Correlating Frictional Forces Generated by Different Bracket Types during Sliding and Surface Topography Using Scanning Electron Microscopy and Optical Profilometer.

AIM: The study aims to correlate the frictional forces (FF) of four different types of commercially available ceramic brackets to their surface topography. MATERIALS AND METHODS: Two monocrystalline (MC) brackets (CLEAR™, Adanta, Germany; Inspire ICE™, Ormco, USA), one polycrystalline (PC) bracket (Symetri Clear™, Ormco, USA), one clear hybrid esthetic bracket (DISCREET™, Adanta, Germany), and a stainless-steel (SS) bracket (Victory™, 3M Unitek, USA) served as control. Both static friction (SF) and kinetic friction (KF) were recorded during sliding using an Instron universal machine in dry settings. The bracket slot surface topography was evaluated. A scanning electron microscope (SEM) and a profilometer machine were used for assessment before and after sliding. RESULTS: Frictional forces values during sliding were as follows in descending order; Inspire ICE™, CLEAR™, DISCREET™, Symetri Clear™, and, lastly, Victory™. Also, DISCREET™ scored the highest in surface roughness (Sa) values followed by Symetri Clear™. None of the correlations were statistically significant. CONCLUSION: Frictional forces produced during sliding were not always directly related to surface roughness. Monocrystalline ceramic brackets appeared to have the greatest FF and a low surface roughness. Furthermore, DISCREET™ scored a very low frictional value comparable to metal brackets yet showed the highest surface roughness. Metal brackets exhibited the greatest surface smoothness before sliding and the least SF. CLINICAL SIGNIFICANCE: Predicting the FFs produced during sliding mechanics would help the practitioner while choosing the bracket system to be used, and while planning the treatment mechanics, how much force to deliver, and how much tooth movement to expect. How to cite this article: AlBadr AH, Talic NF. Correlating Frictional Forces Generated by Different Bracket Types during Sliding and Surface Topography Using Scanning Electron Microscopy and Optical Profilometer. J Contemp Dent Pract 2024;25(1):41-51.

Testing the tensile fracture strength tie-wings of different orthodontic ceramic bracket using an Instron machine.

Introduction: Newly released products should address the shortcomings of the older ones. Frequent breakages have always been a major drawback when using ceramic brackets. This study assessed the difference in tensile fracture strength at maximum load of tie-wings of different orthodontic ceramic brackets recently available for clinical use. Materials and Methods: In this in-vitro study, four ceramic brackets were examined. Two monocrystalline brackets (CLEAR™, Adanta®, Germany; Inspire ICE™, Ormco®, USA), one polycrystalline bracket (Symtri Clear™, Ormco®, USA), and one clear hybrid bracket (DISCREET™, Adanta®, Germany). A steel ligature wire was placed around the tie-wing and on the Instron machine to apply tension. The mean maximum load (MxL) and fracture strength (FS) was evaluated and recorded. The significance level was set at p ≤ 0.05. Results: Statistical difference in fracture strength of the tie-wing fracture was noted among all four groups. Inspire ICE™ showed the highest maximum load and fracture strength with (202.78 N and 107.3 MPa), followed by Symtri Clear™ (111.99 N and 59.25 MPa). In contrast, CLEAR™ and DISCREET™ showed lower MxL values (79.63 N and 47.01 N). The monocrystalline Inspire ICE™ brackets showed the greatest tie-wing fracture resistance and the hybrid clear ceramic bracket DISCREET™ exposed the least resistance to fracture. Conclusion: Brand (manufacturing specifications) as well the bracket crystalline structure seems to have a direct effect on its tie-wing strength.

Influence of orthodontic treatment with first premolar extraction on the angulation of the mandibular third molar.

OBJECTIVES: To evaluate the influence of orthodontic treatment that involved first premolars extraction on the angulation of the developing mandibular third molars, and whether this will result in an improvement in it's path of eruption during tooth development. METHODS: A cross-sectional radiographic study was conducted using 80 panoramic radiographs of 40 orthodontic patients previously treated at the College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia. The sample consisted of 2 groups, extraction and non-extraction orthodontic therapy group with equal number of patients in each group. The orthodontic treatment of the extraction group involved the extraction of first premolars, whilst non-extraction group had received orthodontic therapy without teeth extraction. The angulation of the right and left third mandibular molars was measured in each patient separately, and the data was analyzed using the non-parametric Mann-Whitney Test. RESULTS: The present data has shown significant improvement in the third molars angulation in the extraction orthodontic therapy group compared to non-extraction group, Although this finding was significant in both genders, females tend to show better response in the improvement of third molar angulation to extraction therapy than males (p=0.001, p=0.006). CONCLUSION: Orthodontic treatment with first premolars extraction has improved the third molars angulation during their course of eruptions and consequently supports the decision of the orthodontic extraction therapy approach in borderline cases.