Evaluation of mechanical properties and morphology of miniscrews Ti6Al4V cold worked versus annealed in artificial bones.

PURPOSE: This study aimed to evaluate the influence of different manufacturing procedures (Eli annealed - hot work versus cold worked - cold work) of the raw material under mechanical properties and morphological characteristics of orthodontic miniscrews (MS). MATERIAL AND METHODS: Thirty MS were randomly separated into 3 types (n=10) according to manufacturer and manufacturing process of the raw material: type A - SIN® annealed (control group); type B - Dentfix® annealed; and, type C - Dentfix® cold worked. MI were inserted in artificial bone blocks, through the manufacturer's specific manual key attached to the digital torquemeter stabilized via custom device. Data of fracture's occurrence was performed using Fisher's exact test. Comparisons between the other two types regarding insertion torque and removal torque were performed using the Mann-Whitney test. Data of fracture torque, shear stress, normal stress and torque ratio was submitted to Kruskal Wallis and Dunn tests (α=0.05). Representative images of surface morphology and fractures were selected. RESULTS: Type C showed statistically the lowest fracture torque (N.cm) (26.11±0.41) (P=0.0012) and highest torque ratio (%) (98.74±0.85) (P=0.0007). Type C showed statistically higher calculated shear (MPa) (2,432.73±508.41) and normal stress (MPa) (1,403.86±293.39) than type B and type A, showing that they differed in relation to the mechanical strength of the material with which they were made (P=0.0007). CONCLUSION: Type A fractured completely inside the most apical bone. Type B and type C fractured closer to the transmucosal profile. Cold worked process should be more prone to fractures than those annealed raw manufactured.

Deflection of tandem archwire in a specific self-ligating metal bracket system: an in vitro study.

The aim of this study was to quantify the force exerted by tandem archwires in a specific system of passive self-ligating bracket. Forty-eight thermo-activated nickel-titanium orthodontic archwires were separated into four groups (n = 12): G1 - two .014" + .014" round archwires; G2 - two .014" + .016" round archwires; G3 - .014" x .025" rectangular archwire; and. G4 - .016" x .022" rectangular archwire. Brackets were fixed onto teeth 1.5 to 2.5 using a device that represented the upper teeth, maintaining an interbracket distance of 6.0 mm. The deflection tests were performed using the structure representative of tooth 1.1 as support on the Instron testing machine at a speed of 2.0 mm/min. The archwires were evaluated at deflections of 0.5 mm, 1.0 mm, and 1.5 mm. The data were analyzed by a generalized linear model, considering values at different deflections as repeated measurements in the same experimental unit (α = 0.5%). At 0.5 mm, higher forces were observed in G2 and G3, which did not differ significantly (p > 0.05). The lowest force was observed in G4 (p < 0.05). At 1.0 mm and 1.5 mm, the highest force was observed in G3, followed by G4 and G2 (p < 0.05). The lowest force was observed in G1 (p < 0.05). In general, tandem archwires (same or different calibers) in a specific passive self-ligating bracket exerted lower force when compared with rectangular archwires.

Porphyrin-associated fluorescence spectroscopy (Photogen®) for the optical diagnosis of dental biofilm in orthodontic treatment: An observational clinical trial.

OBJECTIVE: This study assessed the presence of dental biofilm with fluorescence spectroscopy associated with porphyrin (Photogen®) in users of orthodontic appliances. METHODS: This cross-sectional observational clinical trial included 21 patients with metallic orthodontic fixed appliances. The presence of biofilm was evaluated by fluorescence spectroscopy (Evince-MMÓptics. São Carlos-SP, Brazil) with a porphyrin photo-evidence device (Photogen®). Digital images of the buccal surface of the upper anterior teeth (central and lateral incisors and canines) without and with porphyrin were analyzed using the histogram R (red) function in ImageJ software. The results were analyzed using the maximum and mode values of the red pixels from the histograms. The statistical analysis considered the significance level of 5%. RESULTS: The maximum values and modes of the red pixels were significantly higher in biofilms analyzed by porphyrin-associated optical spectroscopy compared to optical spectroscopy alone. CONCLUSIONS: Porphyrin-associated fluorescence spectroscopy was able to detect dental biofilm in the oral environment of patients with orthodontic treatment. This method better evidenced the presence of biofilm on the buccal surfaces of the upper teeth compared to that observed with fluorescence spectroscopy without porphyrin.

