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2.
Adv Clin Exp Med ; 28(6): 807-813, 2019 06.
Article in English | MEDLINE | ID: mdl-30888122

ABSTRACT

BACKGROUND: Adhesive materials used in orthodontics have contributed to the broadening of treatment options with fixed braces. The adhesive materials physically and chemically bond to the enamel surface and orthodontic bracket base, which, apart from offering advantages, also entails the risk of enamel damage when removing these materials from the tissue surface after the treatment is complete. OBJECTIVES: The objective of this study was to assess how the bond strength of adhesive materials affects enamel thickness after removing brackets and whether the type of bonding system affects the amount of adhesive strength of the discussed materials. MATERIAL AND METHODS: The tests were carried out on 2 groups of 40 bovine teeth in each group. In the 1st group, the classical orthophosphoric acid and the Transbond Plus self-etching primer (SEP) were used. In the 2nd group, the Transbond XT SEP was applied. In both groups, Transbond XT Light Cure Adhesive was used. The same metal orthodontic brackets were attached to the enamel surface. Optical Coherence Tomography (OCT) scans were made before and after removing brackets, which enabled tissue thickness measurements. The bond strength was evaluated using a universal testing machine. Parametric tests were performed on all obtained variables. Student's t-tests for independent samples and analysis of correlation with Pearson's r were carried out. RESULTS: The bond strength between the orthodontic bracket and enamel is statistically significantly different in the 1st group and the 2nd group, and is higher in the 2nd group. CONCLUSIONS: There are no significant differences in enamel thickness depending on the bonding system type and there is no correlation between the enamel thickness and the bond strength of orthodontic brackets to the enamel.


Subject(s)
Dental Bonding/methods , Dental Enamel/chemistry , Dental Stress Analysis , Orthodontic Brackets , Tomography, Optical Coherence/methods , Animals , Cattle , Dental Cements/chemistry , Humans , Materials Testing , Shear Strength , Stress, Mechanical , Surface Properties
3.
J Healthc Eng ; 2017: 7560645, 2017.
Article in English | MEDLINE | ID: mdl-29065642

ABSTRACT

Optical coherence tomography provides sections of tissues in a noncontact and noninvasive manner. The device measures the time delay and intensity of the light scattered or reflected from biological tissues, which results in tomographic imaging of their internal structure. This is achieved by scanning tissues at a resolution ranging from 1 to 15 µm. OCT enables real-time in situ imaging of tissues without the need for biopsy, histological procedures, or the use of X-rays, so it can be used in many fields of medicine. Its properties are not only particularly used in ophthalmology, in the diagnosis of all layers of the retina, but also increasingly in cardiology, gastroenterology, pulmonology, oncology, and dermatology. The basic properties of OCT, that is, noninvasiveness and low wattage of the used light, have also been appreciated in analytical technology by conservators, who use it to identify the quality and age of paintings, ceramics, or glass. Recently, the OCT technique of visualization is being tested in different fields of dentistry, which is depicted in the article.


Subject(s)
Dentistry/trends , Stomatognathic Diseases/diagnostic imaging , Tomography, Optical Coherence/trends , Computer Systems , Dental Caries/diagnostic imaging , Diagnosis, Computer-Assisted , Fourier Analysis , History, 20th Century , History, 21st Century , Humans , Image Processing, Computer-Assisted , Light , Mouth Mucosa , Tomography, Optical Coherence/history , X-Rays
4.
Ann Anat ; 213: 83-90, 2017 Sep.
Article in English | MEDLINE | ID: mdl-28655570

ABSTRACT

Many types of bone substitute materials are available on the market. Researchers are refining new bone substitutes to make them comparable to autologous grafting materials in treatment of bone defects. The purpose of the study was to evaluate the osseoconductive potential and bone defect regeneration in rat calvaria bone defects treated with new synthetic nano-hydroxyapatite. The study was performed on 30 rats divided into 5 equal groups. New preproduction of experimental nano-hydroxyapatite material by NanoSynHap (Poznan, Poland) was tested and compared with commercially available materials. Five mm critical size defects were created and filled with the following bone grafting materials: 1) Geistlich Bio-Oss®; 2) nano-hydroxyapatite+ß-TCP; 3) nano-hydroxyapatite; 4) nano-hydroxyapatite+collagen membrane. The last group served as controls without any augmentation. Bone samples from calvaria were harvested for histological and micro-ct evaluation after 8 weeks. New bone formation was observed in all groups. Histomorphometric analysis revealed an amount of regenerated bone between 34.2 and 44.4% in treated bone defects, whereas only 13.0% regenerated bone was found in controls. Interestingly, in group 3, no significant particles of the nano-HA material were found. In contrast, residual bone substitute material could be detected in all other test groups. Micro-CT study confirmed the results of the histological examinations. The new nano-hydroxyapatite provides comparable results to other grafts in the field of bone regeneration.


