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Copyright of Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopadie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Orthodontics is a speciality of dentistry that uses a plethora of devices made from myriad materials to manage various malocclusions. Prolonged contact of orthodontic appliances with oral tissues can lead to cellular damage, highlighting the need for biocompatible materials to mitigate health risks. Objectives: To analyze the genotoxicity and cytotoxicity produced by metal brackets and coated metallic brackets with polymeric and nanoparticle coatings in oral mucosal cells. Materials & methods: The current study compares the toxicity of 3 different types of orthodontic brackets with control groups of oral mucosal cells. Each of the three treatment groups consisted of 10 samples of orthodontic brackets: stainless steel brackets(Group 1), nanoparticle-coated brackets(Group 2), and polymeric-coated brackets(Group 3) exposed to corrosion eluates employing an oral biomimicry model. Two types of oral mucosal cells- Human Gingival Fibroblasts and Buccal Epithelial Cells were used to study the cytotoxic and/or genotoxic effects of the elutes. Intergroup comparisons were conducted using one-way analysis of variance, while scanning electron microscopy evaluated surface characteristic. Results: The interaction between metal ions and oral mucosal cells showed no statistically significant difference for toxicity assays between the three groups(p > 0.005). However, polymeric and nanoparticle-coated groups showed reduced cellular differentiation when compared with conventional stainless-steel brackets. Conclusion: This in-vitro study shows that polymeric or nanoparticle coating of conventional metal brackets aids in enhancing corrosion-resistant characteristics of orthodontic appliances and reduces the toxic oral environment created by metal release in the oral cavity. [ABSTRACT FROM AUTHOR]

Nanomaterials have been utilized as antibacterial agents due to their distinct mechanism of action, which sets them apart from traditional antibiotics. Cerium oxide nanoparticles (CeO2 NPs) play a crucial role as antibacterial agents because of their minimal toxicity towards healthy cells and their unique antibacterial mechanism, which involves the reversible transition between two valence states of Ce(III)/Ce(IV). In the current study, silica microspheres (SiO2) were applied for the growth of hydroxyapatite (Hap) over the silica surface. Then, the SiO2/hydroxyapatite (SiO2/Hap) nanocomposite was applied for stabilization of the in situ green synthesized cerium oxide nanoparticles (CeO2 NPs) on its surface to assess the antibacterial and cellular viability of orthodontic brackets. The as-prepared SiO2/Hap-CeO2 NPs were fully characterized by different techniques such as FT-IR, XRD, FE-SEM, TEM and ICP-OES analyses. The technique employed to coat the orthodontic bands with SiO2/Hap-CeO2 NPs nanocomposite was the electrostatic spray-assisted vapor deposition method. The antibacterial efficacy of SiO2/Hap-CeO2 NPs nanocomposite against Candida albicans, Streptococcus mutans and Lactobacillus acidophilus was evaluated using the biofilm inhibition test. In the recent study's cellular and molecular component, the treated cells with SiO2/Hap-CeO2 NPs nanocomposite underwent evaluation through MTT assay to determine cytotoxicity on the normal (HUVEC) cell line. In comparison to the control group, the SiO2/Hap-CeO2 NPs nanocomposite group exhibited a 2-log10 decrease in the replication ability of all microorganisms. The group of SiO2/Hap-CeO2 NPs nanocomposite demonstrated a notable decrease in the quantity of C. albicans, S. mutans and L. acidophilus colonies compared to the control group. Application of SiO2/Hap-CeO2 NPs nanocomposite on orthodontic bands resulted in antibacterial properties against oral pathogens. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopadie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aims This study aimed to assess the effect of G-CEM, a fluoride-releasing cement, on the development of white spot lesions (WSLs) and their severity around orthodontic brackets. Methods and Materials This case-control study was conducted by reviewing 140 dental records of fixed orthodontic patients presenting to an orthodontic clinic. The patients were assigned to two groups (n = 70). In group 1, Transbond XT resin cement, and in group 2, G-CEM had been used for bracket bonding. The frequency and severity of WSLs in each group were evaluated by assessing the available post-treatment photographs of patients and notes left by their orthodontist in their records in this regard. The number of teeth with WSLs in each patient was recorded, and the severity of lesions was categorised by Gorelick’s analysis. Statistical Analysis Comparisons were made using independent t-test, Wilcoxon test and Mann–Whitney test (alpha = 0.05). Results In both the maxilla and mandible, the prevalence of WSLs was significantly higher in the Transbond XT group than in the G-CEM group (P = 0.01). The difference in frequency of WSLs between the maxilla and mandible was not significant within each group (P > 0.05). Tooth #22 had the highest frequency of WSLs (11.4%) in the Transbond XT group, while teeth #12 and #36 had the highest frequency of WSLs (2.9%) in the G-CEM group. The difference in frequency of WSLs was not significant between males and females (P > 0.05). Conclusion Bracket bonding with G-CEM fluoride-releasing cement significantly reduced the development of WSLs around orthodontic brackets.

Abstract Background Orthodontics is a speciality of dentistry that uses a plethora of devices made from myriad materials to manage various malocclusions. Prolonged contact of orthodontic appliances with oral tissues can lead to cellular damage, highlighting the need for biocompatible materials to mitigate health risks. Objectives To analyze the genotoxicity and cytotoxicity produced by metal brackets and coated metallic brackets with polymeric and nanoparticle coatings in oral mucosal cells. Materials & methods The current study compares the toxicity of 3 different types of orthodontic brackets with control groups of oral mucosal cells. Each of the three treatment groups consisted of 10 samples of orthodontic brackets: stainless steel brackets(Group 1), nanoparticle-coated brackets(Group 2), and polymeric-coated brackets(Group 3) exposed to corrosion eluates employing an oral biomimicry model. Two types of oral mucosal cells- Human Gingival Fibroblasts and Buccal Epithelial Cells were used to study the cytotoxic and/or genotoxic effects of the elutes. Intergroup comparisons were conducted using one-way analysis of variance, while scanning electron microscopy evaluated surface characteristic. Results The interaction between metal ions and oral mucosal cells showed no statistically significant difference for toxicity assays between the three groups(p > 0.005). However, polymeric and nanoparticle-coated groups showed reduced cellular differentiation when compared with conventional stainless-steel brackets. Conclusion This in-vitro study shows that polymeric or nanoparticle coating of conventional metal brackets aids in enhancing corrosion-resistant characteristics of orthodontic appliances and reduces the toxic oral environment created by metal release in the oral cavity.

