scholarly journals Enamel Roughness Changes after Removal of Orthodontic Adhesive

2018 ◽  
Vol 6 (3) ◽  
pp. 39 ◽  
Author(s):  
Felipe Weidenbach Degrazia ◽  
Bruna Genari ◽  
Vilmar Antonio Ferrazzo ◽  
Ary dos Santos-Pinto ◽  
Renésio Armindo Grehs
Keyword(s):  
Damage Index ◽  
Enamel Surface ◽  
Time Duration ◽  
Sem Images ◽  
Diamond Bur ◽  
Enamel Roughness ◽  
Adhesive Removal ◽  
Micromorphological Analysis

The aim of this study was to evaluate enamel roughness, quality of the enamel surfaces and time duration comparing different orthodontic adhesive removal protocols. Premolars were used to test three adhesive removal methods (n = 20): five-blade carbide bur, 30-blade carbide bur, and ultrasonic diamond bur. Bracket was bonded using TransbondTM XT adhesive. Roughness with different parameters was measured before bracket bonding and after adhesive remnants removal. Micromorphological analysis of enamel surface (n = 5) was performed by SEM images and categorized in enamel damage index—“perfect”; “satisfying”; “imperfect”; and “unacceptable”. Time was measured in seconds. All removal methods caused increased roughness in relation to Ra, Rq, and Rz parameters (X axis) comparing to healthy enamel surface. Enamel surface resulted from removal using five-blade burs was scored as satisfactory. Carbide bur groups decreased the roughness values of Ra, Rq, and Rz parameters on the Y axis and enamel surface was considered unacceptable. The 30-blade group increased symmetry (Rsk) and flattening (Rku) parameters of roughness and surface was scored as unsatisfactory. Diamond bur removed adhesive in 54.8 s, faster than five-blade carbide bur. The five-blade bur group resulted in less enamel roughness than the 30-blade and diamond groups.

scholarly journals ASSESSMENT OF ENAMEL SURFACE AFTER APPLICATION OF TUNGSTEN CARBIDE BUR FOR RESIDUAL ADHESIVE REMOVAL

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Marijana Arapović Savić ◽  
Adriana Arbutina ◽  
Mirjana Umićević Davidović ◽  
Vladan Mirjanić ◽  
Irena Kuzmanović Radman
Keyword(s):  
Composite Material ◽  
Tungsten Carbide ◽  
Damage Index ◽  
Enamel Surface ◽  
Orthodontic Appliances ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Adhesive Removal

Enamel damage often occurs in a process of adhesive removal after the completion of therapy with fixed orthodontic appliances. The aim of this study was to evaluate the enamel surface after applying a 12-fluted round tungsten carbide bur for adhesive removal at different speeds of dental micro motor after debonding brackets. Material and method: On 40 human premolars, extracted for orthodontic purposes, metal brackets were bonded with composite material. After removing the brackets, the sample was divided into two groups: group A - 20 teeth from which the rest of the composite material was removed with a round tungsten carbide bur at 8,000 rotations per minute and group B - 20 teeth from which the rest of adhesive was removed with a round tungsten carbide bur at 32,000 rotations per minute. For each sample, four images were made under different magnifications by scanning electron microscopy, and the damage estimation was performed using the Enamel damage index (EDI) and Surface roughness index (SRI). Results: The most common EDI score on the overall level was 3 (62.5%), while the most commonly represented SRI score was 2 (52.5%). There was no statistically significant difference in the average values of the EDI index (t (38) = -.96, p> .05) and in the average SRI index values (t (38) = -. 89, p> .05) between two tooth examined groups. Conclusion: Enamel damage was found after applying a round tungsten carbide bur at 8,000 and 32,000 rpm. The number of rotations per minute did not affect the size of enamel damage.

scholarly journals Effect of orthodontic debonding and residual adhesive removal on 3D enamel microroughness

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e2558 ◽  
Author(s):  
Joanna Janiszewska-Olszowska ◽  
Robert Tomkowski ◽  
Katarzyna Tandecka ◽  
Piotr Stepien ◽  
Tomasz Szatkiewicz ◽  
...  
Keyword(s):  
Surface Roughness ◽  
Tungsten Carbide ◽  
Enamel Surface ◽  
Confocal Laser ◽  
Maximum Height ◽  
Test Analysis ◽  
Enamel Roughness ◽  
One Step ◽  
Adhesive Removal ◽  
Limited Surface

