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Kitap | 2021 | İzmir Kâtip Çelebi Üniversitesi

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Measurements from conventional, digital and CT-derived cephalograms: a comparative study


Makale | 2012 | Australian Society of Orthodontists

Objective: The purpose of this retrospective radiographic study was to determine the reliability and reproducibility of skeletal and dental measurements of lateral cephalograms created from a computerised tomography (CT) scan compared with conventional and digital lateral cephalograms. Methods: CT and conventional lateral cephalograms of the same patients were obtained from university archives. The lateral cephalometric radiographs of 30 patients were manually traced. The radiographs were subsequently scanned and traced using Dolphin Imaging software version 11 (Dolphin Imaging, Chatsworth, CA, USA). The CT-created lateral ceph . . .alograms were also traced using the same software. Sixteen (10 angular and 6 linear) measurements were performed. Cephalometric measurements obtained from conventional, digital and CT-created cephalograms were statistically compared using repeated measures analysis of variance (ANOVA). Statistical significance was set at the p < 0.05 level of confidence. Results: The intra-rater reliability test for each method showed high values (r > 0.90) except for mandibular length which had a correlation of 0.82 for the CT-created cephalogram. Five measurements (N-A-Pog, N-S, ANS-PNS, Co-ANS and Co-Gn) were found to be significantly different between the CT-created and conventional cephalograms and three measurements (SNB, ANB, and /1-MP) were found to be significantly different between the CT-created and digital cephalograms. Conclusions: There are statistically-significant differences in measurements produced using a traditional manual analysis, a direct digital analysis or a 3D CT-derived cephalometric analysis of orthodontic patients. These differences are, on average, small but because of individual variation, may be of considerable clinical significance in some patients Daha fazlası Daha az

Effects of demineralizaton-inhibition procedures on the bond strength of brackets bonded to demineralized enamel surface


Makale | 2012 | The Korean Association of Orthodontists

Objective: To study and compare the effects of different demineralizationinhibition methods on the shear bond strength (SBS) and fracture mode of an adhesive used to bond orthodontic brackets to demineralized enamel surfaces. Methods: Eighty freshly extracted, human maxillary premolars were divided into 4 equal groups and demineralized over the course of 21 days. Brackets were bonded to the demineralized enamel of teeth in Group 1. In Group 2, bonding was performed following resin infi ltration (ICON®, DMG, Hamburg, Germany). Before bonding, pre-treatment with acidulated phosphate fluoride (APF) or solutions containing casei . . .n phosphopeptide-amorphous calcium phosphate with 2% neutral sodium fluoride (CPP-ACP/wF) was performed in Groups 3 and 4, respectively. Th e SBS values of the brackets were measured and recorded following mechanical shearing of the bracket from the tooth surface. Th e adhesive remnant index (ARI) scores were determined aft er the brackets failed. Statistical comparisons were performed using one-way ANOVA, Tukey’s post-tests, and G-tests. Results: Significant differences were found in some of the intergroup comparisons of the SBS values (F = 39.287, p < 0.001). No signifi cant diff erences were found between the values for the APF-gel and control groups, whereas signifi cantly higher SBS values were recorded for the resin-infi ltrated and CPPACP/ wF-treated groups. Th e ARI scores were also signifi cantly diff erent among the 4 groups (p < 0.001). Conclusions: Tooth surfaces exposed to resin infi ltration and CPP-ACP/wF application showed higher debonding forces than the untreated, demineralized surfaces Daha fazlası Daha az

Effect of antibacterial monomer-containing adhesive on enamel demineralization around orthodontic brackets: An in-vivo study


Makale | 2011 | American Journal of Orthodontics and Dentofacial Orthopedics

Introduction: The aims of this study were to evaluate the effect of an antibacterial monomer-containing selfetching adhesive in reducing enamel demineralization around orthodontic brackets in vivo and to compare it with the conventional adhesive system quantitatively. Methods: Fourteen orthodontic patients were randomly divided into 2 equal groups; they received brackets fitted to all their teeth, bonded with either Clearfil Protect Bond (Kuraray Medical, Okayama, Japan) (experimental group) or Transbond XT (3M Unitek, Monrovia, Calif) (control group). Block randomization to obtain equal numbers in each group was used. After 30 . . . days, all first premolars were extracted with orthodontic indications and longitudinally sectioned. Demineralization was assessed by cross-sectional microhardness. Determinations were made at the bracket edge cementing limits and at occlusal and cervical points 100 and 200 mm away from the edge. In all of these positions, 6 indentations were made at depths of 10 to 90 mm from the enamel surface. Analysis of variance (ANOVA) and the Tukey post-hoc test were used. The statistical significance level was set at P\0.05. Results: ANOVA showed statistically significant differences for adhesive type, position, depth, and their interactions (P\0.05). The multiple comparison test showed that the antibacterial monomer-containing adhesive was significantly more efficient than the conventional adhesive system, reducing enamel demineralization in almost all evaluations (P \0.05). Conclusions: The results indicated that using antibacterial monomer-containing adhesive for bonding orthodontic brackets successfully inhibited caries in vivo. This cariostatic effect was localized at the area around the brackets and was significant after 30 days Daha fazlası Daha az

