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Dumbryte I, Narbutis D, Androulidaki M, Vailionis A, Juodkazis S, Malinauskas M. Teeth Microcracks Research: Towards Multi-Modal Imaging. Bioengineering (Basel) 2023; 10:1354. [PMID: 38135945 PMCID: PMC10740647 DOI: 10.3390/bioengineering10121354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 11/16/2023] [Accepted: 11/21/2023] [Indexed: 12/24/2023] Open
Abstract
This perspective is an overview of the recent advances in teeth microcrack (MC) research, where there is a clear tendency towards a shift from two-dimensional (2D) to three-dimensional (3D) examination techniques, enhanced with artificial intelligence models for data processing and image acquisition. X-ray micro-computed tomography combined with machine learning allows 3D characterization of all spatially resolved cracks, despite the locations within the tooth in which they begin and extend, and the arrangement of MCs and their structural properties. With photoluminescence and micro-/nano-Raman spectroscopy, optical properties and chemical and elemental composition of the material can be evaluated, thus helping to assess the structural integrity of the tooth at the MC site. Approaching tooth samples having cracks from different perspectives and using complementary laboratory techniques, there is a natural progression from 3D to multi-modal imaging, where the volumetric (passive: dimensions) information of the tooth sample can be supplemented by dynamic (active: composition, interaction) image data. Revelation of tooth cracks clearly shows the need to re-assess the role of these MCs and their effect on the structural integrity and longevity of the tooth. This provides insight into the nature of cracks in natural hard materials and contributes to a better understanding of how bio-inspired structures could be designed to foresee crack propagation in biosolids.
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Affiliation(s)
- Irma Dumbryte
- Institute of Odontology, Vilnius University, LT-08217 Vilnius, Lithuania
| | - Donatas Narbutis
- Institute of Theoretical Physics and Astronomy, Vilnius University, LT-10222 Vilnius, Lithuania
| | - Maria Androulidaki
- Microelectronics Research Group, Institute of Electronic Structure & Laser, Foundation for Research and Technology FORTH-Hellas, 70013 Heraklion, Crete, Greece
| | - Arturas Vailionis
- Stanford Nano Shared Facilities, Stanford University, Stanford, CA 94305, USA
- Department of Physics, Kaunas University of Technology, LT-51368 Kaunas, Lithuania
| | - Saulius Juodkazis
- Optical Sciences Centre and ARC Training Centre in Surface Engineering for Advanced Materials (SEAM), School of Science, Swinburne University of Technology, Hawthorn, VIC 3122, Australia
- WRH Program International Research Frontiers Initiative (IRFI), Tokyo Institute of Technology, Nagatsuta-cho, Midori-ku, Yokohama 226-8503, Japan
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Oh C, Lee H, Kim J, Lee JH, Nguyen T, Kim KH, Chung CJ. The influence of age and orthodontic debonding on the prevalence and severity of enamel craze lines. J Am Dent Assoc 2023:S0002-8177(23)00207-6. [PMID: 37204377 DOI: 10.1016/j.adaj.2023.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 03/09/2023] [Accepted: 04/05/2023] [Indexed: 05/20/2023]
Abstract
BACKGROUND Craze lines may cause esthetic concerns, especially when noted on the incisors. Various light sources with additional recording apparatus have been proposed to visualize craze lines, but a standardized clinical protocol is yet to be determined. This study aimed to validate the application of near-infrared imaging (NIRI) from intraoral scans to evaluate craze lines and to determine the influence of age and orthodontic debonding on their prevalence and severity. METHODS The NIRI of maxillary central incisors from a full-mouth intraoral scan and photographs from an orthodontic clinic (N = 284) were collected. The prevalence of craze lines and influence of age and orthodontic debonding history on severity were evaluated. RESULTS Craze lines were detected reliably as white lines distinguishable from dark enamel using the NIRI from intraoral scans. The craze line prevalence was 50.7%, which was significantly higher in patients 20 years or older than in patients younger than 20 years (P < .001), with more frequent severe craze lines for those 40 years or older than in patients younger than 30 years (P < .05). Prevalence or severity was similar between patients with and without an orthodontic debonding history regardless of the type of appliance. CONCLUSION The prevalence of craze lines in the maxillary central incisor was 50.7%, with a higher prevalence in adults than in adolescents. Orthodontic debonding did not affect the severity of craze lines. PRACTICAL IMPLICATIONS Craze lines were reliably detected and documented by means of applying NIRI from intraoral scans. Intraoral scanning can provide new clinical information on enamel surface characteristics.
