Patient perception of orthodontists with different stereotypes: development, psychometric properties, and application of an assessment instrument.

INTRODUCTION: This research aimed to develop and validate a questionnaire that considers social judgments and, through its application, assesses whether the presence of piercings, tattoos, beards, and loose hair visible in the face and neck region reflect on the patient perception regarding characteristics of the orthodontist's professional scope. METHODS: The developed questionnaire had its psychometric properties evaluated and was applied to 220 young people and adults, aged 18-70 years, who responded according to their perception of 12 manipulated images of orthodontists with different stereotypes, considering the following items: hygiene, care, punctuality, experience and knowledge in orthodontics. RESULTS: The developed questionnaire showed high acceptability, confirmed reliability and validity of the construct, and satisfactory internal consistency. The stereotype interfered with the perception of professionalism (P <0.01), in which the orthodontist with combined characteristics (beard/loose hair, piercing, earrings, and tattoo) obtained the lowest mean scores, both for each item of the questionnaire individually (P <0.01) and in total (P <0.01). Health professional (P = 0.427) and educational level (P = 0.285) status did not influence the perception; however, there was a significant difference for the age groups (P = 0.041). CONCLUSIONS: The developed questionnaire proved to be valid and reliable for application. Orthodontists with piercings and tattoos on the face and neck were considered less professional. Being a health professional and educational level status did not influence the perception. However, older subjects (aged 51-70 years) were more critical in judging stereotypes than younger subjects (aged 18-30 years).

Possible association between craniofacial dimensions and genetic markers in ESR1 and ESR2.

OBJECTIVE: To investigate the association of genetic markers in ESR1 and ESR2 with craniofacial measurements. DESIGN: Cross-sectional study. SETTING: School of Dentistry of Ribeirão Preto, University of São Paulo. PARTICIPANTS: A total of 146 biologically unrelated, self-reported Caucasian Brazilians with no syndromic conditions were included. METHODS: Sagittal and vertical measurements (ANB, S-N, Ptm'-A', Co-Gn, Go-Pg, N-Me, ANS-Me, S-Go and Co-Go) from lateral cephalograms were examined for craniofacial evaluation. DNA was extracted from saliva and genetic markers in ESR1 (rs2234693 and rs9340799) and in ESR2 (rs1256049 and rs4986938) were analysed by real-time polymerase chain reaction. Hardy-Weinberg equilibrium was evaluated using the Chi-square test within each marker. The associations between craniofacial dimensions and genotypes were analysed by linear regression and adjusted by sex and age. The established alpha was 5%. RESULTS: Individuals carrying CC in ESR1 rs2234693 had a decrease of -3.146 mm in ANS-Me (P = 0.044). In addition, rs4986938 in ESR2 was associated with S-N measurement (P = 0.009/ ß = -3.465). This marker was also associated with Go-Pg measurement, in which the CC genotype had a decrease of -3.925 mm in the length of the mandibular body (P = 0.043). CONCLUSION: The present study suggests that in ESR1 and ESR2 are markers for variations in the craniofacial dimensions. However, further research should confirm the results.

Prediction of 3-dimensional pharyngeal airway changes after orthognathic surgery: a preliminary study.