Introduction: Precise acid etching of the tooth surface is a significant factor in the strength of the bracket bond. The current study aimed to determine the effect of different application times of acid etching on the shear bond strength of metallic orthodontic brackets under controlled laboratory conditions. Methods: Sixty intact premolar teeth were selected for this in-vitro study. The samples were divided into four groups based on the different acid etching times: 20, 25, 30, and 35 seconds. The teeth surfaces were etched with 37% phosphoric acid according to the specified times, and brackets were bonded to the enamel surface using GC Ortho connect composite. Shear bond strength values of the brackets was measured using a Universal Testing Machine. The amount of Adhesive Remnant Index was also observed using a stereomicroscope. Additionally, the surface roughness of the tooth enamel after bracket bonding was examined using SEM. The results related to shear bond strength were analyzed with one-way ANOVA statistical test and using SPSS version 16 software. The non-parametric Kruskal Wallis (Wallis-Kruskal) test was also used to check the frequency of ARI index. Results: The highest shear bond strength was observed at 25 seconds, and the lowest at 30 seconds. However, there was no significant difference in the shear bond strength of brackets was observed among the four groups (p=0.186). The highest ARI score was observed at 35 seconds, and the lowest at 20 seconds. No statistically significant difference was observed in the ARI scores in different groups. SEM images revealed that the enamel surface porosity was highest at 20 seconds. Conclusion: The results indicate that the shear bond strength and ARI at different acid etching times do not significantly differ. Therefore, orthodontic bracket bonding can be performed with less acid etching time.

Recent advancements in dentistry have introduced new light-curing units such as 1-second and 5-second LED curing lights to orthodontics. We aimed to evaluate the shear bond strength and Adhesive Remnant Index (ARI) of stainless-steel orthodontic brackets cured with 1-second, and 5-second LED curing lights. Ninety human extracted upper premolars were selected based on the inclusion and exclusion criteria. The selected teeth were randomly divided into 2 groups - Group I and Group II. In Group I, the teeth were bonded with Standard pre-adjusted edgewise upper premolar brackets (Orthox, JJ Orthodontics) using Transbond XT and cured with Woodpecker iLED 1-second curing light. In Group II, the same brackets and composite were used to bond and light-cure with 5-seconds Woodpecker LED-D unit. The shear bond strength and the Adhesive Remnant Index (ARI) of brackets in both groups were evaluated. Student t-test was used for the statistical analysis of the data. In Group-I (1-second LED curing light), the shear bond strength was 6.62 MPa, whereas it was 10.32 MPa in group II (5-second LED curing light). A highly significant difference was observed in the shear bond strength between the groups. The ARI scores further revealed that the 5-second curing light resulted in a safer failure mode, with adhesive remaining mostly on the bracket. We found that the 5-second Woodpecker LED-D curing light demonstrated higher shear bond strength compared to the 1-second iLED curing light, although both sets of bond strength values are clinically acceptable.

Introduction: Fixed orthodontic appliances create areas of plaque stagnation leading to an increase in the volume, structure, and composition of plaque. This increases the chances of decalcification and white spot lesions. Oil pulling, an ancient practice involving swishing oil in the mouth, has demonstrated a significant reduction in plaque scores after 45 days, and a reduction in salivary Streptococcus mutans concentration in few studies done in nonorthodontic subjects. The aim was to compare the concentration of S. mutans in plaque around orthodontic brackets in patients using oil pulling with sesame oil and those on routine oral hygiene. Subjects and Methods: Twenty subjects requiring fixed orthodontic treatment were divided into two equal groups: Group A-Oil pulling and Group B-Control. All subjects were instructed to follow common oral hygiene methods and in addition, Group A was instructed to perform oil pulling for 30 days starting 1 month after placement of fixed appliances. Plaque specimens were collected from labial surfaces of maxillary lateral incisors and quantification of S. mutans was done using real-time polymerase chain reaction. Mean and standard deviations for descriptive statistics, paired, and unpaired sample t-tests were analyzed. Results: Comparison of S. mutans concentration between T1 and T2 demonstrated a significant difference in both control and study groups. The experimental group showed significantly lesser S. mutans concentration compared to the control group. Conclusions: Oil-pulling therapy with sesame oil resulted in a statistically significant reduction in the concentration of S. mutans in the plaque around orthodontic brackets.

Background: Stainless steel (SS) orthodontic brackets may have varying corrosion resistance when used with mouthwashes during orthodontic treatment. Studying their effects on orthodontic brackets will be beneficial. Aim: The study’s objective was to analyze the surface characteristics of SS orthodontic brackets and their resistance to corrosion, exposed to chlorhexidine and povidone-iodine mouth rinses – an in vitro and in vivo study. Materials and Methods: The in vitro test: MBT 0.022” slot SS orthodontic brackets were immersed in three groups – Group A – Modified Meyer-Fusayama artificial saliva (AS), Group B – Chlorhexidine, and Group C – Povidone-iodine mouthwash. The in vivo test: Brackets were conventionally bonded on the patient’s teeth and divided into Group I – control group, Group II – patients used chlorhexidine, and Group III used povidone-iodine mouth rinse. The corrosion resistance and surface characteristics of SS brackets were determined using scanning electron microscope (SEM), electrochemical impedance spectroscopy, and X-ray photoelectron spectroscopy. Results: Higher corrosion resistance was obtained for brackets immersed in chlorhexidine mouth rinse. The polarization resistance value of the orthodontic SS bracket was 109 MΩ, 1383 MΩ, and 769 MΩ immersed in AS, chlorhexidine, and povidone-iodine mouth rinse, respectively. After surface chemical analysis, XPS data showed the largest intensity peak of metallic chromium (CrO) fresh sample and in the sample immersed in chlorhexidine mouthwash. According to SEM, brackets immersed in chlorhexidine showed a relatively smooth surface. Conclusion: In this study, chlorhexidine was found to be less corrosive followed by povidone-iodine.

Abstract Background To study and compare the effects of clear aligners without brackets and traditional fixed aligners in orthodontic treatment. Methods The samples were collected from January 2022 to April 2023. The control group (n = 26) received orthodontic treatment using traditional fixed appliances. The research group (n = 20) received orthodontic treatment using the clear aligners without brackets. Compare the therapeutic effects and related evaluation indicators between two groups. Results The total effective ratio was compared between the 2 groups, and the study group was greater(P

Background: This systematic review aims to critically assess the literature on the debonding process of orthodontic brackets from enamel surfaces. The review evaluates Randomized Controlled Trials (RCTs) to determine the effectiveness and implications of various debonding techniques and materials. Methods: The study followed PRISMA guidelines, selecting RCTs published from 1999 onwards that compared the outcomes of various orthodontic bracket debonding techniques. Selection criteria included studies utilizing human teeth, with outcomes such as enamel surface roughness and Adhesive Remnant Index (ARI) analyzed. Data sources included PubMed, Scopus, Web of Science, and the Cochrane Library. Results: Out of 1,587 records identified, five studies met the inclusion criteria. These studies provided comparative data on the effectiveness of various debonding techniques, including tungsten carbide and diamond burs, in minimizing enamel damage and optimizing adhesive removal. Findings indicated that tungsten carbide burs produced the least enamel roughness. Discussion: Utilizing tungsten carbide burs for debonding orthodontic brackets significantly minimizes enamel surface roughness and potential damage, thereby enhancing the preservation of enamel integrity post-treatment. The systematic review highlights current debonding techniques are effective in adhesive removal, and the choice of instrument significantly affects enamel integrity and clinical outcomes. The findings support the need for continuous improvement and innovation in removing braces to improve orthodontic treatment results and patient satisfaction.