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Dumbryte I, Narbutis D, Vailionis A, Juodkazis S, Malinauskas M. Revelation of microcracks as tooth structural element by X-ray tomography and machine learning. Sci Rep 2022; 12:22489. [PMID: 36577779 PMCID: PMC9797571 DOI: 10.1038/s41598-022-27062-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 12/23/2022] [Indexed: 12/30/2022] Open
Abstract
Although teeth microcracks (MCs) have long been considered more of an aesthetic problem, their exact role in the structure of a tooth and impact on its functionality is still unknown. The aim of this study was to reveal the possibilities of an X-ray micro-computed tomography ([Formula: see text]CT) in combination with convolutional neural network (CNN) assisted voxel classification and volume segmentation for three-dimensional (3D) qualitative analysis of tooth microstructure and verify this approach with four extracted human premolars. Samples were scanned using a [Formula: see text]CT instrument (Xradia 520 Versa; ZEISS) and segmented with CNN to identify enamel, dentin, and cracks. A new CNN image segmentation model was trained based on "Multiclass semantic segmentation using DeepLabV3+" example and was implemented with "TensorFlow". The technique which was used allowed 3D characterization of all MCs of a tooth, regardless of the volume of the tooth in which they begin and extend, and the evaluation of the arrangement of cracks and their structural features. The proposed method revealed an intricate star-shaped network of MCs covering most of the inner tooth, and the main crack planes in all samples were arranged radially in two almost perpendicular directions, suggesting that the cracks could be considered as a planar structure.
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Affiliation(s)
- Irma Dumbryte
- grid.6441.70000 0001 2243 2806Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Donatas Narbutis
- grid.6441.70000 0001 2243 2806Institute of Theoretical Physics and Astronomy, Faculty of Physics, Vilnius University, Vilnius, Lithuania
| | - Arturas Vailionis
- grid.168010.e0000000419368956Stanford Nano Shared Facilities, Stanford University, Stanford, USA ,grid.6901.e0000 0001 1091 4533Department of Physics, Kaunas University of Technology, Kaunas, Lithuania
| | - Saulius Juodkazis
- grid.1027.40000 0004 0409 2862Optical Sciences Centre and ARC Training Centre in Surface Engineering for Advanced Materials (SEAM), School of Science, Swinburne University of Technology, Hawthorn, Australia ,grid.32197.3e0000 0001 2179 2105WRH Program International Research Frontiers Initiative (IRFI) Tokyo Institute of Technology, Nagatsuta-cho, Midori-ku, Yokohama, Japan
| | - Mangirdas Malinauskas
- grid.6441.70000 0001 2243 2806Laser Research Center, Faculty of Physics, Vilnius University, Vilnius, Lithuania
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Dumbryte I, Vailionis A, Skliutas E, Juodkazis S, Malinauskas M. Three-dimensional non-destructive visualization of teeth enamel microcracks using X-ray micro-computed tomography. Sci Rep 2021; 11:14810. [PMID: 34285299 PMCID: PMC8292334 DOI: 10.1038/s41598-021-94303-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Accepted: 07/07/2021] [Indexed: 02/06/2023] Open
Abstract
Although the topic of tooth fractures has been extensively analyzed in the dental literature, there is still insufficient information about the potential effect of enamel microcracks (EMCs) on the underlying tooth structures. For a precise examination of the extent of the damage to the tooth structure in the area of EMCs, it is necessary to carry out their volumetric [(three-dimensional (3D)] evaluation. The aim of this study was to validate an X-ray micro-computed tomography ([Formula: see text]CT) as a technique suitable for 3D non-destructive visualization and qualitative analysis of teeth EMCs of different severity. Extracted human maxillary premolars were examined using a [Formula: see text]CT instrument ZEISS Xradia 520 Versa. In order to separate crack, dentin, and enamel volumes a Deep Learning (DL) algorithm, part of the Dragonfly's segmentation toolkit, was utilized. For segmentation needs we implemented Dragonfly's pre-built UNet neural network. The scanning technique which was used made it possible to recognize and detect not only EMCs that are visible on the outer surface but also those that are buried deep inside the tooth. The 3D visualization, combined with DL assisted segmentation, enabled the evaluation of the dynamics of an EMC and precise examination of its position with respect to the dentin-enamel junction.