Effects of modified and conventional facemask therapies with expansion on dynamic measurement of natural head position in Class III patients


Makale | 2011 | American Journal of Orthodontics and Dentofacial Orthopedics

Introduction: The aim of this prospective clinical trial was to assess the effects of varying force directions on the dynamic measurement of natural head position and orofacial airway dimensions of Class III patients during maxillary orthopedic protraction compared with an untreated control group. Methods: The conventional facemask group comprised 15 patients (8 girls, 7 boys; mean age, 9.6 6 1.3 years), the modified facemask group comprised 15 patients (7 girls, 8 boys; mean age, 9.5 6 1.5 years), and the control group comprised 15 subjects (7 girls, 8 boys; mean age, 9.8 6 1.6 years). Natural head position measurements and ce . . .phalometric records were obtained from all subjects before and after treatment or the control period (approximately 1 year). An inclinometer and a portable data logger were used to collect the dynamic natural head position data. For statistical comparisons, paired samples t tests, analysis of variance (ANOVA), and post-hoc Tukey tests were used at the P\0.05 level. Results: Both treatment groups showed statistically significant changes in the sagittal (pitch) measurements of natural head position and upper pharynx, aerial, and total area of airway measurements during the treatment period. In the control group, the only statistically significant change was an increased upper pharynx measurement (P 5 0.020). According to the intergroup comparisons, statistically significant natural head position differences were found in the conventional (6.4 flexion) and the modified (5.7 flexion) facemask groups when compared with the controls. The modified facemask group also showed significant changes in aerial (P 5 0.003) and total (P\0.001) areas of the airway measurements compared with the control group. No statistically significant differences were observed between the 2 treatment groups. Conclusions: These findings suggest that modified and conventional facemask therapy with expansion have significant cranial flexion effects on the dynamic measurements of natural head position. Additionally, the modified facemask procedure showed significant effects on the orofacial airway dimensions compared with the initial values and the values of the untreated controls Daha fazlası Daha az

Ethnic differences in dentofacial relationships of Turkish and Saudi young adults with normal occlusions and well-balanced faces


Makale | 2011 | Elsevier

Objectives: The aims of the present study were (1) to determine ethnic differences in craniofacial dimensions between Turkish and Saudi populations and (2) to identify possible gender differences between males and females, based on a sample of untreated young adult subjects with normal occlusions and well-balanced faces. Methods: In total, 163 cephalometric radiographs were traced and evaluated to compare untreated adults of Turkish and Saudi ethnicity. The Turkish group comprised 86 subjects; 45 females and 41 males. The Saudi group comprised 77 subjects; 39 females and 38 males. For statistical evaluation, an independent-sa . . .mples t-test was performed. Results: The Turkish sample had a more retrognathic maxilla and mandible (p< 0.001 for SNA and SNB) and a more vertical direction of facial development (p< 0.001), with Turkish males having more retrusive lips (p< 0.001). Distinctive ethnic differences were found in craniofacial structures between Turkish and Saudi young adults. Conclusions: It is appropriate to consider these aesthetic differences when a Turkish or a Saudi patient is being evaluated during routine diagnosis and treatment planning Daha fazlası Daha az

Comparison of craniofacial morphology, head posture and hyoid bone position with different breathing patterns


Makale | 2012 | Elsevier

Objectives: The aim of this study was to evaluate differences in craniofacial morphology, head posture and hyoid bone position between mouth breathing (MB) and nasal breathing (NB) patients. Methods: Mouth breathing patients comprised 34 skeletal Class I subjects with a mean age of 12.8 ± 1.5 years (range: 12.0–15.2 years). Thirty-two subjects with skeletal Class I relationship were included in the NB group (mean 13.5 ±1.3 years; range: 12.2–14.8 years). Twenty-seven measurements (15 angular and 12 linear) were used for the craniofacial analysis. Additionally, 12 measurements were evaluated for head posture (eight measurement . . .s) and hyoid bone position (four measurements). Student’s t-test was used for the statistical analysis. Probability values Daha fazlası Daha az