INTRODUCTION: Recent studies have shown some contradictory results when evaluating the consequences of orthodontic-surgical treatments on the pharyngeal airway. Therefore, the purpose of this study was to correlate the amount of jaw displacement with the volume variation and the minimal cross-sectional area of the pharyngeal airway. A comparison was made between the correlations with the percentage and the absolute values of the measurement variations. METHODS: Forty-two patients were divided into 2 groups according to the kind of orthognathic surgery that they had undergone. Group 1 had 22 subjects who had undergone maxillary advancement associated with mandibular setback, and group 2 had 20 patients who had undergone maxillomandibular advancement. The pharyngeal airway was divided into the upper segment and the lower segment, and the sum of these volumetric measures resulted in the total volume. The maxillary and mandibular displacements were assessed using closest point iteration after a voxel-wise cone-beam computed tomography superimposition. Hence, jaw displacements were correlated, using Pearson's correlation and linear regression analysis, to the volume variations of the pharyngeal airway (first time separately and then both groups together) and to the minimal cross-sectional area variation. RESULTS: The strongest correlation found was between maxillary displacement and the upper segment in group 2 (r = 0.898, R(2) = 0.888; P ≤0.001). With the groups' data combined, the variables mandibular displacement and the lower segment showed a linear correlation (r = 0.921, R(2) = 0.914; P ≤0.001). Maxillary displacement showed a strong positive correlation with the minimal cross-sectional area variation in group 2 (r = 0.710, R(2) = 0.604; P ≤0.01). CONCLUSIONS: Correlations with the percentage values were substantially stronger than the correlations with the absolute values. Stronger positive correlations were found between the jaw's displacement and the volume variation of the volume segment that was closer to it in both kinds of surgeries. Only the maxillary displacement is a reliable predictor of the minimal cross-sectional area variation after maxillomandibular advancement.

Root repair after contact with mini-implants: systematic review of the literature.

This systematic review identified and qualified the current evidence of dental root damage and repair after contact with mini-implants. The electronic databases Cochrane library, Ovid, Scirus, Scopus, and Virtual Health Library were used to search original articles from 1980 to December 2011. The inclusion criteria to select the articles were 1. randomized controlled trials and prospective clinical studies based on trials involving humans, 2. randomized controlled studies in animals, 3. use of mini-implants with a diameter less than 2.5 mm, and 4. root contact evaluation associated with the use of orthodontic mini-implants. Two authors independently reviewed and extracted data from the selected studies and a methodological quality assessment process was used to rank the studies classifying them as low moderate or high quality. The searches retrieved 579 citations. After initial selection, 17 studies were considered eligible and their full texts were assessed. Four of those were excluded because root damage was not evaluated and two were excluded because of overlapping samples. Eleven articles, nine in animals and two in humans, fulfilled the inclusion criteria. From these, two studies were ranked as presenting high methodological quality, eight were judged to be of moderate, and one of low quality. The evidence found suggested that the quality of root repair depends on the amount of damage caused by the mini-implant. When the damage is limited to the cementum or dentin, healing and almost complete and repair of the periodontal structure can occur. Mini-implants that injured the pulp were less likely to result in complete repair of the periodontal tissues.

Collagen membrane and distraction osteogenesis for correcting alveolar bone defects: An animal pilot study.

BACKGROUND: The objective of this study was to evaluate the applicability of distraction osteogenesis with or without collagen membrane coverage to approximate the bone surfaces surrounding alveolar defects in pigs. METHODS: The sample comprised six pigs. One animal was control, and in the other five, alveolar bone defects were created and distraction osteogenesis was carried out to approximate adjacent bone surfaces in the defect site. Resorbable membranes were placed to cover the alveolar defects on one palatal side of the experimental animals. Radiographs were taken, and the histology was studied in each bone defect site at the 2nd, 9th, 16th, 23rd, and 46th days of healing. RESULTS: The radiographs showed that the alveolar bone defects were successfully corrected. Initial osteogenesis was delayed, but bone bridge formation was complete in the membrane-covered samples at the 46th day of healing. In the other group, bone bridge formation was incomplete at the end of the study. CONCLUSIONS: Distraction osteogenesis was effective in approximating transported bones to host bones. The resorbable membranes produced complete bone bridges in the approximation sites.

Emoji as promising tools for emotional evaluation in orthodontics.

