orthodontic bracket
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2022 ◽  
Vol 11 ◽  
pp. 301-308
Author(s):  
Vivek Kumar Thakur ◽  
Raghuvinder S. Vats ◽  
M. P. Prasanna Kumar ◽  
Sanjeev Datana ◽  
Mohit Sharma ◽  
...  

Objectives: Our primary objective was to establish the efficacy of fluoride gel and fluoride varnish in the prevention of white spot lesions (WSLs) development during fixed orthodontic treatment. Materials and Methods: The study sample consisted of 60 adult patients in a prospective split-mouth study design. Interventions, that is, topical fluoride gel and topical fluoride varnish were assigned at the time of bonding to either the right or left halves of the dentition. In all subjects, repeated evaluation of demineralization was done on the facial surfaces of sample teeth in each quadrant. Evaluation using laser fluorescence and by direct visual observation under magnification was carried out at bonding (T0), 3 months (T1), and 6 months (T2). Results: The distribution of mean DIAGNOdent score at T1 (3.14 ± 1.00 vs. 2.81 ± 0.852) and T2 (4.17 ± 1.41 vs. 3.51 ± 1.13) was observed which is significantly higher in the Gel group compared to the Varnish group. In the Gel group, the distribution of mean DIAGNOdent score at T1 (3.14 ± 1.00) and T2 (4.17 ± 1.41) is significantly higher compared to mean DIAGNOdent score at baseline T0 (2.07 ± 0.66). In the Varnish group, the distribution of mean DIAGNOdent score at T1 (2.81 ± 0.852) and T2 (3.51 ± 1.13) is significantly higher compared to the mean DIAGNOdent score at T0 (2.07 ± 0.66). Visual scores also correlated with DIAGNOdent scores. Conclusion: Fluoride varnish is more efficacious than fluoride gel in reducing enamel demineralization. Initial application of fluoride varnish around the orthodontic bracket at bonding appointment can offer significant protection against WSLs.


Materials ◽  
2022 ◽  
Vol 15 (2) ◽  
pp. 548
Author(s):  
Anca Mesaroș ◽  
Michaela Mesaroș ◽  
Smaranda Buduru

Background: Since fixed orthodontic treatment is widely spread and one of its inconveniences is bracket removal, as this affects enamel integrity as well as being a cause of discomfort to the patient, studies have searched for the most adequate bracket removal technique, many of them focusing on using laser-technology. Methods: Our review focused on articles published investigating methods of orthodontic bracket removal using laser technology in the last 30 years. Results: 19 relevant studies were taken into consideration after a thorough selection. Different types of laser devices, with specific settings and various testing conditions were tested and the investigators presented their pertinent conclusions. Conclusions: Most studies were performed using ceramic brackets and the best results in terms of prevention of enamel loss, temperature stability for the tooth as well as reduced chair time were obtained with Er:YAG lasers.


2022 ◽  
Vol 11 ◽  
pp. 309-316
Author(s):  
Vaibhav Vashishta ◽  
Rakesh Kaul ◽  
Ankita Singh ◽  
Sudhir Kapoor ◽  
Sulabh Grover ◽  
...  

Objectives: The objectives of the study were to assess the white spot lesions around orthodontic bracket macroscopically using two different bonding agents – one with amorphous calcium phosphate (ACP) (Aegis Ortho) and one without ACP (Transbond XT). Materials and Methods: The study comprises 10 patients from 14 to 23 years of age. Patients were divided into control and study groups. Forty premolar teeth were then observed (20 teeth in each group). Bonding procedure was done and brackets were positioned on all four 1st pre-molars teeth and pre-treatment photographs were taken. The experimental material used was Aegis Ortho composite (study group) and Transbond XT (control group). Debonding procedure (by Wing deformation technique) was performed after 16 weeks which led to adhesive fracture at composite resin adhesive bracket interface leaving essentially all adhesive on the enamel. Then, follow-up photographs were taken to evaluate each. Results: Aegis Ortho containing ACP used for bonding purpose, provided lesser enamel demineralization than Transbond XT. Conclusion: Aegis Ortho for orthodontic bonding is significantly more beneficial and reliable, however, further investigations are also required to understand its clinical performance better.


Materials ◽  
2022 ◽  
Vol 15 (2) ◽  
pp. 531
Author(s):  
Maria Francesca Sfondrini ◽  
Maurizio Pascadopoli ◽  
Simone Gallo ◽  
Federico Ricaldone ◽  
Davide Dirk Kramp ◽  
...  

