Comparison of spring characteristics of titanium-molybdenum alloy and stainless steel.

[This retracts the article on p. 84 in vol. 9, PMID: 28149469.].

Comparison of spring characteristics of titanium-molybdenum alloy and stainless steel.

BACKGROUND: Titanium-molybdenum alloy (TMA) and stainless steel (SS) wires are commonly used in orthodontics as arch-wires for tooth movement. However, plastic deformation phenomenon in these arch-wires seems to be a major concern among orthodontists. This study aimed to compare the mechanical properties of TMA and SS wires with different dimensions. MATERIAL AND METHODS: Seventy-two wire samples (36 TMA and 36 SS) of three different sizes (19×25, 17×25 and 16×22) were analyzed in vitro, with 12 samples in each group. Various mechanical properties of the wires, including spring-back, bending moment and stiffness were determined using a universal testing machine. Student's t-test showed statistically significant differences in the mean values of all the groups. In addition, metallographic comparison of SS and TMA wires was conducted under an optical microscope. RESULTS: The degree of stiffness of 16×22-sized SS and TMA springs was found to be 12±2 and 5±0.4, respectively, while the bending moment was estimated to be 1927±352 (gm-mm) and 932±16 (gm-mm), respectively; the spring-back index was determined to be 0.61±0.2 and 0.4±.09, respectively (p<0.001). There were no statistically significant differences in spring-back index in larger dimensions of the wires. CONCLUSIONS: Systematic analysis indicated that springs made of TMA were superior compared to those made of SS. Although both from economic and functionality viewpoints the use of TMA is suggested, further clinical investigations are recommended. Key words:Bending moment, optical microscope, spring-back, stainless steel, stiffness, titanium‒molybdenum alloy.

The effect of an acidic food-simulating environment on the shear bond strength of self-ligating brackets with different base designs.

Aim. This study aims to evaluate the effect of acidic food simulant and (acetic acid 3%) on the shear bond strength (SBS) and adhesive remnant index (ARI) scores of one conventional and three different self-ligating brackets with different base designs. Materials and Methods. Freshly extracted first maxillary premolars (n = 160) were embedded in resin blocks. A conventional stainless steel bracket, Equilibrium 2, and three types of self-ligating brackets, Speed, In-Ovation R, and Damon 3MX, were bonded to teeth and exposed to distilled water (groups 1, 3, 5, and 7) or acetic acid 3% (groups 2, 4, 6, 8) for 12 weeks. SBS and ARI were calculated and statistical analysis was performed with the analysis of variance (SBS) or χ (2) test (ARI) to compare values between the different groups. Results. Equilibrium 2 and In-Ovation R showed a significantly lower SBS in the acidic environment than in distilled water. Significant differences in ARI scores were found for Equilibrium 2 after immersion in an acidic environment, shifting from 0 in distilled water to 2 in an acidic environment. Conclusions. Equilibrium 2 and In-Ovation R brackets showed a significant decrease in SBS after a 12-week immersion in acetic acid 3%, although all groups showed clinically acceptable SBS. Equilibrium 2 showed significant differences in ARI scores when exposed to acetic acid 3%.

The effect of social stress on salivary trace elements.

Social stress can alter the saliva in favor of metabolism of trace elements. This study aimed to assess the effect of social stress on salivary copper (Cu), zinc (Zn), manganese (Mn), and iron (Fe) contents in dental students before and after a comprehensive English test. Twelve students with an average age of 27 years were selected from three dental schools. The students were carries-free, and salivary samples were collected 1 week before the test day and right before the comprehensive English test. Unstimulated saliva was collected from the participants. The pH of the saliva samples was measured using a portable pH meter, and the salivary trace element contents were determined using an atomic absorption spectrophotometer. After checking data to be normally distributed, Student's paired t test was used for statistical analysis. Salivary pH significantly increased right before the English test. Salivary Cu concentration decreased in students after the test (P > 0.05). The level of Zn, Mn, and Fe increased, while only Mn change was statistically significant (P < 0.001). Under the limitations of this study, induction of social stress led to a significant increase in Mn concentration in the saliva. The salivary Cu, Zn, and Fe contents, however, did not exhibit significant changes. Changes in salivary inorganic trace element content, as a result of physiological stress, might influence health of teeth, enamel, and oral mucosal tissues.

Effect of thermocycling on nickel release from orthodontic arch wires: an in vitro study.

The amount of daily intake of metals from orthodontic appliances over time is a matter of great concern. Nickel results in one of the most common metal-induced allergic contact dermatitis in humans; it produces more allergic reactions than all the other metals combined together. The purpose of this study was to evaluate the effects of thermocycling on the nickel release from orthodontic arch wires stored in artificial saliva with different pH values. Forty new wire pieces were selected. Each wire piece was placed in a special capillary Pyrex tube filled with artificial saliva, which was sealed and immersed in deionized water at 37 °C. The samples were divided into four groups of ten. Group I received no treatment; group II was subjected to thermocycling. The pH of storage in groups III and IV was reduced to 4.5, and group IV was subjected to thermocycling. Thermocycling was carried out between 5 and 55 °C for 500 cycles. The release of nickel ions was statistically analyzed by two-way ANOVA for the effects of two variables: pH and thermocycling. The interaction between pH and thermocycling was found to be statistically significant (F = 12.127, P = 0.001). Two-way ANOVA showed that different storage media or pH and thermocycling had a significant effect on the nickel release (F = 52.812, P < 0.001 and F = 197.035, P < 0.001, respectively). Thermocycling and pH can adversely affect the release of nickel from orthodontic wires, while thermocycling is clearly the dominant factor.

