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At least 91 records · Page 5Linked to original sources
PubMed2004

In vitro quantification of white spot enamel lesions adjacent to fixed orthodontic appliances using quantitative light-induced fluorescence and DIAGNOdent.

The aims of this in vitro study were 2-fold: 1) to evaluate two fluorescence methods (DIAGNOdent and QLF (quantitative light-induced fluorescence)) for quantification of white spot lesions adjacent to fixed orthodontic appliances; and 2) to determine the inter-observer agreement of the DIAGNOdent and QLF methods for quantification of incipient enamel lesions adjacent to fixed orthodontic appliances. Forty-one premolar teeth with visually sound smooth surfaces or visually white spot enamel lesions were included in the study. Orthodontic brackets were fixed adjacent to the lesions, thus simulating the position of fixed appliances during orthodontic treatment. All teeth were measured using both the DIAGNOdent and QLF methods. Of the 41 teeth, 20 smooth surfaces were randomly selected and analyzed by 4 operators using both DIAGNOdent and QLF. The teeth were sectioned into 300-microm-thick slices using a water-cooled diamond saw and the slices manually ground to 80-100 microm thickness. Histopathology and transverse microradiography were performed to provide the gold standards for verification of lesion depth and mineral loss, respectively. The Spearman rank correlation coefficients between lesion depth determined by histopathology and the DIAGNOdent and QLF were 0.76 and 0.82, respectively, whereas the Pearson correlation coefficients between mineral loss and the two methods were 0.64 and 0.84, respectively. Inter-observer agreement was found to be 0.80 and 0.93 for DIAGNOdent and QLF, respectively. In conclusion, QLF may be a suitable method for quantifying incipient carious lesions adjacent to fixed orthodontic appliances.

Bicuspid↗
PubMed1988

The orthodontic appliance: esthetic considerations.

The importance of attractive dental and facial appearance is at an all-time high for the American consumer. Because of this emphasis on appearance, the esthetic impact of the orthodontic appliance is a matter of great concern to prospective patients. This article presents an overview of the esthetic features of currently available orthodontic appliances.

Ceramics↗
PubMedDate not supplied

[Supervised program of motivation and instruction in oral hygiene and physical therapy for children with orthodontic appliances].

The purpose of this paper was to evaluate the effectiveness of a supervision program for motivation and instruction of hygiene buccal in respect of the control of plaque and marginal gingivitis in children with seven to twelve years old, undergoing removable or fixed orthodontic appliance therapy. These patients were divided into two groups. The experimental group was of thirty-eight children who were individually instructed for the hygiene method. They were analysed and instructed periodically. The twenty-five children of the control group were instructed for a correct brushing; however no attempt was done to change their habits. They also have been periodically evaluated. The evaluation of de buccal health conditions was measured in a period of eight months by means of plaque and marginal pappilar gingivitis index. Is was verified a reduction in the plaque and gingivitis index, in the experimental group of 100% and 88.6%, respectively. The control group has showed a reduction of 74.6% and 78.9%, respectively. The control of plaque and gingivitis was more efficient in the patients who were periodically instructed and motivated, with a difference statistically significant, from the third week. These data helped to demonstrate that the plaque and the periodontal disease can be suitably controlled by the patient even with the use of orthodontic appliances. The instructed and supervisioned brushing technic is more efficient than the habitual brushing in the control of plaque and gingivitis in patients with orthodontic appliance.

Child↗
PubMed2006

Failure investigation of soldered stainless steel orthodontic appliances exposed to artificial saliva.

UNLABELLED: Globally in the field of Dental Technology, soldering continues to be the prevailing joining technique for removable orthodontic appliances. The strength of the soldered joint, however, is a growing concern to dental technicians since the commonly employed silver solder undergoes accelerated corrosion and ultimately influences the success of orthodontic appliances intraorally. OBJECTIVE: The goal of this in vitro study was to determine the effects of exposure to artificial saliva on the mechanical strength of orthodontic silver-soldered stainless steel joints. METHODS: One hundred (control group n=20; aged group n=80) soldered specimens were exposed to varying exposure times in Fusayama's artificial saliva. Tensile failure loads of the control and aged groups were measured. Failure modes were evaluated by examining the exposed surfaces, solder microstructure and the fracture morphology using a combination of light microscopy, scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDS). RESULTS: A marked decrease in tensile failure load of the joints was recorded after exposure to artificial saliva. Selective attack was identified on the aged solder surfaces, which was attributed to the micro-galvanic effect brought about by the preponderance of Cu-rich phases in the solder microstructure. The selective attack promoted decohesion at the solder/wire interface, thereby reducing the tensile failure load. SIGNIFICANCE: This study helped to elucidate that an association between exposure periods and microstructure of soldered orthodontic joints exists and that their combined effects positively influence the tensile strengths of orthodontic soldered joints.

Analysis of Variance↗
PubMedDate not supplied

Facial changes following treatment with a removable orthodontic appliance in adults.

