: The depth of demineralization in the control group increased from 60 to 120 days, and the experimental group did not show any significant difference during the time period. Conclusion: Single application of light-curable fluoride varnish, Clinpro XT can be effective in reducing enamel demineralization during fixed orthodontic mechanotherapy, especially in noncompliant patients.

scholarly journals Enamel Demineralization Adjacent to Orthodontic Brackets Bonded with ACTIVA BioACTIVE-RESTORATIVE

2018 ◽  
Vol 8 ◽  
pp. 200-203 ◽  
Author(s):  
Kristin G. Saunders ◽  
Gianina Mattevi ◽  
Kevin J. Donly ◽  
Ravikumar Anthony
Keyword(s):  
Imaging System ◽  
Polarized Light ◽  
Orthodontic Brackets ◽  
Control Group ◽  
White Spot Lesions ◽  
Human Teeth ◽  
Enamel Demineralization ◽  
Carious Lesions ◽  
Significant Difference ◽  
Resin Modified Glass Ionomer

IntroductionEnamel demineralization adjacent to orthodontic brackets has been shown to be a consequence during orthodontic treatment. Fluoride-releasing resin-modified glass ionomer cements (RMGICs) have been shown to protect the enamel from white spot lesions, but their bond strength has been proven inadequate. The purpose of this study was to evaluate ACTIVA BioACTIVE-RESTORATIVE, a bioactive material with strength superior to RMGICs, for inhibition of enamel demineralization surrounding orthodontic brackets.Materials and MethodsFifteen human teeth were sectioned and divided into two groups. One group was the control and had orthodontic brackets bonded with Transbond XT, while the second group had orthodontic brackets bonded with ACTIVA. The teeth were varnished within 2 mm of the bracket margins and immersed in an artificial caries solution for 3 days to create carious lesions. The teeth were sectioned and viewed under polarized light microscopy for the detection of enamel demineralization adjacent to the bracket, and then, the lesion areas were measured with a computer imaging system.ResultsThere was a statistically significant difference (P≤ 0.001) that ACTIVA had less enamel demineralization adjacent to the bracket when compared to the control group.ConclusionsThe results of this study have demonstrated that ACTIVA, a fluoride-releasing bioactive restorative material, inhibits demineralization of enamel adjacent to orthodontic brackets when compared to a nonfluoride-releasing control.

scholarly journals The Effect of the Bioactive Glass and the Er:YAG Laser on the Remineralization of the Affected Dentin: A Comparative In Vitro Study

2020 ◽  
Vol 11 (2) ◽  
pp. 160-166
Author(s):  
Mohammad Javad Moghaddas ◽  
Horieh Moosavi ◽  
Sara Yaghoubirad ◽  
Nasim Chiniforush
Keyword(s):  
Bioactive Glass ◽  
In Vitro Study ◽  
Control Group ◽  
Dentinal Tubule ◽  
Glass Ionomer ◽  
Significant Difference ◽  
Post Hoc ◽  
Caries Lesions ◽  
Cavity Floor

Introduction: The purpose of this study was to compare the effect of the bioactive glass, the glass ionomer, and the Erbium YAG laser as liners on the remineralization of the affected dentin. Methods: The present study was conducted on 64 healthy extracted human molars divided into 4 groups, 1 control group and 3 experimental groups. After artificially inducing dentinal caries lesions, each of the experimental groups was applied to the cavity floor and then restored with a composite. The samples were stored after thermocycling in an incubator for two months. Finally, the hardness of the cavity floor was measured at 3 depths of 20, 50 and 100 μm by the Vickers microhardness tester. The dentin conditions underneath the liners were also evaluated with FESEM. Statistical analysis was performed by two-way ANOVA and the post-hoc Games-Howell test (P<0.05). Results: Among the groups, the lowest microhardness value was in the control group (P<0.05) except at a depth of 100 μm; therefore, there was no significant difference between the control group and the bioactive glass (P>0.05). The laser group had the highest microhardness value, which was significantly different from the control group (P<0.05). There was a significant difference between the laser and bioactive glass (P<0.05), except at a depth of 20 μm. The laser and glass ionomer had only a significant difference at a depth of 100 μm (P<0.05). The microhardness value induced by glass ionomer was higher than bioactive glass, which in no depth was significant (P>0.05). Partial dentinal tubule occlusion was observed with FESEM in each of the experimental groups as compared to the control group. Conclusion: The microhardness values were higher in all groups than in the control group. The laser might be more successful in remineralization than the other ones.

scholarly journals Microleakage under Ceramic and Metallic Brackets Bonded with Resin-Modified Glass Ionomer

2009 ◽  
Vol 79 (1) ◽  
pp. 138-143 ◽  
Author(s):  
Sabri Ilhan Ramoglu ◽  
Tancan Uysal ◽  
Mustafa Ulker ◽  
Huseyin Ertas
Keyword(s):  
Glass Ionomer ◽  
Bonferroni Correction ◽  
Adhesive Systems ◽  
Dye Penetration ◽  
Group 4 ◽  
System A ◽  
Significant Difference ◽  
Resin Modified Glass Ionomer ◽  
Ceramic Brackets ◽  
Group 3