Deflection of tandem archwire in a specific self-ligating metal bracket system: an in vitro study

Abstract The aim of this study was to quantify the force exerted by tandem archwires in a specific system of passive self-ligating bracket. Forty-eight thermo-activated nickel-titanium orthodontic archwires were separated into four groups (n = 12): G1 - two .014" + .014" round archwires; G2 - two .014" + .016" round archwires; G3 - .014" x .025" rectangular archwire; and. G4 - .016" x .022" rectangular archwire. Brackets were fixed onto teeth 1.5 to 2.5 using a device that represented the upper teeth, maintaining an interbracket distance of 6.0 mm. The deflection tests were performed using the structure representative of tooth 1.1 as support on the Instron testing machine at a speed of 2.0 mm/min. The archwires were evaluated at deflections of 0.5 mm, 1.0 mm, and 1.5 mm. The data were analyzed by a generalized linear model, considering values at different deflections as repeated measurements in the same experimental unit (α = 0.5%). At 0.5 mm, higher forces were observed in G2 and G3, which did not differ significantly (p > 0.05). The lowest force was observed in G4 (p < 0.05). At 1.0 mm and 1.5 mm, the highest force was observed in G3, followed by G4 and G2 (p < 0.05). The lowest force was observed in G1 (p < 0.05). In general, tandem archwires (same or different calibers) in a specific passive self-ligating bracket exerted lower force when compared with rectangular archwires.

Effect of horizontal slot of maxillary canines' brackets with varying wire angulations - An in vitro study.

A new device was developed to enable the visualization and measurement of canine angulation while at the same time visualizing and measuring the force transmitted to adjacent teeth. This study aimed to evaluate the mesiodistal tilt angle of the upper canine brackets, the wire deflection, and its effects on adjacent teeth with five different slot designs of upper canines. Wires (0.020" and 0.019" x 0.025") were tested on different five bracket types at five different distal angles. The force applied to adjacent teeth was measured as the angle was increased, and its consequences were observed in the posterior and anterior regions as well. The force tension (gf) was measured in a universal testing machine. Data were submitted to a 3-way ANOVA and Tukey's test (α=0.05). For both arches, regardless of the type of tooth and bracket type, the highest means tension mean values were shown by the 20° angle, followed by the 15°,10°, and 5° angles, which differed statistically among themselves. Overall, for 5°, 10°, and 15° angles, conventional and versatile brackets showed significantly higher force values in all teeth, tip-edge and control brackets showed the lowest. The highest force values were observed in central and lateral incisors with conventional and versatile brackets and on first and second premolar teeth with self-ligating passive and control brackets. Conventional brackets presented the highest forces, tip-edge and control brackets showed the lowest. The teeth that suffered the greatest forces were lateral incisors, and those that suffered the least were second premolars.

Effect of horizontal slot of maxillary canines' brackets with varying wire angulations - An in vitro study

Abstract A new device was developed to enable the visualization and measurement of canine angulation while at the same time visualizing and measuring the force transmitted to adjacent teeth. This study aimed to evaluate the mesiodistal tilt angle of the upper canine brackets, the wire deflection, and its effects on adjacent teeth with five different slot designs of upper canines. Wires (0.020" and 0.019" x 0.025") were tested on different five bracket types at five different distal angles. The force applied to adjacent teeth was measured as the angle was increased, and its consequences were observed in the posterior and anterior regions as well. The force tension (gf) was measured in a universal testing machine. Data were submitted to a 3-way ANOVA and Tukey's test (α=0.05). For both arches, regardless of the type of tooth and bracket type, the highest means tension mean values were shown by the 20° angle, followed by the 15°,10°, and 5° angles, which differed statistically among themselves. Overall, for 5°, 10°, and 15° angles, conventional and versatile brackets showed significantly higher force values in all teeth, tip-edge and control brackets showed the lowest. The highest force values were observed in central and lateral incisors with conventional and versatile brackets and on first and second premolar teeth with self-ligating passive and control brackets. Conventional brackets presented the highest forces, tip-edge and control brackets showed the lowest. The teeth that suffered the greatest forces were lateral incisors, and those that suffered the least were second premolars.

Resumo Foi desenvolvido um novo dispositivo para permitir a visualização e medição da angulação canina ao mesmo tempo que se visualiza e mede a força transmitida aos dentes adjacentes. Este estudo avaliou o ângulo de inclinação mesiodistal dos braquetes caninos superiores, a deflexão do fio, e os seus efeitos nos dentes adjacentes com cinco diferentes desenhos de ranhuras dos caninos superiores. Os fios (0,020" e 0,019" x 0,025") foram testados em cinco diferentes tipos de braquetes e ângulos distais. A força aplicada aos dentes adjacentes foi medida a medida que o ângulo era aumentado, e as suas consequências foram observadas também nas regiões posterior e anterior. A tensão da força (gf) foi medida em uma máquina de ensaio universal (Instron). Os dados foram submetidos ao teste ANOVA 3 fatores e Tukey (α=0,05). Para ambos os arcos, independentemente do tipo de dente e tipo de braquete, os valores médios de tensão mais elevados foram mostrados pelo ângulo de 20°, seguido pelos ângulos de 15°, 10°, e 5°, que diferiram estatisticamente entre si. Em geral, para ângulos de 5°, 10° e 15°, os braquetes convencionais e versáteis apresentaram valores de força significativamente mais elevados em todos os dentes, braquetes tip-edge e controle apresentaram os mais baixos. Os maiores valores de força foram observados nos incisivos centrais e laterais com braquetes convencionais e versáteis e no primeiro e segundo pré-molares com braquetes auto-ligantes passivo e controle. Os braquetes convencionais apresentaram as forças mais elevadas, os braquetes controle e tip-edge apresentaram os valores mais baixos. Os dentes que sofreram as maiores forças foram os incisivos laterais, e os que sofreram menos foram os segundos pré-molares.