BackgroundTermination of fixed orthodontic treatment is associated with bracket debonding and residual adhesive removal. These procedures increase enamel roughness to a degree that should depend on the tool used. Enamel roughening may be associated with bacterial retention and staining. However, a very limited data exists on the alteration of 3D enamel roughness resulting from the use of different tools for orthodontic clean-up.Aims1. To perform a precise assessment of 3D enamel surface roughness resulting from residual adhesive removal following orthodontic debonding molar tubes.2. To compare enamel surfaces resulting from the use of tungsten carbide bur, a one-step polisher and finisher and Adhesive Residue Remover.Material and MethodsBuccal surfaces of forty-five extracted human third molars were analysed using a confocal laser microscope at the magnification of 1080× and 3D roughness parameters were calculated. After 20 s etching, molar tubes were bonded, the teeth were stored in 0.9% saline solution for 24 hours and debonded. Residual adhesive was removed using in fifteen specimen each: a twelve-fluted tungsten carbide bur, a one-step finisher and polisher and Adhesive Residue Remover. Then, surface roughness analysis was repeated. Data normality was assessed using Shapiro–Wilk test. Analysis of variance (ANOVA) was used to compare between variables of normal distribution and for the latter—Kruskal-Wallis test.ResultsSa (arithmetical mean height) was significantly different between the groups (p= 0, 01326); the smoothest and most repeatable surfaces were achieved using Adhesive Residue Remover. Similarly, Sq (root mean square height of the scale-limited surface) had the lowest and most homogenous values for Adhesive Residue Remover (p= 0, 01108). Sz (maximum height of the scale-limited surface) was statistically different between the groups (p= 0, 0327), however no statistically significant differences were found concerning Ssk (skewness of the scale-limited surface).DiscussionConfocal laser microscopy allowed 3D surface analysis of enamel surface, avoiding the limitations of contact profilometry. Tungsten carbide burs are the most popular adhesive removing tools, however, the results of the present study indicate, that a one step polisher and finisher as well as Adhesive Residue Remover are less detrimental to the enamel. This is in agreement with a recent study based on direct 3D scanning enamel surface. It proved, that a one-step finisher and polisher as well as Adhesive Residue Remover are characterized by a similar effectiveness in removing residual remnants as tungsten carbide bur, but they remove significantly less enamel.ConclusionOrthodontic debonding and removal of adhesive remnants increases enamel roughness. The smoothest surfaces were achieved using Adhesive Residue Remover, and the roughest using tungsten carbide bur.

Assessment of Quality of Life (QoL) in Systemic Lupus Erythematosus Patients at a Tertiary Care Hospital in Egypt

2019 ◽  
Vol 15 (4) ◽  
pp. 304-311
Author(s):  
Mervat E. Behiry ◽  
Sahar A. Ahmed ◽  
Eman H. Elsebaie
Keyword(s):  
Quality Of Life ◽  
Systemic Lupus Erythematosus ◽  
Disease Activity ◽  
Lupus Erythematosus ◽  
Tertiary Care ◽  
Damage Index ◽  
Life Questionnaire ◽  
Care Hospital ◽  
Systemic Lupus

: Systemic Lupus Erythematosus (SLE) has a profound impact on quality of life. Objective: The objective of this study was to explore the quality of life among Egyptian SLE patients and to assess its relationships with demographic and clinical features. Methods: One hundred sixty-four SLE patients were recruited for this study. Demographic information; clinical parameters; disease activity, as evaluated by the systemic lupus erythematosus Disease Activity Index; and organ damage, as assessed by the systemic lupus international Collaborative Clinics/American College of Rheumatology Damage Index, were reported. Quality of life was assessed with a quality of life questionnaire specifically designed for patients with systemic lupus erythematosus; the questions are grouped in the following six domains: physical function, sociooccupational activities, symptoms, treatment, mood, and self-image. Higher values indicate poorer quality of life. Conclusion: Poor quality of life among Egyptian SLE patients and disease activity are strongly related to impaired lifestyles in these patients.

scholarly journals SAT0232 PERCEPTION OF THE DISEASE IN PATIENTS WITH EARLY SYSTEMIC LUPUS ERYTHEMATOSUS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1059.3-1059
Author(s):  
M. Garabajiu ◽  
L. Mazur-Nicorici ◽  
T. Rotaru ◽  
V. Salaru ◽  
S. B. Victoria ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systemic Lupus Erythematosus ◽  
Disease Activity ◽  
Lupus Erythematosus ◽  
Disease Duration ◽  
Activity Index ◽  
Damage Index ◽  
Organ Damage ◽  
Systemic Lupus