Bonding failure is a clinical issue frequently encountered in orthodontic practice. The aim of this study was to evaluate enamel pretreatment both in vitro and clinically using agents with different RDA values before brackets’ bonding, to assess if RDA can affect the Shear Bond Strength (SBS), Adhesive Remnant Index (ARI) and clinical failure rate of orthodontic brackets. For the in vitro study, 220 bovine teeth were pretreated with agents with different RDA values. Subsequently, brackets were bonded. For the clinical study, 20 patients underwent bonding of 20 brackets each with a split-mouth design. Low and high RDA toothpastes were used for enamel pretreatment. SBS, ARI and failures were recorded. Higher SBS values were found for teeth pretreated with lower RDA agents; conversely, lower SBS values were found for teeth pretreated with higher RDA agents (p < 0.05). For high ARI values, RDA increased too (p > 0.05). In the clinical study, a significantly lower failure rate was reported for teeth pretreated with low RDA toothpaste (2.5% in low RDA group, 7.0% in high RDA group; p < 0.05). No significant differences were assessed comparing the two dental arches and anterior and posterior sites. Enamel pretreatment with low RDA toothpastes could increase brackets’ survival rate. Further in vitro and clinical studies would be welcomed to confirm these findings.


Folia Medica ◽  
2021 ◽  
Vol 63 (6) ◽  
pp. 865-874
Author(s):  
Soheil Nikpour ◽  
Atefe Saffar Shahroudi ◽  
Aida Saffarpour ◽  
Azam Akhavan ◽  
Ahmad Sodagar

Introduction: Recently, nanoparticles such as nano-TiO2 have been added to some dental materials for enhancing dental carries prevention due to their antibacterial activity. Aim: This study aimed to assess the shear bond strength of a self-adhesive composite containing TiO2 and SiO2 nanoparticles for orthodontic bracket bonding. Materials and methods: This in vitro, experimental study was done on 70 extracted human premolars divided into 7 groups. Six groups of Vertise Flow self-adhesive composite samples were prepared: without any nanoparticles, with 0.5% and 1% TiO2 nanoparticles, 0.5% and 1% SiO2 nanoparticles, and 1% mixture of TiO2 and SiO2 nanoparticles so that nano-hybrid composites were prepared. Metal brackets were bonded with these samples as well as Transbond XT as the control group. The shear bond strength of the brackets to enamel was measured using a universal testing machine. The adhesive remnant index (ARI) score was also determined by a stereomicroscope. Data were analyzed by one-way ANOVA, Tukey&rsquo;s test and Kruskal-Wallis test. Results: The shear bond strength of the groups was significantly different (p=0.000). Pairwise comparisons revealed that the bond strength of Transbond XT group was significantly higher than others (p<0.05), followed by the 1% TiO2 group with significant differences with Vertise Flow and 0.5% TiO2 groups. The lowest value belonged to Vertise Flow with no nanoparticles. The ARI scores was different in the control group (p=0.000). Conclusions: Adding TiO2 and SiO2 nanoparticles to Vertise Flow self-adhesive composite not only did not adversely affect its shear bond strength, but also slightly increased it. Overall, the self-adhesive nano-hybrid composite containing TiO2 and/or SiO2 nanoparticles, following an additional etching step would be acceptable for bracket bonding and can be used clinically to benefit from the antimicrobial activity of these nanoparticles.


2021 ◽  
Vol 33 (3) ◽  
pp. 204
Author(s):  
Della Noor Insany ◽  
Haru Setyo Anggani ◽  
Widya Kusumadewi