Comparison of the shear bond strength between metal brackets and Transbond™ XT, Filtek™ Z250 and Filtek™ Z350 before and after gastroesophageal reflux: An in vitro study.

PURPOSE: To evaluate in vitro the effect of gastroesophageal reflux, before and after bonding of metal brackets on composite resin surface. MATERIALS AND METHODS: Two hundred and ten resin discs were divided into 5 groups (n=42), according to the time and medium of storage: 24h, 7- and -30 days in artificial saliva (AS) and hydrochloric acid (HCL). Twelve samples from each group were submitted to surface roughness analysis (n=60). The other one hundred and fifty samples were divided into 3 groups (n=50) according to the bonding material: Transbond™ XT (TXT), 3M™ Filtek™ Z250 (Z250) and 3M™ Filtek™ Z350 XT (Z350). After bonding, the samples were subdivided, one more time, into 5 groups (n=10) according to the time (24h, 7, and 30 days) and medium storage (AS, HCL). Following, the shear bond strength (SBS) analysis was accomplished. Erosive challenge was performed for 7 or 30 days, before and after bonding of orthodontic brackets, for 1min, 4 times a day. SBS was performed in a universal testing machine (Instron) at 0.5mm/min. SBS data were subjected to two-way ANOVA and Tukey's test (α=0.05). RESULTS: TXT showed higher SBS values in all conditions (AS - 10.9±2.0 (24h); 10.5±4.9 (7 days); 9.4±2.2 (30 days); HCL - 11.5±3.7 (7 days); 8.0±2.1 (30 days)) - (P<0.0001). No statistical difference was detected in SBS between Z250 and Z350 composite resins (Z250 SBS: AS - 7.1±1.9 (24h), 5.2±1.8 (7 days), 4.5±1.5 (30 days); HCL - 5.2±2.3 (7 days), 5.0±2.5 (30 days)) - (P<=0.063)/Z350 SBS: AS - 7.4±1.0 (24h); 3.7±1.7 (7 days); 3.4±1.7 (30 days); HCL - 3.5±3.3 (7 days); 4.4±1.2 (30 days)) - (P<=0.167), respectively). Storage times and media did not statistically influence the SBS of TXT and Z250 composite resins (P>0.05), but did influence the Z350 SBS (P<0.05). CONCLUSION: Regardless of time and storage medium, TXT was the best composite resin for bonding brackets. Furthermore, the erosive challenge did not lead to surface changes in the Z250 resin at 7 and 30 days, unlike the Z350 resin.

Comparison of the physico-chemical impact of chlorhexidine and silver nanoparticles on orthodontic appliances made with laser and silver solder: An in vitro study.

OBJECTIVE: The aim of this study was to evaluate the physical-chemical changes in orthodontic devices made with laser and silver solder after immersion in different antiseptic solutions. METHODS: Wire/band assemblies were fabricated using different types of solders (silver and laser). The devices were immersed in different antimicrobial solutions (chlorhexidine - CHX 0.12% and Silver nanoparticles - NAg 0.12% and 0.18%). Non-immersion in solution and immersion in artificial saliva were used as initial and negative control, respectively (n=12). Surface morphological analysis was performed using Scanning Electron Microscopy (SEM). The quantitative analysis of the chemical elements present after the immersions in the solutions was analysed by Energy Dispersive X-ray Spectroscopy (EDS). The data were subjected to the Kruskal-Wallis test followed by Bonferroni, with a significance level of 5%. RESULTS: Greater amounts of copper, silver and zinc were released from silver soldering, on the other hand, iron, nickel, and chromium ions were the most prevalent metal ions in laser soldering. Regarding mouthwashes, the lowest amounts of metal ions were released in CHX, and the highest amounts of ions were released in the 0.12% NAg and 0.18% NAg solutions. CONCLUSIONS: Laser welding seems to be less susceptible to corrosion. The different antiseptic solutions did not contribute to an increase in ion release.