Background:Systemic lupus erythematosus is an autoimmune disease with a major impact on patient’s quality of life.Objectives:To evaluate patient’s attitude toward early disease and factors that influence it.Methods:Performed case-control study included SLE patients that fulfilled SLICC, 2012 classification criteria. The research included two groups of patients: early SLE – 1stgroup (disease duration ≤24 months) and non-early SLE – 2ndgroup control (disease duration >24 months). The pattern of the disease activity was assessed by patient global assessment (PGA), Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) and Systemic Lupus Activity Measure (SLAM), for SLE activity, SLICC/ACR Damage Index (DI) for disease irreversible changes and SF-8 for the Quality of Life (QoL).Results:A total of 101 SLE patients with 34 in the 1stgroup (early SLE) and 67 in the 2ndgroup (non-early SLE) was analyzed. The disease activity showed high disease activity in both groups by SLEDAI (7,02±4,16 and 6,26±4,43 points, p>0,05) and SLAM (7,47±4,40 and 7,31±4,10 points, p>0,05) such as (46,97±19,39 vs 47,98±22,41 points). The QoL was appreciated as low, by both components (mental and physical), in groups. The damage index was higher in the 2nd group (0,23±0,43 and 1,07±1,29, p<0,001), which can be explained by the development of irreversible changes with the increase of disease duration.The PGA in early SLE was influenced by subjective symptoms contained in SLAM index (r=0,48, p<0,05), such as fatigue and depression, and the level of the quality of life (r=0,65, p<0,001). Meantime, PGA in patients with longer disease duration (>2 years), was influenced by the presence of organ damage by SLICC/ACR DI (0,23, p<0,05) and objective findings of the disease activity contained in SLEDAI (r=0,33, p<0,005) and SLAM (0,44, p<0,001).Conclusion:The disease recognition in patients with early SLE was determined by subjective and psycho-emotional signs, while in patients with longer disease duration it was influenced by organ damage and complications.References:no referencesDisclosure of Interests:None declared

scholarly journals Evaluation of enamel surface after bracket debonding and adhesive removal with six different methods

2020 ◽  
Vol 148 (7-8) ◽  
pp. 404-409
Author(s):  
Adriana Arbutina ◽  
Marijana Arapovic-Savic ◽  
Mirjana Umicevic-Davidovic ◽  
Irena Kuzmanovic-Radman ◽  
Nenad Nedeljkovic ◽  
...  
Keyword(s):  
Tungsten Carbide ◽  
Orthodontic Treatment ◽  
Adhesive System ◽  
Enamel Surface ◽  
Tooth Surface ◽  
Control Group ◽  
Common Cause ◽  
Ultrasonic Scaler ◽  
Adhesive Removal ◽  
Microscopy Images

Introduction/Objective. After an orthodontic brackets debonding procedure it is necessary to remove any residual adhesive from the tooth surface, as this is a common cause of enamel damage. The aim of this study is to evaluate the enamel surface after the application of six different methods of adhesive removal following brackets debonding, as well as to compare the duration of these procedures. Methods. For the purpose of this study, 245 human premolars were extracted as part of the orthodontic treatment. Metal brackets were bonded to 210 human premolars with the Aspire adhesive system. After the debonding of brackets, the samples were divided into six groups according to the adhesive removal method applied: tapered fissure tungsten carbide bur, round tungsten carbide bur, composite bur, abrasive disc, adhesive removing pliers, and ultrasonic scaler. Out of 245 premolars, 35 served as a control group. The duration of adhesive removal was recorded. Enamel damages were estimated according to the enamel surface index on the scanning electron microscopy images. Results. Maximum preservation of the enamel surface was accomplished by using a composite bur (1.08). The application of abrasive disc was significantly less time-consuming in comparison to the application of a composite bur (p < 0.01) and an ultrasonic scaler (p < 0.01). Conclusion. The most harmful for the enamel surface was the use of an ultrasonic scaler as well as a round tungsten carbide bur. Adhesive removal done by an abrasive disc thus proved one of the least damaging and the least time-consuming methods.

scholarly journals Monitoring patients with systemic lupus erythematosus: general characteristics and discussion questions (according to the Canadian Rheumatology Association recommendations)

2019 ◽  
Vol 57 (3) ◽  
pp. 255-264 ◽  
Author(s):  
T. A. Panafidina ◽  
T. V. Popkova ◽  
S. K. Solovyev
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Carotid Arteries ◽  
Damage Index ◽  
Cardiovascular Risk Assessment ◽  
Systemic Lupus ◽  
Assessment Development ◽  
Viral Hepatitis B ◽  
First Time

The paper details 15 new recommendations of the Canadian Rheumatology Association for the clinical monitoring of patients with systemic lupus erythematosus (SLE). During their development, the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) classification system for rating the quality of recommendations was used for the first time. The recommendations for physician specialization; cardiovascular risk assessment; anti-Ro/SSA and anti-La/SSB antibody concentrations examination during pregnancy; and annual influenza vaccination are considered to be strong; those for rating disease activity and damage index; ultrasound of the carotid arteries; diagnosis of osteoporosis and osteonecrosis; Doppler ultrasound of uterine and fetoplacental blood flow during pregnancy; screening for cervical cancer, viral hepatitis B and C in patients with SLE are regarded as conditional.

