scholarly journals Effect of Bleaching Mouthwash on Force Decay of Orthodontic Elastomeric Chains

2018 ◽  
Vol 19 (2) ◽  
pp. 221-225 ◽  
Author(s):  
Mohammad Behnaz ◽  
Fatemeh Namvar ◽  
Setareh Sohrabi ◽  
Mina Parishanian

ABSTRACT Introduction Force decay elastomeric chains are significant, and it is a clinical problem. Aim The aim of this study was to evaluate the effects of bleaching agent in the mouthwash on the force decay of orthodontic chains. Materials and methods In this experimental study, 160 gray closed elastomeric chains were randomly divided into three groups (one control and two test groups). Four loops of chains were stretched for 25 mm on custom-made jig. Control group specimens were immersed in artificial saliva during the test period. Test group specimens were immersed twice a day for 30 seconds in the whitening (LISTERINE® HEALTHY WHITE™) and daily sodium fluoride (LISTERINE® TOTAL CARE ZERO) mouthwashes. All specimens were immersed in artificial saliva at 37°C. Force was measured at different time points (initial, 1, 7, 14, 21, 28 days). Statistical analysis was performed by two-way analysis of variance (ANOVA) and Bonferroni methods (α = 0.05). Results Force of elastomeric chains was decreased dramatically in all groups during the experiment. After 24 hours, force was decreased by 42.18, 48.34, and 53.38% in control group, daily, and bleaching mouthwash groups respectively. The corresponding numbers after 4 weeks were 66.30, 76.73, and 86.48. The difference between three groups at days 1 and 28 was statistically significant (p < 0.05). Conclusion Within the limitations of the current in vitro study, bleaching and sodium fluoride mouthwashes could cause force decay of orthodontic elastomeric chains. Whitening mouthwash is more weakening for elastomeric chains. Clinical significance Use of whitening mouthwash by orthodontic patients could decrease the force of elastomeric chains, so it could be recommended to use them for a short time. How to cite this article Behnaz M, Namvar F, Sohrabi S, Parishanian M. Effect of Bleaching Mouthwash on Force Decay of Orthodontic Elastomeric Chains. J Contemp Dent Pract 2018;19(2):221-225.

2017 ◽  
Vol 18 (9) ◽  
pp. 812-820
Author(s):  
M Mohamed Ramees ◽  
Esther A Abraham ◽  
KK Manjusha ◽  
A Nishad ◽  
S Ramachandraiah

ABSTRACT Aim The aim of this study was to test the effect of varying alcohol concentrations of various commercially available mouthwashes on force decay of elastomeric chains in prestretched and unstretched condition. Materials and methods A total of five specimen groups were tested with a total sample size of 180 specimens. A specimen is described as a three-link, short module, clear elastomeric chain (3M Unitek, Ortho Plus, Ortho Organizer). The control and test groups were independently submerged in separate 37°C artificial saliva to simulate the oral conditions. Effects of different solution groups and time (initial, 1, 7, 14, 21, and 28 days) on three different elastomeric chains and force (cN) are analyzed with two-way analysis of variance; pair-wise comparisons are done by t-test. Results Higher mean force was recorded initially followed by 24 hours >7 days >14 days >21 days and 28 days respectively. The difference in mean force decay among the different time intervals was found to be statistically significant (p < 0.001). Among the different solutions, higher mean force was recorded in 21.6% alcohol mixture > Listerine 8.38% > Wokadine > alcohol mixture 8.38% > artificial saliva. Conclusion In conclusion, alcohol-containing mouth rinses cause an increase in force decay of elastomeric chain over time. Clinical significance These mouth rinses are commonly recommended during orthodontic treatment. The orthodontist can know better that the alcohol content of the mouth rinses and the structural and molecular modification results in the decay of elastomeric chain. How to cite this article Ramachandraiah S, Sridharan K, Nishad A, Manjusha KK, Abraham EA, Ramees MM. Force Decay Characteristics of commonly used Elastomeric Chains on Exposure to various Mouth Rinses with different Alcohol Concentration: An in vitro Study. J Contemp Dent Pract 2017;18(9):812-820.