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Affiliation(s)
| | - Arturas Vailionis
- Stanford Nano Shared Facilities, Stanford University, Stanford, USA
- Department of Physics, Kaunas University of Technology, Kaunas, Lithuania
| | - Edvinas Skliutas
- Laser Research Center, Faculty of Physics, Vilnius University, Vilnius, Lithuania
| | - Saulius Juodkazis
- Optical Sciences Centre and ARC Training Centre in Surface Engineering for Advanced Materials (SEAM), School of Science, Swinburne University of Technology, Hawthorn, Australia
- Tokyo Tech World Research Hub Initiative (WRHI), School of Materials and Chemical Technology, Tokyo Institute of Technology, Tokyo, Japan
| | - Mangirdas Malinauskas
- Laser Research Center, Faculty of Physics, Vilnius University, Vilnius, Lithuania
- Tokyo Tech World Research Hub Initiative (WRHI), School of Materials and Chemical Technology, Tokyo Institute of Technology, Tokyo, Japan
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Dumbryte I, Malinauskas M. In vivo examination of enamel microcracks after orthodontic debonding: Is there a need for detailed analysis? Am J Orthod Dentofacial Orthop 2021; 159:e103-e111. [PMID: 33390312 DOI: 10.1016/j.ajodo.2020.09.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Revised: 08/01/2020] [Accepted: 09/01/2020] [Indexed: 10/22/2022]
Abstract
INTRODUCTION Our aim was to assess changes in the number of enamel microcracks (EMCs) after removing metal brackets in teeth with and without visible EMCs before the bonding procedure. METHODS Before bonding, 13 patients having teeth with visible EMCs and 13 subjects whose teeth were free of EMCs were included in the study. All patients were asked to complete a questionnaire with a detailed medical history at the beginning of treatment and after removing metal brackets. The number of teeth with visible EMCs and the number of premolars without EMCs were recorded for each subject twice, that is, before bonding and after debonding, together with the tooth sensitivity assessments elicited by compressed air and cold testing. RESULTS The number of visible EMCs in premolars increased after removing metal brackets. EMCs were recorded in at least 25.0% of all evaluated teeth for the patients having teeth with and without visible EMCs at the beginning of treatment. However, the changes in the number of visible EMCs were not significantly different (P = 0.619) between the groups. For the subjects with visible EMCs, tooth sensitivity caused by cold was registered nearly 3 times more often after removing brackets compared with the patients without EMCs prior bonding. CONCLUSIONS Formation of EMCs was noticed after debonding. Changes in the number appeared to be similar for the subjects with and without visible EMCs before bonding. Higher incidence of EMCs was associated with more frequent tooth sensitivity perceptions after removing brackets.
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Affiliation(s)
- Irma Dumbryte
- Institute of Odontology, Vilnius University, Vilnius, Lithuania.