The effects of face mask and tongue plate on maxillary deficiency in growing patients: a randomized clinical trial.

OBJECTIVE: The purpose of this randomized clinical trial was to compare the effects of facemask and tongue plate therapy in the treatment of class III malocclusion associated with maxillary deficiency in growing patients. DESIGN: Prospective, randomized clinical trial. SETTING: Department of Orthodontics, SB University of Medical Sciences Dental School, Tehran, Iran. METHODS: Fifty patients with maxillary deficiency were randomly allocated to two groups. One group was treated with a removable facemask and the other with a tongue plate. Three patients dropped out of the study leaving a final number of 47 that were analysed. The face mask group included 24 patients (12 males, 12 females) with a mean age of 9 (SD 1·2) years; while the tongue plate group included 23 patients (10 males, 13 females) with a mean age of 9·1 (SD 0·9) years. The patients lateral cephalograms obtained at the beginning and end of the study were analysed. RESULTS: Paired t-tests showed that SNA increased by 1° (SD 1·5°) in the facemask group (P<0·001) and by 2·2° (SD 1·5°) in the tongue plate group (P<0·001). With the exception of SNA and GoGn, Mann-Whitney testing showed that there were no statistically significant differences between the two groups. IMPA was found to decrease significantly in both groups. CONCLUSION: Both treatment modalities were successful in moving the maxilla forward, proclining the maxillary incisors and retroclining the mandibular incisors. The more simple design of the tongue plate might therefore confer some advantages to this system in comparison with a facemask.

Assessing the amount of interdental bone in posterior areas of the mandible for placing orthodontic mini-implants.

Objective : The aim of this study was to assess the amount of interdental bone in posterior areas of the mandible for placing orthodontic mini-implants to provide and control anchorage in orthodontic treatment. Materials and Methods : The amount of interdental bone in areas between the second premolars and first molars, first and second molars on the right and left sides of the mandible were determined in fifty patients by RVG using periapical radiographs. The images were assessed using Cygnus Media Software to determine the mesio-distal width of the interdental bone, starting at the crest of the alveolar bone (2 mm below the CEJ) every one millimeter up to 12 mm from the CEJ. The actual amount of interdental bone and the effect of related factors were assessed using chi-square test at a 95% confidence interval. Results : The minimum desired interdental bone width for placing mini-implants, 3 mm from the CEJ, between the second premolar and first molar and the first and second molars of the mandible on both sides were significantly different (p<0.01): 1.8 mm (31%) more apical in the area between the second premolar and the first molar. There was also a statistically significant difference between the areas under study on the right side (p<0.002), which was 2.2 mm (44%) more apical in the area of the second premolar and the first molar. Conclusion : The most secure site for placing orthodontic mini-implants in the mandible is between the first and second molars at the height of 5.8 mm from the CEJ.

Back-scattered and secondary electron images of scanning electron microscopy in dentistry: a new method for surface analysis.

OBJECTIVE: A scanning electron microscope (SEM) is a popular tool for investigating the root canal surface to visualize dentinal tubules, the smear layer and various root canal filling materials in endodontics. Most of the SEM micrographs taken in endodontic research are in secondary electrons (SE) mode, in which the topographic view of a subject can be demonstrated without giving any information about the real structure. Back-scattered electron (BSE) images are also used, which reveal some information about the internal structure while providing no topographic details. The aim of this study was to investigate the possibility of using back-scattered (BSE) and secondary electron (SE) mode of scanning electron microscopy (SEM) together for obtaining detailed information about biomaterials in relation to dental structures. MATERIALS AND METHODS: Mesiobuccal roots of four permanent maxillary molars were cleaned and shaped with rotary instruments. Two samples were obturated with gutta-percha and sealer. After 2 weeks, gutta-perch was removed using rotary instruments and chloroform. In the other phase of the study, white mineral trioxide aggregate was mixed and packed into five glass tubes and exposed to blood, deionized water, synthetic tissue fluid and egg white. All the samples were prepared for visualization under SE and BSE modes of SEM to observe the characteristics of material remnants and surface structures. RESULTS: BSE mode illustrated different grey scale views which made it possible to differentiate dentin chips from filling material remnants on the surface of root canal dentin. In addition, SE mode focused on image topography, while a BSE detector showed new texture formation on the surface of white mineral trioxide aggregate exposed to proteinaceous fluids such as blood or egg white. CONCLUSIONS: Mapping BSE and SE micrographs helped us to better understand the structure of materials on the surface of root canal dentin and MTA. Moreover, analysis of structure of materials on the surface of root canal dentine and MTA can be performed better by mapping of BSE and SE micrographs.