RESUMO
Association between fixed orthodontic therapy and enamel decalcification causing periodontal disease and enamel decalcification is a known problem of orthodontic treatment. The root cause of this is the fact that brackets provide an ideal environment for bacteria to accumulate and multiply. Hence modifying the surface of brackets with some photocatalytic antibacterial substance could help in prevention of this side-effect. The current study was thus planned to evaluate the anti-adherence of bacteria to photocatalytic silver coated brackets for the prevention of white spot lesions. METHODSAfter obtaining ethical clearance from the institutional ethics committee, 40 metal brackets of upper central incisor were taken. These brackets were divided into group 1 & group 2 each containing twenty brackets. Group 1 (control group) consisted of plain metal brackets while group 2 (experimental group) consisted of silver coated brackets. Both the groups were subjected to laboratory bacterial tests to assess the bacterial adhesion to brackets and then statistical analysis was done to obtain results. RESULTSSilver modified brackets showed around 25 % less adhesion of bacteria as compared with plain brackets. CONCLUSIONSModifying orthodontic brackets by coating them with photocatalytic silver could prove to be an innovative and effective method in prevention of white spot lesions after fixed orthodontic therapy.
RESUMO
Many advancements have been done in the field of dentistry for resin composites applications. However, polymerization shrinkage stays a problem. Marginal gap and microleakage in between tooth cavity wall and restorative material is caused by forces of contraction, masticatory forces, polymerization shrinkage, poor adhesion, temperature variables, and inadequate moisture control. An impaired marginal seal resulting due to microleakage provides entry of oral fluids, ions, bacteria which causes recurrent caries, discoloration and hastening of marginal breakdown of restoration, hypersensitivity, pathology of pulp that would decrease the life of restoration. The purpose of restoring cavities by using nanohybrid and micro filled composite was to assess if it would eliminate or decrease microleakage in this in vitro study. We wanted to assess the effectiveness of nanohybrid and micro filled composites with regard to microleakage in class I cavity restoration.METHODSStandardized class I cavities were prepared over thirty teeth. The teeth samples were randomly distributed in to two groups based on composite used for restoration. Group A (n=15): Restored with nanohybrid composite followed by light curing. Group B (n =15): Restored with micro filled composite followed by light curing. The samples were stored in a 1% chloramine beta-hemihydrate solution for a day and then thermocycling procedure was performed. The samples were soaked in 2 % methylene blue for a day and sectioning of samples was done through the center of restoration using a diamond disk and analysed for methylene blue dye penetration with a stereomicroscope in 12X magnification. Scoring was done based on the criteria of a 0-4 scale.RESULTSChi square test was used for performing statistical analysis. No significant difference in the microleakage score between nanohybrid and micro filled composite was seen (p = 0.338).CONCLUSIONSIn this study both groups showed microleakage. However, nanohybrid composite resin showed better marginal adaptation of restoration as compared to micro filled composite resin.