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Impact of Fluorosis on the Tensile Bond Strength of Metal Brackets and the Prevalence of Enamel Microcracks. Sci Rep 2019; 9:5957. [PMID: 30976077 PMCID: PMC6459919 DOI: 10.1038/s41598-019-42325-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 03/20/2019] [Indexed: 11/08/2022] Open
Abstract
The objective of this in vitro study was to determine the effects of dental fluorosis on the tensile bond strength of metal brackets bonded to human teeth and to evaluate the changes in the tooth enamel surface after debonding. The study sample consisted of 68 recently extracted human upper premolars, which were divided into 2 groups: the fluorosis group (34 fluorosed teeth) and the control group (34 healthy teeth). Identical premolar metal brackets were bonded on the buccal surfaces of the teeth. Both groups were submitted to a tension test using a universal testing machine. The number and length of the enamel microcracks in the buccal surface of each tooth were determined before bracket bonding and after debonding using a stereomicroscope. The percentage adhesive remnant index (PARI) was calculated after debonding. The results showed that the tensile bond strength (TBS) of brackets bonded to fluorosed teeth was 21.08% lower than that of brackets bonded to healthy teeth (p < 0.0001). The length of the enamel microcracks on fluorosed teeth increased by 47.4% after debonding, whereas the control group showed an increase of only 12.6%. The PARI showed lower values for fluorosed teeth in comparison to the control group (p = 0.047). In conclusion, dental fluorosis has a negative impact on tensile bond strength and the length of microcracks formed after bracket debonding.
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Dumbryte I, Vebriene J, Linkeviciene L, Malinauskas M. Enamel microcracks in the form of tooth damage during orthodontic debonding: a systematic review and meta-analysis of in vitro studies. Eur J Orthod 2019; 40:636-648. [PMID: 29474541 DOI: 10.1093/ejo/cjx102] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Objectives To evaluate and compare the enamel microcracks (EMCs) characteristics (qualitative and quantitative) in the form of tooth damage before and after debonding from human teeth of in vitro studies. Eligibility criteria Laboratorial studies evaluating EMCs characteristics before and after debonding metal and ceramic brackets from human teeth with intact buccal enamel. Information sources An electronic search of four databases (all databases of the Cochrane Library, CA Web of Science, MEDLINE via PubMed, and Google Scholar) and additional manual searches were carried out, without language restrictions. Studies published between 2000 and 2017 years were selected. Reference lists of the included articles were screened, and authors were contacted when necessary. Risk of bias The following six parameters were analyzed: blinding of examiner and outcome assessment, incomplete outcome data before bonding and after debonding, selective outcome reporting, and incomplete reporting of EMCs assessment. Included studies Out of 430 potentially eligible studies, 259 were screened by title and abstract, 180 were selected for full-text analysis, 14 were included in the systematic review. Seven studies were selected for the meta-analysis. Synthesis of results The results for EMCs characteristics were expressed as mean differences (MDs) with their 95 per cent confidence intervals (CIs), and calculated from random-effects meta-analyses. Debonding was associated with the increase in number (three studies, MD = 3.50, 95% CI, 2.13 to 4.87, P < 0.00001), length (seven studies, MD = 3.09 mm, 95% CI, 0.75-5.43, P < 0.00001), and width (three studies, MD = 0.39 µm, 95% CI, -0.01 to 0.79, P = 0.06) of EMCs. Considerable statistical heterogeneity was found for two forest plots evaluating the changes of number and length characteristics during debonding. Conclusions There is weak evidence indicating length and width of EMCs increase following bracket removal and the scientific evidence concerning quantitative evaluation of the number parameter before and after debonding is insufficient. However, there is a strong evidence that after debonding the number of EMCs is likely to increase. Registration No registration was performed.
