Biomedical subjects

Margarita Makou

Publications and source records attributed to Margarita Makou.

8 recordsLinked to original sources

PubMed2005

Comparative assessment of the roughness, hardness, and wear resistance of aesthetic bracket materials.

OBJECTIVE: The purpose of this study was to assess critical properties of orthodontic aesthetic bracket materials. METHOD: Samples of polycarbonate, poly(oxy)methylene, ultra high molecular weight polyethylene (UHMWPE), and polycrystalline alumina raw material used from bracket manufacturing were subjected to: (a) profilometry for the determination of Ra, Rq, Rmax and Rz roughness parameters; (b) Vickers hardness (HV50) testing; and (c) wear resistance determined by the scratch test. The results were analyzed with one-way ANOVA and Tukey multiple comparisons test at alpha=0.05 level of significance. RESULTS: The UHMWP and alumina specimens showed the highest roughness values for all parameters. The highest hardness, amongst the polymeric raw materials, was obtained from the poly(oxy)methylene appliances. Differences were also noted between the polycarbonate raw material of different manufacturers implying an effect from the manufacturing process. With the exception of alumina, the highest wear resistance was found for the poly(oxy)methylene specimens. SIGNIFICANCE: The results of this study reveal the variability among aesthetic plastic bracket raw materials, their reduced hardness and wear resistance relative to alumina as well as the inappropriateness of UHMWPE as alternative bracket material.

Aluminum Oxide↗

PubMed2005

Metallurgical characterization of orthodontic brackets produced by Metal Injection Molding (MIM).

The aim of this study was to investigate the bonding base surface morphology, alloy type, microstructure, and hardness of four types of orthodontic brackets produced by Metal Injection Molding technology (Discovery, Extremo, Freedom, and Topic). The bonding base morphology of the brackets was evaluated by scanning electron microscopy (SEM). Brackets from each manufacturer were embedded in epoxy resin, and after metallographic grinding, polishing and coating were analyzed by x-ray energy-dispersive spectroscopic (EDS) microanalysis to assess their elemental composition. Then, the brackets were subjected to metallographic etching to reveal their metallurgical structure. The same specimen surfaces were repolished and used for Vickers microhardness measurements. The results were statistically analyzed with one-way analysis of variance and Student-Newman-Keuls multiple comparison test at the 0.05 level of significance. The findings of SEM observations showed a great variability in the base morphology design among the brackets tested. The x-ray EDS analysis demonstrated that each bracket was manufactured from different ferrous or Co-based alloys. Metallographic analysis showed the presence of a large grain size for the Discovery, Freedom, and Topic brackets and a much finer grain size for the Extremo bracket. Vickers hardness showed great variations among the brackets (Topic: 287 +/- 16, Freedom: 248 +/- 13, Discovery: 214 +/- 12, and Extremo: 154 +/- 9). The results of this study showed that there are significant differences in the base morphology, composition, microstructure, and microhardness among the brackets tested, which may anticipate significant clinical implications.

Cobalt↗

PubMed2004

Characterization and cytotoxicity of ions released from stainless steel and nickel-titanium orthodontic alloys.

The purpose of this study was to qualitatively and quantitatively characterize the substances released from orthodontic brackets and nickel-titanium wires and to comparatively assess the cytotoxicity of the ions released from these orthodontic alloys. Two full sets of stainless steel brackets of 20 brackets each (weight 2.1 g) and 2 groups of 0.018 x 0.025 Ni-Ti archwires of 10 wires each (weight 2.0 g) were immersed in 0.9% saline solution for a month. The immersion media were analyzed with inductively coupled plasma-atomic emission spectroscopy (ICP-AES), and the ionic content was statistically analyzed with 1-way analysis of variance (ANOVA). Human periodontal ligament fibroblasts and gingival fibroblasts were exposed to various concentrations of the 2 immersion media; nickel chloride was used as a positive control for comparison purposes. The cytotoxic or cytostatic activity of the media was investigated with the MTT and the DNA synthesis assays. The results of the cytotoxicity assay were analyzed with 2-way ANOVA and the Tukey test with solution and concentration variants as discriminating variables (alpha=0.05). The results indicated no ionic release for the nickel-titanium alloy aging solution, whereas measurable nickel and traces of chromium were found in the stainless steel bracket-aging medium. Concentrations of the nickel chloride solution greater then 2 mM were found to reduce by more than 50% the viability and DNA synthesis of fibroblasts; however, neither orthodontic materials-derived media had any effect on the survival and DNA synthesis of either cells.