BACKGROUND: Emoji are pictograms frequently used in social networks capable of expressing emotions. These tools can provide insights into people's behavior that could not be obtained with the use of textual communication. Recently, emoji have been introduced to various research fields as successful alternatives to word-based questionnaires for measure emotional responses. The objective of this study was to preliminarily evaluate the discriminating ability and relationship of these tools with different occlusal conditions/malocclusions. METHODS: Online surveys were applied to adult individuals (n = 201; mean age = 27.4 ± 5.7; 37.3% males, 62.7% females). Subjects issued acceptance scores (10-point scale) and expressed their emotional status using a 30-emoji list in relation to nine occlusal conditions: C1-crowding, C2-anterior open bite, C3-interincisal diastema, C4-increased overjet + deep bite (Class II div. 1), C5-anterior crossbite (Class III), C6-ideal occlusion, C7-unilateral posterior crossbite, C8-anterior open bite plus bilateral posterior crossbite plus crowding, and C9-deep bite (Class II div. 2). Cochran's Q and McNemar tests were used to compare the frequencies of choice of emoji between conditions. Correspondence analyses were applied to assess the association between occlusal conditions and emoji. Kendall's correlation coefficient was calculated to evaluate the relationship between mean acceptance scores and frequency counts of each emoji. RESULTS: The frequency of choice between conditions showed a significant difference for 25 of the 30 emoji (P < 0.05), indicating an adequate discriminating ability of these tools. Emoji were grouped predominantly based on their emotional valence (positive/negative) and arousal/activation (high/low). Positive emoji were associated with the most accepted conditions (i.e., C6, C3), while negative emoji with the most rejected ones (i.e., C8, C1, C2). Although only weak, positive correlations between acceptance and positively valenced emoji, and negative correlations between acceptance and negatively valenced emoji were observed (P < 0.05). CONCLUSIONS: Emoji have an adequate discriminatory ability and would allow determining emotional profiles in the face of different occlusal conditions. Further research is necessary to consolidate the use of these tools in an instrument that allows measuring emotional responses.

Orthodontic camouflage as a treatment alternative for skeletal Class III.

INTRODUCTION: Skeletal Class III malocclusion is a deformity of complex treatment, with few intervention alternatives, which are further limited in nongrowing patients. In most cases, orthognathic surgery is the ideal treatment for adults, an option often refused by patients. Mild to moderate skeletal Class III malocclusions and acceptable facial esthetics can benefit from a course of treatment in which dental movements are used to compensate for the skeletal discrepancy. OBJECTIVE: This study aimed to discuss orthodontic camouflage as an option for adult patients with Class III malocclusion, emphasizing its indications, implications and expected results.

Chromatic analysis of orthodontic resin bonding agents exposed to different antiseptic mouthrinses.

OBJECTIVE: To assess the color of different orthodontic resin bonding agents exposed to three antiseptic mouthrinses for a prolonged time interval (10-year aging simulation). METHODS: 160 specimens were distributed into four groups, according to the orthodontic resin bond agent (Concise, Transbond XT, Transbond Plus Color Change, and Natural Ortho). Each group was exposed to different antiseptic mouthrinses: alcohol-based (Listerine®), alcohol-free (Oral-B®), chlorhexidine (Periogard®) and distilled water as the control. Specimens were submitted to two cycles of staining and artificial aging. Color was evaluated by means of a digital spectrophotometer at the beginning of the experiment and after every cycle. The system used to assess color changes was the CIE L*a*b*. Data was analyzed using the ANOVA and Tukey post-hoc test. RESULTS: After simulation of 10 years of aging, Transbond XT and Natural Ortho composites presented no statistically significant differences in ∆E when exposed to different mouthrinses. The Concise composite specimens exposed to alcohol-free mouthrinse presented a significant difference when compared with specimens from the same group exposed to other antiseptic mouthrinses. Transbond Plus Color Change specimens exposed to chlorhexidine mouthrinse and to alcohol-containing mouthrinse presented a significant difference when compared with the specimens from the group exposed to water and alcohol-free antiseptic. CONCLUSION: All orthodontic resin bonding agents tested presented clinically perceptible color changes when exposed to at least one of the mouthrinses, except for the Natural Ortho composite. The Concise composite exposed to the alcohol-free solution was the resin that presented the highest color change values.

Stress and displacement of mini-implants and appliance in Mini-implant Assisted Rapid Palatal Expansion: analysis by finite element method.