Comparison of the friction forces delivered by different elastomeric patterns and metal ligature on conventional metal brackets with a NiTi arch wire versus a self-ligating system: An in vitro study.

OBJECTIVES: The aim of this study was to measure the frictional resistance of different types of ligatures used on conventional and self-ligating brackets. MATERIALS AND METHODS: Monoblock (conventional) and Portia (self-ligating) brackets were used and the archwire used was nickel-titanium. On conventional brackets the ligatures tested were the Elastomeric type and steel 0.30 tie-wire. The groups were divided according to the ligature types (n=8): (1) conventional elastomeric ligature; (2) relaxed conventional elastomeric ligature; (3) elastomeric ligature in shape-8; (4) double vertical elastomeric ligatures; (5) double-crossed elastomeric ligatures; (6) crossed ligature; (7) steel wire ligature; and (8) self-ligating ligature (self-ligating bracket). A segment of five brackets, each ligature types, was mounted. The archwire, between the bracket and the ligature, was connected on Instron® Universal test machine to simulate the frictional resistance. The maximum frictional resistance was obtained, and the mean values were submitted to the analysis of variance (ANOVA) and the Tukey's post-hoc test (α=0.05). RESULTS: The elastomeric ligature in shape-8 showed the highest value compared with other groups (P<0.05). Although the crossed elastomeric ligature presented the lowest mean value and it was not statistically different regarding relaxed conventional elastomeric ligature, steel wire ligature and self-ligating (P≥0.05). CONCLUSIONS: The frictional resistance was influenced by ligature types. Elastomeric Ligature in shape-8 showed the highest frictional force. Crossed Elastomeric Ligature had the lowest frictional force value.

Influence of different acid etching times on the shear bond strength of brackets bonded to bovine enamel.

INTRODUCTION: The most used product for surface acid conditioning for enamel is 37-40% phosphoric acid, which promotes greater mechanical retention. AIM: The objective of this study was to compare the shear bond strength (SBS) of brackets bonded to bovine enamel with different acid conditioning protocols and to analyze the surface morphology. MATERIALS AND METHODS: 169 teeth (n = 13) were divided into 4 groups: control group without conditioning (G1), Dental Gel 37% phosphoric acid (Dentsply) (G2), Ultra Etch 35% (Ultradent) (G3) and Attaque gel 37% (Biodinâmica) (G4). Groups G2, G3 and G4 were subdivided according to the conditioning time into: 10 s (a), 15 s (b), 30 s (c) and 60 s (d). The superficial enamel morphology (n = 3) was analyzed using a scanning electron microscopy (SEM) to analyze the depth of the microporosities. The samples were submitted to the shear test (SBS) with the aid of a universal testing machine (INSTRON) with a speed of 1 mm/min. The enamel after debonding was analyzed to determine the adhesive remnant index (ARI) in a stereoscopic magnifying glass. STATISTICAL ANALYSIS USED: The SBS data were analyzed using two-way ANOVA. ARI data were analyzed using generalized linear models and SEM measurements were analyzed using Kruskal Wallis and Dunn tests. The 95% significance level was used. RESULTS: The SBS within G2, G3 and G4 ranged from 11.11 to 12.66 MPa. ARI score 3 was observed in 35% of the samples. The samples analyzed in the SEM showed microporosity depth rangingfrom 1.28 to 2.48 µm. CONCLUSIONS: There was no difference between the acids and times evaluated for SBS. The ARI analysis showed that the studied acids provide protection to the enamel surface, keeping the adhesive attached to the buccal surface after debonding. The increase in conditioning time is directly proportional to the deterioration of the prismatic and interprismatic content.

Can text messages encourage flossing among orthodontic patients?

OBJECTIVES: To assess the extent to which text messages on WhatsApp play a role in patient awareness of the importance of proper oral hygiene and flossing on a daily basis and to test the null hypothesis that daily text messages do not influence the flossing habits of orthodontics patients. MATERIALS AND METHODS: Forty-four patients wearing fixed orthodontic appliances with a mean age of 14.3 years participated in the study. Patients (male and female) were randomly assigned to two groups (n = 22): group 1, text messages sent via WhatsApp daily during the study period, and group 2 (control), no text messages received. Plaque index, gingival bleeding index, and halitosis were assessed at baseline and after 30 days. The results were analyzed and subjected to normality test, McNemar test, Fisher exact test, Mann-Whitney test, and Wilcoxon signed-rank test. RESULTS: There was a significant influence on flossing habits (P < .05) and a significant reduction in plaque and gingival bleeding indices in group 1 (P < .05). Group 1 had a significant reduction in halitosis (P < .05). CONCLUSIONS: Daily text messages seem to influence patient awareness of the importance of proper oral hygiene and flossing. The null hypothesis was rejected because those patients who received text messages every day changed their flossing habits.

