Comparative evaluation of three methods of adhesive remnant removal after orthodontic bracket debonding.

OBJECTIVE: This study aimed to assess the effects of three methods of adhesive remnant removal (carbide bur and low speed handpiece, carbide bur and high speed handpiece, and zircon-rich glass fiber reinforced composite bur), after orthodontic bracket debonding, on tooth color and enamel surface roughness. METHODS: Ninety sound premolar teeth were selected. The baseline tooth color was assessed using Vita spectrophotometer. The teeth were subjected to bracket bonding processes and then randomly divided into three equal groups. In each group, composite remnant was removed by one of the three methods of adhesive removal, and the teeth were then subjected to color assessment again. To measure the surface roughness, a scanning electron microscope (SEM) with x400 magnification was used. RESULTS: ANOVA showed that the effect of the three methods of adhesive remnant removal on ∆L, ∆b and ∆E was statistically significant (p=0.01), but without significant effect on ∆a. Comparison of the means showed that composite bur and high speed carbide bur yielded the highest ∆E (p=0.05), and had a significant difference when compared to carbide bur and low speed handpiece. The highest ∆L and ∆b values belonged to samples approached with composite bur and carbide bur with high speed handpiece, respectively. SEM analysis showed that the composite bur created a very smooth surface, compared to the other two methods. CONCLUSION: Zircon-rich glass fiber reinforced composite created the smoothest enamel surface and highest color change, when compared to the other two methods.

Evaluation of the effects of fluoride mouth rinse and varnish on the early biofilm formation of Streptococcus mutans in two types of orthodontic adhesive resins: An in vitro study.

Background: The aim of the present study is to compare the antibacterial effect of fluoride mouth rinse and fluoride varnish on the primary biofilm formation of Streptococcus mutans (S. mutans) in two types of orthodontic adhesives. Materials and Methods: This is an in vitro study in which forty composite discs of Transbond XT and Lightbond were divided randomly into 4 groups: Group 1: Control group (not treated with fluoride), Group 2: Rinsed by 0.2% fluoride mouth rinse, Group 3: Rinsed by 0.05% fluoride mouth rinse, and Group 4: Treated by varnish fluoride. Then each group was placed in S. mutans suspension. Bacterial suspension from each treatment was subcultured onto the surface of Mueller-Hinton agar plates, and bacterial growth was assessed. The results were analyzed by analysis of variance test and Scheffé test was run to compute the binary groups (P < 0.05). Results: There was a statistically significant reduction in the viability of S. mutans in treated groups by fluoride but no significant difference between two types of composites. Conclusion: The results of this study demonstrated that S. mutans colonies were sensitive to fluoride and their most effective form was varnish. There was no significant difference in early biofilm formation of S. mutans in two types of orthodontic adhesive resins Transbond XT and Lightbond.

Impact of variations in maxillary lateral incisor dimensions on smile esthetics.

INTRODUCTION: Dentofacial esthetics has become an increasingly important topic in recent years among orthodontic patients, so it is suggested that the esthetic perspectives of clinicians and patients be considered when planning orthodontic treatment. The maxillary lateral incisors play a key role in smile esthetics. The purpose of this study was to investigate the effect of dimensional changes of the maxillary lateral incisors on smile esthetics as perceived by orthodontists, general dentists, and laypersons. METHODS: This was a descriptive cross-sectional study. A photograph showing an attractive smile was selected. The dimensions of the maxillary lateral incisors were edited with photograph editing software to represent variations in width, crown length, gingival height, and mesial angulation. Groups of orthodontists, general dentists, and laypersons (n = 16 per group) evaluated the smile attractiveness of the images using the Likert scale according to smile esthetics criteria. Statistical analysis was performed using SPSS software (version 25) and Kruskal-Wallis statistical test. The significance level was set at 0.05. RESULTS: There was no significant difference between mean scores of lateral incisor golden proportion changes, vertical crown length changes, gingival height changes, and mesial angulation changes (P >0.05). All groups found 1 mm more incisally positioned gingival height of lateral incisor than the central incisor and 1 mm more apically positioned incisal edge of lateral incisor than the central incisor to be the most attractive. In the group of orthodontic specialists, the 20° mesial angulation and in the other 2 groups the 10° and 15° mesial angulation had the highest score. CONCLUSIONS: Partial deviations from the ideal esthetic proportions were not detected by laypersons, general dentists, or orthodontists and are acceptable and even attractive from the point of view of patients. Some adherence to these ratios will be acceptable in dental treatments.

Bacterial composition of subgingival plaque in crowded and noncrowded teeth.