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Dumbryte I, Linkeviciene L, Linkevicius T, Malinauskas M. Does orthodontic debonding lead to tooth sensitivity? Comparison of teeth with and without visible enamel microcracks. Am J Orthod Dentofacial Orthop 2017; 151:284-291. [PMID: 28153157 DOI: 10.1016/j.ajodo.2016.06.036] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2016] [Revised: 06/01/2016] [Accepted: 06/01/2016] [Indexed: 12/31/2022]
Abstract
INTRODUCTION Our aim was to assess the possible changes in sensitivity of teeth with and without visible enamel microcracks (EMCs) up to 1 week after the removal of metal brackets. METHODS After debonding, 15 patients possessing teeth with visible EMCs and 15 subjects whose teeth were free of EMCs were enrolled in the study. For each experimental group, a control group was formed. The assessments of tooth sensitivity elicited by compressed air and cold testing were performed 5 times: just before debonding, immediately after debonding, and at 1, 3, and 7 days after debonding. Tooth sensitivity was recorded on a 100-mm visual analog scale. RESULTS For the patients without visible EMCs, discomfort peaked immediately after debonding and started to decrease on day 1; at 1 week after debonding, the visual analog scale scores were lower than just before debonding and immediately after debonding. For the subjects possessing teeth with visible EMCs, the pattern of sensitivity dynamic was inherently the same. However, the patients with visible EMCs showed higher visual analog scale values at each time interval. CONCLUSIONS Debonding leads to a short-term increase in tooth sensitivity. EMCs, a form of enamel damage, do not predispose to greater sensitivity perception in relation to bracket removal.
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Affiliation(s)
| | - Laura Linkeviciene
- Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Tomas Linkevicius
- Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Mangirdas Malinauskas
- Department of Quantum Electronics, Physics Faculty, Vilnius University, Vilnius, Lithuania
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Seeliger JH, Botzenhart UU, Gedrange T, Kozak K, Stepien L, Machoy M. Enamel shear bond strength of different primers combined with an orthodontic adhesive paste. BIOMED ENG-BIOMED TE 2017. [PMID: 28640749 DOI: 10.1515/bmt-2016-0241] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
AIM The aim of this study was a comparison of shear bond strength (SBS) on tooth enamel of different primers combined with the adhesive paste Transbond XT. MATERIALS AND METHODS Forty bovine teeth were used in order to create 40 test blocks. The blocks were divided into four groups of 10 blocks each: group A - sample primer (SP); group B - Opal Seal (OS); group C - Transbond Plus SEP (TSEP); group D - Transbond XT Primer (TXT). After surface preparation and application of the primer, respectively, two stainless steel brackets were fixed on each tooth by using Transbond XT. Accordingly, 80 brackets were debonded (n=20). Shear bond strength and adhesive remnant index (ARI) scores were evaluated. Statistical analyses were performed by using the Student's t-test and Mann-Whitney U test. RESULTS All tested groups revealed high shear bond strength in a similar size range. There were no significant differences between the groups concerning shear bond strength. The ARI scores of group C showed significantly lower ARI scores (0 and 1) than that of group D. Apart from that there was no statistical difference. CONCLUSION In combination with the adhesive paste Transbond XT, all tested primers were suitable for fixing orthodontic brackets. The primers could be changed according to the clinical situation.
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DUMBRYTE I, LINKEVICIENE L, LINKEVICIUS T, MALINAUSKAS M. Enamel microcracks in terms of orthodontic treatment: A novel method for their detection and evaluation. Dent Mater J 2017; 36:438-446. [DOI: 10.4012/dmj.2016-264] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Pires Altmann AS, Degrazia FW, Celeste RK, Leitune VCB, Samuel SMW, Collares FM. Orthodontic bracket bonding without previous adhesive priming: A meta-regression analysis. Angle Orthod 2016; 86:391-398. [PMID: 26177358 PMCID: PMC8601730 DOI: 10.2319/041615-255.1] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/01/2015] [Indexed: 10/05/2023] Open
Abstract
OBJECTIVE To determine the consensus among studies that adhesive resin application improves the bond strength of orthodontic brackets and the association of methodological variables on the influence of bond strength outcome. MATERIALS AND METHODS In vitro studies were selected to answer whether adhesive resin application increases the immediate shear bond strength of metal orthodontic brackets bonded with a photo-cured orthodontic adhesive. Studies included were those comparing a group having adhesive resin to a group without adhesive resin with the primary outcome measurement shear bond strength in MPa. A systematic electronic search was performed in PubMed and Scopus databases. RESULTS Nine studies were included in the analysis. Based on the pooled data and due to a high heterogeneity among studies (I(2) = 93.3), a meta-regression analysis was conducted. The analysis demonstrated that five experimental conditions explained 86.1% of heterogeneity and four of them had significantly affected in vitro shear bond testing. The shear bond strength of metal brackets was not significantly affected when bonded with adhesive resin, when compared to those without adhesive resin. CONCLUSIONS The adhesive resin application can be set aside during metal bracket bonding to enamel regardless of the type of orthodontic adhesive used.