2021 ◽  
Vol 33 (1) ◽  
pp. 74
Author(s):  
Erliera Sufarnap ◽  
Kholidina Imanda Harahap ◽  
Terry Terry

Introduction: Orthodontic elastomeric chain is polyurethane elastomer that is widely used among orthodontists due to its functions. Chlorhexidine (CHX) and sodium fluoride (NaF) are listed in mouthwash composition which could affect the mechanical properties of the elastomeric chain. This study was aimed to analyze the effect of sodium fluoride in chlorhexidine mouthwashes on force decay and permanent deformation of orthodontic elastomeric chains. Methods: This research is an experimental analytic laboratory with pretest-posttest control group design. 150 samples of orthodontic chains were divided into three groups. Group 1: artificial saliva (control group); Group 2: 0,1% chlorhexidine gluconate solution (CHX); Group 3: 0,1% chlorhexidine digluconate with sodium fluoride solution (CHX-NaF). The orthodontic elastomeric chain was stretched and maintained at a standardized distance equivalent to a force of 300 g. The measurement of force decay and permanent deformation were performed with digital force gauge and digital caliper (0.01mm) at intervals of the first, seventh, fourteenth, twenty-first, and twenty-eighth days, respectively. Results: The force decay and permanent deformation of the elastomeric chain compared between three groups (control, CHX mouthwash and CHX+NaF mouthwash) showed did not have any significantly different (p-value>0,05) at the first, seventh, fourteenth, twenty-first, and twenty-eighth days, respectively. Conclusion: Sodium fluoride in chlorhexidine mouthwash showing no significant difference among saliva, CHX mouthwash and CHX+NaF mouthwash on force decay and permanent deformation of elastomeric chain.


2017 ◽  
Vol 11 (04) ◽  
pp. 427-431 ◽  
Author(s):  
Mohammad Behnaz ◽  
Kazem Dalaie ◽  
Sepanta Hosseinpour ◽  
Fatemeh Namvar ◽  
Leila Kazemi

ABSTRACT Objective: The aim of this study was to evaluate the effect of agents available in whitening toothpastes (Crest® and Sensodyne®) in vitro on the force decay of elastomeric chains used in orthodontics. Materials and Methods: A total of 300 specimens of elastomeric chains were divided into five groups (n = 60) and were evaluated. These groups included (1) the regular Crest® toothpaste and distilled water solution, (2) whitening Crest® toothpaste and distilled water solution, (3) regular Sensodyne® toothpaste and distilled water solution, (4) whitening Sensodyne® toothpaste and distilled water solution, and (5) distilled water as a control group. The samples' force was measured using Instron at intervals of 0, 1, 7, 14, 21, and 28 days. Data were analyzed by SPSS software. Results: At the initial time point, the difference in the force values of elastomeric chain between any of the groups was not significant (P > 0.05). On the 1st day, there was a significant difference (P < 0.05) between all groups except the groups of whitening Crest®, regular, and whitening Sensodyne® (P > 0.05). On days 7, 14, and 28, the rate of decline for all groups was statistically significant (P < 0.05). Conclusions: According to the results obtained in the present study, it seems that toothpastes without whitening agents have less effect on force decay of elastomeric chain over time.


2009 ◽  
Vol 34 (2) ◽  
pp. 189-192 ◽  
Author(s):  
Barat Ali Ramazanzadeh ◽  
Arezoo Jahanbin ◽  
Nadia Hasanzadeh ◽  
Neda Eslami

Objective: This study evaluated Sodium Fluoride mouth rinse effects on elastic properties of different elastomeric chains. Study design: In this in vitro experiment, two orthodontic chains were tested. In the first group, they were stored in artificial saliva for the entire duration, and in the second group they were immersed daily in 0.05% NaF mouth rinse for 1 minute, artificial saliva–NaF mixture for 30 minutes, and then in artificial saliva for the rest of the day. Specimens were tested at baseline, 1 hour, 24 hours, 1, 2 and 3 weeks and then the displacement of specimens to obtain 150g and 300g, also the applied force after stretching them to 100% of their original length were evaluated. Results: In contrast to force degradation,chains of both companies required more displacement to achieve both forces in the saliva- NaF mixture than saliva itself; however, the difference was only significant for the 300g force (P = 0.020). American Orthodontics chains required more displacement than Dentaurum chains to obtain both forces, also they had more load relaxation (P&lt;0.001). Conclusions: Daily use of NaF mouth rinse does not affect force degradation and the displacement of both chains to achieve conventional orthodontic forces, but for higher force levels the displacement increase is statistically significant.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Philipp Körner ◽  
Luca Georgis ◽  
Daniel B. Wiedemeier ◽  
Thomas Attin ◽  
Florian J. Wegehaupt

