Relationship between odontogenic bacteremia and orthodontic stripping


Makale | 2013 | American Journal of Orthodontics and Dentofacial Orthopedics

Introduction: The aim of this study was to evaluate the prevalence of bacteremia associated with an orthodontic stripping procedure. Methods: The study included 29 orthodontic patients (mean age, 18.2 6 3.4 years). We used a standardized stripping procedure: a perforated stripping disk with a contra-angle hand piece was used at a low speed (\15,000 rpm; 10 seconds) on the mandibular anterior teeth. Blood samples were collected by inserting a cannula into the left antecubital fossa. A baseline sample was taken before treatment, and a second sample was taken after the stripping procedure. These samples were inoculated into aerobi . . .c and anaerobic blood culture bottles and incubated, and the bacterial cultures were identified; the samples collected before and after the stripping procedure were statistically analyzed. Results: Transient bacteremia was not detected in any pretreatment blood sample, but it was found in 1 postoperative blood sample; this sample tested positive for Streptococcus sanguis. Conclusions: The bacterial species in the positive postoperative blood sample was S sanguis, which might be associated with infective endocarditis. Clinicians should explain the level of risk to the patient and consult a concerned medical specialist Daha fazlası Daha az

Effect of LED-mediatedphotobiomodulation therapy on orthodontic tooth movement and root resorption in rats


Makale | 2013 | Springer

The aim of this experimental study was to evaluate the effects of light-emitting diode-mediated-photobiomodulation therapy (LPT), on the rate of orthodontic tooth movement (TM) and orthodontically induced root resorption, in rats. Twentymale 12-week-oldWistar rats were separated into two groups (control and LPT) and 50 cN of force was applied between maxillary left molar and incisor with a coil spring. In the treatment group, LPT was applied with an energy density of 20 mW/cm2 over a period of 10 consecutive days directly over the movement of the first molar teeth area. The distance between the teeth was measured with a di . . .gital caliper on days 0 (T0), 10 (T1), and 21 (T2) on dental cast models. The surface area of root resorption lacunae was measured histomorphometrically using digital photomicrographs. Mann–Whitney U and Wilcoxon tests were used for statistical evaluation at p Daha fazlası Daha az

Treatments of horizontal root fractures: four case reports


Makale | 2013 | Wolters Kluwer Health

Horizontal root fractures are rare in comparison to other types of injuries and the reported prevalence in the literature is between 0.5% and 7%. The treatment and prognosis of root fractures depend on many variables, the most important being the length of time between trauma and treatment, degree of dislocation and mobility, site of fracture, fixation period, stage of root development, age of patient, and quality of treatment. The ideal healing type is hard tissue healing. The aim of these case reports is to present four different patients who had horizontal root fractures of immature permanent teeth treated by repositi . . .oning and fixation with good healing. Patients were referred to our clinic with a complaint of mobility and tenderness in their upper central incisors as a result of an orofacial injury. As a result of radiographical examination, horizontal fractures were diagnosed on the roots. Teeth were repositioned and rigid fixation was applied. Splints were retained for about 12 weeks. After splints were removed, patients were scheduled for follow‑up visits at 3 month intervals. After long‑term clinical and radiographical follow‑up, all teeth presented positive response to electrical pulp tests, suggesting a repair of root fractures. These immature teeth showed radiographic evidence of continued root development and normal color and mobility, and no pain was observed in horizontal and vertical percussion tests. Patients reported no discomfort with their teeth. Using splints without any further treatment was found to be successful in the presence of suitable conditions for the treatment of horizontal root fractures Daha fazlası Daha az

Influence of soft drinks on dental enamel: An in vitro study


Makale | 2013 | Wolters Kluwer Health

This in vitro study was to evaluate the erosive potential of four soft drinks at different times on bovine teeth by profilometry. Bovine incisors buccal side was sectioned with a diamond saw and a total of 100 enamel blocks were prepared (8 × 4 × 0.5 mm). Five specimens each were exposed to 60 ml of soft drinks (Sprite, Coca Cola, Cappy-orange and Ayran) for 15, 30, 60, 120 and 180 minutes in a continuously vibrating soft drinks bath in a beaker at room temperature. Surface loss of the specimens was determined with a profilometry. The data were analyzed by two-way analysis of variance and Tukey HSD test. Loss of enamel was observed . . .in Coca Cola, Cappy and Sprite groups. Coca Cola was significantly higher erosive potential in 180 minutes than other soft drinks (p < 0.05). Ayran was no sign of erosive potential in all time. It can be concluded that the composition of the beverages had a significant effect on dental erosion, so consumption of Ayran can be advised Daha fazlası Daha az

