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

TANCAN UYSAL

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

TANCAN UYSAL

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

Rapid maxillary expansion effects on dynamic measurement of natural head position

TANCAN UYSAL

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

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

TANCAN UYSAL

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

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

TANCAN UYSAL

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

Effect of resveratrol on bone formation in the expanded inter-premaxillary suture: early bone changes

TANCAN UYSAL

Makale | 2011 | Wiley

Objective –The aim of this study was to evaluate the effects of local resveratrol (RSVL) administration on bone formation in response to expansion of the interpremaxillary suture, in rats. Material and Methods – Twenty 50- to 60-day-old male Wistar rats were separated into two equal groups. Both groups were subjected to expansion, and 30 cN of force was applied to the maxillary incisors with helical-spring. Twenty-four hours after appliance placement, single-dose 10 lmol ⁄ kg RSVL in the dimethylsulfoxide (DMSO) was injected to the inter-premaxillary suture in the experimental group. In the control group, the same amount of . . .DMSO was injected to the suture of rats. Bone formation in the suture was evaluated histomorphometrically. The area of new bone (lm2), the perimeter around the new bone (lm), Feret s diameter (lm), the percentage of new bone to non-ossified tissue (%), and the number of osteoblast were measured and compared. Mann–Whitney U-test was used for statistical evaluation at p < 0.05 level. Results – Statistically significant differences were found between the groups for all histomorphometric parameters. New bone area (p < 0.001), bone perimeter (p < 0.001), Feret s diameter (p < 0.001), percentage of new bone (p < 0.001), and the number of osteoblast (p < 0.001) were significantly larger in the experimental group when compared with the control. Bone histomorphometric measurements revealed that bone architecture in the RSVL treated rats was improved. Conclusions – Local application of RSVL during the early stages to orthopedically expanded inter-premaxillary suture area may stimulate bone formation and shorten the retention period, in rats Daha fazlası Daha az

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