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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

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

Dental and Alveolar Arch Widths in Normal Occlusion, Class II division 1 and Class II division 2


Makale | 2005 | The E. H. Angle Education and Research Foundation

The aim of this study was to compare the transverse dimensions of the dental arches and alveolar arches in the canine, premolar, and molar regions of Class II division 1 and Class II division 2 malocclusion groups with normal occlusion subjects. This study was performed using measurements on dental casts of 150 normal occlusion (mean age: 21.6 6 2.6 years), 106 Class II division 1 (mean age: 17.2 6 2.4 years), and 108 Class II division 2 (mean age: 18.5 6 2.9 years) malocclusion subjects. Independent-samples t-test was applied for comparisons of the groups. These findings indicate that the maxillary interpremolar width, maxill . . .ary canine, premolar and molar alveolar widths, and mandibular premolar and molar alveolar widths were significantly narrower in subjects with Class II division 1 malocclusion than in the normal occlusion sample. The maxillary interpremolar width, canine and premolar alveolar widths, and all mandibular alveolar widths were significantly narrower in the Class II division 2 group than in the normal occlusion sample. The mandibular intercanine and interpremolar widths were narrower and the maxillary intermolar width measurement was larger in the Class II division 2 subjects when compared with the Class II division 1 subjects. Maxillary molar teeth in subjects with Class II division 1 malocclusions tend to incline to the buccal to compensate the insufficient alveolar base. For that reason, rapid maxillary expansion rather than slow expansion may be considered before or during the treatment of Class II division 1 patients Daha fazlası Daha az

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

Rapid maxillary expansion effects on dynamic measurement of natural head position


Makale | 2011 | The E. H. Angle Education and Research Foundation

Objective: To identify the effect of rapid maxillary expansion (RME) procedure on dynamic measurement of natural head position (NHP). Materials and Methods: The treatment group comprised 23 patients, 12 girls and 11 boys (mean age: 10.1 6 1.1 years), and the control group comprised 15 subjects, 8 girls and 7 boys (mean age: 9.7 6 1.4 years). The test subjects underwent RME treatment using full cap acrylic device, and the mean amount of expansion was 5.48 mm. An inclinometer and a portable data logger were used to collect the NHP data. Intragroup changes were evaluated by using nonparametric Wilcoxon test, and intergroup chang . . .es were analyzed with Mann-Whitney U-test. P values less than .05 were considered statistically significant. Results: The mean difference between initial and final NHP was 0.31u, and this difference was not statistically significant. Also, there were no statistically significant differences between the RME and control groups before and after treatment. Conclusion: Treatment with the RME procedure showed no statistically significant effects on dynamic measurement of NHP when compared with initial values or untreated control 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

Resonance frequency analysis of orthodontic miniscrews subjected to light-emitting diode photobiomodulation therapy


Makale | 2012 | European Orthodontic Society

The aim of this prospective experimental study was to evaluate the effect of light-emitting diode (LED) photobiomodulation therapy (LPT) on the stability of immediately loaded miniscrews under different force levels, as assessed by resonance frequency analysis (RFA). Sixty titanium orthodontic miniscrews with a length of 8 mm and a diameter of 1.4 mm were implanted into cortical bone by closed flap technique in each proximal tibia of 15 New Zealand white adult male rabbits (n = 30). The animals were randomly divided into irradiated and control groups under different force levels (0, 150, and 300 cN). OsseoPulse® LED device (Biolux R . . .esearch Ltd.) 618 nm wavelength and 20 mW/cm2 output power irradiation (20 minutes/day) was applied to the miniscrews for 10 days. The RFA records were performed at miniscrew insertion session (T1) and 21 days after surgery (T2). Wilcoxon and Mann–Whitney U-tests were used for statistical evaluation at P < 0.005 level. It was found that initial primer stability of all miniscrews was similar in all groups at the start of the experimental procedure. Statistically significant differences were found for changes in implant stability quotient (ISQ) values between LED-photobiomodulated group and the control (0 cN, P = 0.001; 150 cN, P < 0.001; and 300 cN, P < 0.001). Significant increase was found in ISQ values of LPT applied miniscrews under 0 cN (+11.63 ISQ), 150 cN (+10.50 ISQ), and 300 cN (+7.00 ISQ) force during observation period. By the increase of force levels, it was determined that ISQ values decreased in non-irradiated control miniscrews. Within the limits of this in vivo study, the present RFA findings suggest that LPT might have a favourable effect on healing and attachment of titanium orthodontic miniscrews Daha fazlası Daha az

Influence of Pre-Orthodontic Trainer treatment on the perioral and masticatory muscles in patients with Class II division 1 malocclusion


Makale | 2012 | European Orthodontic Society

The aim of this follow-up study was to evaluate the effects of Pre-Orthodontic Trainer (POT) appliance on the anterior temporal, mental, orbicularis oris, and masseter muscles through electromyography (EMG) evaluations in subjects with Class II division 1 malocclusion and incompetent lips. Twenty patients (mean age: 9.8 ± 2.2 years) with a Class II division 1 malocclusion were treated with POT (Myofunctional Research Co., Queensland, Australia). A group of 15 subjects (mean age: 9.2 ± 0.9 years) with untreated Class II division 1 malocclusions was used as a control. EMG recordings of treatment group were taken at the beginning and a . . .t the end of the POT therapy (mean treatment period: 7.43 ± 1.06 months). Follow-up records of the control group were taken after 8 months of the first records. Recordings were taken during different oral functions: clenching, sucking, and swallowing. Statistical analyses were undertaken with Wilcoxon and Mann–Whitney U-tests. During the POT treatment, activity of anterior temporal, mental, and masseter muscles was decreased and orbicularis oris activity was increased during clenching and these differences were found statistically significant when compared to control. Orbicularis oris activity during sucking was increased in the treatment group (P < 0.05). In the control group, significant changes were determined for anterior temporal (P < 0.05) and masseter (P < 0.01) muscle at clenching and orbicularis oris (P < 0.05) muscle at swallowing during observation period. Present findings indicated that treatment with POT appliance showed a positive influence on the masticatory and perioral musculature Daha fazlası Daha az

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