Alveolar bone thickness and lower incisor position in skeletal Class I and Class II malocclusions assessed with cone-beam computed tomography


Makale | 2013 | The Korean Association of Orthodontists

Objective: To evaluate lower incisor position and bony support between patients with Class II average- and high-angle malocclusions and compare with the patients presenting Class I malocclusions. Methods: CBCT records of 79 patients were divided into 2 groups according to sagittal jaw relationships: Class I and II. Each group was further divided into average- and high-angle subgroups. Six angular and 6 linear measurements were performed. Independent samples t-test, Kruskal–Wallis, and Dunn post-hoc tests were performed for statistical comparisons. Results: Labial alveolar bone thickness was significantly higher in Cl . . .ass I group compared to Class II group (p = 0.003). Lingual alveolar bone angle (p = 0.004), lower incisor protrusion (p = 0.007) and proclination (p = 0.046) were greatest in Class II average-angle patients. Spongious bone was thinner (p = 0.016) and root apex was closer to the labial cortex in high-angle subgroups when compared to the Class II average-angle subgroup (p = 0.004). Conclusions: Mandibular anterior bony support and lower incisor position were different between average- and high-angle Class II patients. Clinicians should be aware that the range of lower incisor movement in high-angle Class II patients is limited compared to average- angle Class II patients Daha fazlası Daha az

Evaluation of alveolar bone loss following rapid maxillary expansion using cone-beam computed tomography


Makale | 2013 | The Korean Association of Orthodontists

Objective: To evaluate the changes in cortical bone thickness, alveolar bone height, and the incidence of dehiscence and fenestration in the surrounding alveolar bone of posterior teeth after rapid maxillary expansion (RME) treatment using cone-beam computed tomography (CBCT). Methods: The CBCT records of 20 subjects (9 boys, mean age: 13.97 ± 1.17 years; 11 girls, mean age: 13.53 ± 2.12 year) that underwent RME were selected from the archives. CBCT scans had been taken before (T1) and after (T2) the RME. Moreover, 10 of the subjects had 6-month retention (T3) records. We used the CBCT data to evaluate the buccal and . . . palatal aspects of the canines, first and second premolars, and the first molars at 3 vertical levels. The cortical bone thickness and alveolar bone height at T1 and T2 were evaluated with the paired-samples t-test or the Wilcoxon signed-rank test. Repeated measure ANOVA or the Friedman test was used to evaluate the statistical significance at T1, T2, and T3. Statistical significance was set at p < 0.05. Results: The buccal cortical bone thickness decreased gradually from baseline to the end of the retention period. After expansion, the buccal alveolar bone height was reduced significantly; however, this change was not statistically significant after the 6-month retention period. During the course of the treatment, the incidence of dehiscence and fenestration increased and decreased, respectively. Conclusions: RME may have detrimental effects on the supporting alveolar bone, since the thickness and height of the buccal alveolar bone decreased during the retention period Daha fazlası Daha az

OPG and RANKL levels around miniscrew implants during orthodontic tooth movement


Makale | 2013 | American Journal of Orthodontics and Dentofacial Orthopedics

Introduction: The aim of this study was to determine the peri-miniscrew implant crevicular fluid receptor activator of nuclear factor-lB ligand (RANKL) and osteoprotegerin (OPG) levels around loaded and unloaded miniscrew implants at different time intervals. Methods: Twenty loaded and 16 unloaded miniscrew implants were included in this study. All miniscrew implants were placed bilaterally between the maxillary second premolars and first molars as anchorage units for canine distalization. Peri-miniscrew implant crevicular fluid was taken from the mesiobuccal aspects of the loaded and unloaded miniscrew implants before loading; . . . at 24, 48, and 168 hours; and on day 30 after force application. Enzyme-linked immunosorbent assay kits were used to determine RANKL and OPG levels in the peri-miniscrew implant crevicular fluid samples. Wilcoxon, Mann-Whitney U, and Spearman correlation tests were used for statistical evaluations at the P\0.05 level. Results: Although the total amount of OPG was not different between the groups, the total amount of RANKL was significantly elevated in the loaded miniscrew implant group (P\0.05) at all time periods. Peri-miniscrew implant crevicular fluid volume was the highest at 48 hours in the loaded group. Also, the OPG/RANKL ratio in the peri-miniscrew implant crevicular fluid was significantly decreased in the loaded miniscrew implant group. Conclusions: The OPG and RANKL levels vary around loaded and unloaded miniscrew implants as a result of force application Daha fazlası Daha az

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