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Affiliation(s)
- Aline Segatto Pires Altmann
- MSc student, Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Felipe Weidenbach Degrazia
- PhD student, Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Roger Keller Celeste
- Associate Professor, Department of Preventive and Social Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Vicente Castelo Branco Leitune
- Associate Professor, Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Susana Maria Werner Samuel
- Chair Professor, Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Fabrício Mezzomo Collares
- Associate Professor, Dental Materials Laboratory, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
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Dumbryte I, Jonavicius T, Linkeviciene L, Linkevicius T, Peciuliene V, Malinauskas M. The prognostic value of visually assessing enamel microcracks: Do debonding and adhesive removal contribute to their increase? Angle Orthod 2015; 86:437-47. [PMID: 26322538 DOI: 10.2319/021115-93.1] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To find a correlation between the severity of enamel microcracks (EMCs) and their increase during debonding and residual adhesive removal (RAR). MATERIALS AND METHODS Following their examination with scanning electron microscopy (SEM), 90 extracted human premolars were divided into three groups of 30: group 1, teeth having pronounced EMCs (visible with the naked eye under normal room illumination); group 2, teeth showing weak EMCs (not apparent under normal room illumination but visible by SEM); and group 3, a control group. EMCs have been classified into weak and pronounced, based on their visibility. Metal brackets (MB) and ceramic brackets (CB), 15 of each type, were bonded to all the teeth from groups 1 and 2. Debonding was performed with pliers, followed by RAR. The location, length, and width of the longest EMCs were measured using SEM before and after debonding. RESULTS The mean overall width (Woverall) was higher for pronounced EMCs before and after debonding CB (P < .05), and after the removal of MB. Pronounced EMCs showed greater length values using both types of brackets. After debonding, the increase in Woverall of pronounced EMCs was 0.57 µm with MB (P < .05) and 0.30 µm with CB; for weak EMCs, - 0.32 µm with MB and 0.30 µm with CB. CONCLUSIONS Although the teeth having pronounced EMCs showed higher width and length values, this did not predispose to greater EMCs increase after debonding MB and CB followed by RAR.
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Affiliation(s)
- Irma Dumbryte
- a Research Associate, Vilnius Research Group, Vilnius, Lithuania
| | - Tomas Jonavicius
- b Research Trainee, Department of Quantum Electronics, Physics Faculty, Vilnius University, Vilnius, Lithuania
| | - Laura Linkeviciene
- c Assistant Professor, Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Tomas Linkevicius
- c Assistant Professor, Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Vytaute Peciuliene
- d Professor, Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Mangirdas Malinauskas
- e Senior Research Fellow, Department of Quantum Electronics, Physics Faculty, Vilnius University, Vilnius, Lithuania
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Mews L, Kern M, Ciesielski R, Fischer-Brandies H, Koos B. Shear bond strength of orthodontic brackets to enamel after application of a caries infiltrant. Angle Orthod 2014; 85:645-50. [PMID: 25157972 DOI: 10.2319/013014-82.1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To examine differences in the shear bond strength of orthodontic brackets on differently mineralized enamel surfaces after applying a caries infiltrant or conventional adhesive. MATERIALS AND METHODS A total of 320 bovine incisors were assigned to eight pretreated groups, and the shear force required for debonding was recorded. Residual adhesive was evaluated by light microscopy using the adhesive remnant index. Statistical analysis included Kolmogorov-Smirnov, analysis of variance (ANOVA), and Scheffé tests. RESULTS The highest bond strength (18.8 ± 4.4 MPa) was obtained after use of the caries infiltrant. More residual adhesive and fewer enamel defects were observed on infiltrated enamel surfaces. Brackets on demineralized enamel produced multiple enamel defects. CONCLUSIONS Acceptable bond strengths were obtained with all material combinations. A caries-infiltrant applied before bracket fixation has a protective effect, especially on demineralized enamel.