Comparation of three methods for measuring the Edge Bevel Radius of rectangular orthodontic wires: An in-vitro study.

OBJECTIVE: To establish a simplified method for measuring the edge bevel radius of 0.019×0.025-in steel rectangular orthodontic wires, achievable in the clinical environment, and to compare it with the photographic method. MATERIALS AND METHODS: Aided by the AutoCAD™ 2016 software, the theoretical mathematical relationship was determined between the edge rounding radius and cross-sectional dimensions (height, width, diagonals), through rectangle drawings that represent cross-sections. Two hundred segments (n=20) were obtained from the posterior portions of 100 archwires from 10 brands (Dentaurum™; American-Orthodontics™; GAC™; 3M-Unitek™; Abzil™; Morelli™; Orthometric™; Aditek™; A-Company™; Orthomundi™). The cross-sectional measures of each segment were obtained with a micrometer and a caliper, and the edge bevel radii of these segments were calculated with the use of a mathematical formula. For the "gold standard", the segments were included longitudinally in a phenolic resin cylinder, cross-sectioned, polished, and photographed in scanning electron microscope (SEM). The images were amplified 770× and the radii were measured with an acetate template. The micrometer and caliper measuring methods were subjected to Bland-Altman analysis and compared with the gold standard (SEM), considering ±10µm as the maximum acceptable difference between methods. RESULTS: In the micrometre measurement, 95% of the differences from the standard were within the limits of agreement (-7.21 and 5.56µm). For the caliper method, 95% of the differences were between -5.46 and 19.83µm, which exceeded the fixed limit ±10µm. CONCLUSION: The calculation method with micrometre measurements is equivalent to the photographic method, but there is no such equivalence for the caliper measurements.

Comparison of force delivery of thermally activated aesthetic and non-aesthetic Ni-Ti wires: An in-vitro study.

OBJECTIVE: The present study aimed to compare the force of aesthetic wires and their non-aesthetic equivalents from two commercial brands at different displacement points, during the unloading phase at 36°C. MATERIALS AND METHODS: Forty samples (n=10) were assessed, which were presented in two groups of aesthetic wires and two groups of non-aesthetic wires from the brands GAC® (Dentsply GAC® International, NY, USA) and Aditek®(Cravinhos, SP, Brazil), with 0.016-inch gauge. The orthodontic wires were maintained at a temperature of 36°C throughout the experiment and they were subjected to the three-point bending test at a speed of 1mm/min. The unloading values were recorded as 0.5, 1.5, and 2.5mm of displacement. The data were subjected to Student's t-test and unequal variance t test, at 5% significance level. RESULTS: During the unloading phase, the mean force was significantly higher for aesthetic wires than non-aesthetic ones, in the deflection of 2.5mm, presenting values means of 2.25N (P=.0213). In deflections of 0.5mm and 1.5mm, the orthodontic archwires did not show significant differences in force between the thermally activated wires with aesthetic coating and their non-aesthetic equivalents (P≥0.05). CONCLUSION: It is concluded that during the unloading phase at a temperature of 36°C, the orthodontic archwires analyzed did not show significant difference in force between thermally activated wires with aesthetic coating and their non-aesthetic equivalents at most displacement points analysed, except for the deflection of 2.5mm, which showed higher values.

Micrographic evaluation of different widia compositions of orthodontic pliers submitted to peracetic acid and intensive use / Avaliação micrográfica de diferentes composições de widia de alicates ortodônticos submetido ao ácido peracético e uso intensivo

Introduction: The sterilization and disinfection procedures should be adapted to the chemical profile of the metal alloys present in the instruments. Objective: This study aimed to perform a micrographic assessment on the surface characteristics of the widia of orthodontic pliers with two alloy compositions subjected to the action of 0.2% peracetic acid and intensive use. Material and method: Twenty distal cutting pliers were divided into two groups (n=10) according to widia composition (%wt): W1- 85% to 87% of tungsten carbide (TC) and other components in the proportion of 13% to 15% and W2 - 87.5% to 88.5% of tungsten carbide and 11.5% to 12.5% for other components. All the pliers were assessed in a stereoscopic magnifying glass (32x) after three treatments: before use (T0); after cutting 100 segments of rectangular stainless-steel wires - intensive use (T1); and after 100 sterilization cycles in 0.2% peracetic acid and intensive use (T2). The cutting sites of all pliers were standardized. Widia regions were defined by line "A" representing T1 and line "B" representing T2. A frequency distribution table and Fisher's exact test (α=0.05) was performed. We assessed two widia from each composition and treatment in SEM and energy-dispersive X-ray spectroscopy (EDS/SEM). Result: The results showed that W1 pliers presented significantly fewer defects after the sterilization cycles with peracetic acid and intensive use than W2 pliers (p=0.0198). There were no differences between both pliers after intensive use (p=1.000). Conclusion: The SEM images and EDS analyses showed changes in widia surfaces after the different treatments. Widia composition affected the resistance of the orthodontic pliers after sterilization cycles with 0.2% peracetic acid and intensive use.