Abstract Background High precision intra-oral scans, coupled with advanced software, enable virtual bracket removal (VBR) from digital models. VBR allows the delivery of retainers and clear aligners promptly following debonding, thus reducing the patients' appointments and minimizing the likelihood of tooth movement. The objective of this study was to compare the enamel surface before bonding and after VBR using three different Computer-aided design (CAD) software and to compare their accuracy. Methods Maxillary scans of 20 participants starting orthodontic treatment were selected for inclusion in the study, who exhibited mild to moderate crowding and required bonding of brackets on the labial surface of permanent maxillary teeth (from the maxillary left first molar to the maxillary right first molar). Two intra-oral scans were conducted on the same day, before bonding and immediately after bonding using CEREC Omnicam (Sirona Dental Systems, Bensheim, Germany). The virtual removal of the brackets from the post-bonding models was performed using OrthoAnalyzer (3Shape, Copenhagen, Denmark), Meshmixer (Autodesk, San Rafael, Calif, USA), and EasyRx (LLC, Atlanta, GA, USA) software. The models that underwent VBR were superimposed on the pre-bonding models by Medit Link App (Medit, Seoul, South Korea) using surface-based registration. The changes in the enamel surface following VBR using the three software packages were quantified using the Medit Link App. Results There was a significant difference among the 3Shape, Meshmixer, and EasyRx software in tooth surface change following VBR. Specifically, EasyRx exhibited lower levels of accuracy compared to the other two VBR software programs (p

OBJECTIVE: To determine Oral Health Related Quality of Life (OHRQoL) in patients receiving fixed orthodontic treatment METHODS: This study was conducted at department of Orthodontics, Khyber College of Dentistry, Peshawar from 24th March 2022 to 30th June 2022. One hundred and seventy-five patients, undergoing fixed orthodontic therapy for at least three months were included in the study. Patients with oral diseases that directly or indirectly affect OHRQoL, any previous orthodontic treatment, cognitive impairment and craniofacial anomalies were excluded. The OHRQoL was recorded using Oral Health Impact Profile-14 (OHIP-14) questionnaire. Independent samples t-test was used to examine the relationship between age and gender with total OHIP-14 score. Comparison of OHIP-14 score among socioeconomic levels and educational level was done using one way ANOVA. RESULTS: The mean age of the participants was 23.13±5.25 years, OHIP-14 score was 29.48±7.36 and 56% (n=98) were females. No significant difference was found between gender, age of the participants, socioeconomic status (SES) and the OHIP-14 score (p=0.05). Highest mean OHIP-14 score was found in ‘higher educational level’ followed by intermediate then secondary school and least in primary education level and it was very highly statistically significant (ANOVA test, p

Objective: This study aimed to evaluate the efficacy of "Embrace WetBond", a fluoride-releasing self-adhesive resin cement in preventing the development of white spot lesions (WSLs) during orthodontic treatment.Methods: This retrospective cross-sectional study was conducted on the dental records of 140 patients treated with fixed orthodontic appliances in a private orthodontic clinic in Tehran, Iran. Patients were divided into two equal groups based on the type of adhesive used for bonding orthodontic attachments: Group 1 (control), Transbond XT and Group 2, Embrace wetBond. The prevalence and severity of WSLs were assessed in all teeth from the first molar to the first molar of both jaws using post-treatment photographs. The data were analyzed by chi-square and Mann-Whitney U test and a P-value0.05). The highest prevalence of WSLs was in maxillary lateral incisors (21.4%) and mandibular first molars (15.7%) in the Transbond XT group and maxillary lateral incisors (7.1%) in the WetBond group.Conclusions: The findings of this study suggest that Embrace WetBond adhesive may effectively reduce the risk of WSL development in patients treated with fixed orthodontic appliances. This fluoride-releasing self-adhesive resin cement can be considered a suitable alternative to traditional cement in orthodontic practice.

Background: To study and compare the effects of clear aligners without brackets and traditional fixed aligners in orthodontic treatment. Methods: The samples were collected from January 2022 to April 2023. The control group (n = 26) received orthodontic treatment using traditional fixed appliances. The research group (n = 20) received orthodontic treatment using the clear aligners without brackets. Compare the therapeutic effects and related evaluation indicators between two groups. Results: The total effective ratio was compared between the 2 groups, and the study group was greater(P < 0.05). After treatment, the detected values of the periodontal condition indicators (plaque index, debris index, and gingival bleeding index), serum inflammatory factors (CRP, IL-6 and TNF-α) of the two groups, were less than before, also were all less than the control group. (P < 0.05). After therapy, in comparison of the control group, the value of mastication efficiency, comfort and psychological evaluation, sleep indicators and the points of the four dimensions of life quality in the study group was greater, and the detection results were obviously greater than before(P < 0.05). Conclusion: In the orthodontic therapy of sufferers with malocclusion, compared with the traditional fixed appliance, the clear aligners without brackets can enhance the treatment effects, improve the periodontal condition and masticatory function, and reduce the inflammatory responses, so that patients can feel more comfortable, thereby improving their psychology, sleep and quality of life. In the future, with the continual advancement of technology and people's pursuit of beauty, the application of clear aligners without brackets in orthodontic treatment will become more and more extensive. The continuous introduction of new materials and new technologies will further improve the effects and comfort of the clear aligners without brackets, reduce treatment time and discomfort, and also reduce patients' resistance to aligners, bringing patients a better treatment experience. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the effect of four different photoactivation protocols (according to “photoactivated faces” - mesial/distal, cervical/incisal or center - and “photoactivation time” - 6–3 s) of a high-power photo activator (Valo Cordless®-Ultradent) on the shear bond strength (SBS) between metal brackets and dental enamel and on the degree of conversion (DC) of an orthodontic resin. Materials and methods: 40 bovine incisor crowns were randomly assigned to 4 groups (n = 10). The brackets were bonded with Transbond XT® resin using 4 protocols according to the “photoactivation protocol” factor (which was subdivided into photoactivated faces and photoactivation time): V3C = 3 s + center; V6C = 6 s + center; V3M3D = 3 s on mesial + 3 s on distal; V3C3I = 3 s on cervical + 3 s on incisal. All the samples were stored for 4 months (water,37ºC) and then subjected to a SBS test (100KgF,1 mm/min). 40 resin discs were made to evaluate the monomer degree of conversion. Data from the SBS and DC were assessed by One-way ANOVA and Tukey’s test (5%). Bond failures were analyzed according to the Adhesive Remnant Index (ARI) and evaluated by the Kruskal-Wallis test (5%). Results: There was a statistically significant difference (p = 0.008) in the One-way ANOVA result for SBS values between all groups, but the protocols showed statistically similar results (p ≥ 0.05–Tukey’s tests) concerning the photoactivated faces (V6C, V3M3D and V3C3I) and photoactivation time (V3C and V6C) factors individually. There was no statistically significant difference (p ≥ 0.05) in the One-way ANOVA result for DC values. Conclusion: The SBS and DC values will vary depending on the protocol applied. Clinical relevance: It is possible to maintain the bracket fixation quality with the use of a high-power LED photo activator associated with a shorter photoactivation time. However, it is assumed that not all types of protocols that might be applied will provide quality bonding, such as V3C, V3M3D and V3C3I, which may - depending on the SBS and DC values - affect the final treatment time, due to brackets debonding, or increase of possibility of damage to dental enamel during bracket removal. Clinical studies are suggested to confirm the hypotheses of this research. [ABSTRACT FROM AUTHOR]