INTRODUCTION: Patients with dental crowding, even with good oral hygiene, may show increased bacterial presence in the crowded area. This study aimed to determine the microbial composition of subgingival plaque in crowded and noncrowded dental regions. METHODS: Forty dental students with anterior dental crowding, who were aware of correct brushing techniques and oral hygiene, were enrolled in this study. After orthodontic records were taken and the periodontal examination was performed, subgingival plaque samples were collected from the crowded (experimental) and noncrowded regions (control) of each patient. Colony counting was performed for Aggregatibacter actinomycetemcomitans (Aa), Porphyromonas gingivalis (Pg), and streptococcus species. RESULTS: The mean amount of Aa and Pg colonies was significantly higher in crowded areas (P <0.0001), but there was no significant difference between streptococcus species colonization and crowding. Aa and Pg colonization had a significant direct relation with the amount of crowding. (P <0.0001). CONCLUSIONS: Crowded dental areas, even with good oral hygiene, are more suitable environments for Aa and Pg colonization.

Comparative evaluation of three methods of adhesive remnant removal after orthodontic bracket debonding

ABSTRACT Objective: This study aimed to assess the effects of three methods of adhesive remnant removal (carbide bur and low speed handpiece, carbide bur and high speed handpiece, and zircon-rich glass fiber reinforced composite bur), after orthodontic bracket debonding, on tooth color and enamel surface roughness. Methods: Ninety sound premolar teeth were selected. The baseline tooth color was assessed using Vita spectrophotometer. The teeth were subjected to bracket bonding processes and then randomly divided into three equal groups. In each group, composite remnant was removed by one of the three methods of adhesive removal, and the teeth were then subjected to color assessment again. To measure the surface roughness, a scanning electron microscope (SEM) with x400 magnification was used. Results: ANOVA showed that the effect of the three methods of adhesive remnant removal on ∆L, ∆b and ∆E was statistically significant (p=0.01), but without significant effect on ∆a. Comparison of the means showed that composite bur and high speed carbide bur yielded the highest ∆E (p=0.05), and had a significant difference when compared to carbide bur and low speed handpiece. The highest ∆L and ∆b values belonged to samples approached with composite bur and carbide bur with high speed handpiece, respectively. SEM analysis showed that the composite bur created a very smooth surface, compared to the other two methods. Conclusion: Zircon-rich glass fiber reinforced composite created the smoothest enamel surface and highest color change, when compared to the other two methods.

RESUMO Objetivo: O presente estudo teve como objetivo avaliar os efeitos de três métodos de remoção de adesivo remanescente (broca carbide e peça de mão em baixa rotação, broca carbide e peça de mão em alta rotação, e broca de compósito reforçado com fibra de vidro rica em zircônia), após a descolagem de braquetes ortodônticos, sobre a cor dos dentes e rugosidade superficial do esmalte. Métodos: Noventa pré-molares hígidos foram selecionados. A cor inicial dos dentes foi avaliada usando um espectrofotômetro Vita. Os dentes foram submetidos à etapa de colagem dos braquetes e, então, divididos aleatoriamente em três grupos. Em cada grupo, o adesivo remanescente foi removido usando um dos três métodos de remoção, e os dentes foram novamente submetidos à avaliação de cor. Para medir a rugosidade superficial dos dentes, foi usado um microscópio eletrônico de varredura (MEV) com aumento de 400x. Resultados: A ANOVA mostrou que os três métodos de remoção do adesivo remanescente tiveram efeito estatisticamente significativo (p=0,01) em ∆L, ∆b e ∆E, mas sem efeito significativo em ∆a. A comparação das médias mostrou que a broca de compósito e a broca carbide em alta rotação produziram o maior ∆E (p=0,05) e tiveram uma diferença significativa quando comparadas com a broca carbide e a peça de mão em baixa rotação. Os maiores valores de ∆L e ∆b foram encontrados, respectivamente, nos grupos com broca de compósito e broca carbide usando peça de mão em alta rotação. A análise MEV mostrou que o uso da broca de compósito resultou em uma superfície muito lisa, em comparação com os outros dois métodos. Conclusão: Em comparação aos outros métodos, a broca de compósito reforçado com fibra de vidro rica em zircônia criou a superfície de esmalte mais lisa e resultou em uma maior mudança de cor.

Comparison of the Load-Deflection Characteristics of Aesthetic and Conventional Super Elastic Ni-Ti Orthodontic Arch Wires in Conventional and Metal-Insert Ceramic Brackets.