Introdução: Os procedimentos de esterilização e desinfecção devem ser adaptados ao perfil químico das ligas metálicas presentes nos instrumentos. Objetivo: O objetivo do estudo foi realizar uma avaliação micrográfica das características da superfície da widia de alicates ortodônticos com duas composições de ligas submetidas à ação de ácido peracético a 0,2% e uso intensivo. Material e método: Vinte alicates de corte distal foram divididos em dois grupos (n=10), de acordo com a composição widia (% em peso): W1- 85% a 87% de carboneto de tungstênio e outros componentes na proporção de 13% a 15% e W2 - 87,5% a 88,5% de carboneto de tungstênio e 11,5% a 12,5% para outros componentes. Os alicates foram avaliados em uma lupa estereoscópica (32x) após três tratamentos: antes do uso (T0); após corte de 100 segmentos de fios retangulares de aço inoxidável- uso intensivo (T1); após 100 ciclos de esterilização em ácido peracético a 0,2% e uso intensivo (T2). Os locais de corte dos alicates foram definidos pela linha "A" representando T1 e pela linha "B" representando T2. Foi realizada uma tabela de distribuição de frequências e o teste exato de Fisher (α=0,05). As widias foram avaliadas em MEV e Espectroscopia de Energia Dispersiva. Resultado: Os alicates W1 apresentaram defeitos significativamente menores após os ciclos de esterilização com ácido peracético e uso intensivo do que os alicates W2 (p=0,0198). Não houve diferenças entre os dois alicates após uso intensivo (p=1.000). Conclusão: As imagens de MEV/EDS mostraram alterações nas superfícies widia após os diferentes tratamentos. A composição widia afetou a resistência do alicate ortodôntico após ciclos de esterilização com ácido peracético a 0,2% e uso intensivo.

Can the chlorhexidine gluconate solution potentiate the staining of polycrystalline ceramic brackets?

Aim: The present study aimed to assess, in vitro, the effect of chlorhexidine on the potentiation of polycrystalline ceramic bracket staining. Methods: Seventy-two polycrystalline ceramic brackets of upper right central incisors were divided into six groups (n=12) according to immersion solution. The groups were G1 - distilled water (control); G2 - chlorhexidine; G3 - coffee; G4 - red wine; G5 - chlorhexidine associated with coffee; and G6 - chlorhexidine associated with red wine. The samples were analyzed by means of a spectrophotometer according to the CIEL*a*b* system, and color change (ΔE*) was calculated. The readings were performed at the following times: T0 - After package removal and T1 - After staining. The data were analyzed by Kruskal Wallis and t tests (p<0.05) at 5% significance level. Results: The total color variation (ΔE*) was greater in the group that received chlorhexidine associated with red wine (p<0.05) and lower in the groups that received distilled water. All other groups showed greater value variations when compared to G1 and G2. Group G6 showed a greater color change due to the potentiation of chlorhexidine with the dye substance. Conclusion: It is concluded that chlorhexidine potentiates the staining caused by red wine in polycrystalline ceramic brackets

Surface free energy of enamel treated with sodium hexametaphosphate, calcium and phosphate.

OBJECTIVE: This study evaluated the capacity of sodium hexametaphosphate (HMP) at different concentrations to alter the surface properties of dental enamel in order to increase calcium and phosphate adsorption. DESIGN: Bovine enamel blocks (4 mm × 4 mm, n = 144, 12/group) were divided: 0%; 0.25%; 0.5%; and 1% HMP, followed or not by application of solutions containing Ca or Ca-PO4, totaling 12 groups. The treatments were performed for 2 min, and the surface free energy (mN/m) was calculated by measuring the contact angles of three probing liquids (deionized water, diiodomethane and ethylene glycol), which was used to determine the polar and nonpolar components of the enamel surface. Calcium (Ca), phosphate (PO4) and HMP in the solutions treatment solutions were analyzed before and after treatment. The data presented normal and homogeneous distribution and then were subjected to ANOVA, followed by Student-Newman Keuls' test (p < 0.05). RESULTS: The higher the% of HMP in the solutions, the greater HMP adsorption and more electron-donor sites on enamel surface were achieved (p < 0.05). Also, Ca adsorption was higher with increasing% HMP in the solutions (p < 0.05), which in turn reduced electron-donor sites on enamel surface. Increased Ca and PO4 adsorption occurred at 0.5% and 1% HMP after treatment with Ca-PO4 solution, resulting in a less electron-donor sites on surface when compared to the other treatments (P < 0.05). CONCLUSIONS: HMP leads to a more electron-donor sites on enamel surface, what promotes greater adsorption of Ca and PO4 ions.

