Micro-shear bond strength and surface micromorphology of a feldspathic ceramic treated with different cleaning methods after hydrofluoric acid etching

OBJECTIVE: The aim of this study was to evaluate the effect of feldspathic ceramic surface cleaning on micro-shear bond strength and ceramic surface morphology. MATERIAL AND METHODS: Forty discs of feldspathic ceramic were prepared and etched with 10% hydrofluoric acid for 2 minutes. The discs were randomly distributed into five groups (n=8): C: no treatment, S: water spray + air drying for 1 minute, US: immersion in ultrasonic bath for 5 minutes, F: etching with 37% phosphoric acid for 1 minute, followed by 1-minute rinse, F+US: etching with 37% phosphoric acid for 1 minute, 1-minute rinse and ultrasonic bath for 5 minutes. Composite cylinders were bonded to the discs following application of silane and hydrophobic adhesive for micro-shear bond strength testing in a universal testing machine at 0.5 mm/min crosshead speed until failure. Stereomicroscopy was used to classify failure type. Surface micromorphology of each treatment type was evaluated by scanning electron microscopy at 500 and 2,500 times magnification. RESULTS: One-way ANOVA test showed no significant difference between treatments (p=0.3197) and the most common failure types were cohesive resin cohesion followed by adhesive failure. Micro-shear bond strength of the feldspathic ceramic substrate to the adhesive system was not influenced by the different surface cleaning techniques. Absence of or less residue was observed after etching with hydrofluoric acid for the groups US and F+US. CONCLUSIONS: Combining ceramic cleaning techniques with hydrofluoric acid etching did not affect ceramic bond strength, whereas, when cleaning was associated with ultrasound, less residue was observed

Anxiety among adolescents and its affect on orthodontic compliance

Background: Investigations have suggested that poor compliance could be an indicator of poor relationship with family and could be related to the person′s personality traits. Aim: The aim of this study was to determine the effect of parents attitude, the anxiety during treatment and self-confidence/self-care of the patient on cooperation during orthodontic treatment. Materials and Methods: The study material consisted of questionnaires completed by 82 adolescent patients and their parents. The patients were divided into two groups of 42 compliant and 40 non-compliant patients. The above-mentioned questionnaries were State-Trait Anxiety Inventory-STAI, Piers-Harris Children′s Self Concept Scale and The Exercise of Self-Care Agency for the patients and Mc Master Family Assessment Device and Parental Attitude Research Instrument-PARI for the parents. Results: The problem solving and caring attitude of the father and his determinative role in the family had a positive infulence on the compliance of the child. The patients who showed better compliance also had a lower state of anxiety, which could also be explained by the positive effect of the attitude of the father in the family. Conclusion: It would be useful to overcome the increased state of anxiety of the child in the orthodontic clinic by using educational and relaxation techniques. Besides, it would be wise to ask the father to be present at the first appointment during part of the education of the child

Assessing the effect of multibracket appliance treatment on tooth color by using electronic measurement

Abstract Background The purpose of this study was to investigate how tooth color is affected by multibracket appliance (MBA) treatment. Methods The color of teeth #14 to #24 of 15 patients with MBA was measured on body and gingival tooth segments using the spectrophotometer Shade Inspector™. Colors of both segments were recorded before start of MBA treatment (baseline T0), end of MBA treatment (T1; 2 years ±0.3), and 3 months after T1 (T2). A 2D color system and a 3D system served as reference systems. Multilevel models were used to analyze color change within segments and to compare the difference in color change between segments (treatment effect). Results 2D system. Changes within tooth segments from T0 to T2 were at worst 2.0 units (ΔE in the gingival segment), which is less than the threshold of 2.7 units for a clinically meaningful difference. Confidence intervals for the treatment effect indicated no clinically important differences in color change between body and gingival segments. 3D system. Changes within tooth segments from T0 to T2 were at worst 2.3 units (ΔE in the body segment), which is less than the threshold of 2.7 units for a clinically meaningful difference. Confidence intervals for the treatment effect indicated no clinically important differences in color change between body and gingival segments. Thus, MBA treatment did not lead to clinically relevant changes in tooth color. Conclusion Within the limitation of this study the MBA treatment can be seen as a safe method with respect to tooth color