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Biomedical subjects

Spiros Zinelis

Publications and source records attributed to Spiros Zinelis.

At least 19 recordsLinked to original sources

Metallurgical characterization, galvanic corrosion, and ionic release of orthodontic brackets coupled with Ni-Ti archwires.

In orthodontics, a combination of metallic alloys is placed into the oral cavity during medical treatment and thus the corrosion resistance and ionic release of these appliances is of vital importance. The aim of this study is to investigate the elemental composition, microstructure, hardness, corrosion properties, and ionic release of commercially available orthodontic brackets and Copper Ni-Ti archwires. Following the assessment of the elemental composition of the orthodontic wire (Copper Ni-Ti) and the six different brackets (Micro Loc, Equilibrium, OptiMESH(XRT), Gemini, Orthos2, and Rematitan), cyclic polarization curves were obtained for each material to estimate the susceptibility of each alloy to pitting corrosion in 1M lactic acid. Galvanic corrosion between the orthodontic wire and each bracket took place in 1M lactic acid for 28 days at 37 degrees C and then the ionic concentration of Nickel and Chromium was studied. The orthodontic wire is made up from a Ni-Ti alloy with copper additions, while the orthodontic brackets are manufactured by different stainless steel grades or titanium alloys. All tested wires and brackets with the exception of Gemini are not susceptible to pitting corrosion. In galvanic corrosion, following exposure for 28 days, the lowest potential difference (approximately 250 mV) appears for the orthodontic wire Copper Ni-Ti and the bracket made up from pure titanium (Rematitan) or from the stainless steel AISI 316 grade (Micro Loc). Following completion of the galvanic corrosion experiments, measurable quantities of chromium and nickel ions were found in the residual lactic acid solution.

Copper↗

Surface and elemental alterations of dental alloys induced by electro discharge machining (EDM).

OBJECTIVES: To evaluate the surface and elemental alterations induced by electro discharge machining (EDM) on the surface of dental cast alloys used for the fabrication of implant retained meso- and super-structures. METHODS: A completed cast model of an arch that received dental implants was used for the preparation of six wax patterns which were divided into three groups (Au, Co and Ti). The wax patterns of the Au and Co groups were invested with conventional phosphate-bonded silica-based investment material and the Ti group with magnesia-based investment material. The investment rings of the Au and Co groups were cast with an Au-Ag alloy (Stabilor G) and a Co-Cr base alloy (Okta C), respectively, while the investment rings of group Ti were cast with cp Ti (Biotan). One casting of each group was subjected to electro discharge machining (EDM); the other was conventionally ground and polished. The surface morphology and the elemental compositions of conventionally and EDM-finished surfaces were studied by SEM/X-ray EDS analysis. Six spectra were collected from each surface employing the area scan mode and the mean value of each element between conventionally and EDM-finished surfaces was statistically analyzed by t-test (a=0.05). Then the specimens of each group were cut perpendicular to their longitudinal axis and after metallographic grinding and polishing the cross-sections studied under the SEM. RESULTS: The EDM surfaces showed a significant increase in C due to the decomposition of the dielectric fluid during spark erosion. Moreover, a significant Cu uptake was noted on these surfaces from the decomposition of the Cu electrodes used for EDM. Cross-sectional analysis showed that all alloys developed a superficial zone (recast layer) varying from 2 microm for Au-Ag to 10 microm for Co-Cr alloy. SIGNIFICANCE: The elemental composition of dental alloy surfaces is significantly altered after EDM treatment.

Carbon↗

Porcelain surface roughness, color and gloss changes after orthodontic bonding.

The purpose of this study was to evaluate the alteration in surface characteristics after orthodontic debonding of two types of porcelain systems commonly used in prosthetic dentistry. For this purpose, porcelain specimens were fabricated from low-fusing (n = 20) and high-fusing (n = 20) porcelain. The baseline surface roughness, color, and gloss were evaluated using profilometry, color shade index, and gloss study. All specimens were bonded with brackets and debonded using a testing machine at a rate of 0.1 mm/minute crosshead speed. The porcelain surfaces were polished using a 12-fluted carbide composite removal bur (low-fusing, n = 20; high-fusing, n = 20). In addition, half of each porcelain group was further polished using a series of Sof-Lex discs (low-fusing, n = 10; high-fusing, n = 10). The postdebond porcelain surface characteristics roughness, color, and gloss were reevaluated and compared with baseline measurements. The results were analyzed with two-way analysis of variance and Tukey multiple comparisons test, with porcelain type (low-fusing or high-fusing) and polishing protocol (carbide bur or carbide bur and discs) serving as discriminate variables at alpha = 0.05 level of significance. Bonding and debonding increased all roughness parameters tested; however, no change was revealed between the two polishing protocols. Similarly, gloss and color index changes were significantly altered after resin grinding, regardless of the polishing method used. No difference was identified between the two porcelain types with respect to roughness, color index, or gloss. Orthodontic bonding alters the porcelain surfaces, and postdebond polishing does not restore the surface to the prebond state.