Subject(s)
Bone Regeneration/drug effects , Bone Substitutes/pharmacology , Collagen/pharmacology , Durapatite/pharmacology , Nanostructures , Animals , Ceramics/pharmacology , Male , Minerals , Rats , Rats, Wistar , Skull/drug effects , Skull/growth & development
5.
Biomed Tech (Berl) ; 62(4): 415-420, 2017 Aug 28.
Article in English | MEDLINE | ID: mdl-28640749

ABSTRACT

AIM: The aim of this study was a comparison of shear bond strength (SBS) on tooth enamel of different primers combined with the adhesive paste Transbond XT. MATERIALS AND METHODS: Forty bovine teeth were used in order to create 40 test blocks. The blocks were divided into four groups of 10 blocks each: group A - sample primer (SP); group B - Opal Seal (OS); group C - Transbond Plus SEP (TSEP); group D - Transbond XT Primer (TXT). After surface preparation and application of the primer, respectively, two stainless steel brackets were fixed on each tooth by using Transbond XT. Accordingly, 80 brackets were debonded (n=20). Shear bond strength and adhesive remnant index (ARI) scores were evaluated. Statistical analyses were performed by using the Student's t-test and Mann-Whitney U test. RESULTS: All tested groups revealed high shear bond strength in a similar size range. There were no significant differences between the groups concerning shear bond strength. The ARI scores of group C showed significantly lower ARI scores (0 and 1) than that of group D. Apart from that there was no statistical difference. CONCLUSION: In combination with the adhesive paste Transbond XT, all tested primers were suitable for fixing orthodontic brackets. The primers could be changed according to the clinical situation.


Subject(s)
Bisphenol A-Glycidyl Methacrylate/chemistry , Dental Cements/chemistry , Dental Enamel/chemistry , Dental Enamel/physiology , Dental Stress Analysis/methods , Ointments/chemistry , Orthodontic Brackets/standards , Resin Cements/metabolism , Shear Strength , Animals , Bisphenol A-Glycidyl Methacrylate/pharmacology , Cattle , Dental Cements/metabolism , Humans , Materials Testing , Ointments/pharmacology
6.
Ann Anat ; 212: 61-68, 2017 Jul.
Article in English | MEDLINE | ID: mdl-28365383

ABSTRACT

The objective of the present study was to compare the primary and secondary stability of tissue-level short dental titanium implants with polished necks and hydrophilic surfaces of two different designs and manufacturers. The first implant system used (SPI®ELEMENT RC INICELL titanium implants, Thommen Medical AG, Grenchen, Switzerland), allowed functional loading 6 weeks after its placement, whereas the second implant system (RN SLActiv® tissue-level titanium implants, Straumann GmbH, Fribourg, Germany), was loaded after 15 weeks. The degree of primary and secondary stability was determined using an Osstell ISQ measuring device. Marginal bone loss (MBL) was evaluated radiographically 12 and 24 weeks after implantation and the Wachtel's healing index as well as the patient's satisfaction with the treatment was registered on a VAS scale. The intergroup comparison revealed significant differences in terms of primary stability as well as differences in MBL 3 months after the procedure, but no significant differences could be found after 6 months and for secondary stability. The primary stability was significantly higher for Thommen® compared to Straumann® implants. Insertion of short dental implants with a hydrophilic conditioned surface significantly shortens patient treatment time.