Adult↗

PubMed2004

Color stability of orthodontic adhesive resins.

Color alteration of adhesive during treatment and after debonding may be implicated in long-term enamel discoloration. The aim of this study was to assess the color stability of light-cured and chemically cured adhesives subjected to artificial photoaging. Disk-shaped specimens of adhesives were colorimetrically evaluated before and after artificial photoaging using an ISO-recommended protocol. The measurement variable was the color change (deltaE) of adhesives induced by artificial, accelerated photoaging. The deltaE values derived from the two color recordings for the materials at pre- and postaging intervals were statistically analyzed with a one-way analysis of variance (ANOVA), with the adhesive brand serving as a discriminating variable. Differences among groups were further investigated using the Tukey multiple comparisons test (alpha = .05). To establish the statistical significance of the difference of the deltaE values of each adhesive and the deltaE threshold for clinical detection, a paired t-test was used (P = .05). All adhesives exhibited color change, which in some cases exceeded the clinically detectable color change limit. The extent of the color alterations of aged bonding systems may contribute to enamel discoloration after treatment.

Analysis of Variance↗

PubMed2004

Elemental composition of brazing alloys in metallic orthodontic brackets.

The aim of this study was to assess the elemental composition of the brazing alloy of representative orthodontic brackets. The brackets examined were Gemini (3M, Unitec, Monrovia, Calif), MicroLoc (GAC, Bohemia, NY), OptiMESHxrt (Ormco, Glendora, Calif), and Ultratrim (Dentarum, Ispringen, Germany). Four metallic brackets for each brand were embedded in epoxy resin and after metallographic grinding and polishing were cleaned in a water ultrasonic bath. Scanning electron microscopy and energy-dispersive x-ray microanalysis (EDS) were used to assess the quantitative composition of the brazing alloy. Four EDS spectra were collected for each brazing alloy, and the mean value and standard deviation for the concentration of each element were calculated. The elemental composition of the brazing alloys was determined as follows (percent weight): Gemini: Ni = 83.98 +/- 1.02, Si = 6.46 +/- 0.37, Fe = 5.90 +/- 0.93, Cr = 3.52 +/- 0.34; MicroLoc: Ag = 42.82 +/- 0.18, Au = 32.14 +/- 0.65, Cu = 24.53 +/- 0.26, Mg = 1.12 +/- 0.33; OptiMESHxrt: Au = 67.79 +/- 0.97, Fe = 15.69 +/- 0.29, Ni = 13.01 +/- 0.93, Cr = 4.01 +/- 0.35; Ultratrim: Ag = 87.97 +/- 0.33, Cu = 10.51 +/- 0.45, Mg = 1.29 +/- 0.63, Zn = 1.13 +/- 0.24. The findings of this study showed that different brazing materials were used for the different brands, and thus different performances are expected during intraoral exposure; potential effects on the biological properties also are discussed.

Dental Alloys↗

PubMed2004

Enamel surface roughness following debonding using two resin grinding methods.