Abstract Background This in-vitro-study aimed to evaluate the potential of different fluoride gels to prevent gastroesophageal reflux induced erosive tooth wear. Methods Surface baseline profiles of a total of 50 bovine enamel specimens [randomly assigned to five groups (G1–5)] were recorded. All specimens were positioned in a custom made artificial oral cavity and perfused with artificial saliva (0.5 ml/min). Reflux was simulated 11 times a day during 12 h by adding HCl (pH 3.0) for 30 s (flow rate 2 ml/min). During the remaining 12 h (overnight), specimens were stored in artificial saliva and brushed twice a day (morning and evening) with a toothbrush and toothpaste slurry (15 brushing strokes). While specimens in the control group (G1) did not receive any further treatment, specimens in G2–5 were coated with different fluoride gels [Elmex Gelée (G2); Paro Amin Fluor Gelée (G3); Paro Fluor Gelée Natriumfluorid (G4); Sensodyne ProSchmelz Fluorid Gelée (G5)] in the evening for 30 s. After 20 days, surface profiles were recorded again and enamel loss was determined by comparing them with the baseline profiles. The results were statistically analysed using one-way analysis of variance (ANOVA) followed by Tukey`s HSD post-hoc test. Results The overall highest mean wear of enamel (9.88 ± 1.73 µm) was observed in the control group (G1), where no fluoride gel was applied. It was significantly higher (p < 0.001) compared to all other groups. G2 (5.03 ± 1.43 µm), G3 (5.47 ± 0.63 µm, p = 0.918) and G4 (5.14 ± 0.82 µm, p > 0.999) showed the overall best protection from hydrochloric acid induced erosion. Enamel wear in G5 (6.64 ± 0.86 µm) was significantly higher compared to G2 (p = 0.028) and G4 (p = 0.047). Conclusions After 20 days of daily application, all investigated fluoride gels are able to significantly reduce gastroesophageal reflux induced loss of enamel.


2007 ◽  
Vol 21 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Ana Cristina Soares Santos ◽  
André Tortamano ◽  
Sandra Regina Frazatto Naccarato ◽  
Gladys Cristina Dominguez-Rodriguez ◽  
Julio Wilson Vigorito

This in vitro study was designed to compare the forces generated by commercially available elastomeric chains and NiTi closed coil springs, and to determine their force decay pattern. Forty elastomeric chains and forty NiTi closed coil springs were divided into 4 groups according to the following manufacturers: (1) Morelli®, (2) Abzil®, (3) TP Orthodontics® and (4) American Orthodontics®. The specimens were extended to twice their original length and stored in artificial saliva at 37°C. Initial force was measured by means of an Instron universal testing machine and then at 1, 4, 7, 14, 21, and 28 days. The results revealed that the elastomeric chains delivered a mean initial force of 347 g for Morelli®, 351 g for American Orthodontics®, 402 g for Abzil®, and 404 g for TP Orthodontics®. The NiTi closed coil springs generated a mean initial force of 196 g for American Orthodontics®, 208 g for TP Orthodontics®, 216 g for Abzil®, and 223 g for Morelli®. The mean percentage of force decay observed after 28 days for the elastomeric chains was 37.4% for TP Orthodontics®, 48.1% for American Orthodontics®, 65.4% for Morelli®, and 71.6% for Abzil®. After 28 days, the NiTi closed coil springs presented a mean percentage of force decay of 22.6% for American Orthodontics®, 29.8% for Abzil®, 30.6% for Morelli®, and 45.8% for TP Orthodontics®. At the end of the study, significant differences were observed between the elastomeric chains and the NiTi closed coil springs. The results indicated that the studied NiTi closed coil springs are more adequate for dental movement than the elastomeric chains.