Analysis of Variance↗

Force to debond brackets from high-fusing and low-fusing porcelain systems.

The purpose of this study was to test the hypothesis that porcelain surface finishing, ie, low- and high-fusing porcelain, has an effect on the amount of force required to debond orthodontic brackets. A total of 20 high-fusing and 20 low-fusing porcelain specimens were prepared, polished, and bonded with standard edgewise brackets using a suggested porcelain bonding protocol. The brackets were debonded with a universal testing machine at shear mode. Resin removal was performed using two methods: a multifluted carbide bur with and without the use of Sof-Lex polishing discs. Representative specimens were studied under a scanning electron microscope before and after debonding to assess the surface morphology and potential surface damage. Statistical analysis with a t-test revealed that there was no difference between the two porcelain treatments on the force to debond values and no qualitative differences were observed on the porcelain surface between the two resin clean-up methods. From a clinical perspective, the practitioner can bond ceramic restorations without previous knowledge of the porcelain type used.

Dental Bonding↗

Orthodontic latex elastics: a force relaxation study.

The objectives of this study were to assess the force relaxation of latex elastics occurring within 24 hours of extension and to estimate the extension required to reach the reported force. Five specimens of various manufacturers' latex elastics size and force levels were mounted on a custom-made setup capable of monitoring force levels in real time with a continuous mode and without operator intervention. The percentage of force relaxation was estimated from the initial and 24-hour levels, and the results were analyzed with one-way analysis of variance and the Tukey test at alpha = 0.05 level of significance. The elastics showed force relaxation in the order of 25%, which consisted of an initial high slope component and a latent part of decreased rate. Most relaxation occurred within the first 3-5 hours after extension, regardless of size, manufacturer, or force level of the elastic. The overall as well as the initial relaxation curves were fitted to equations, which described the variation of force with time. Elastic extension to achieve the reported force was found to range between 2.7 and five times the original length. Latex elastics show force relaxation in the order of 25%, which consists of an initial high slope component and a latent part of decreased rate. Most relaxation occurs within the first 3-5 hours after extension, regardless of size, manufacturer, or force level of the elastic. The empirical rule of "3" shows remarkable variation, ranging from 2.7 to five.

Elasticity↗

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↗

Effect of soldering on the metal-ceramic bond strength of an Ni-Cr base alloy.

STATEMENT OF PROBLEM: Although soldering is a common laboratory procedure, the use of soldering alloys may adversely affect metal-ceramic bond strength and potentially decrease the longevity of metal-ceramic restorations. PURPOSE: The purpose of this study was to investigate the effect of soldering on metal-ceramic bond strength of a representative Ni-Cr base metal alloy. MATERIAL AND METHODS: Twenty-eight rectangular (25 x 3 x 0.5 mm) Ni-based alloy (Wiron 99) specimens were equally divided into soldering (S) and reference (R) groups. Soldering group specimens were covered with a 0.1-mm layer of the appropriate solder (Wiron-Lot) and reduced by 0.1 mm on the opposite side. Five specimens of each group were used for the measurement of surface roughness parameter (R(z)) and hardness, and 3 were used for measurement of the modulus of elasticity. Six specimens of each group were covered with porcelain (Ceramco 3) and subjected to a 3-point bending test for evaluation of the metal-ceramic bond strength according to the ISO 9693 specification. The data from surface roughness, hardness, modulus of elasticity, and metal-ceramic bond strength were analyzed statistically, using independent t tests (alpha=.05). RESULTS: Statistical analysis of the R(z) surface roughness parameter (S: 3.4 +/- 0.3 mum; R: 3.7 +/- 0.7 microm; P=.07) and bond strength (S: 46 +/- 3 MPa; R: 40 +/- 5 MPa; P=.057) failed to reveal any significant difference between the 2 groups. The specimens of the soldering group demonstrated significantly lower values both in hardness (S: 128 +/- 11 VHN; R: 217 +/- 4 VHN; P<.001) and in modulus of elasticity (S: 135 +/- 4 GPa; R: 183 +/- 6 GPa; P=.035) than the reference group. CONCLUSION: Under the conditions of the present study, the addition of solder to the base metal alloy did not affect the metal-ceramic bond strength.