Advancements in dentistry require better management of teeth whitening and orthodontic procedures. Hydrogen peroxide whitening can reduce adhesive strength due to enamel changes and residual oxygen. This investigation in-vitro compared the effects of two antioxidant mediums regarding the strength of the bond between orthodontic brackets applied to teeth bleached 24 hours prior. The goal was to develop guidelines for optimizing bracket bond strength in cases where bleaching precedes orthodontic bonding. It evaluated how inoffice teeth whitening with 35% hydrogen peroxide affects orthodontic bracket bond strength and tested the efficacy of antioxidants in reversing this effect. Sixty sound human premolars were separated into four groups: a control group with standard bonding, a bleaching group, and two antioxidant groups treated with 7% sodium bicarbonate or 10% sodium ascorbate following bleaching. Using a universal testing apparatus, the shear bond strength was determined after 24 hours. The study showed that bleaching with 35% hydrogen peroxide significantly reduced orthodontic bracket bond strength (6.60 MPa) compared to the control group (12.98 MPa). However, applying 10% sodium ascorbate or 7% sodium bicarbonate restored bond strength to levels similar to the control group. [ABSTRACT FROM AUTHOR]

Background: High precision intra-oral scans, coupled with advanced software, enable virtual bracket removal (VBR) from digital models. VBR allows the delivery of retainers and clear aligners promptly following debonding, thus reducing the patients' appointments and minimizing the likelihood of tooth movement. The objective of this study was to compare the enamel surface before bonding and after VBR using three different Computer-aided design (CAD) software and to compare their accuracy. Methods: Maxillary scans of 20 participants starting orthodontic treatment were selected for inclusion in the study, who exhibited mild to moderate crowding and required bonding of brackets on the labial surface of permanent maxillary teeth (from the maxillary left first molar to the maxillary right first molar). Two intra-oral scans were conducted on the same day, before bonding and immediately after bonding using CEREC Omnicam (Sirona Dental Systems, Bensheim, Germany). The virtual removal of the brackets from the post-bonding models was performed using OrthoAnalyzer (3Shape, Copenhagen, Denmark), Meshmixer (Autodesk, San Rafael, Calif, USA), and EasyRx (LLC, Atlanta, GA, USA) software. The models that underwent VBR were superimposed on the pre-bonding models by Medit Link App (Medit, Seoul, South Korea) using surface-based registration. The changes in the enamel surface following VBR using the three software packages were quantified using the Medit Link App. Results: There was a significant difference among the 3Shape, Meshmixer, and EasyRx software in tooth surface change following VBR. Specifically, EasyRx exhibited lower levels of accuracy compared to the other two VBR software programs (p<.001, p<.001). A significant difference in enamel surface change was observed between tooth segments across all software groups, in both incisors and molars, with VBR of the molars exhibiting the lowest level of accuracy (3Shape p=.002, Meshmixer p<.001, EasyRx p<.001). Regarding the direction of tooth surface changes following VBR, it was observed that all three groups exhibited a significant increase in the percentage of inadequate bracket removal across all teeth segments. Conclusions: 3Shape and Meshmixer manual VBR software were found to be more accurate than EasyRx automated software, however, the differences were minimal and clinically insignificant. [ABSTRACT FROM AUTHOR]

Recent advancements in dentistry have introduced new light-curing units such as 1-second and 5-second LED curing lights to orthodontics. We aimed to evaluate the shear bond strength and Adhesive Remnant Index (ARI) of stainless-steel orthodontic brackets cured with 1-second, and 5-second LED curing lights. Ninety human extracted upper premolars were selected based on the inclusion and exclusion criteria. The selected teeth were randomly divided into 2 groups - Group I and Group II. In Group I, the teeth were bonded with Standard pre-adjusted edgewise upper premolar brackets (Orthox, JJ Orthodontics) using Transbond XT and cured with Woodpecker iLED 1-second curing light. In Group II, the same brackets and composite were used to bond and light-cure with 5-seconds Woodpecker LED-D unit. The shear bond strength and the Adhesive Remnant Index (ARI) of brackets in both groups were evaluated. Student t-test was used for the statistical analysis of the data. In Group-I (1-second LED curing light), the shear bond strength was 6.62 MPa, whereas it was 10.32 MPa in group II (5-second LED curing light). A highly significant difference was observed in the shear bond strength between the groups. The ARI scores further revealed that the 5-second curing light resulted in a safer failure mode, with adhesive remaining mostly on the bracket. We found that the 5-second Woodpecker LED-D curing light demonstrated higher shear bond strength compared to the 1-second iLED curing light, although both sets of bond strength values are clinically acceptable. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopadie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Stainless steel (SS) orthodontic brackets may have varying corrosion resistance when used with mouthwashes during orthodontic treatment. Studying their effects on orthodontic brackets will be beneficial. Aim: The study's objective was to analyze the surface characteristics of SS orthodontic brackets and their resistance to corrosion, exposed to chlorhexidine and povidone-iodine mouth rinses - an in vitro and in vivo study. Materials and Methods: The in vitro test: MBT 0.022" slot SS orthodontic brackets were immersed in three groups - Group A - Modified Meyer-Fusayama artificial saliva (AS), Group B - Chlorhexidine, and Group C - Povidone-iodine mouthwash. The in vivo test: Brackets were conventionally bonded on the patient's teeth and divided into Group I - control group, Group II - patients used chlorhexidine, and Group III used povidone-iodine mouth rinse. The corrosion resistance and surface characteristics of SS brackets were determined using scanning electron microscope (SEM), electrochemical impedance spectroscopy, and X-ray photoelectron spectroscopy. Results: Higher corrosion resistance was obtained for brackets immersed in chlorhexidine mouth rinse. The polarization resistance value of the orthodontic SS bracket was 109 MO, 1383 MO, and 769 MO immersed in AS, chlorhexidine, and povidone-iodine mouth rinse, respectively. After surface chemical analysis, XPS data showed the largest intensity peak of metallic chromium (CrO) fresh sample and in the sample immersed in chlorhexidine mouthwash. According to SEM, brackets immersed in chlorhexidine showed a relatively smooth surface. Conclusion: In this study, chlorhexidine was found to be less corrosive followed by povidone-iodine. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to evaluate the efficacy of "Embrace WetBond", a fluoride-releasing self-adhesive resin cement in preventing the development of white spot lesions (WSLs) during orthodontic treatment. Methods: This retrospective cross-sectional study was conducted on the dental records of 140 patients treated with fixed orthodontic appliances in a private orthodontic clinic in Tehran, Iran. Patients were divided into two equal groups based on the type of adhesive used for bonding orthodontic attachments: Group 1 (control), Transbond XT and Group 2, Embrace wetBond. The prevalence and severity of WSLs were assessed in all teeth from the first molar to the first molar of both jaws using post-treatment photographs. The data were analyzed by chi-square and Mann-Whitney U test and a P-value<0.05 was considered statistically significant. Results: The prevalence and severity of WSLs were significantly lower in the Embrace WetBond group compared to the Transbond XT group (P=0.02 and P=0.003). The difference in WSL prevalence between the maxilla and mandible was insignificant within each group (P>0.05). The highest prevalence of WSLs was in maxillary lateral incisors (21.4%) and mandibular first molars (15.7%) in the Transbond XT group and maxillary lateral incisors (7.1%) in the WetBond group. Conclusions: The findings of this study suggest that Embrace WetBond adhesive may effectively reduce the risk of WSL development in patients treated with fixed orthodontic appliances. This fluoride-releasing self-adhesive resin cement can be considered a suitable alternative to traditional cement in orthodontic practice. [ABSTRACT FROM AUTHOR]