OBJECTIVE: In this study, simulations were performed by the finite element method (FEM) to determine the tension and displacement in mini-implants and in expander appliance during rapid maxillary expansion, by varying the number and location of the mini-implants. METHODS: For the computational simulation, a three-dimensional mesh was used for the maxilla, mini-implants and expander appliance. Comparisons were made on six different Mini-implant Assisted Rapid Palatal Expander (MARPE) configurations, by varying the amount and location of mini-implants. A closed suture was design and received two activations of 0.25 mm, and an open suture had a 0.5-mm aperture that received 20 activations, also of 0.25 mm. RESULTS: For the closed suture, the maximum displacement values in the mini-implants were between 0.253 and 0.280 mm, and stress was between 1,348.9 and 2,948.2 MPa; in the expander appliance, the displacement values were between 0.256 and 0.281 mm, and stress was between 738.52 and 1,207.6 MPa. For the open suture, the maximum displacement values in the mini-implants were between 2.57 and 2.79 mm, and stress was between 5,765.3 and 10,366 MPa; in the appliance, the maximum displacements was between 2.53 and 2.89 mm, and stress was between 4,859.7 and 9,157.4 MPa. CONCLUSIONS: There were higher stress concentrations in the mini-implant than in the expander arm. In the simulations with a configuration of three mini-implants, stress overload was observed in the isolated mini-implant. Displacements of the mini-implants and arms of the appliance were similar in all simulations.

FGF10 and FGF13 genetic variation and tooth-size discrepancies.

OBJECTIVES: To explore whether variations in odontogenesis-related genes are associated with tooth-size discrepancies. MATERIALS AND METHODS: Measurements of the width of permanent teeth were obtained from dental casts of 62 orthodontic patients (age 15.65 ± 6.82 years; 29 males and 33 females). Participants were classified according to the anterior and overall Bolton ratios as without tooth-size discrepancy or with maxillary or mandibular tooth-size excess. Genomic DNA extracted from buccal cells was used, and 13 single nucleotide polymorphisms (SNPs) across nine genes were genotyped by polymerase chain reaction using TaqMan chemistry. χ2 or Fisher exact tests were applied to determine the overrepresentation of genotypes/alleles depending on the type of tooth-size discrepancy (α = .05; corrected P value: P < 5.556 × 10-3). Odds ratios (ORs) and their correspondent 95% confidence intervals (CIs) were also calculated to investigate the risk of this phenotype for the SNPs having significant association. RESULTS: Individuals carrying the FGF10 rs900379 T allele were more likely to have larger mandibular teeth (OR = 3.74; 95% CI: 1.65-8.47; P = .002). This effect appeared to be stronger when two copies of the risk allele (TT) were found (recessive model, OR = 6.16; 95% CI: 1.71-22.16; P = .006). On the other hand, FGF13 rs5931572 rare homozygotes (AA, or male A hemizygotes) had increased risk of displaying tooth-size discrepancies when compared with the common homozygotes (GG, or male G hemizygotes; OR = 10.32; 95% CI: 2.20-48.26; P = .003). CONCLUSIONS: The results suggest that FGF10 and FGF13 may contribute to the presence of tooth-size discrepancies.

Reasons influencing the preferences of prospective patients and orthodontists for different orthodontic appliances.

OBJECTIVE: To evaluate the reasons influencing the preferences for a certain type of orthodontic appliance over another among prospective patients (PP) and orthodontists. METHODS: A total of 49 PP and 51 orthodontists were asked about their preferences for the following appliances: clear aligners (CA), lingual metallic brackets (LMB), polycrystalline and monocrystalline ceramic brackets, and buccal metallic brackets (BMB). The participants rated the importance of 17 potential reasons that would explain their choices. The reasons that contributed most to these preferences were identified. Non-parametric tests (Fisher's exact, χ2 and Mann-Whitney tests) and multivariate analyses (regression and discriminant analysis) were used to assess the data (α = 0.05). RESULTS: CA and BMB were the most chosen appliances by PP and orthodontists, respectively. LMB was the most rejected option among both groups of participants (p < 0.001). Rates of the importance of pain/discomfort, smile esthetics, finishing details, and feeding/speech impairment showed the highest differences between PP and orthodontists (p < 0.0005). Discriminant analyses showed that individuals who considered treatment time and smile esthetics as more important were more likely to prefer CA, while those who prioritized finishing details and cost were more likely to choose BMB (p < 0.05). CONCLUSIONS: Reasons related to comfort and quality of life during use were considered as more important by PP, while those related to the results and clinical performance of the appliances were considered as more relevant by orthodontists.