Pendahuluan: Chitosan merupakan bahan alami, bersifat antibakteri, dan dapat dibentuk menjadi gel sehingga berpotensi sebagai agen profilaksis terhadap Streptococcus mutans, penyebab demineralisasi email. Lesi white spot merupakan salah satu risiko penggunaan alat ortodonti cekat. Berat molekul merupakan salah satu faktor yang memengaruhi efektivitas antibakteri chitosan, namun hubungannya masih memberikan hasil yang inkonsisten. Penelitian ini bertujuan menganalisis perbedaan efektivitas gel chitosan dengan berat molekul berbeda terhadap jumlah koloni bakteri Streptococcus mutans pada permukaan email sekitar braket ortodonti. Metode: Penelitian ini menggunakan metode eksperimen laboratoy dengan menggunakan 24 sampel gigi dengan braket dioles gel chitosan A (50-80 kDa),  gel chitosan B (50-150 kDa), gel chitosan C (190-310 kDa), dan gel kontrol klorheksidin diglukonat 0,2% (CHX) masing-masing 6 sampel. Seluruh sampel diinkubasi dalam biakan Streptococcus mutans secara bertahap, 10 μl suspensi dari plak yang terbentuk pada sampel dibiakkan untuk memperoleh koloni pada biakan agar. Data dianalisis dengan uji one-way ANOVA dan Least Significant Difference (LSD).  Hasil: Jumlah koloni bakteri Streptococcus mutans setelah aplikasi gel chitosan A, B, C, dan gel klorheksidin diglukonat 0,2% (CHX) didapatkan sebesar 10,05x106 CFU/ml; 9,72x106 CFU/ml; 10,96x106 CFU/ml; dan 4,35x106 CFU/ml sehingga tidak terdapat perbedaan bermakna jumlah koloni bakteri Streptococcus mutans antara ketiga kelompok gel chitosan (p>0,05) dan terdapat perbedaan jumlah koloni bakteri Streptococcus mutans yang bermakna antara ketiga gel chitosan dengan gel kontrol (p<0,05). Simpulan: Efektivitas antibakteri gel chitosan dengan berat molekul berbeda terhadap jumlah koloni bakteri Streptococcus mutans pada permukaan email sekitar braket ortodonti adalah sama besar, namun lebih rendah daripada efektivitas antibakteri gel klorheksidin diglukonat 0,2% pada studi ini.Kata kunci: berat molekul; braket ortodontik; kitosan; email; Streptococcus mutans  ABSTRACTIntroduction: Chitosan is a natural ingredient, antibacterial, and can be formed into a gel so that it has the potential as a prophylactic agent against Streptococcus mutans, the cause of enamel demineralization. White spot lesions are one of the risks of using fixed orthodontic appliances. Molecular weight is one factor that affects the antibacterial effectiveness of chitosan, but the relationship still gives inconsistent results. This study aimed to analyze the differences in the effectiveness of chitosan gels with different molecular weights on the number of Streptococcus mutans bacteria colonies on the enamel surface around orthodontic brackets. Methods: This study used an experimental laboratory method using 24 dental samples with brackets smeared with chitosan A gel (50-80 kDa), chitosan B gel (50-150 kDa), chitosan C gel (190-310 kDa), and chlorhexidine control gel. digluconate 0.2% (CHX) each of 6 samples. All samples were incubated in Streptococcus mutans culture in stages, 10 l suspension of the plaque formed on the samples was cultured to obtain colonies on agar cultures. Data were analyzed by one-way ANOVA and Least Significant Difference (LSD). Results: The number of Streptococcus mutans colonies after application of chitosan gel A, B, C, and 0.2% chlorhexidine digluconate (CHX) gel was 10.05x106 CFU/ml; 9.72x106 CFU/ml; 10.96x106 CFU/ml; and 4.35x106 CFU/ml, so that there was no significant difference in the number of Streptococcus mutans colonies between the three chitosan gel groups (p>0.05) and there was a significant difference in the number of Streptococcus mutans bacteria colonies between the three chitosan gels and the control gel (p<0.05). Conclusions: The antibacterial effectiveness of chitosan gel with different molecular weights on the number of Streptococcus mutans bacterial colonies on the enamel surface around orthodontic brackets was simi-lar but lower than the antibacterial effectiveness of 0.2% chlorhexidine digluconate gel.Keywords: molecular weight; orthodontic bracket; chitosan; enamel; Streptococcus mutans


2021 ◽  
Vol 9 (11) ◽  
pp. 135
Author(s):  
Lorenz Brauchli ◽  
Markus Steineck

Recently, an epoxy-based resin-Filtek Silorane-has been proposed for restorative fillings. It was the aim of the investigation to evaluate the suitability of this novel resin for orthodontic bracket bonding on unground enamel. Shear bond strength was measured for two adhesives-Filtek Silorane, Transbond XT-in combination with steel, ceramic and polymer brackets. For Filtek Silorane etching was performed with the Silorane self-etching primer, as well as phosphoric acid. The Transbond XT samples were etched with phosphoric acid only and served as the control group. All samples were thermo-cycled (1000×, 5–55 °C). Shear testing was carried out with an Instron 3344. In addition, ARI scores were evaluated. The Shear bond strength showed a weak adhesion of Filtek Silorane to unprepared enamel, either with the self-etching primer or the conventional etching (0.87–4.28 MPa). The Shear bond strength of the control group was significantly higher (7.6–16.5 MPa). The ARI scores showed a clear failure at the enamel-adhesive interface for all Filtek Silorane samples. For the combination of Transbond XT and different brackets the failure was found at the adhesive–bracket interface. The novel epoxy-based resin Filtek Silorane is not appropriate for bracket bonding to unprepared enamel.


Author(s):  
Isabel Knaup ◽  
Eva Weber ◽  
Antonia Böddeker ◽  
Katrin Tempel ◽  
Marcia Viviane Rückbeil ◽  
...  

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