The purpose of this study was to assess quantitatively the roughness of the enamel surface following debonding using two resin removal methods. The enamel surface of 30 premolar crowns was covered with black tape with a 3 mm window on the middle buccal third to standardize the area of analysis. The initial enamel surfaces were subjected to profilometry, registering four roughness parameters (Ra, Rq, Rt and Rz). The brackets were bonded to the plaster-embedded enamel surfaces with a chemically cured, no-mix adhesive, and debonded after 1 week. Resin removal in half of the specimens was performed with an eight-bladed carbide bur, and in the other half with an ultra-fine diamond bur, both attached to a high speed hand piece; a second profilometric measurement was made after resin removal. Finishing of all surfaces was achieved with Soflex discs and a third registration of roughness followed. The duration of each resin removal protocol was also recorded. The results were analysed with two-way ANOVA and the Newman-Keuls test with the two resin grinding modes and the three intervals serving as discriminating variables (n = 15). For the duration results, a one-way ANOVA was used. Significant differences (P < 0.05) were observed with respect to enamel roughness parameters between the two resin grinding methods used, while there was no consistent roughness-reducing effect of finishing with Soflex discs. Resin removal with a diamond bur was achieved in approximately half the time compared with the eight-bladed bur. The increase in most roughness variables induced by the debonding procedures was not reversed at the end of the finishing stage, regardless of the resin removal protocol used, suggesting an irreversible effect on enamel texture.

Analysis of Variance↗

PubMed2004

Plastic brackets: hardness and associated clinical implications.

AIM: To assess the Vickers hardness of plastic brackets, after in vitro aging. The morphology and structure of corresponding retrieved brackets were also studied to assess the reliability of in vitro set-up in imposing effects comparable to intraoral aging. MATERIALS AND METHODS: Four types of plastic brackets were selected. Specimens were immersed in a buffer solution to induce artificial aging; brackets of two groups were retrieved after orthodontic treatment. The wings of brackets were subjected to Knoop hardness testing, and scanning electron microscopy was employed to study the morphology and microstructure of retrieved brackets. The results were statistically analyzed by two-way analysis of variance and Tukey test (alpha = 0.05). RESULTS: Differences were identified between the brands of brackets, but not between the new and in vitro-aged appliances. The retrieved appliances showed significant reduction in hardness when compared with their as-received counterparts. Evidence of degradation was seen in the retrieved appliances. CONCLUSIONS: The inability of ex vivo experimental configuration to simulate clinical conditions is stressed; several clinical implications related to torque control, friction, and tie-wing strength of brackets are discussed.

Buffers↗

PubMed2003

Metallographic structure and hardness of titanium orthodontic brackets.

AIM: To determine the elemental composition, microstructure, and hardness of two different brands of titanium (Ti) orthodontic brackets. MATERIALS AND METHODS: Four specimens of each brand were embedded in epoxy resin and, after metallographic grinding and polishing, were studied under a metallographic microscope. The bonding base morphology of each bracket was studied in as-received brackets by scanning electron microscopy. Energy dispersive x-ray microanalysis (EDS) was used on polished specimens to assess the elemental composition of base and wing bracket components, and the brackets were subjected to metallographic etching to reveal the metallurgical structure. The same specimen surfaces were used for assessment of the Vickers hardness. The results were statistically analyzed by two-way analysis of variance (ANOVA) with the bracket brand and bracket region (base, wing) serving as discriminating variables, whilst further group differences were investigated with Tukey's multiple comparison test at the alpha = 0.05 level of significance. RESULTS: Metallographic imaging revealed that the Orthos2 brackets (Ormco, Glendora, CA, USA) consist of two parts joined together by laser welding, with large gaps along the base wing interface, whereas Rematitan brackets (Dentaurum, Ispringen, Germany) are single-piece appliances. Ti was the only element identified in Rematitan and Orthos2 base materials, while aluminium (Al) and vanadium (V) were also found in the Orthos2 wing component. Metallographic analysis showed the presence of a + b phase for Orthos2 and plate-like grains for Rematitan. The results of the Vickers hardness testing were: Orthos2 (wing): 371 +/- 22, Rematitan (wing): 272 +/- 4, Rematitan (base): 271 +/- 16, Orthos2 (base): 165 +/- 2. CONCLUSION: The findings of the present study suggest that there are significant differences in composition, microstructure and hardness between the two commercial types of Ti brackets tested; the clinical implications of the findings are discussed.

Alloys↗