Author(s):  
Larissa Gomes ◽  
Renata Almeida-Pedrin ◽  
Victor Ladewig ◽  
Victor Didier ◽  
Joel Santiago ◽  
...  

O objetivo deste estudo consistiu em comparar a degradação de força de cinco cores diferentes de elásticos corrente, a fim de buscar parâmetros clínicos para o uso desses elásticos nas terapias ortodônticas. Foram avaliados 10 segmentos com 6 elos de elásticos corrente de força média da marca Morelli, das cores preto, cinza, azul, rosa e transparente, provenientes de embalagens seladas e dentro do prazo de validade. Os elásticos foram distendidos até o dobro de seu comprimento e mantidos por dispositivos simples com duas pontas de metal, simulando o uso contínuo dos elásticos por parte dos pacientes. Esses dispositivos foram submersos em saliva artificial a 370C dentro de recipientes mantidos em estufa.  As forças dos segmentos de elásticos foram mensuradas com um dinamômetro ortodôntico de precisão ao início e nos intervalos de 1, 7,14, 21 e 30 dias após a imersão, e a média de força para cada grupo e tempo foi calculada. A Análise de variância (ANOVA) a dois critérios (tempo e grupos) e o teste de Tukey foram utilizados para a análise dos dados. Em todos os testes estatísticos foi adotado um nível de significância de 5%. Todas as cores de elásticos degradaram com o tempo, sendo a porcentagem média de degradação após 1 dia de 40,4%; 7 dias 48,2%; 14 dias 56,8%; 21 dias 65% e 81% após 30 dias. Entretanto, há diferença de degradação de força entre as cores dos elásticos. Os elásticos Transparente e Azul apresentaram menor degradação da força, sendo que após 30 dias o elástico Transparente se mostrou mais efetivo, seguido do Azul, Cinza, Preto e Rosa. Mesmo com a diferença na degradação de força entre as cores dos elásticos, esses dados não apresentam relevância clínica se utilizados por até 14 dias, após esse período seria melhor a utilização do elástico Transparente.   Palavras-chave: Ortodontia. Látex. Elasticidade   Abstract The aim of this study was to compare the force degradation of five different colors of elastomeric chains, in order to achieve clinical parameters for the use of these elastics in orthodontic therapies. The sample was composed by 10 segments with 6 links (medium force) for each color of elastomeric chain (Morelli); black, gray, blue, pink and transparent, from sealed packages and within the expiration date. The elastics were stretched twice their length and maintained by simple devices with two metal tips, simulating the continuous use of the elastics by the patients. These devices were submerged in artificial saliva at 370C to simulate the oral environment. The  elastic segments strengths were measured with a precision orthodontic dynamometer at the beginning and at intervals of 1, 7, 14, 21 and 30 days after immersion, and the mean strength for each group and time was calculated. Analysis of variance (ANOVA) with two criteria (time and groups) and the Tukey test were used for data analysis. In all statistical tests, a significance level of 5% was adopted. All the  elastics colors degraded over time, with the average  degradation percentage after 1 day being 40.4%; 7 days 48.2%; 14 days 56.8%; 21 days 65% and 81% after 30 days. However, there is a difference in force degradation among the  elastics colors. The Transparent and Blue elastics showed less force degradation, and after 30 days the Transparent elastic was more effective, followed by Blue, Gray, Black and Pink. Even with the difference in force degradation among the  elastics colors, these data are not clinically relevant they are used for up to 14 days, after that period it would be better to use the Transparent elastic.   Keywords: Orthodontics. Latex. Elasticity


2017 ◽  
Vol 29 (3) ◽  
Author(s):  
Willem Santana ◽  
Bergman Thahar ◽  
Endah Mardiati ◽  
Jono Salim