Abstract Objective: To test the null hypothesis that there is no significant difference between the microleakage of adhesive interferences at the occlusal and gingival margins of both ceramic and metallic brackets bonded with light-cured resin-modified glass ionomer and a conventional adhesive. Materials and Methods: Sixty freshly extracted human maxillary premolar teeth were randomly divided into four groups of 15 teeth each. Metal and ceramic brackets were bonded to groups 1 and 2 with resin-modified glass ionomer adhesive (RMGIA). Metal and ceramic brackets were bonded to group 3 and group 4 with a conventional adhesive (CA) system. A dye-penetration method was used for microleakage evaluation. Microleakage from the occlusal and gingival margins was determined by a stereomicroscope for the enamel-adhesive and bracket-adhesive interfaces. Statistical analysis was performed using the Kruskal-Wallis test and the Mann-Whitney U-test with a Bonferroni correction. Results: The gingival side of all groups exhibited higher microleakage scores compared with the occlusal side for both adhesive interfaces. All bracket and adhesive combinations displayed statistically significant differences in microleakage between the enamel-adhesive and adhesive-bracket interfaces at the occlusal and gingival sides of the brackets (P &lt; .001). When the adhesive systems were compared, the RMGIA showed more microleakage than the CA between the different interfaces. Conclusions: The hypothesis is rejected. RMGIA results in more microleakage between enamel-adhesive interfaces.

scholarly journals The Influence of Post Bleaching Treatments in Stain Absorption and Microhardness

2016 ◽  
Vol 10 (1) ◽  
pp. 69-78 ◽  
Author(s):  
Horieh Moosavi ◽  
Fatemeh Darvishzadeh
Keyword(s):  
Color Change ◽  
Enamel Surface ◽  
Control Group ◽  
Surface Microhardness ◽  
Dental Bleaching ◽  
Tooth Color ◽  
Group 4 ◽  
Group 3 ◽  
Group 2

Objectives: This study investigated the effects of post bleaching treatments to prevent restaining and the change of enamel surface microhardness after dental bleaching in vitro. Methods: Sixty intact human incisor teeth were stained in tea solution and randomly assigned into four groups (n=15). Then samples were bleached for two weeks (8 hours daily) by 15% carbamide peroxide. Tooth color was determined both with a spectrophotometer and visually before bleaching (T1) and immediately after bleaching (T2). Next, it was applied in group 1 fluoride (Naf 2%) gel for 2 minutes, and in group 2 a fractional CO2 laser (10 mJ, 200 Hz, 10 s), and in group 3, nanohydroxyapatite gel for 2 minutes. The bleached teeth in group 4 remained untreated (control group). Then teeth placed in tea solution again. Color examinations were repeated after various post bleaching treatments (T3) and restaining with tea (T4) and color change values recorded. The microhardness was measured at the enamel surface of samples. Data was analyzed using ANOVA, Tukey HSD test and Dunnett T3 (α = 0.05). Results: Directly after bleaching (ΔE T3-T2), the treatment with nanohydroxyapatite showed significantly the least color lapse in colorimetric evaluation. In experimental groups, the color change between T3 and T4 stages (ΔE T4-T3) was significantly lower than control group (P < 0.05). Different methods of enamel treatment caused a significant increase in surface microhardness compared to control group (P < 0.05). Significance: Application of fluoride, fractional CO2 laser and nanohydroxyapatite as post bleaching treatments are suggested for prevention of stain absorption and increasing the hardening of bleached enamel.

scholarly journals Etching Enamel for Orthodontics with an Erbium, Chromium:Yttrium-Scandium-Gallium-Garnet Laser System

2007 ◽  
Vol 77 (1) ◽  
pp. 117-124 ◽  
Author(s):  
Güvenç Basaran ◽  
Törün Özer ◽  
Nükhet Berk ◽  
Orhan Hamamcı
Keyword(s):  
Bond Strength ◽  
Laser Irradiation ◽  
Shear Bond Strength ◽  
Laser System ◽  
Surface Characteristics ◽  
Enamel Surface ◽  
Acid Etching ◽  
Adhesive Remnant Index ◽  
Significant Difference ◽  
Power Outputs

Abstract Objective: To test the shear bond strength, surface characteristics, and fracture mode of brackets that are bonded to enamel etched with an erbium, chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser operated at different power outputs: 0.5 W, 1 W, and 2 W. Materials and Methods: Human premolars that had been extracted for orthodontic purposes were used. Enamel was etched with an Er,Cr:YSGG laser system operated at one of three power outputs or with orthophosphoric acid. Results: The shear bond strength associated with the 0.5-W laser irradiation was significantly less than the strengths obtained with the other irradiations. Both the 1-W and 2-W laser irradiations were capable of etching enamel in the same manner. This finding was confirmed by scanning electron microscopy examination. The evaluation of adhesive-remnant-index scores demonstrated no statistically significant difference in bond failure site among the groups, except for the 0.5-W laser–etched group. Generally, more adhesive was left on the enamel surface with laser irradiation than with acid etching. Conclusion: The mean shear bond strength and enamel surface etching obtained with an Er,Cr: YSGG laser (operated at 1 W or 2 W for 15 seconds) is comparable to that obtained with acid etching.

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