Introduction: The present in vitro study evaluated the effectiveness of Fluoride Vanish and Silver Diamine Fluoride in preventing enamel demineralization around orthodontic brackets, using a UV light on a group of extracted teeth with bonded brackets. Material and Methods In this study, 30 samples of extracted human permanent teeth with bonded orthodontic brackets were separated into control group I (no fluoride varnish), experimental group II (fluoride varnish was applied), and experimental group III (fluoride varnish with SDF) to examine the preventive effects of fluoride on enamel demineralization. Teeth were subjected to three demineralization cycles in a standard demineralization solution. Enamel demineralization was measured according to the index of Gorelick et al. in all three groups at baseline, after the first and second demineralization cycles under UV light. Results Statistically significant differences were observed between the control group and the FV group after the first demineralization cycle. (p value<0.0001) No significant difference was found between baseline readings and after two demineralization cycles in the FV+SDF group. Conclusion Fluoride varnish, along with SDF, is effective in reducing enamel demineralization. During the bonding appointment, the initial application of fluoride varnish around the orthodontic bracket can offer significant protection against white spot lesions (WSL). The development of WSL next to brackets can be avoided with regular professional applications of an FV during treatment with fixed orthodontic appliances. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective: The objective of this study was to evaluate the shear bond strength of metal brackets bonded with indirect bonding, under different surface treatment protocols. Material and Methods: 40 bovine teeth were randomly divided into four groups (n = 10), according to the type of surface treatment: G1 = 70% alcohol, G2 = air/water spray, G3 = 100-µm aluminum oxide blasting, G4 = direct boning. After drying, the standard Edgewise central incisor brackets were bonded with light-cured resin. The brackets were moved from the plaster models by means of a transfer tray made with condensation silicone, and bonded to the surface of the enamel with self-curing adhesive. The samples were submitted to shear tests by a universal test machine. Data were analyzed with SPSS 20.0 by the one-way ANOVA test and the Tukey post-test. Results: No statistically significant difference (p=0.174) was observed between the mean forces measured between the group for shear strength values of the groups during the test: G1 (5.33 MPa), G2 (3.52 MPa) and G3 (4.58 MPa). Conclusion: The bracket surface treatment protocols presented similarities in shear bond strength test. However, alcohol 70% and oxide blasting presented higher absolute values of resistance than the water group.

Introduction: Orthodontic treatment frequently entails the distalisation of canines to address various malocclusions, involving moving the canines towards the posterior region of the dental arch. A crucial consideration in this treatment is the type of bracket material utilised, as it can impact the efficacy and efficiency of Canine Distalisation (CD). Aim: To analyse various in-vivo studies to evaluate the comparison of the rate of maxillary CD between Ceramic Brackets (CB) and Metal Brackets (MB) during fixed orthodontic treatment. Secondary factors assessed include the loss of anchorage, canine rotation, and canine tipping. Material and Methods: Articles were searched in electronic databases such as Google Scholar, Scopus, and PubMed. The search strategy was designed by two authors, AK and RKJ. The search did not include date restrictions. The list of references for the included articles was also searched. The systematic review included two Controlled Clinical Trials (CCT) and one Randomised Control Trial (RCT). Two authors, AK and RKJ, independently screened the titles, abstracts, and full texts of the identified studies during the literature search and then combined their findings. The information considered from the short-listed studies included the first author, year of publication, rate of CD, CB, and MB. Cochrane’s Risk of Bias (RoB) tool, RoB2 tool, and the Newcastle Ottawa scale were used to analyse bias. Results: The present review incorporated three studies. The analysis of the RoB indicated low RoB in one study and fair RoB in the other two. The systematic review highlighted that there was no significant difference in the rate of CD between CB and MB. Conclusion: The available evidence was limited and of moderate quality, showing no difference in the rate of CD performed using ceramic and MB. Hence, clinically, there is no difference in using metal or CB, even though CBs are known to have higher SR in in-vitro evaluations.

Nano-coating of orthodontic brackets with a combination or hybrid of metals and metal oxides may reduce the streptococcus mutans count and incidence of enamel decalcification seen around brackets in patients undergoing fixed orthodontic treatment. In total, 255 orthodontic brackets (3M Unitek, Monrovia, California, USA) were divided into one control group (group I) of 60 and three experimental groups of 65 each (groups II, III, and IV). The experimental group brackets were coated with a combination of silver-zinc oxide, copper oxide -zinc oxide, and silver-copper oxide nanoparticles using physical vapour deposition method. The two nanoparticles used for each group were mixed in the ratio of 1:1 by weight for providing a uniform hybrid coating. Sixty brackets from each group were used for microbiological evaluation of antibacterial activity against Streptococcus mutans in blood agar medium, and the remaining five brackets from each experimental group were used for SEM analysis to check the uniformity of the coating. Nano-coated brackets demonstrated better antibacterial properties than uncoated brackets. Copper oxide–zinc oxide nanoparticles coated brackets demonstrated better antibacterial properties than the silver–zinc oxide and silver– copper oxide coated brackets.

Objective: This study aimed to evaluate the effect of different recycling (also known as reconditioning) methods on the shear bond strength (SBS) of ceramic brackets.Methods: Fifty mechanically retentive polycrystalline ceramic brackets and 50 mandibular bicuspids were used in this study. The teeth were divided into 5 groups and bonded with new (group 1) or reconditioned brackets. The reconditioning methods were sandblasting (group 2), sandblasting + silane (group 3), hydrofluoric (HF) acid + silane (group 4), and Er:YAG laser (group 5). The SBS of brackets were assessed and the adhesive remnant index (ARI) scores were determined. Statistical analysis was performed using one-way ANOVA, Tukey, and chi-square tests at P