Remineralizing effect of a fluoridated gel containing sodium hexametaphosphate: An in vitro study.

OBJECTIVES: To evaluate in vitro the effect of neutral pH topical gels with reduced fluoride concentration (F), supplemented or not with sodium hexametaphosphate (HMP) on the remineralization of dental enamel, using a pH-cycling model. Materials and methods Bovine enamel blocks with caries-like lesions were randomly treated with five gels (n = 24/group): without F/HMP (Placebo); 4500 ppm F (4500F), 4500F plus 9% HMP (4500F + HMP); 9000 ppm F (9000F); and 12,300 ppm F (Acid gel). After pH-cycling, the percentage of surface hardness recovery (%SHR), integrated loss of subsurface hardness (ΔKHN), and concentrations of loosely- (CaF2) and firmly-bound (FA) fluoride formed and retained in/on enamel were determined. The results were analyzed by ANOVA followed by the Student-Newman-Keuls test (p < 0.001). RESULTS: The 4500F + HMP gel promoted the highest %SHR among all groups; the lowest ΔKHN was achieved by 4500F + HMP and Acid gel, without significant differences between these. The Acid gel group presented the highest CaF2 and FA formed and retained on/in enamel (p < 0.001). CONCLUSION: Based on the present results, the addition of 9% sodium hexametaphosphate to a gel with reduced fluoride concentration (4500F) was able to significantly enhance the remineralization of artificial carious lesions in vitro when compared to 4500F, reaching protective levels similar to an acidic formulation with ∼3-fold higher fluoride concentration.

Evaluation of different types of self-ligating brackets guided by electromagnetic field simulator on rotational control

Aim: The objective of this study was to measure and compare the in vitro performance of active and passive self-ligating brackets in orthodontic rotation by means of an electromagneticfield simulation. Methods: The study sample consisted of 32 mandibular right central incisor brackets (n=8), slot 0.022", that were divided into the following groups: 1) BioQuick® (Forestadent, Pforzheim, Germany) active brackets; 2) In- Ovation®R (Dentsply-GAC, Central Islip, New York, USA) active brackets; 3) Damon-Q® (Ormco, Orange, California, USA) passive brackets, and 4) Smartclip® (3M, Monrovia, California, USA) passive brackets. The orthodontic wire used was CuNiTi round section 0.016", thermoactivated at 35o C (ORMCO- Orthodontics Glendora, California, USA). The experiment wasperformed in a simulator machine, composed of two fixedlateral axes and a movable central axis, which simulated the dental rotation. Qualitative analysis (n = 4) was performed using SEM. After the descriptive and exploratory analysis, the yield and grade data were submitted to one-way analysis of variance (ANOVA) followed by the Tukey test, considering the level ofsignificance of 5%. Results: In-Ovation®R brackets showedsignificantly higher yield than BioQuick® and Damon-Q®. Damon-Q® brackets presented a significantly lower mean valuethan In-Ovation R and Smartclip®. BioQuick® did not differsignificantly from Damon-Q® and Smartclip®. In-Ovation®R did not differ significantly from Smartclip®. Conclusion: In the present study, it was observed that there is a difference in rotational control in the different self-ligating brackets tested being the best rotational control was the In-Ovation R® group (active), followed in descending order by the groups Smartclip® (passive), Bioquick® (active) and Damon Q® (passive)

Energia livre de superfície do esmalte dentário tratado com hexametafosfato de sódio, cálcio e fosfato / Surface free energy of enamel treated with sodium hexametaphosphate, calcium and phosphate

