18 research outputs found

    Shear bond strength of a self-etching primer after 10,000 and 20,000 thermal cycles

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    Purpose: To determine the effects of thermocycling on shear bond strengths (SBSs) of a self-etching primer (SEP) after 10,000 and 20,000 thermal cycles. The tested hypothesis was that 10,000 and 20,000 thermal cycles would affect the bond strength of metal brackets bonded to enamel with the self-etching primer. Materials and Methods: Brackets were bonded to bovine incisors with two etching protocols. In group CM (conventional method), teeth were etched with 37% phosphoric acid for 30 s. In group SEP, a self-etching primer (Transbond Plus, 3M Unitek) was applied. Brackets were bonded with light-curing adhesive (Transbond XT, 3M Unitek). The SBSs were determined after water storage at 37°C for 24 h, after 10,000 and 20,000 cycles of thermocycling. Results: For both groups (CM and SEP), SBSs decreased with 10,000 and 20,000 thermal cycles. These decreased SBSs were significantly different from the values obtained with no thermocycling. Highest SBSs were observed with no thermocycling for groups CM and SEP (18.6 and 18.0 MPa, respectively). These values were not statistically different from each other. Lowest SBSs were obtained with 10,000 and 20,000 thermal cycles for group SEP (14.2 and 14.7 MPa, respectively). These values were significantly different from all other SBSs. Conclusion: This study indicates that the SEP (Transbond Plus) provides clinically acceptable bond strength values compared with the conventional method after 10,000 and 20,000 thermal cycles. © 2010 by Quintessence Publishing Co Inc

    Physical properties of root cementum: Part 24. Root resorption of the first premolars after 4 weeks of occlusal trauma

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    Introduction In orthodontics, adding restorative materials on occlusal or lingual surfaces is a common method to create a mini-biteplane to increase patients' vertical dimension temporarily to facilitate several treatment procedures. However, this method transmits excessive occlusal forces through the periodontal ligament and causes trauma. In this prospective randomized clinical trial, we measured and compared quantitatively the volumes of root resorption after 4 weeks of occlusal trauma. Methods Forty-eight maxillary and mandibular first premolars of 12 patients (6 girls, 6 boys) comprised the sample for this study. One side of each patient was randomly selected as the control. On the contralateral side, a light-cured glass ionomer cement (Transbond Plus Light Cure Band Adhesive; 3M Unitek, Monrovia, Calif) was bonded onto the occlusal surface of the mandibular first premolar so that the cement was in contact with the maxillary first premolar. After 4 weeks, both first premolars were extracted. Each sample was imaged using a microcomputed tomography system (1172; SkyScan, Aartselaar, Belgium) and analyzed with specially designed software for volumetric measurements of resorption craters. Furthermore, pain was evaluated with a visual analog scale for 7 days. Results There were significant differences in the amounts of root resorption between the control and the experimentally traumatized teeth. No significant difference among the buccal, lingual, mesial, and distal surfaces was found in either jaw. Furthermore, no significant difference existed in the amount of root resorption among the cervical, middle, and apical thirds of both jaws. There was no correlation between age, sex, volume of the root resorption craters, and pain. Conclusions Restorative buildups, used to increase the vertical dimension by 2 mm for 4 weeks, caused root resorption along the sides of the teeth during the active bite-increase period. Copyright © 2014 by the American Association of Orthodontists

    Effect of continuous versus intermittent orthodontic forces on root resorption: A microcomputed tomography study

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    Objectives: To compare the extent of root resorption and the amount of tooth movement between continuous orthodontic force and intermittent orthodontic force that was activated in a similar way to a 4-week orthodontic adjustment period. Materials and Methods: Twenty-five patients who required the extraction of upper first premolars were recruited in this study. A buccally directed continuous force of 150 g was applied to the upper first premolar on one side for 15 weeks. A buccally directed intermittent force (28 days on, 7 days off) of the same magnitude was applied to the contralateral first premolar. The teeth were extracted at the end of the experimental period and processed for volumetric evaluations of resorption craters. The degree of tooth movement and rotation were measured on the study models. Results: Continuous force application displayed significantly higher root resorption volume than the intermittent force application (P, .05), particularly on the buccal and lingual surfaces (P, .05) and the middle third of the root (P, .01). There was more tipping and rotational movement in the continuous force group. Conclusions: In a 4-week orthodontic adjustment period, intermittent force significantly reduced the amount of root resorption compared with continuous force. Although there was less degree of tooth movement with intermittent force, unwanted rotational movement was avoided. This is crucial in patients who are predisposed to orthodontically induced inflammatory root resorption, and the use of this intermittent regimen should be considered. © 2018 by The EH Angle Education and Research Foundation, Inc.Corresponding author: Dr M. Ali Darendeliler, Discipline of Orthodontics, Faculty of Dentistry, University of Sydney, Level 2, 2 Chalmers Street, Surry Hills NSW 2010 Australia (e-mail: [email protected]) Accepted: May 2018. Submitted: January 2018. Published Online: August 20, 2018 © 2018 by The EH Angle Education and Research Foundation, Inc

    Physical properties of root cementum: Part 23. Effects of 2 or 3 weekly reactivated continuous or intermittent orthodontic forces on root resorption and tooth movement: A microcomputed tomography study