Cytotoxicity of orthodontic separating elastics.

BACKGROUND: Separating elastics may be cytotoxic to the interdental gingival tissues. Both latex and non-latex separating elastics are widely used and both types should be biocompatible. OBJECTIVE: To determine if latex and non-latex orthodontic separating elastics are cytotoxic. METHODS: The cytotoxicity of natural latex (Groups A, D and O) and non-latex (Group M) orthodontic separating elastics were determined by incubating 15 elastics of each type in Eagle's essential medium (MEM), removing the supernatant after 24, 48, 72 and 168 hours and adding it to cultures of L-929 mouse fibroblasts in growth medium (MEM plus glutamine, garamicine, fungizone, sodium bicarbonate, buffered saline and foetal calf serum). To verify the cell response in extreme situations, three additional groups were included: Group CC (cell control), consisting of L-929 cells not exposed to supernatants from the maintenance medium with the elastics; Group C+ (positive control), consisting of Tween 80; Group C- (negative control), consisting of phosphate buffered saline solution. The positive and negative controls were incubated in MEM maintenance medium for 24, 48, 72 and 168 hours and the extracted elutes were added to L-929 line cells incubated in the growth medium. The viability of the cells was determined with neutral red (dye-uptake method) at 24, 48, 72 and 168 hours. The data were analysed with the analysis of variance (ANOVA) and Tukey's multiple comparison test. The significance level was p < or = 0.05. RESULTS: The elastics in Groups A, D and O induced greater cell lysis at 72 hours compared to the other experimental times. There were statistically significant differences between the cytotoxicity of the elastics in Groups A, D and O in relation to Group CC for experimental times of 24, 48, 72 and 168 hours (p > 0.05). There was not, however, a statistically significant difference between Groups D and CC at 24 hours. CONCLUSION: The latex and non-latex orthodontic separating elastics tested were considered to be biocompatible.

Orthodontic correction of a maxillary canine-first premolar transposition.

Transposition is a form of ectopia, in which 2 adjacent teeth change positions in the dental arch or 1 tooth develops in a position occupied by a nonadjacent tooth. Transposition can be partial or complete. Despite their low prevalence in the general population, transpositions are a challenge to orthodontists, especially if treatment aims to correct the order of the teeth. This article reports the diagnosis, planning, and treatment of a unilateral maxillary canine-first premolar transposition in a female patient treated orthodontically without premolar extraction and with correction of the transposition. Treatment options, advantages and disadvantages of each method, and the mechanics used during the treatment are also discussed.

Analysis of the middle region of the pharynx in adolescents with different anteroposterior craniofacial skeletal patterns.