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Affiliation(s)
- Laura Mews
- a Postdoctoral student, Department of Orthodontics, Christian-Albrechts University, Kiel, Germany
| | - Matthias Kern
- b Professor and Chair, Department of Prosthodontics, Propaedeutics and Dental Materials, Christian-Albrechts University, Kiel, Germany
| | - Robert Ciesielski
- c Research Assistant, Department of Orthodontics, Christian-Albrechts University, Kiel, Germany
| | - Helge Fischer-Brandies
- d Professor and Chair, Department of Orthodontics, Christian-Albrechts University, Kiel, Germany
| | - Bernd Koos
- e Assistant Professor, Department of Orthodontics, Christian-Albrechts University, Kiel, Germany
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FERREIRA NDS, ROSA PCFD, FERREIRA RDIJ, VALERA MC. Evaluation of shear bond strength of orthodontic brackets bonded on the tooth surface after internal bleaching. REVISTA DE ODONTOLOGIA DA UNESP 2014. [DOI: 10.1590/rou.2014.033] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Introduction: There is great demand for esthetic treatment by patients who have discolored teeth, because currently aesthetic standards have become stricter and many patients have tooth bleaching procedures performed before or during orthodontic treatment. Objective: To evaluate the bonding of orthodontic brackets to human molars after internal tooth bleaching. Material and method: Forty molars were divided into four groups according to the bleaching agent used: PS) sodium perborate + water; PC) carbamide peroxide; PC + PS) carbamide peroxide + sodium perborate; Cont) water (control group). Bleaching agents placed inside the pulp chambers were replaced every 7 days for 2 weeks, and the brackets were bonded 30 days after the end of bleaching. The shear strength test was performed in a universal testing machine (Emic). Result: ANOVA with a significance level of 5% (p > 0.05), showed no statistically significant difference between groups (p = 0.1214). Conclusion: It was concluded that the different bleaching agents studied did not interfere with the bond strength of brackets to enamel and bonding the brackets 30 days after internal bleaching is a safe procedure.
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Ahrari F, Heravi F, Fekrazad R, Farzanegan F, Nakhaei S. Does ultra-pulse CO(2) laser reduce the risk of enamel damage during debonding of ceramic brackets? Lasers Med Sci 2012; 27:567-74. [PMID: 21667137 DOI: 10.1007/s10103-011-0933-y] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2011] [Accepted: 05/03/2011] [Indexed: 11/25/2022]
Abstract
This study seeks to evaluate the enamel surface characteristics of teeth after debonding of ceramic brackets with or without laser light. Eighty premolars were bonded with either of the chemically retained or the mechanically retained ceramic brackets and later debonded conventionally or through a CO(2) laser (188 W, 400 Hz). The laser was applied for 5 s with scanning movement. After debonding, the adhesive remnant index (ARI), the incidence of bracket and enamel fracture, and the lengths, frequency, and directions of enamel cracks were compared among the groups. The increase in intrapulpal temperature was measured in ten extra specimens. The data were analyzed with SPSS software. There was one case of enamel fracture in the chemical retention/conventional debonding group. When brackets were removed with pliers, incidences of bracket fracture were 45% for the chemical retention, and 15% for the mechanical retention brackets. No case of enamel or bracket fracture was seen in the laser-debonded teeth. A significant difference was observed in ARI scores among the groups. Laser debonding caused a significant decrease in the frequency of enamel cracks, compared to conventional debonding. The increase in intrapulpal temperatures was below the benchmark of 5.5 °C for all the specimens. Laser-assisted debonding of ceramic brackets could reduce the risk of enamel damage and bracket fracture, and produce the more desirable ARI scores without causing thermal damage to the pulp. However, some augmentations in the length and frequency of enamel cracks should be expected with all debonding methods.
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Affiliation(s)
- Farzaneh Ahrari
- Dental Materials Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
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