Case Reports of Enamel Microabrasion Associated with At-home Dental Bleaching After Orthodontic Bracket Removal

2021 ◽  
Author(s):  
CC Pavani ◽  
LR Vieira ◽  
TC Schott ◽  
D Sundfeld ◽  
NIP Pini ◽  
...  
Keyword(s):  
Surface Morphology ◽  
Clinical Case ◽  
Case Reports ◽  
Enamel Surface ◽  
Carbamide Peroxide ◽  
Orthodontic Bracket ◽  
Dental Bleaching ◽  
Bonded Materials ◽  
Diamond Bur ◽  
At Home

SUMMARY Adequate removal of residual bonded materials from the enamel surface after orthodontic bracket debonding is critical, since any remaining composite may compromise enamel surface morphology and esthetics. The following clinical case reports present the association of at-home dental bleaching using 10% carbamide peroxide and the removal of residual bonded material using a super fine, tapered diamond bur followed by the use of an enamel microabrasion product after orthodontic bracket debonding. The proposed treatment considerably improved the esthetics and successfully removed the grooves created during the removal of the bonding composite, resulting in a smooth enamel surface.

Use of IoT and Different Biofeedback to Measure TTH

2021 ◽  
pp. 486-525
Author(s):  
Rohit Rastogi ◽  
Devendra Kumar Chaturvedi ◽  
Mayank Gupta
Keyword(s):  
Random Sampling ◽  
International Headache Society ◽  
Research Work ◽  
Time Duration ◽  
Visual Biofeedback ◽  
Starting Point ◽  
Sf 36 ◽  
Selection Of

This chapter applied the random sampling in selection of the subjects suffering with headache, and care was taken that they ensure to fulfill the International Headache Society criteria. Subjects under consideration were assigned the two groups of GSR-integrated audio-visual feedback, GSR (audio-visual)- and EMG (audio-visual)-integrated feedback groups. In 10 sessions, the subjects experienced the GSR and EMG BF therapy for 15 minutes. Twenty subjects were subjected to EEG therapy. The variables for stress (pain) and SF-36 (quality of life) scores were recorded at starting point, 30 days, and 90 days after the starting of GSR and EMG-BF therapy. To reduce the anxiety and depression in day-to-day routine, the present research work is shown as evidence in favor of the mindful meditation. The physical, mental, and total scores increased over the time duration of SF-36 scores after 30- and 90-days recordings (p<0.05). Intergroup analysis has demonstrated the improvement. EMG-audio visual biofeedback group also showed highest improvement in SF-36 scores at first and third month follow up. EEG measures the Alpha waves for the subjects after meditation. GSR, EMG, and EEG-integrated auditory-visual biofeedback are efficient in solution of stress due to TTH with most advantage seen.

Dry Slide Wear Behavior of Graphite and SiC, TiO2 Filled the Unidirectional Glass-Epoxy Composites

2017 ◽  
Vol 25 (3) ◽  
pp. 193-198 ◽  
Author(s):  
A. Madhanagopal ◽  
S. Gopalakannan
Keyword(s):  
Wear Rate ◽  
Coefficient Of Friction ◽  
Wear Behavior ◽  
Specific Wear Rate ◽  
Dry Sliding ◽  
Testing Time ◽  
Time Duration ◽  
Sem Images ◽  
Unidirectional Glass ◽  
The Coefficient Of Friction

This study determines the friction and the wear properties of the unidirectional glass epoxy composite with Gr, SiC TiO2 powder by using pin on disk apparatus. This tribological data is obtained in dry sliding condition for a constant sliding time of 30 minutes. Test specimens are prepared using hand lay-up process and by varying the different (2, 5, 7) percentage each of graphite and SiC, TiO2 particles addition for the combination of fiber and matrix. The tests are performed by varying the operating parameters of contact pressure (p) and velocity (v). The composites (2% 5%, and 7%) are worn by dry sliding at the steel counter face under ambient conditions. The coefficient of friction reaches maximum of 0.78 at 2 kg load, 2 m/s velocity with testing time duration of 24 min. whereas 5%, 7% sample shows the coefficient of friction 0.28, 0.25 respectively. The specific wear rate value drops to 0.79 (mm3/N-m×10−6) at 2 kg load at 2 m/s velocity for the 5% specimen. The maximum reduction in the specific wear rate at 3 kg load, 1m/s velocity is 32.7 percentages, 5.63 percentages for the 5,7 percentage specimen compared to 2% specimen for the graphite and SiC, TiO2 particle filled composite specimen respectively. The SEM images are also taken to support the results.

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