An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal Caries


Makale | 2010 | Hindawi Publishing Corporation

The aim of this study was to investigate the efficiency of different diagnostic methods in detection of residual dentinal caries in excavated cavities. Fifty extracted molar with deep dentinal carious lesions were excavated using a slow-speed handpiece. All cavities were assessed by laser fluorescence(LF) device, electronic caries monitor(ECM), and caries detector dye(CDD) by three independent observers blindly. The measurements were repeated after two weeks. Specimens containing dentin slices 150 μm in thickness were prepared for histological analyses. The existence and absence of carious dentin was determined using a lig . . .htmicroscope. The average intraobserver accuracy was 1.00 (perfect agreement) for CDD, 0.86 (excellent agreement) for ECM, and 0.50 (good agreement) for LF. The average interobserver accuracy values were 0.92 (excellent agreement), (0.36 marginal agreement) and 0.48 (good agreement), for CDD, ECM, and LF, respectively. The average specificity was 0.60 for CDD, 73% for ECM, and 0.50 for LF. The average sensitivity was 0.55 for CDD, 0.85 for LF, and 0.47 for ECM. The average accuracy values were 0.53, 0.51, and 0.81 for CDD, ECM, and LF, respectively. LF had the greatest sensitivity and accuracy values of any of the methods tested. As a conclusion, LF device is appeared to most reliable method in detection of remain caries in cavity. However, because of its technical sensitivity it may susceptible to variations in measurements. To pay attention to the rule of usage and repeated measurements can minimize such variations in clinical practice. It was concluded that LF is an improvement on the currently available aids for residual caries detection Daha fazlası Daha az

Dentoskeletal effects of Twin Block and Herbst appliances in patients with Class II division 1 mandibular retrognathy


Makale | 2014 | European Orthodontic Society

OBJECTIVE: The aim of this study is to evaluate dentoskeletal effects of Herbst and Twin Block (TB) appliance therapies in Skeletal Class II malocclusion. SUBJECTS AND METHODS: Herbst group consisted of 11 girls and 9 boys (mean age = 12.74±1.43 years), TB group comprised of 10 girls and 10 boys (mean age = 13.0±1.32 years), and control group included 9 girls and 11 boys (mean age = 12.17±1.47 years). Mean treatment/observation times were 15.81±5.96 months for Herbst, 16.20±7.54 months for TB, and 15.58±3.13 months for control group. Pre-treatment (T0) and post-treatment (T1) lateral cephalograms were traced using a modified Panc . . .herz’s cephalometric analysis. Inter-group differences were evaluated with one-way analysis of variance, and intra-group differences were assessed with paired samples t-test at the P < 0.05 level. RESULTS: In control group, all sagittal and vertical skeletal measurements increased as a result of continuing growth. However, skeletal discrepancy and overjet remained unchanged. After functional appliance therapy, greater increases were recorded in TB group for all mandibular skeletal measurements compared with those in control group. Upper dental arch distalization and lower incisor protrusion were significant in Herbst group, compared with control. All face height measurements increased after functional appliance therapy. IMPLICATIONS AND CONCLUSIONS: In TB group, the treatment effects were mainly due to mandibular skeletal changes. Both skeletal and dental changes contribute to Class II correction with Herbst appliance therapy. Herbst appliance may be especially useful in Skeletal Class II patients with maxillary dentoalveolar protrusion and mandibular dentoalveolar retrusion, whereas TB appliance may be preferred for skeletal mandibular retrognathy patients Daha fazlası Daha az

Low-shrinking composites. Are they reliable for bonding orthodontic retainers?


Makale | 2011 | The Korean Association of Orthodontists

To evaluate the shear bond strength (SBS), fracture mode, wire pull out (WPO) resistance and microleakage between low-shrinking and conventional composites used as a lingual retainer adhesive. Methods: A total of 120 human mandibular incisor teeth, extracted for periodontal reasons, were collected. Sixty of them were separated into two groups. To determine the SBS, either Transbond-LR (3M-Unitek) or Silorane (3M-Espe) was applied to the lingual surface of the teeth by packing the material into standard cylindrical plastic matrices (Ultradent) to simulate the lingual retainer bonding area. To test WPO resistance, 20 samples were prep . . .ared for each composite where the wire was embedded in the composite materialand cured. Then tensile stress was applied until failure of the composite occurred. The remaining 60 teeth were divided into two groups and multi-stranded 0.0215-inch diameter wire was bonded with the same composites. Microleakage was evaluated by the dye penetration method. Statistical analyses were performed by Wilcoxon, Pearson chi-square, and Mann-Whitney-U tests at p > 0.05 level. Results: The SBS and WPO results were not statistically significant between the two groups. Significant differences were found between the groups in terms of fracture mode (p > 0.001). Greater percentages of the fractures showed mix type failure (85%) for Silorane and adhesive (60%) for Transbond-LR. Microleakage values were lower in low-shrinking composite than the control and this difference was found to be statistically significant (p > 0.001). Conclusions: Low-shrinking composite produced sufficient SBS, WPO and micro-leakage values on the etched enamel surfaces, when used as a lingual retainer composite 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

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