Subject(s)
Dental Implants/standards , Mandible/surgery , Adult , Alveolar Bone Loss/etiology , Anti-Bacterial Agents/administration & dosage , Cardiovascular Agents/administration & dosage , Clindamycin/administration & dosage , Dental Implants/classification , Escin/administration & dosage , Humans , Hydrophobic and Hydrophilic Interactions , Mandibular Diseases/etiology , Patient Satisfaction , Postoperative Care/methods , Radiography, Dental , Surgical Wound/physiopathology , Titanium , Wound Healing
7.
Biomed Res Int ; 2017: 8390575, 2017.
Article in English | MEDLINE | ID: mdl-28243604

ABSTRACT

Despite the continuous development of materials and techniques of adhesive bonding, the basic procedure remains relatively constant. The technique is based on three components: etching substance, adhesive system, and composite material. The use of etchants during bonding orthodontic brackets carries the risk of damage to the enamel. Therefore, the article examines the effect of the manner of enamel etching on its thickness before and after orthodontic treatment. The study was carried out in vitro on a group of 80 teeth. It was divided into two subgroups of 40 teeth each. The procedure of enamel etching was performed under laboratory conditions. In the first subgroup, the classic method of enamel etching and the fifth-generation bonding system were used. In the second subgroup, the seventh-generation (self-etching) bonding system was used. In both groups, metal orthodontic brackets were fixed and the enamel was cleaned with a cutter fixed on the micromotor after their removal. Before and after the treatment, two-dimensional optical coherence tomography scans were performed. The enamel thickness was assessed on the two-dimensional scans. The average enamel thickness in both subgroups was not statistically significant.


Subject(s)
Dental Enamel/pathology , Orthodontic Brackets , Tomography, Optical Coherence/methods , Humans , Image Processing, Computer-Assisted , Tooth/pathology
8.
Biomed Res Int ; 2016: 7280535, 2016.
Article in English | MEDLINE | ID: mdl-27766265

ABSTRACT

Braces as foreign bodies in the mouth carry a risk of side effects and toxicity to the human body. This article presents the results indicating the possible toxic effects of tools used for cleaning the enamel after the completion of orthodontic treatment. The studies were carried out in vitro. The procedure of enamel etching, bonding orthodontic metal brackets, and enamel cleaning after their removal was performed under laboratory conditions. The enamel microstructure and elements present on its surface were evaluated using the scanning electron microscope (SEM). Silicon and aluminium were found in addition to the tooth building elements.


Subject(s)
Dental Enamel/chemistry , Orthodontic Brackets/adverse effects , Resin Cements/chemistry , Tooth/chemistry , Aluminum/chemistry , Dental Bonding/methods , Humans , Metals , Silicon/chemistry , Surface Properties
9.
Ann Anat ; 206: 64-72, 2016 Jul.
Article in English | MEDLINE | ID: mdl-26162503

ABSTRACT

Cephalometric analysis, including both basic cranio- and gnathometric measurements and detailed evaluation of the construction of skeletal, muscular and mucosal systems combined with estimation of the risk of recession's occurrence, can be used to determine the direction of therapy and ensure appropriate aesthetic-functional effects of treatment. The objective of the present study was to compare the influence of the chosen morphologic parameters on the development of gingival recession in the front part of the jaw in patients with Angle class III. The research material was based on the medical documentation of 1800 patients. Sixty generally healthy patients qualified for the research with prognathism. On the basis of the side-head cephalograms, measurements were carried out to describe the bone structure in the front section of the lower jaw. The lower incisor teeth set-up was also analyzed. Gum recession of the lower incisor teeth was assessed on the basis of the inside-mouth photos of the patients with class III malocclusion. The occurrence of recession in a further 4 patients resulted from such a positioning of the lower teeth. In patients in the first group, treated with complex ortho-surgical treatment, the lower incisor teeth were adjusted much more vertically in the alveola and, thus, recession occurred only in one patient. Complex orthodontic-surgical therapy contributes to recession development to a lesser degree than the sham treatment and makes it a safe alternative therapy in patients with high diathesis for occurrence or progression of an existing recession.


Subject(s)
Gingival Recession/etiology , Gingival Recession/pathology , Incisor/pathology , Malocclusion, Angle Class III/complications , Malocclusion, Angle Class III/pathology , Mandible/pathology , Adolescent , Adult , Cephalometry , Female , Humans , Incisor/abnormalities , Male , Middle Aged , Reproducibility of Results , Sensitivity and Specificity , Young Adult
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