Chromium Alloys↗

The effect of investment material type on the contamination zone and mechanical properties of commercially pure titanium castings.

STATEMENT OF PROBLEM: Different types of investment materials affect the formation of a surface contamination zone within commercially pure titanium (cpTi) castings. This contamination zone may possibly alter the mechanical properties of cast titanium, which may be problematic for castings used in the fabrication of removable and fixed prostheses. PURPOSE: The purpose of this study was to evaluate the effect of different types of investments on the extent of contamination zone and the modulus of elasticity, yield strength, elongation, and hardness of cpTi castings. MATERIAL AND METHODS: Forty wax patterns were fabricated according to ISO 9693 for tensile testing. The patterns were divided into 2 groups of 20 patterns each, invested, and cast in pairs using cpTi. The first group (P) was invested with a phosphate-bonded silica-based investment material (Ticoat S+L), and the second group (M), with a magnesia-alumina investment material (Rematitan Ultra). Investment materials were examined by x-ray diffraction analysis (XRD). One specimen from each group was sectioned and prepared for metallographic observation. The extent of the contamination zone was determined by scanning electron microscopy, using back-scattering electron imaging and energy dispersive spectroscopy analysis, as well as microhardness testing. The tensile strength of the specimens was determined in a universal testing machine. From the derived tensile curves, the modulus of elasticity, yield strength, and percentage elongation were calculated and statistically evaluated among the groups using the Student t test (alpha=.05). Three fractured specimens from each group were examined by scanning electron microscopy to determine the mode of fracture. RESULTS: XRD analysis showed that silica and magnesia were the dominant phases of Ticoat S+L and Rematitan Ultra, respectively. The contamination zone was found to extend 50 to 80 mum for the P specimens and 15 to 20 mum for the M specimens. No significance difference was found for the modulus of elasticity (P=85 +/- 11 GPa, M=79 +/- 13 GPa), whereas significant differences were found for the yield strength (P=462 +/- 48 MPa, M=321 +/- 54 MPa; P<.001) and percentage elongation (P=12 +/- 2, M=21 +/- 7; P=.002) between the groups tested. The fracture mode was brittle externally and ductile internally for both groups. CONCLUSIONS: According to the results of this study, the extent of the contamination zone as well as the yield strength and percentage elongation of the cpTi castings were significantly affected by the type of the investment material.

Dental Alloys↗

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↗

Effect of loading rate on bond strength.

The purpose of this study was to examine the effect of loading rate on the bond strength of brackets bonded to enamel. Forty premolars were used and brackets were bonded with a chemically cured or a light-cured adhesive, mounted on a testing machine, and debonded under shear stress at two loading velocities: a standard 1 mm/min, and a fast 200 mm/min which better approximates the actual jaw velocity during chewing. Bond strength results (N) were analyzed with two-way analysis of variance (loading rate, adhesive) (alpha = 0.05). An increased loading rate resulted in decreased bond strength, probably due to the induction of a stiff body response and elimination of the viscoelastic properties of the resin. The results indicated a similar effect on both chemically cured and light-cured adhesives, thus emphasizing the need for standardized test conditions in bond strength protocols. The implication of loads generated during chewing must be considered when estimating the long-term survival of the bond.

Adhesiveness↗

Structural conformation and leaching from in vitro aged and retrieved Invisalign appliances.