INTRODUCTION: Coated arch wires and ceramic brackets have been introduced to improve aesthetics during orthodontic treatment. AIM: The aim of this study was to determine the effects of coating on the physical properties of aesthetic orthodontic wires. MATERIAL AND METHODS: Five round wires (0.016 inch) were obtained from each of three brands: conventional uncoated super elastic Nickel Titanium (Ni-Ti) (Rematitian Lite; Dentaurum, Ispringen, Germany), HUBIT (Teflon Coated, Korea), G&H (Epoxy Coated, Greenwood, Indiana, USA) which belonged to maxillary arch. Two types of standard ceramic brackets (conventional and metal-insert type, Ortho Technology, Tampa, Florida, USA) with the slot size of 0.022×0.028 inches were used. A simulation device was fabricated to resemble a model of human dental arch and each of the specimen was tested in three-point bending test. The test was conducted in the buccolingual plane with crosshead speed of 1mm/minute pressure from metal pole. Each sample was loaded until a deflection of 3.0 mm was produced. The mean values of maximum loading force, unloading force and clinical plateau length were recorded. One-way ANOVA and Tukey tests were used at p<0.05. RESULTS: Uncoated Ni-Ti arch wire showed higher mean values of maximum loading and unloading force than that of coated aesthetic wires similar to ceramic brackets while G&H wire and metal-insert ceramic brackets presented the lowest values. The longest clinical plateau length was observed in G&H wires and metal-insert ceramic bracket. CONCLUSION: The coating processes for HUBIT (Teflon Coated, Korea), G&H (Epoxy Coated, Greenwood, Indiana, USA) wires might influence bending behaviour which can cause decrease in loading and unloading force.

Effects of removing adhesive from tooth surfaces by Er:YAG laser and a composite bur on enamel surface roughnessand pulp chamber temperature.

BACKGROUND: At the end of fixed orthodontic treatment, the remnant of adhesive should be eliminated from the tooth surface. The purpose of this study was to compare the effect of three methods of removing adhesive on enamel surface roughness, dental pulp temperature, and also on the time spent. MATERIALS AND METHODS: The brackets on 90 extracted teeth were debonded using bracket removal pliers. A thermocouple sensor was fitted on the buccal wall of the pulp chamber through access cavity to measure thermal changes during adhesive removal. The residue of adhesive was eliminated from enamel surface of teeth by either tungsten carbide bur, erbium-doped yttrium aluminum garnet laser, or fiber reinforced composite bur. Scanning electron micrographs images were taken to assess the roughness of enamel surface. The time spent for adhesive removal was recorded as well. Chi-square test was used to evaluate the remnants of adhesive and enamel surface roughness; t-test and also repeated measurement analysis of variance were applied at P < 0.05 to compare the thermal changes of the pulp chamber and time spent between the methods of surface treatment. RESULTS: The results of surface roughness were significantly different (P < 0.001). The pulp temperature changed significantly (P < 0.001). Tungsten carbide bur increased the temperature by 5.5°C significantly slower than reinforced composite bur (P = 0.004), however removed the adhesive residue faster than two other methods although not significantly (P = 0.069). CONCLUSION: Within the limitations of this study, fiber reinforced composite bur created the smoothest enamel surface while Er:YAG laser the roughest. Tungsten carbide and composite burs generated more heat compared to Er:YAG laser. In addition, tungsten carbide bur was the fastest and Er:YAG laser the slowest devices to remove adhesive residue.

Load Deflection Characteristics of Nickel Titanium Initial Archwires.

OBJECTIVES: The aim of this study was to assess and compare the characteristics of commonly used initial archwires by their load deflection graphs. MATERIALS AND METHODS: This study tested three wire designs namely copper nickel titanium (CNT), nickel titanium (NiTi), and multi-strand NiTi (MSNT) archwires engaged in passive self-ligating (PSL) brackets, active self-ligating (ASL) brackets or conventional brackets. To evaluate the mechanical characteristics of the specimens, a three-point bending test was performed. The testing machine vertically applied force on the midpoint of the wire between the central incisor and canine teeth to obtain 2 and 4mm of deflection. The force level at maximum deflection and characteristics of plateau (the average plateau load and the plateau length) were recorded. Two-way ANOVA and Tukey's test were used at P <0.05 level of significance. RESULTS: Force level at maximum deflection and plateau length were significantly affected by the amount of deflection. The type of archwires and brackets had significant effects on force level at maximum deflection, and plateau length. However, the bracket type had no significant effect on the average plateau force. CONCLUSION: With any type of brackets in deflections of 2 and 4mm, MSNT wire exerted the lowest while NiTi wire exerted the highest force level at maximum deflection and plateau phase. The force level at maximum deflection and the plateau length increased with raising the amount of primary deflection; however the average plateau force did not change significantly.

Effects of Twin-Block and Faramand-LL appliances on soft tissue profile in the treatment of Class II division 1 malocclusion.

Individuals with class II division I malocclusion suffer from increased over jet and unpleasant facial profile which induce poor self-image and low self-esteem. Mechanisms of different orthopedic appliances correcting class II malocclusion are investigated in numerous studies. Most of these researches focused on only the dentofacial changes and ignored the alterations of soft tissue profile. Evaluation of soft tissue alterations in patients treated with Faramand-II and Tween-Block appliances were the purposes of this study.