Objectives: This study aimed to explore the effects of removable aligners and fixed appliances on the supragingival bacterial communities in adult female patients undergoing orthodontic treatment. Methods: Supragingival plaque samples from 48 female individuals underwent microbiome analysis (16S rRNA gene sequencing) using PacBio Sequel sequencing. The study included 13 adults without orthodontic treatment needs as the control group (Group C), and 35 patients with comparable initial orthodontic conditions who received treatment at a university clinic in Beijing, China. The treatment involved either traditional fixed brackets (Group B, n = 17) ® or Invisalign aligners (Group AT, n = 18). Bioinformatics methods were used for data analysis. Results: From the 48 plaque samples, a total of 334,961 valid reads were obtained, averaging 6,978 sequences per sample. The 16S rDNA sequences were classified into 25,727 amplicon sequence variants (ASVs). Significant variances in alpha and beta diversity among the groups were noted. Group B microbiome exhibited an increased presence of Gram-negative bacteria. At the phylum level, Actinobacteriota was significantly more prevalent in Group C samples, while Bacteroidota was enriched in Group B samples. Family-level relative abundance analysis showed a notable increase in Saccharibacteria (formerly TM7) and Prevotellaceae in Group B. Genus-level analysis revealed a significant rise in Lautropia in Group AT. Fixed orthodontic appliances were linked to oral microbiome changes, notably an enhanced relative abundance of anaerobes, including periodontal pathogens. Conclusion: The observation points to the impact of orthodontic appliance on the oral microbial community, highlighting the difference between traditional braces (Group B) and clear aligners (Group AT)in terms of the predominance of anaerobic and gram negative bacteria. This emphasizes the importance of considering the microbiological effects when choosing orthodontic appliance and underscores the need for tailored oral hygiene practices for individuals undergoing these treatments. This research might provide insights that could assist in the development of innovative cleaning techniques and antibacterial materials. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to evaluate the shear bond strength of ceramic brackets bonded to the enamel surface using Vertise Flow, with or without the application of phosphoric acid. Materials and Methods: Forty-five extracted human premolar teeth were randomly assigned to three groups (N=15) based on the adhesive used for bonding: 1) Transbond XT, etch, and bond; 2) Vertise Flow; 3) Etch and Vertise Flow. After a 500-round thermocycling procedure, the shear bond strength was measured using a universal testing machine. The samples were then evaluated under a stereomicroscope to determine failure modes, and the Adhesive Remnant Index (ARI) was measured for each group. The data were analyzed with one-way ANOVA and post-hoc Tamhane at a significance level of P<0.05. Results: The highest shear bond strength values were observed in the Transbond XT (13.5±5.38MPa), acid etch and Vertise Flow (11.2±2.89MPa), and Vertise Flow (6.2±3.16MPa) groups, respectively, in descending order. The Vertise Flow group exhibited a significantly lower shear bond strength value compared to the other two groups, with no significant difference between the latter two. Conclusion: While all three study groups demonstrated clinically acceptable shear bond strength values, Vertise Flow showed lower values compared to the other two adhesives. The Vertise Flow composite resin system, whether used alone or with acid etching, remains a suitable choice for bonding ceramic brackets, offering the advantage of a simplified bonding procedure. [ABSTRACT FROM AUTHOR]

Enamel microcracks (EMCs) arising during the removal of metal orthodontic brackets represent a considerable challenge in dentistry. This in vitro study aims to explore the impacts of thermocycling, the types of orthodontic bonding agent, and curing techniques on the enamel surface of the tooth structure following the debonding of orthodontic metal brackets. It also examines the incidence, number, length, and direction of EMCs on the buccal surface of the tooth. Additionally, the study compares adhesive remnant index (ARI) scores and bracket failure post-debonding. Forty extracted human maxillary canines were divided into ten groups, including intact enamel negative controls (groups 1, 2) and groups (3–8) with metal brackets bonded using two different bonding agents and curing techniques. Following bonding, half of the groups underwent thermocycling testing. EMCs, ARI scores, and bracket failure modes were evaluated. The formation, length, and direction of cracks did not significantly differ among groups, regardless of experimental conditions. Thermocycling had no significant effect on ARI scores or bracket failure modes. However, significant variations were observed among curing technique groups, with seventh-generation bonding agents demonstrating potential effectiveness in achieving complete adhesive removal. The study underscores the importance of considering bonding agent systems and curing protocols to optimize bond outcomes and minimize the risk of metal bracket failure in orthodontic treatment. [ABSTRACT FROM AUTHOR]

Introduction: Orthodontic treatment frequently entails the distalisation of canines to address various malocclusions, involving moving the canines towards the posterior region of the dental arch. A crucial consideration in this treatment is the type of bracket material utilised, as it can impact the efficacy and efficiency of Canine Distalisation (CD). Aim: To analyse various in-vivo studies to evaluate the comparison of the rate of maxillary CD between Ceramic Brackets (CB) and Metal Brackets (MB) during fixed orthodontic treatment. Secondary factors assessed include the loss of anchorage, canine rotation, and canine tipping. Material and Methods: Articles were searched in electronic databases such as Google Scholar, Scopus, and PubMed. The search strategy was designed by two authors, AK and RKJ. The search did not include date restrictions. The list of references for the included articles was also searched. The systematic review included two Controlled Clinical Trials (CCT) and one Randomised Control Trial (RCT). Two authors, AK and RKJ, independently screened the titles, abstracts, and full texts of the identified studies during the literature search and then combined their findings. The information considered from the short-listed studies included the first author, year of publication, rate of CD, CB, and MB. Cochrane's Risk of Bias (RoB) tool, RoB2 tool, and the Newcastle Ottawa scale were used to analyse bias. Results: The present review incorporated three studies. The analysis of the RoB indicated low RoB in one study and fair RoB in the other two. The systematic review highlighted that there was no significant difference in the rate of CD between CB and MB. Conclusion: The available evidence was limited and of moderate quality, showing no difference in the rate of CD performed using ceramic and MB. Hence, clinically, there is no difference in using metal or CB, even though CBs are known to have higher SR in in-vitro evaluations. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopadie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Orofacial Orthopedics/Fortschritte der Kieferorthopadie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Nano-coating of orthodontic brackets with a combination or hybrid of metals and metal oxides may reduce the streptococcus mutans count and incidence of enamel decalcification seen around brackets in patients undergoing fixed orthodontic treatment. In total, 255 orthodontic brackets (3M Unitek, Monrovia, California, USA) were divided into one control group (group I) of 60 and three experimental groups of 65 each (groups II, III, and IV). The experimental group brackets were coated with a combination of silver-zinc oxide, copper oxide -zinc oxide, and silver-copper oxide nanoparticles using physical vapour deposition method. The two nanoparticles used for each group were mixed in the ratio of 1:1 by weight for providing a uniform hybrid coating. Sixty brackets from each group were used for microbiological evaluation of antibacterial activity against Streptococcus mutans in blood agar medium, and the remaining five brackets from each experimental group were used for SEM analysis to check the uniformity of the coating. Nano-coated brackets demonstrated better antibacterial properties than uncoated brackets. Copper oxide-zinc oxide nanoparticles coated brackets demonstrated better antibacterial properties than the silver-zinc oxide and silver-copper oxide coated brackets. [ABSTRACT FROM AUTHOR]