The objectives of this study were to investigate the structure of Invisalign appliances (Align Technology, Santa Clara, Calif) after intraoral exposure, and to qualitatively and quantitatively characterize the substances leached from the aligners after accelerated in vitro aging. Samples of Invisalign appliances were randomly selected from 10 patients before intraoral placement and after retrieval, and the prepared specimens were subjected to (1) bright-field optical reflection microscopy to study the surface morphology; (2) Fourier transform infrared microspectroscopy to characterize the in vivo changes in molecular composition induced on appliance surfaces, (3) scanning electron microscopy and energy dispersive X-ray microanalysis to identify the elemental composition of integuments formed on the surface, and (4) Vickers hardness (HV 200) testing. Another set of reference and retrieved appliances was subjected to artificial aging for 2 weeks, and the extracts were subjected to gas chromatography-mass spectroscopy. The retrieved appliances demonstrated substantial morphological variation relative to the as-received specimens involving abrasion at the cusp tips, adsorption of integuments, and localized calcification of the precipitated biofilm at stagnation sites. Buccal segments of retrieved appliances showed an increase in hardness, which might be attributed to mastication-induced cold work; however, the clinical implication of this effect on mechanotherapy is unknown. In vitro aged and retrieved appliances were found to leach no traceable amount of substances in an ethanol aging solution.

Adsorption↗

Titanium orthodontic brackets: structure, composition, hardness and ionic release.

OBJECTIVES: The aim of the present study was to investigate the composition, morphology, bulk structure and ionic release of two brands of titanium orthodontic brackets: Orthos2 (Ormco, USA) and Rematitan (Dentaurum, Germany). METHODS: Five specimens of each group were examined with computerized X-ray microtomography, to reveal the morphology and structure of brackets, whilst resin-embedded and metallographically polished specimens were subjected to SEM/EDS analysis and Vickers microhardness measurements. Brackets were also maintained in 0.9% saline for 2 months and the ionic release in the immersion medium was determined with Inductively Coupled Plasma Atomic Emission Spectroscopy. The results of the hardness and ionic release measurements were statistically analyzed with two-way ANOVA and Tukey's test (alpha = 0.05). RESULTS: Orthos2 brackets consisted of two parts, the base (commercially pure Ti grade II) and the wing (Ti-6Al-4V alloy), joined together by laser welding, producing large gaps along the base-wing interface. The base was of lower hardness (Hv = 145), than the wing (Hv = 392) and incorporated a standard foil base-mesh pad. Rematitan brackets consisted of commercially pure Ti grade IV, with a single-piece manufacturing pattern of virtually identical hardness (p > 0.05) at the base and wings, featuring a laser-etched base-mesh pad. The hardness of the Rematitan brackets was significantly lower than the hardness of the Orthos2 wings, but double the hardness of the Orthos2 base. Released Ti levels were below the threshold level (1 ng/ml) of analysis for both materials, whilst traces of Al (3 ppm) and V (2 ppm) were found in the immersion media for Ti-6Al-4V alloy. SIGNIFICANCE: The structural and hardness differences found may influence the torque transfer characteristics from activated archwires to the brackets and the crevice corrosion potential at the base-wing interface (Orthos2). The detection of Al and V in the immersion medium (Orthos2) may imply a different biological response from the two types of Ti brackets.

Alloys↗

Porosity of cpTi casting with four different casting machines.

STATEMENT OF PROBLEM: Porosity is a well-known problem in dental titanium casting, resulting in inferior mechanical properties of dental restorations. PURPOSE: The aim of this study was to evaluate the porosity of cpTi castings produced with different casting machines. MATERIAL AND METHODS: Four groups of 20 rectangular (30 x 3 x 0.5 mm) wax patterns were fabricated. Group CyII was cast in a CyclarcII casting machine, Group DAM in a Dor-A-Matic, Group TiF in a Titec 201F, and Group ETi in an EasyTi with cpTi, according to manufacturers' instructions. Groups CyII, DAM and TiF were invested with magnesia based Titavest CB and Group ETi with Ticoat S+L silica based investment. The percentage porosity of each specimen was determined using standardized digital radiographs and calculated by quantitative image analysis procedure. The results were statistically analyzed by nonparametric Kruskal-Wallis test (alpha=.05). RESULTS: No statistical differences were found among the groups tested; nevertheless, pore distribution among the specimens of the same group was inhomogeneous. The results show that the casting machines tested produced nonuniform porosity. CONCLUSIONS: Under the conditions of the present study, the type of casting machine does not significantly influence the internal porosity in cpTi castings.

Argon↗

Nickel content of as-received and retrieved NiTi and stainless steel archwires: assessing the nickel release hypothesis.