OBJECTIVE: To assess the volume and morphology of the middle region of the pharynx (MRP) in adolescents with different anteroposterior craniofacial skeletal patterns. METHODS: One hundred twenty-six patients (56 male and 70 female), who had cone-beam computed tomography (CBCT) within their records, were selected for this cross-sectional study. Participants were classified, according to their ANB angle value, in Class I (1o ≤ ANB ≤ 3o), Class II (ANB > 3o) and Class III (ANB < 1o). The total volume (tV), minimum axial area (AxMin) and morphology of the MRP and its subdivisions - velopharynx (VP) and oropharynx (OP) - were characterized by CBCT and 3-dimensional image reconstruction software. Intergroup comparisons were performed by ANOVA and Tukey post-hoc tests. Correlations between tV and Axmin with the ANB angle values were tested using linear regression analysis, considering sex as covariable. RESULTS: Statistically significant difference between groups were observed in tV only for the VP region; Class II individuals presented significantly lower tV (6863.75 ± 2627.20 mm3) than Class III subjects (9011.62 ± 3442.56 mm3) (p< 0.05). No significant differences were observed between groups for any other variable assessed, neither in MRP nor in the OP region (p> 0.05). A significant negative correlation was evidenced between tV and Axmin and the ANB angle values; sexual dimorphism was observed for some variables. CONCLUSIONS: Class II subjects have smaller tV in the VP region. tV and Axmin tend to decrease in all evaluated regions when the ANB angle values increase.

Class II Division 1 malocclusion with severe overbite: cephalometric evaluation of the effects of orthodontic treatment.

AIM: To evaluate the effects of orthodontic treatment among individuals with Class II Division 1 malocclusion and severe overbite. METHODS: The sample was made up of 70 patients (35 males and 35 females), with an average age of 11.6 years in pretreatment and 14.9 years in posttreatment. One hundred forty lateral cephalograms were obtained and traced by a single investigator. All individuals were treated with the edgewise technique associated with the Kloehn cervical extraoral headgear during the growth spurt, and simultaneously presented ANB > or = 5 degrees and overbite > or = 4 mm. Statistical analysis involved t tests for both independent and paired samples and the Spearman correlation test. RESULTS: There were no significant differences between genders regarding the effects of treatment. The cases treated with extraction presented a greater reduction in the SNA angle. On average, all the variables of the study were significantly different when comparing the pretreatment and posttreatment conditions, except for the measurement of the mandibular plane angle (SNGoMe). CONCLUSION: Correction of severe overbite occurred in virtue of the intrusion of the maxillary and mandibular incisors associated to a reduction of the maxillary prognathism and differential growth of the mandible, as well as dentoalveolar growth.

High-intensity laser application in Orthodontics.

INTRODUCTION: In dental practice, low-level laser therapy (LLLT) and high-intensity laser therapy (HILT) are mainly used for dental surgery and biostimulation therapy. Within the Orthodontic specialty, while LLLT has been widely used to treat pain associated with orthodontic movement, accelerate bone regeneration after rapid maxillary expansion, and enhance orthodontic tooth movement, HILT, in turn, has been seen as an alternative for addressing soft tissue complications associated to orthodontic treatment. OBJECTIVE: The aim of this study is to discuss HILT applications in orthodontic treatment. METHODS: This study describes the use of HILT in surgical treatments such as gingivectomy, ulotomy, ulectomy, fiberotomy, labial and lingual frenectomies, as well as hard tissue and other dental restorative materials applications. CONCLUSION: Despite the many applications for lasers in Orthodontics, they are still underused by Brazilian practitioners. However, it is quite likely that this demand will increase over the next years - following the trend in the USA, where laser therapies are more widely used.

Orthodontic camouflage as a treatment alternative for skeletal Class III

ABSTRACT Introduction: Skeletal Class III malocclusion is a deformity of complex treatment, with few intervention alternatives, which are further limited in nongrowing patients. In most cases, orthognathic surgery is the ideal treatment for adults, an option often refused by patients. Mild to moderate skeletal Class III malocclusions and acceptable facial esthetics can benefit from a course of treatment in which dental movements are used to compensate for the skeletal discrepancy. Objective: This study aimed to discuss orthodontic camouflage as an option for adult patients with Class III malocclusion, emphasizing its indications, implications and expected results.