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    Introduction: The force application period is a modifiable factor in root resorption. There is still ambiguity if the continuity of force application is advantageous in terms of root resorption and tooth movement. In this prospective randomized clinical trial, we compared the effects of 2 reactivation periods of controlled-intermittent and continuous forces on root resorption and tooth movement. Methods: Thirty-two patients were randomly divided into 2 groups: 2 weekly and 3 weekly reactivations. A split-mouth setup was used for the intermittent and continuous force comparisons. The intermittent force was designed with a pause of 3 days before each reactivation of the springs. A buccally directed tipping force (150 g) was generated with 0.017 × 0.025-in Beta III Titanium cantilever springs (3M Unitek, Monrovia, Calif). After the extractions, surface analysis was performed with microcomputed tomography (model 1172; SkyScan, Aartselaar, Belgium) and specially designed software (CHull2D) for direct volumetric analysis. Buccal premolar movement was also measured on the images of the study casts. Results: Continuous forces produced more resorption than intermittent forces on the total volumes in both groups. A significant difference was found for the 3-weekly group only (P <0.01) on the cervical-mesial (P <0.01) and cervical-buccal (P <0.05) compression regions. In the 2-weekly group, differences were evident in the middle-distal (P <0.05) and middle-lingual (P <0.05) tension regions. Continuous forces produced significantly more tooth movement than did the intermittent forces for both the 2-weekly (P <0.01) and the 3-weekly (P <0.001) regimens. Significant differences were not observed between the 2 intermittent force regimens regarding root resorption and tooth movement. Conclusions: Intermittent force causes less root resorption and tooth movement than continuous force. Root resorption decreases irrespective of the timing of reactivation, when a pause is given. On the other hand, timing of reactivation might have critical importance on continuous force applications, since 2 weekly reactivations produced faster tooth movement with similar root resorption when compared with intermittent force. Copyright © 2012 by the American Association of Orthodontists

    Physical properties of root cementum: Part 21. Extent of root resorption after the application of 2.5°and 15°tips for 4 weeks: A microcomputed tomography study

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    Introduction: Microcomputed tomography offers a unique opportunity to accurately examine orthodontically induced inflammatory root resorption. The aims of this study were to quantify, in 3 dimensions, the amount of root resorption caused by placing heavy and light distal root tipping forces on premolars and to compare the prevalence of root resorption in different areas of the tooth. Methods: Thirty maxillary first premolars from 15 patients who were to have these teeth extracted as part of their orthodontic treatment were selected for this study. Each tooth in the same patient was randomly chosen to have either a 2.5°or a 15°distal root tipping bend placed for 4 weeks. After the experimental period, the teeth were extracted according to a strict protocol to prevent damage to the root. They were then imaged by a microcomputed tomography scan x-ray system (SkyScan 1172, SkyScan, Aartselaar, Belgium) and analyzed by software designed for volumetric measurements. Results: A significant difference was found in the amount of total root resorption between light and heavy forces (P =.021). The mean cube root volumes of the resorption craters in the 15°tip-bend group were greater than in the 2.5°tip-bend group. This significance was lost when the tooth was divided into vertical thirds, although a trend was still present. When the areas of expected compression in the periodontal ligament were compared with the areas of expected tension, significance was seen in the apical and cervical thirds only. Conclusions: Based on this experiment, one can conclude that a 15°distal root tip bend causes more orthodontically induced inflammatory root resorption than a 2.5°distal root tip bend. Furthermore, greater root resorption was found in areas under pressure when compared with areas under tension. Copyright © 2011 by the American Association of Orthodontists

    Physical properties of root cementum: Part 25. Extent of root resorption after the application of light and heavy buccopalatal jiggling forces for 12 weeks: A microcomputed tomography study

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    Introduction The aims of this study were to evaluate with microcomputed tomography the orthodontically induced inflammatory root resorption in premolars caused by buccopalatal jiggling movement with light and heavy forces and to compare it with the resorption caused by equivalent but continuous buccal forces. Methods The sample consisted of 60 maxillary first premolars collected from 30 patients (15 girls, 15 boys; ages, 13-18 years) who required orthodontic treatment with extractions. They were divided into 3 groups of 10 patients. Light (25 g) or heavy (225 g) buccal tipping orthodontic forces were randomly assigned on the maxillary right or left quadrant with either continuous buccal (positive controls) or buccopalatal jiggling forces for 12 weeks. At the end of the experimental period, the teeth were carefully extracted and processed for 3-dimensional imaging and volumetric evaluations of resorption craters. Data were analyzed with Wilcoxon signed rank tests. Results There was no statistically significant difference between positive control light (P = 0.0173) and heavy (P = 0.0173) continuous forces and jiggling forces for both force magnitudes. However, statistically significant differences were observed between heavy and light jiggling forces (P = 0.038), with heavy jiggling forces causing greater total root resorption than light jiggling forces. Conclusions Light and heavy jiggling forces in the buccopalatal direction did not cause significantly different amounts of root resorption when compared with continuous forces of the same magnitude. On the other hand, light jiggling forces resulted in less root resorption than heavy jiggling forces. © 2015 American Association of Orthodontists
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