A common problem is the difficulty that aesthetic brackets have in maintaining color stability, due to pigments contained in foods and drinks. The present study evaluated in vitro the effect of three commercial toothpastes on color variation in stained monocrystalline ceramic brackets. Forty-eight stained ceramic brackets with red wine were used, randomly assigned to 4 groups: Colgate Luminous White Brilliant®, Vitis Orthodontic®, Colgate Total 12 Clean Mint® and control group. The color variation (∆E) was measured with a spectrophotometer using CIE L*a*b* system at three times: T0 (initial), T7 (after 7 days) and T30 (after 30 days). Data analysis was performed using Kruskal Wallis test and Bonferroni post hoc test, with a significance level of 5%. Regarding to coordinate L*, significant differences were observed between groups, at 7 and 30 days. In coordinate a*, significant differences were observed at 0, 7 and 30 days; while that coordinate b*, no differences were observed between groups at any observation time. The ΔE value was similar between three toothpastes in evaluation period and showed significant differences compared to control group at 30 days. After 30 days of brushing, a toothpaste indicated for whitening, a toothpaste indicated for orthodontics, and a toothpaste for regular use produced similar improvement in color of stained monocrystalline ceramic brackets. All toothpastes improved luminosity of stained brackets, while toothpaste regular had the lowest luminosity value. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Dental Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aims: This study aimed to assess the effect of G-CEM, a fluoride-releasing cement, on the development of white spot lesions (WSLs) and their severity around orthodontic brackets. Methods and Materials: This case-control study was conducted by reviewing 140 dental records of fixed orthodontic patients presenting to an orthodontic clinic. The patients were assigned to two groups (n = 70). In group 1, Transbond XT resin cement, and in group 2, G-CEM had been used for bracket bonding. The frequency and severity of WSLs in each group were evaluated by assessing the available post-treatment photographs of patients and notes left by their orthodontist in their records in this regard. The number of teeth with WSLs in each patient was recorded, and the severity of lesions was categorised by Gorelick's analysis. Statistical Analysis: Comparisons were made using independent t-test, Wilcoxon test and Mann--Whitney test (alpha = 0.05). Results: In both the maxilla and mandible, the prevalence of WSLs was significantly higher in the Transbond XT group than in the G-CEM group (P = 0.01). The difference in frequency of WSLs between the maxilla and mandible was not significant within each group (P > 0.05). Tooth #22 had the highest frequency of WSLs (11.4%) in the Transbond XT group, while teeth #12 and #36 had the highest frequency of WSLs (2.9%) in the G-CEM group. The difference in frequency of WSLs was not significant between males and females (P > 0.05). Conclusion: Bracket bonding with G-CEM fluoride-releasing cement significantly reduced the development of WSLs around orthodontic brackets. [ABSTRACT FROM AUTHOR]

Minimising the friction force of the archwire‐bracket sliding contact is crucial for achieving a high‐quality orthodontic treatment. Micro‐dimples and micro‐grooves textures were successfully produced on the two slot surfaces of the stainless steel orthodontic brackets with the laser surface texturing technology. The effect of surface texture on reducing the friction and wear behaviour of the stainless steel archwire‐bracket sliding contact combinations in artificial saliva environment was investigated. Friction coefficients of less than 0.15 and mild wear were obtained by using the three rows micro‐grooves textured bracket with a width of 60 μm and a spacing of 150 μm. The friction and wear performance was further enhanced with the addition of orthodontic wax materials. It was strongly argued that the synergetic effects of the fabricated micro‐grooves texture and the added orthodontic wax materials leading to the outstanding friction and wear behaviour of the archwire‐bracket sliding contacts. [ABSTRACT FROM AUTHOR]

The aim of this study was to evaluate the influence of the type of etchant on the shear bond strength (SBS) of metallic brackets to enamel and the Adhesive Remnant Index (ARI) after debonding. A total of 30 mandibular and maxillary premolars were randomly distributed into groups (n = 10) treated with 1 of 3 enamel surface-conditioning agents: 35% phosphoric acid (PA), 35% glycolic acid (GA), or 35% ferulic acid (FA). The designated acid was applied to the buccal enamel surface of the tooth for 20 seconds, and the tooth was then rinsed with distilled water for 20 seconds and air dried for 5 seconds. A metal bracket was bonded to the prepared surface with light-cured orthodontic resin. After 24 hours, the bracket-tooth interface was submitted to SBS testing in a universal testing machine at a speed of 0.5 mm/min. After debonding, the enamel surface was observed under a stereomicroscope (x20 magnification) to determine the ARI. The generalized linear models showed that the PA and GA groups presented significantly higher SBSs than the FA group (P = 0.0003). The ARI was significantly higher in specimens treated with PA than with the other acids (P < 0.05; Kruskal-Wallis and Dunn tests), with a larger quantity of adhesive remaining adhered to the tooth. Both PA and GA are effective for bonding brackets, but GA resulted in a lower percentage of adhesive remnant adhered to the enamel. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to evaluate the effect of different recycling (also known as reconditioning) methods on the shear bond strength (SBS) of ceramic brackets. Methods: Fifty mechanically retentive polycrystalline ceramic brackets and 50 mandibular bicuspids were used in this study. The teeth were divided into 5 groups and bonded with new (group 1) or reconditioned brackets. The reconditioning methods were sandblasting (group 2), sandblasting + silane (group 3), hydrofluoric (HF) acid + silane (group 4), and Er:YAG laser (group 5). The SBS of brackets were assessed and the adhesive remnant index (ARI) scores were determined. Statistical analysis was performed using one-way ANOVA, Tukey, and chi-square tests at P<0.05. Results: The highest SBS value was observed in brackets treated with sandblasting + silane (19.26 ± 3.30 MPa), which was comparable to both the control (19.01 ± 3.12 MPa) and sandblasting (16.98 ± 3.13 MPa) groups. Treatment with hydrofluoric acid + silane (9.46 ± 3.43 MPa) and Er:YAG laser (9.71 ± 1.23 MPa) yielded significantly lower SBS values than the other study groups (P<0.05). The highest overall ARI scores were observed in the HF acid + silane and Er:YAG laser group, indicating more adhesive remnants on the enamel surface. Conclusions: Sandblasting, with or without silane treatment, effectively restored the bond strength of ceramic brackets to almost initial values. Although recycling with hydrofluoric acid + silane or Er:YAG laser produced lower bond strengths, they still surpassed the clinical threshold of 7.8 MPa, making them viable options for bracket reconditioning in clinical settings. [ABSTRACT FROM AUTHOR]