RESUMO Introdução: A má oclusão esquelética de Classe III é uma deformidade de difícil tratamento e com poucas alternativas de intervenção, que ficam ainda mais limitadas em pacientes sem crescimento. Na maior parte dos casos, o tratamento ideal para adultos é a cirurgia ortognática, opção muitas vezes recusada pelo paciente. As más oclusões esqueléticas de Classe III leve a moderada e com estética facial aceitável podem se beneficiar de um plano de tratamento no qual movimentações dentárias são realizadas para compensar a discrepância esquelética. Objetivo: O objetivo do presente estudo foi discutir a camuflagem ortodôntica como opção para pacientes adultos com má oclusão de Classe III, ressaltando suas indicações, implicações e resultados esperados.

Chromatic analysis of orthodontic resin bonding agents exposed to different antiseptic mouthrinses

ABSTRACT Objective: To assess the color of different orthodontic resin bonding agents exposed to three antiseptic mouthrinses for a prolonged time interval (10-year aging simulation). Methods: 160 specimens were distributed into four groups, according to the orthodontic resin bond agent (Concise, Transbond XT, Transbond Plus Color Change, and Natural Ortho). Each group was exposed to different antiseptic mouthrinses: alcohol-based (Listerine®), alcohol-free (Oral-B®), chlorhexidine (Periogard®) and distilled water as the control. Specimens were submitted to two cycles of staining and artificial aging. Color was evaluated by means of a digital spectrophotometer at the beginning of the experiment and after every cycle. The system used to assess color changes was the CIE L*a*b*. Data was analyzed using the ANOVA and Tukey post-hoc test. Results: After simulation of 10 years of aging, Transbond XT and Natural Ortho composites presented no statistically significant differences in ∆E when exposed to different mouthrinses. The Concise composite specimens exposed to alcohol-free mouthrinse presented a significant difference when compared with specimens from the same group exposed to other antiseptic mouthrinses. Transbond Plus Color Change specimens exposed to chlorhexidine mouthrinse and to alcohol-containing mouthrinse presented a significant difference when compared with the specimens from the group exposed to water and alcohol-free antiseptic. Conclusion: All orthodontic resin bonding agents tested presented clinically perceptible color changes when exposed to at least one of the mouthrinses, except for the Natural Ortho composite. The Concise composite exposed to the alcohol-free solution was the resin that presented the highest color change values.

RESUMO Objetivo: Avaliar a cor de diferentes resinas ortodônticas expostas a três enxaguantes bucais, por um intervalo de tempo prolongado (simulação de 10 anos de envelhecimento). Métodos: 160 espécimes foram distribuídos em quatro grupos, de acordo com a resina de colagem ortodôntica (Concise, Transbond XT, Transbond Plus Color Change e Natural Ortho). Cada grupo foi exposto a diferentes tipos de enxaguantes bucais: à base de álcool (Listerine®), isento de álcool (Oral-B®), clorexidina (Periogard®) ou água destilada, como controle. Os espécimes foram submetidos a dois ciclos de manchamento e envelhecimento artificial. A cor foi avaliada por meio de um espectrofotômetro digital no início do experimento e após cada ciclo. O sistema utilizado para avaliar as alterações de cor foi o CIE L*a*b*. Os dados foram analisados utilizando-se o teste ANOVA e o teste post-hoc de Tukey. Resultados: Após a simulação de 10 anos de envelhecimento, as resinas Transbond XT e Natural Ortho não apresentaram diferenças estatisticamente significativas no ∆E, quando expostas a diferentes enxaguantes bucais. Os espécimes do grupo Concise expostos ao enxaguante bucal sem álcool apresentaram diferença significativa quando comparados aos espécimes do mesmo grupo expostos aos outros enxaguantes bucais. Os espécimes do grupo Transbond Plus Color Change expostos à clorexidina e ao enxaguante bucal à base de álcool apresentaram diferença significativa quando comparados aos espécimes dos grupos expostos à água e ao enxaguante bucal sem álcool. Conclusão: Todas as resinas ortodônticas avaliadas apresentaram alterações de cor clinicamente perceptíveis quando expostas a pelo menos um dos enxaguantes bucais, com exceção da resina ortodôntica Natural Ortho. A resina Concise exposta à solução isenta de álcool foi a que apresentou os maiores valores de alteração de cor.