Surface Evaluation of Aligners after Immersion in Coca-Cola and Orange Juice.

Orthodontic removable appliances made of transparent thermoplastic materials-aligners-are becoming increasingly popular in contemporary orthodontic practice. It is important for the clinician to fully understand the mechanical properties and behavior of the appliance used. Because of that, the aim of our study was to investigate the changes in aligner surface after immersion in Coca-Cola and orange juice. For surface evaluation, fractal analysis, texture analysis, and wetting angle measurement were performed. Statistically significant changes were found between some of the groups in the fractal dimension analysis. In texture analysis, all but one intergroup comparison showed statistically significant differences. For wetting angle assessment, statistically significant differences were found. These were, however, more numerous when assessing glycol droplets, rather than water droplets. Fractal dimension analysis confirmed a correlation between the intensity of changes in the aligner surface with immersion time in the liquids assessed. Texture analysis showed a high sensitivity to the changes in aligner surface. It failed, however, to reveal changes relative to immersion time. Wetting angle analysis revealed aligner surface degradation for Coca-Cola. It did not, however, prove the dependence of the intensity of this degradation as a function of time. Both Coca-Cola and orange juice can cause aligner surface degradation.

Antiadherent and antibacterial properties of TiO2-coated and TiO2:Ag-coated stainless steel orthodontic wires against S. mutans bacteria.

PURPOSE: Conventional orthodontic treatment with stainless steel orthodontic wires may be detrimental to oral health, as it contributes to demineralized lesions and increases adhesion and bacterial biofilm formation, which contributes to cavity development. An alternative that has been investigated to reduce the side effects of orthodontic treatment is the use of coating materials with antimicrobial nanoparticles. This study aims to evaluate the antiadherent and antibacterial properties of TiO2-coated and TiO2:Ag-coated stainless steel orthodontic wires against S. mutans bacteria. METHODS: In the sol-gel method, TiO2:Ag thin films were deposited on stainless steel orthodontic wires. Coated archwires were analyzed for their antibacterial and antiadherent properties. The evaluation of Streptococcus mutans adhesion to the orthodontic wires' surface was conducted according to the type of coating used, biofilm formation assay, and measurement of the pH of the bacterial community. RESULTS: In the microbiological test, the TiO2:Ag coatings revealed a statistically significant difference in terms of microbial adhesion and biofilm formation by Streptococcus mutans. The TiO2:Ag coating on stainless steel wire increased pH levels in the saliva environment. CONCLUSIONS: It can be concluded that antimicrobial orthodontic wires coated with silver TiO2 nanoparticles using the sol-gel thin film are a promising choice for improving orthodontic treatment.

Functional Coatings for Orthodontic Archwires-A Review.

In this literature review, the current state-of-art of coatings for orthodontic archwires' increasing antimicrobial and relevant mechanical properties, such as surface topography, friction or corrosion resistance, has been presented. There is a growing request for orthodontic appliances, therefore, most researchers focus on innovative functional coatings to cover orthodontic archwires and brackets. Orthodontic appliances are exposed to the unfavorable oral cavity environment, consisting of saliva flow, food, temperature and appliance force. As a consequence, friction or biocorrosion processes may occur. This can affect the functionality of the orthodontic elements, causing changes in their microstructure, surface topography and mechanical properties. Furthermore, the material which the orthodontic archwire is made from is of particular importance in terms of the possible corrosion resistance. This is especially important for patients who are hypersensitive to metals, for example, nickel, which causes allergic reactions. In the literature, there are some studies, carried out in vitro and in vivo, mostly examining the antibacterial, antiadherent, mechanical and roughness properties of functional coatings. They are clinically acceptable but still some properties have to be studied and be developed for better results. In this paper the influence of additives such as nanoparticles of silver and nitrogen-doped TiO2 applied on orthodontic brackets by different methods on the antimicrobial properties was analyzed. Future improvement of coating techniques as well as modification of the archwire composition can reduce the release of nickel ions and eliminate friction and bacterial adhesion problems, thus accelerating treatment time.

Do Mechanical and Physicochemical Properties of Orthodontic NiTi Wires Remain Stable In Vivo?

Introduction and Aim. Exceptional properties of the NiTi archwires may be jeopardized by the oral cavity; thus its long-term effect on the mechanical and physiochemical properties of NiTi archwires was the aim of work. Material and Methods. Study group comprised sixty 0.016 × 0.022 NiTi archwires from the same manufacturer evaluated (group A) after the first 12 weeks of orthodontic treatment. 30 mm long pieces cut off from each wire prior to insertion formed the control group B. Obeying the strict rules of randomization, all samples were subjected to microscopic evaluation and nanoindentation test. Results. Both groups displayed substantial presence of nonmetallic inclusions. Heterogeneity of the structure and its alteration after usage were found in groups B and A, respectively. Conclusions. Long-term, reliable prediction of biomechanics of NiTi wires in vivo is impossible, especially new archwires from the same vendor display different physiochemical properties. Moreover, manufacturers have to decrease contamination in the production process in order to minimize risk of mutual negative influence of nickel-titanium archwires and oral environment.