Introduction: Power chains is the common device used in fixed orthodontic treatment. Force decay in power chains is a problem that can affect the teeth movement due to a continuous force cannot be maintained. Force decay in power chain can be affected by the use of alcohol-containing mouthwash or alcohol-free mouthwash. The objective of this study was to determine the effect of alcoholic-containing mouthwash, alcohol-free mouthwash, and artificial saliva towards the power chains force decay. Methods: This research was an experimental analytic laboratory in-vitro with the comparative approach. The sample in this study were 40 power chain, short A (SA); 40 power chain, short B (SB); 40 power chain, long A (LA); and 40 power chain, long B (LB), which divided into 5 groups that were consecutively exposed to the artificial saliva as control group; Minosep® with 0.1% of chlorhexidine gluconate; Listerine® with 0% of alcohol; Hexadol® with 9% of alcohol; and Listerine® with 26.9% of alcohol. The measurement of force decay was performed with digital force gauge on day 0, 1, 14, and 28. The statistical analysis was done by using the Wilcoxon and Mann-Whitney tests. Result: There was a significant difference (p<0.05) between the force decay of power chain that exposed to the alcohol-containing mouthwash, alcohol-free mouthwash, and the artificial saliva. Conclusion: The force decay level of power chain that exposed to an alcohol-containing mouthwash was higher compared to the force decay level of power chain that exposed to an alcohol-free mouthwash and an artificial saliva.


Author(s):  
Asma Fatima ◽  
Prasad Konda ◽  
Asiya Fatima ◽  
Hidayathulla Shaikh ◽  
Butool Zohra ◽  
...  

Background: The ability to close space efficiently in Orthodontics is of major clinical importance. Elastomeric power chain, coil spring, and tiebacks are commonly used in Orthodontics to achieve tooth movement during the closure of spaces. Many mouth rinses which are used by the patients to achieve good oral hygiene affect the properties of the material used during treatment resulting in force decay if they contain alcohol. Aim: To know the effect of mouth rinses containing different alcohol Concentrations on the force decay of retraction materials. Materials and Methods: A study was carried out to test the effect of alcohol exposure found in mouth rinses on orthodontic NiTi closing coils, elastomeric chains, and tie-back. A total of 135 specimens were divided into one control group and two test groups submerged in artificial saliva at 37⁰ C. Two test groups each of them exposed to different alcohol-containing mouthwashes (Listerine and Povidone-iodine) for 60 seconds twice a day and the control group were exposed only to deionized (DI) water for 28 days. Force measurements were taken at six-time points (initial, 7 days, 14 days, 21 days, and 28 days) using a digital force gauge. Results: The comparison between the tensile strength was made by digital force gauge and the p-value (≤ 0.05) for tensile strength was derived by ANOVA test, multiple comparisons, and Tukey’s correction. Significant force decay was seen in test groups when compared to the control group. Conclusion: Force degradation of retraction products used during orthodontic treatment was effected by mouth rinses containing alcohol.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Amir Hossein Mirhashemi ◽  
Niloofar Habibi Khameneh ◽  
Keyvan Shahpoorzadeh ◽  
Atefe Saffar Shahroudi

Background: The aim of this study was to compare the force decay pattern of elastomeric chains and NiTi coil springs which were exposed to five different commercially available mouthwashes.Methods: In this in vitro study, 60 pieces of elastomeric chain (EC) and 60 NiTi closed coil springs (CS) were divided into 6 groups. The specimens were exposed to one of these mouthwashes twice a day for 60 seconds:  Listerine, chlorhexidine, Orthokin, Persica, fluoride and artificial saliva as the control group. The elastomeric chains and NiTi springs were stretched so that they exert the initial force of 250 gr. Their force was measured on the 1, 7, 14 and 28 following days by means of a digital gauge.Results: Elastomeric chains and coil springs had force decrease over time, but EC' force reduction was greater with the highest reduction rate in the first week. However, in the CS group, the force decrease wasn't statistically significant in the first two weeks.  After 28 days in the control groups, 49.8% of the initial force was remained in ECs while the value was 93.3% for CSs. In comparison between mouthwashes, in EC groups, in all mouthwashes except Persica, the remained force was statistically less than control group.Conclusion: Force degradation of elastomeric chains could be exacerbated by use of mouthwashes. About coil springs, force decay was also observed. However, it was not statistically significant. Force reduction was detectable after four weeks of coil springs usage, but in EC groups, the greatest reduction was after the first week.  


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