The purpose of this study is to determine soft tissue facial changes in adults with mild Class I or Class II malocclusions, treated with a removable orthodontic appliance (Homeoblock '). Standardized intra-oral and frontal facial photographs of 25 adults were scanned and x, y coordinates of 16 maxillary arch and nine facial landmarks were digitized. Mean maxillary arch and facial configurations were subjected to finite-element analysis (FEA). Results showed that the mean pre- and post-treatment maxillary and facial configurations differed statistically (p < 0.05). Specifically, the maxillary arch showed a 30% relative size increase in the mid-palatal region with shape changes consistent with improved dental alignment and maxillary expansion in the transverse direction. For facial changes, a 10% size increase was localized in the nasomaxillary region, and the intercanthal angle changed from -4.6(0) to +4.2(0) (p < 0.05). It is concluded that dental and facial changes associated with the Homeoblock' removable orthodontic appliance are consistent with a broader smile and a more symmetrical facial appearance in non-growing adults.

Adult↗
PubMed2002

Orthodontic appliances made of organic polymer used in the metal allergic patient can withstand orthognathic surgery.

We developed an orthodontic appliance completely made of organic polymer. The appliance was used for many years and proved very effective. It was used for the treatment of patients with metal allergy, and as a result, it is believed to be the best choice for treating metal allergies. In this report, we are presenting a surgical case with Class III malocclusion for a patient with metal allergy, and the concept of the appliance is briefly discussed.

Adolescent↗
PubMed2000

Salivary nickel and chromium in patients with fixed orthodontic appliances.

The purpose of this study was to determine the alterations in the chromium and nickel concentrations in the saliva of orthodontic patients treated with fixed orthodontic appliances. Forty-five orthodontic patients were included in this study. The first group consisted of 15 patients (7 female, 8 male) with fixed appliances placed in their upper and lower arches. The second group consisted of 15 patients (8 female, 7 male) with a fixed appliance placed only in the upper arch. The control group consisted of 15 patients (7 female, 8 male) who were not undergoing orthodontic treatment. Four samples of stimulated saliva were collected from each patient before insertion of the fixed appliance, 1 week after insertion of the appliance, 1 month after insertion of the appliance, and 2 months after insertion of the appliance. The same 4 samples of saliva were collected from each control patient at the same time intervals as for the fixed-appliance groups. The chemical analyses were done with an electrothermal atomic absorption spectrophotometer (Perkin Elmer 2380, Perkin Elmer Corp, Baden Seewerk, Germany). The Wilcoxon matched-pairs signed ranks test was used to test differences between samples before and after insertion of orthodontic appliances. A Kruskal Wallis 1-way analysis of variance was used to test differences in nickel and chromium concentration among the 3 test groups. It was observed that there was a large variation in the concentrations of both nickel and chromium in saliva. No significant differences were found between the no-appliance group and the samples obtained after insertion of the appliances. The results of the study suggest that fixed orthodontic appliances do not significantly affect nickel and chromium concentrations of saliva during the first 2 months of treatment.

Adolescent↗
PubMed1987

Demineralization and remineralization around orthodontic appliances: an in vivo study.

The presence of clinically detectable areas of decalcification (observable as whitened areas) following the removal of orthodontic appliances is well recognized. The aim of the present study was to determine quantitatively the amount of demineralization and the ability of commercially available products to inhibit or reverse orthodontically related demineralization. Twenty orthodontic patients scheduled to have premolars extracted were randomly divided into four groups--one control and three test groups. The extracted premolars (numbering 58) were bracketed using an acid-etch composite system; each patient was given precise oral hygiene instructions and supplied with a sodium fluoride (1,100 ppm fluoride) dentifrice and an orthodontic toothbrush. The control group brushed only with the supplied dentifrice. In addition to brushing with the dentifrice, those in test group I rinsed once each night with a sodium fluoride (0.05%) mouthrinse; group II received a weekly topical APF treatment (1.2% fluoride); and Group III received a weekly topical APF treatment and rinsed once each night with the sodium fluoride mouthrinse. All premolars were extracted after 1 calendar month. Mineral profiles were determined on cross-sectioned teeth 50 to 75 micron occlusal and cervical to the brackets, directly underneath the brackets, and 500 micron away from the brackets. The control teeth (dentifrice only) demonstrated up to 15% demineralization to a depth of 50 micron. All of the test teeth produced rehardening and/or inhibition of demineralization (P less than 0.01). Those in test group III showed a particularly hard outer layer. The study demonstrated that measurable demineralization occurred around orthodontic appliances after only 1 month and this demineralization can be completely inhibited and/or reversed by the use of commercially available fluoride products.

Dental Bonding↗
PubMed1996

Periodontal and microbiological changes associated with the placement of orthodontic appliances. A review.

This review examines specific aspects of orthodontic treatment and periodontal health, namely the effects of orthodontic banded attachments on periodontal disease and more specifically the microflora found around the gingival margins. This review highlights critical developments in orthodontic techniques and microbiological advances which have helped clarify the interrelationships between orthodontic appliances and periodontal disease. Suggestions as to how these may be modified are made, as well as targeting specific areas for research.

Bacteria↗