Effect of self-etch primer application on the bond failure rate of a mandibular bonded lingual retainer.

BACKGROUND: The aim of this study was to examine the effect of self-etch primer (SEP) application on the bond failure rate of a mandibular bonded lingual retainer over 24 months. METHODS: The average age of the 86 individuals included in this study was 17 years 4 months. After the removal of the orthodontic appliances, the lingual retainers, which were made of six-stranded stainless steel wire, were bent and bonded onto the lingual surface of all mandibular anterior teeth. The study was performed using a split-mouth design. In the study group, the SEP was administered to the teeth's lingual surfaces. In the control group, they were etched using 37% phosphoric etchant liquid gel. After etching, the primer was applied. The adhesive resin was applied and the retainer was fitted. The patients were re-evaluated over 24 months. The first bond failures and the amount of adhesive remaining on the tooth were recorded as the adhesive remnant index (ARI) scores. The chi-square test was used to compare the bond failure rates (P = 0.231) and ARI scores between the groups (P = 0.162). The survival rates of the retainers were estimated using the Kaplan-Meier test (P = 0.237). The significance level was P < 0.05. RESULTS: The bond failure rates, ARI scores, and survival rates did not differ significantly between the groups. CONCLUSIONS: The results of this study demonstrated that an SEP can be used successfully in mandibular lingual retainer bonding. In situations where saliva isolation is difficult, bonding a fixed lingual retainer with SEP is recommended.

Investigating the effect of bruxism on maxillary arch length and width in children using three-dimensional digital model analysis.

BACKGROUND: Bruxism is defined as repetitive jaw-muscle activity characterized by the grinding and clenching of teeth. The prevalence of bruxism in children is extensive, and it can cause irregularities in dental arches. The study aimed to investigate the presence of any effects of bruxism on maxillary arch length and width in children using three-dimensional (3D) digital model analysis. METHOD: This study evaluated 30 children with bruxism. For every child with bruxism, a case control without bruxism was selected and matched for gender, age, and dentition. Digital models of the patients' maxilla were obtained with a 3D intraoral scanner, and width and length measurements between the reference points on the maxilla were obtained on the digital models. RESULTS: The mean age of the study group was 9.13 ± 1.27. Insignificance differences were found between females and males within and between groups in terms of maxillary width and length. Insignificant difference was found between the control and study groups when the lengths of 3R-3L, 4R-4L, 5R-5L, 6R-6L, and IP-M were compared (p > 0.05). CONCLUSION: Based on the study results, there were no differences in the maxillary arch length and width in patients with bruxism and patients without bruxism.

Comparison of CBCT with different voxel sizes and intraoral scanner for detection of periodontal defects: an in vitro study.

OBJECTIVES: This study aimed to compare the diagnostic accuracy of cone beam CT (CBCT) units with different voxel sizes with the digital intraoral scanning technique in terms of the detection of periodontal defects. METHODS AND MATERIALS: The study material comprised of 12 dry skulls with maxilla and mandible. Artificial defects were created on teeth separately using burs randomly on dry skulls. In total 46 dehiscences, 10 fenestrations, 17 furcations, 12 wall defects and 13 without periodontal defect were used in the study. Each tooth with and without defects was imaged at various vertical angles using each of the following modalities: a Veraviewepocs 3D R100 CBCT device and a 3D Shape TRIOSㄾ Color P13 Shade Intraoral Scanner. RESULTS: The κ values for interobserver agreement between observers ranged between 0.29 and 0.86 for the CBCT 10 × 8 cm field of view (FOV) with 0,160 mm3 voxel size; 0.35 and 1 for the CBCT 8 × 8 cm FOV with 0,125 mm3 voxel size; and 0.30 and 1 of intraoral scans. The κ values for detecting defects on anterior teeth were the least, following premolar and molar teeth both CBCT and intraoral scanning. CONCLUSIONS: Smaller voxel sizes and smaller CBCT FOV has the highest sensitivity and diagnostic accuracy for detecting various periodontal defects among the scanner modalities examined. ADVANCES IN KNOWLEDGE: Adequate evaluation of the condition of the alveolar bone and periodontal tissues is important for the diagnosis, treatment, and prognosis of periodontal disease. Limited examination methods, such as palpation, inspection, and periodontal probe examination, may provide insufficient information for the diagnosis of periodontal diseases.