Objectives: The reduction of resistance to sliding between the archwire and bracket promotes more seamless tooth movement, leading to a faster and improved orthodontic treatment experience. This research aimed to examine how the degradation of elastomeric modules, different ligation methods, bracket-wire angle, and wire type (nickel titanium, NiTi or stainless-steel, SS) impact the kinetic friction resulting from the interaction between NiTi or SS archwires and SS brackets. Materials and Methods: The current in vitro study was conducted on nine groups, including NiTi and SS archwires with three types of ligations (O-ring, figure of 8, and SS wire ligature) and two bracket-wire angles (0° and 10°). The kinetic friction in each group was measured using a Universal Testing Machine at four time intervals: baseline, day one, week one, and week four. Repeated measures ANOVA, Mauchly test of sphericity followed by the Greenhouse-Geisser test, and relevant post hoc tests were used for statistical analysis (P<0.05). Results: The authors found a decrease in kinetic friction in all types of ligations, which confirmed the effect of time on the degradation of ligation modules. The kinetic friction of figure of 8 ligations was higher than both O-ring and SS wire ligations. No difference was observed between O-ring and SS wire ligations. Furthermore, the bracket-wire angle did not affect friction. Conclusion: The authors suggest that the use of figure of 8 ligations in NiTi and SS wires should be limited due to their high friction and replaced with other types of ligations, if possible. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this study was to compare the efficacy of various remineralizing agents in stopping the early enamel lesions surrounding orthodontic brackets from progressing. Techniques: Four groups were randomly allocated to a total of 100 participants: the control group (no treatment), calcium phosphate, casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), and fluoride varnish. Remineralizing chemicals were administered in accordance with manufacturer recommendations, and enamel lesions were created around orthodontic brackets. At baseline and follow-up visits, enamel lesion development was evaluated by visual inspection, quantitative light-induced fluorescence, and microhardness tests. Results: All treatment groups showed significant improvements in microhardness and decreases in lesion size compared to the control group (P < 0.05). Of all the treatment groups, CPP-ACP showed the most notable improvement in microhardness. Regarding the reduction of lesion size, there were no notable variations between the therapy groups (P > 0.05). Conclusion: Initial enamel lesions surrounding orthodontic brackets can be effectively prevented from progressing with the use of fluoride varnish, calcium phosphate, and CPP-ACP. Promising improvements in microhardness indicate that CPP-ACP may be a better treatment choice. Larger sample sizes and longer follow-up times are needed for future studies to validate these results and clarify the best strategy for maintaining the health of enamel throughout orthodontic treatment.

Objectives: This study aimed to evaluate the shear bond strength of ceramic brackets bonded to the enamel surface using Vertise Flow, with or without the application of phosphoric acid. Materials and Methods: Forty-five extracted human premolar teeth were randomly assigned to three groups (N=15) based on the adhesive used for bonding: 1) Transbond XT, etch, and bond; 2) Vertise Flow; 3) Etch and Vertise Flow. After a 500-round thermocycling procedure, the shear bond strength was measured using a universal testing machine. The samples were then evaluated under a stereomicroscope to determine failure modes, and the Adhesive Remnant Index (ARI) was measured for each group. The data were analyzed with one-way ANOVA and post-hoc Tamhane at a significance level of P

Abstract Objective One of the most imprortant factors in achieving ideal teeth positions is the precision of the slot dimensions of orthodontic brackets into the archwires are inserted.This study aimed to assess the accuracy of the dimensions of orthodontic bracket slots and molar buccal tube apertures and to compare them with the specifications provided by the manufacturers. Method A total of sixty brackets and ten molar buccal tubes with varying slot heights were examined using a scanning electron microscope from the mesial side. The dimensions and morphology of these bracket slots and buccal tubes apertures were assessed using the AutoCAD Software. A one-sample t-test was conducted to compare the measurements with the values provided by the manufacturer. Results The findings of the present study indicated that the height of the measured bracket slots and buccal tube apertures dimensions were significantly larger than the actual dimensions and exhibiting divergent walls. On the other hand, the depth of the brackets slots showed significantly smaller values than the actual one. Conclusion A need for careful consideration when selecting a commercially accessible brand for everyday use is essential as certain materials may not meet acceptable standards.

Objectives: To compare three different orthodontic adhesives (Transbond XT Light Cure Adhesive, Heliosit Orthodontic, Fuji Ortho LC) bonded to two types of orthodontic brackets: ceramic brackets (Fascination Roth 0.22) and metallic brackets (Topic Roth 0.22, Dentaurum). Materials and methods: The study was performed on 18 human teeth (6 for each adhesive). The prepared teeth were divided into three groups according to the examination time. Subsequently, they were observed after 1, 2 and 3 weeks following bonding. After the experimental procedure, the teeth samples were cut in half along the longitudinal axis in the vestibulo-oral direction, fixed with conductive carbon cement, placed in a high-vacuum evaporator and then coated with carbon. One half of each sample was observed under a Field-emission gun scanning electron microscope (FEG-SEM Hitachi SU 8030, Japan), while on the second half of the samples qualitative (X-ray line-scans) and semi-quantitative point X-ray energy dispersive analyses (EDX) were performed with Thermo Noran (USA) NSS System 7, equipped with Ultra Dry detector (30 mm2 window). Results: Transbond XT had an ideal bond with the enamel and the bracket base, with rare presence of microgaps and cracks in the enamel. Heliosit Orthodontic demonstrated a better bond relationship with the bracket base than the enamel, where-as in the latter the presence of microgaps in the bond was observed. The microphotographs of Fuji Ortho LC demonstrated many cracks inside the adhesive, and some of them continued to move forward into the enamel surface. Therefore, an impression of a very solid bond relationship with the enamel exists, with cracks being present in the enamel surface and never at the enamel-adhesive interface. Microgaps also appeared at the bracket-adhesive interface. Conclusion: Transbond XT is a highly filled composite resin and is an ideal orthodontic adhesive in each aspect examined, with an ideal enamel-adhesive and bracket-adhesive interface. Heliosit Orthodontic provides better bracket-adhesive interface compared to the enamel. Fuji Ortho LC as a solid resin-modified GIC provides a better enamel-adhesive interface, compared to the bracket base.

Objective: One of the most imprortant factors in achieving ideal teeth positions is the precision of the slot dimensions of orthodontic brackets into the archwires are inserted.This study aimed to assess the accuracy of the dimensions of orthodontic bracket slots and molar buccal tube apertures and to compare them with the specifications provided by the manufacturers. Method: A total of sixty brackets and ten molar buccal tubes with varying slot heights were examined using a scanning electron microscope from the mesial side. The dimensions and morphology of these bracket slots and buccal tubes apertures were assessed using the AutoCAD Software. A one-sample t-test was conducted to compare the measurements with the values provided by the manufacturer. Results: The findings of the present study indicated that the height of the measured bracket slots and buccal tube apertures dimensions were significantly larger than the actual dimensions and exhibiting divergent walls. On the other hand, the depth of the brackets slots showed significantly smaller values than the actual one. Conclusion: A need for careful consideration when selecting a commercially accessible brand for everyday use is essential as certain materials may not meet acceptable standards. [ABSTRACT FROM AUTHOR]

The aim of this study was to examine the influence of the orthodontic bracket material on the short-term and long-term post-cure development of the degree of conversion (DC) of resin-based orthodontic adhesive systems. Five commercially available materials characterized by different compositions and curing modes (light-curable or dual-curable) were tested under three different light curing conditions: without brackets (control group, CO), and in the presence of metal brackets (MB group) or ceramic brackets (CB group). Fourier-transform infrared spectroscopy was used to determine the post-cure DC development, both after "short-term" periods (2, 6, and 10 min) and "long-term" periods (1, 7, and 28 days). The short-term DC values ranged from 43.9% to 76.1%, and the long-term DC values were higher and ranged from 54.3% to 85.3%. The MB group demonstrated significantly lower short-term DC values compared to the CO and the CB groups, while the CB group had statistically similar or slightly lower DC values compared to the CO group. Long-term DC values in the MB and the CB groups were statistically lower or similar compared to the CO group, which depended on the post-cure time. The results indicated that the post-cure DC development was highly material-dependent and affected by the presence of different types of bracket material. [ABSTRACT FROM AUTHOR]