Removing hepatitis C virus from polytetrafluoroethylene-coated orthodontic archwires and other dental instruments

Thefficacy of removing, rather than destroying, hepatitis C virus [HCV] from polytetrafluoroethylene [PTFE] -coated orthodontic archwires was tested. PTFE-coated archwires, pieces of PTFE and endodontic files [20 each] were immersed in HCV-infected blood for 24 hours. Half were washed under running water for 10 seconds while the remainder were thoroughly scrubbed with a toothbrush under running water for 10 seconds. Items were kept in separate dishes of distilled water for 24 hours. Reverse transcription polymerase chain reaction was used for viral replication. Viruses were detected by the gel method using a transilluminator. Only scrubbed PTFE pieces and coated archwires were negative for HCV. This suggests that PTFE coating of dental instruments inhibited HCV adhesion when thoroughly scrubbed

Bacterial Exposure to Nickel: Influence on Adhesion and BioFilm Formation on Orthodontic Archwires and Sensitivity to Antimicrobial Agents

The presence of nickel could modify bacterial behavior and susceptibility to antimicrobial agents. Adhesion and biofilm formation on orthodontic archwires can be a source of bacterial colonization and possible health hazards. Staphylococcus aureus was subjected to exposure and adaptation to various sub-inhibitory concentrations of nickel. Five strains of bacteria adapted to nickel in concentrations of 62.5–1000 μg/mL were tested for adhesion and biofilm formation on nickel-titanium archwires. Archwires were previously incubated in artificial saliva. Bacteria were incubated with orthodontic wire with stirring for 4 h (adhesion) and 24 h (biofilm formation). The number of adherent bacteria was determined after sonication and cultivation on the Muller-Hinton agar. Disk diffusion method was performed on all bacteria to assess the differences in antimicrobial susceptibility. Bacteria adapted to lower concentrations of nickel adhered better to nickel-titanium than strains adapted to higher concentrations of nickel (p < 0.05). Biofilm formation was highest in strains adapted to 250 and 500 μg/mL of nickel (p < 0.05). The highest biofilm biomass was measured for strains adapted to 250 μg/mL, followed by those adapted to 1000 μg/mL. Bacteria adapted to lower concentrations of nickel demonstrated lower inhibition zone diameters in the disk diffusion method (p < 0.05), indicating increased antimicrobial resistance. In conclusion, bacteria adapted to 250 μg/mL of nickel ions adhered better, demonstrated higher biofilm formation and often had higher antimicrobial resistance than other adapted and non-adapted strains.

In vitro Streptococcus mutans adhesion and biofilm formation on different esthetic orthodontic archwires

ABSTRACT Objectives To evaluate the ability of different esthetic archwires to retain oral biofilms in vitro. Materials and Methods Seven different brands of coated orthodontic archwires were tested: two epoxy coated, two polytetrafluoroethylene coated, two rhodium coated, and one silver plus polymer coated. Conventional uncoated metallic archwires were used as controls. Streptococus mutans adherence to archwires was quantified by colony count following 24 hours of biolfilm growth, and total wire-associated biofilm was measured using a crystal violet staining assay. For both tests, two conditions were used: 0% sucrose and 3% sucrose. For statistical analysis, P &lt; .05 was considered as statistically significant. Results For S. mutans colony forming units per biofilm, there were no statistically significant differences among the various archwires (P = .795 for 0% sucrose; P = .905 for 3% sucrose). Regarding total biofilm formed on archwires in the 3% sucrose condition, there were statistically significant differences in crystal violet staining only for the comparison between Niti Micro Dental White and Copper Ni-Ti wires (P &lt; .05). Conclusions The clinical use of esthetic-coated orthodontic wires may be considered to have similar risks as uncoated archwires for biofilm retention.

An Instrument for Seating Orthodontic Archwires

Full engagement of orthodontic archwires to permit gate closure in self-ligating brackets can be challenging in both the initial stages of alignment with crowded or rotated teeth and also during the later treatment stages with use of heavy rectangular wires. A handy, reliable tool has been developed to ensure complete seating of any archwire in slots of both conventional and self-ligating bracket (SLB) systems to overcome this problem.

Physicochemical Research of Clinically Retrieved CU-NI-TI Orthodontic Archwires

In modern orthodontics, thermally activated archwires are used more widely in clinical practice, because they have unique properties like superelasticity and bio-compatibility. The aim of the present study was to characterize commercial 35° C Cu-NiTi archwires in terms of their phase transition behavior, chemical composition, surface topography properties after clinical usage, as well as the influence of the autoclaving process. Materials and methods. 35° C Thermo-Active Copper NiTi (CuNiTi) of ORMCO, Glendora, CA, USA (as-received, as-received autoclaved and clinically retrieved) with rectangular cross-section and dimension 0.016x0.022 inch, were investigated. The physicochemical research was conducted via Differential Scanning Calorimetry (DSC), Scanning Electron Microscopy (SEM), Energy Dispersive Spectroscopy (EDX) and X-ray Diffraction Analysis (XRD). The autoclaving was done in Runyes model B autoclave. Results. The DSC results revealed the austenite start (9.8° C; 26.47° C) and austenite finish (28° C; 31.74° C) temperatures for the as-received and autoclaved archwires respectively. For clinically retrieved samples the austenite finish temperature (Af) is around 27° C. The XRD patterns of the as-received and clinically retrieved samples show almost identical diffraction patterns. Rough surface of the CuNiTi alloy was revealed by the SEM analysis. Autoclaving process seems to have no effects on archwires’ structure and chemical composition. Chemical content of the investigated as-received CuNiTi are Ni, Ti and Cu: 47.07 wt% and 46.81 wt% and 6.11 wt%, respectively. The autoclaving process seems to have little influence on the transition temperature. The results from our study showed little difference (~7 °C) in the finish transition temperatures (Af), compared to the manufacturer’s claim. No intermediate R phase was detected by DSC. Conclusion. A good knowledge of the structural changes that occur in CuNiTi alloys in the oral cavity is useful for the orthodontists in order to optimize orthodontic treatment.

Maxillary and mandibular dental arch forms in a Jordanian population with normal occlusion

Background Ethnic background has been claimed to affect arch form. The purpose of this study was to describe and elucidate the maxillary and mandibular arch forms in Jordanian population and to develop a classification method for these forms which could be employed to construct orthodontic archwires accordingly. Methods The sample was comprised of study casts of five hundred and twenty subjects (231 males and 289 females with a mean age of 15.4 ± 1.02 years). All subjects had permanent dentition with normal occlusion. A mathematical method associated with a polynomial function of 6th degree was employed to assess the dental arch forms. The resultant arch forms were classified into 5 groups for both the maxilla and mandible utilizing a computer software with special code designed for this study. Each group was subdivided into 3 subgroup sizes namely: small, medium, and large. Results Catenary arch form was found in 47% and 41.2% (p ˂ 0.01) of maxilla and mandible arch forms, respectively. Form 2 (which is halfway between ellipse and U-shaped arch form) was found in 27.7% and 26.7%. Medium size arch form was found in 55.4% of the maxillary and 65.6% of the mandibular arch forms. Conclusion Catenary arch form was the most prevalent arch form, followed by wide elliptical form. The other forms, which included tudor arch, tapered equilateral and quadrangular forms were less frequent. Regarding size, the medium size was the most prevalent among the studied samples.