Esse estudo avaliou a capacidade de adsorção do hexametafosfato de sódio (HMP) em diferentes concentrações no esmalte dentário. Desenho: Blocos de esmalte bovino (4 mm x 4 mm, n=144, 12/grupo) foram selecionados e divididos em 12 grupos: 0%; 0,25%; 0,5%; e 1% HMP, e essas concentrações de HMP seguida da aplicação em solução contendo Ca ou Ca-PO4 Os tratamentos foram realizados por 1 min (1 mL/bloco), e a seguir expostos ao ar para que houvesse a formação de película. A energia livre de superfície (mN/m) foi calculada pela medida dos ângulos de contato de três líquidos sondas: água deionizada, diiodometano e etileno glicol; determinando os componentes polar e apolar da superfície do esmalte. Analisaram-se as concentrações de cálcio (Ca), fosfato (PO4) e HMP nas soluções, antes e após os tratamentos. Os dados apresentaram distribuição normal (Kolmogorov-Smirnov) e homogênea (Cochran) e a seguir foram submetidos a ANOVA seguido pelo teste Student-Newman Keuls (p<0,05). Resultado: Quanto maior a % de HMP nas soluções maior a adsorção de HMP e a eletronegatividade na superfície do esmalte (p<0,05). A adsorção de Ca foi maior com o aumento da % de HMP na solução (p<0,05) reduzindo a eletronegatividade na superfície do esmalte. Maior adsorção de Ca e PO4 ocorreu com 0,5% HMP e 1% HMP após o tratamento com solução Ca-PO4, deixando a superfície menos eletronegativa quando comparado aos demais tratamentos (p<0,05). Conclusão: Conclui-se que o HMP promove uma superfície de esmalte mais eletronegativa favorecendo uma maior adsorção dos íons Ca e PO4

This study evaluated the sodium hexametaphosphate (HMP) capacity adsorption at different concentrations in the dental enamel. Design: Bovine enamel blocks (4 mm x 4 mm, n = 144, 12 group) were selected and divided into 12 groups: 0%; 0.25%; 0.5%; and 1% HMP, and these HMP concentrations followed by the application solution containing Ca or Ca-PO4. The treatments were performed for 1 min (1 ml/block), and then exposed to air so that there was the formation of a pelicle. The surface free energy (mN/m) was calculated by measuring the contact angles of liquids three probes: deionized water, diiodomethane and ethylene glycol; determining the polar and nonpolar components of the enamel surface. It was analyzed the calcium (Ca), phosphate (PO4) and HMP in the solutions, before and after treatment. The data were normally distributed (Kolmogorov - Smirnov) and homogeneous (Cochran) and then were subjected to ANOVA followed by Student-Newman Keuls test (p<0.05). Results: The greater HMP % in solutions, the greater adsorption of HMP and electronegative surface enamel (p<0.05). The Ca adsorption was higher with HMP % increasin in the solution (p<0.05) reducing enamel surface electronegativity. Increased adsorption of Ca and PO4 occurred in 0.5% and 1% HMP and HMP after treatment with Ca-PO4 solution, leaving the less electronegative surface when compared to the other treatments (P<0.05). Results: The higher HMP% solutions was greater HMP adsorption and electronegative surface enamel (p <0.05). The Ca adsorption was higher with increasing HMP % in the solution (p<0.05) in reducing electronegativity enamel surface. Increased adsorption of Ca and PO4 occurred in 0.5% and 1% HMP HMP after treatment with Ca-PO4 solution, leaving the less electronegative surface when compared to the other treatments (P<0.05). Conclusion: The HMP promotes more electronegative in enamel surface, achieving greater adsorption of Ca and PO4 ions

Radiographic analysis of factors predisposing toward tendon tears in the knee extensor mechanism

Objectives: To review radiographs of patients who suffered tendon tears of the knee extensor apparatus and observe alterations that might be factors predisposing toward this type of injury. Methods: We retrospectively analyzed 60 cases of injury to the knee extensor mechanism that were treated surgically at the Miguel Couto Municipal Hospital between March 2004 and March 2011. Four patients were excluded due to poor quality of the examination. Results: Of the 56 patients evaluated, 23 were considered to be normal and 33 presented radiographic alterations. Among these, eight (24.3%) presented suprapatellar osteophytes alone; seven (21.2%), infrapatellar calcification; seven (21.2%), suprapatellar calcification; six (18.2%), supra- and infrapatellar osteophytes; and five (15.1%), infrapatellar osteophytes alone. Conclusion: Radiographic alterations were frequently observed in patients with extensor mechanism tears...

Objetivos: Revisar radiografias de pacientes vítimas de rupturas tendinosas do aparelho extensor do joelho e observar alterações que possam ser um fator predisponente a esse tipo de lesão. Métodos: Analisamos, retrospectivamente, 60 lesões do mecanismo extensor do joelho, tratadas cirurgicamente no Hospital Municipal Miguel Couto, de março de 2004 a março de 2011, e quatro pacientes foram excluídos por má qualidade do exame. Resultados: Dos 56 pacientes avaliados, 23 foram considerados normais e 33 apresentaram alterações radiográficas, oito (24,3%) com presença de osteófito suprapatelar isolado, sete (21,2%) com calcificação infrapatelar, sete (21,2%) com calcificação suprapatelar, seis (18,2%) com osteófitos supra e infrapatelares e cinco (15,1%) com osteófito infrapatelar isolado. Conclusão: As alterações radiográficas foram frequentes em pacientes com ruptura do mecanismo extensor...