This study assesses the nickel content of as-received and retrieved stainless steel and NiTi archwires alloys. New and used brand-matched, composition-matched, and cross section-matched archwires were subjected to scanning electron microscopy and energy-dispersive electron probe microanalysis. Elemental analysis was performed on three randomly selected areas, and the nickel content, expressed as ratios of Ni/Ti (in NiTi wires) or Ni/Fe (in stainless steel), was statistically analyzed with a t-test (alpha = .05). No changes were detected with respect to Ni content ratios between as-received and retrieved NiTi or stainless steel wires, suggesting an absence of nickel release. Wear and delamination phenomena on the wire surface and the formation of galvanic couple between the stainless steel wires and bracket brazing materials intraorally may modify the corrosion susceptibility of the wire alloys in clinical conditions.

Corrosion↗

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↗

A comparative study of crack development in stainless-steel hedstrom files used with step-back or crown-down techniques.

The purpose of this study was to evaluate the effect of step-back (SB) and crown-down (CD) techniques on crack development of stainless-steel Hedstrom files (H-files). Ninety-seven mesial root canals of freshly extracted human mandibular molars were selected. Six sets of H-files (#15, #20, and #25 ISO size each) were used with SB and CD techniques for the chemomechanical preparation of 8, 16, and 24 root canals using 2.5% NaOCl as an irrigant and EDTA gel as a chelating agent. Files were sterilized in an autoclave between successive uses. A seventh unused set served as control. After macroscopic examination all files were embedded in epoxy resin, ground, polished, and studied under a metallographic microscope. The maximum crack size of each file was measured by means of standard image-analysis procedures. Macroscopically the files presented no signs of plastic deformation, apart from a file #15, used with SB technique, which fractured after 16 root-canal preparations. The microscopic examination showed no cracks: on control files, on files used with the CD technique for 8 and 16 cycles, on file #20 used with the SB technique for 8 and 16 cycles, as well as on file 25 used with the SB technique for 8 cycles. Cracks were found on H-file #15 used with the SB technique for 8 and 16 cycles, on file 25 used with the SB technique for 16 cycles, and on all files used for 24 cycles with both SB and CD techniques. Under the conditions of this study it was concluded that the instrumentation technique is deeply implicated in the crack development. Crack propagation was accelerated when SB technique was used.

Chelating Agents↗

Assessment of elemental composition, microstructure, and hardness of stainless steel endodontic files and reamers.

The purpose of this study was to determine the elemental composition, microstructure, and hardness of commercially available reamers, K files, and H files. Five instruments of each type from different manufacturers (Antaeos, FKG, Maillefer, Mani, and Micromega) were embedded in epoxy resin along their longitudinal axis. After metallographic grinding and polishing, the specimens were chemically etched and their microstructure investigated under an incident light microscope. The specimens were studied under a scanning electron microscope, and their elemental compositions were determined by energy dispersive X-ray microanalysis. The same surfaces were repolished and X-ray diffraction was performed. The same specimen surface was used for the assessment of the Vickers hardness (HV200) by using a microhardness tester with a 200-g load and 20-s contact time. The hardness results were statistically analyzed with two-way ANOVA and Tukey's test (a = 0.05). All files demonstrated extensively elongated grains parallel to longitudinal file axis because of cold drawing. The elemental composition of Maillefer and Mani reamers, Antaeos K files, and Mani H files were found in the range of AISI 303 SS, whereas all the rest were determined as AISI 304 SS. Two different phases (austenite SSt and martensite SSt) were identified with X-ray diffraction for all files tested. The results of hardness classified reamers in the following decreasing order (HMV200): Micromega = 673 +/- 29, Mani = 662 +/- 24, Maillefer = 601 +/- 34, Antaeos = 586 +/- 18, FKG = 557 +/- 19, and the K files (HV200): FKG = 673 +/- 16, Mani = 647 +/- 19, Maillefer = 603 +/- 41, Antaeos = 566 +/- 21, Micromega = 555 +/- 15, and the H files (HMV200): Mani = 640 +/- 12, FKG = 583 +/- 31, Maillefer = 581 +/- 5, Antaeos = 573 +/- 3, Micromega = 546 +/- 14. Although only two stainless steel alloys were used for the production of endodontic files, the differences in hardness are independent to the alloys used, implying that other factors, such as the production method or the thermomechanical history of the alloys, play an important role on the mechanical properties of endodontic files.

Acid Etching, Dental↗

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↗