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Gurdán Z, Turzó K, Lőrinc L, Szabó P, Karádi K, Lukács A, Told R, Kardos K, Maróti P. Mechanical Characterization and Structural Analysis of Latex-Containing and Latex-Free Intermaxillary Orthodontic Elastics. Polymers (Basel) 2022; 14:4488. [PMID: 36365482 PMCID: PMC9654203 DOI: 10.3390/polym14214488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 10/15/2022] [Accepted: 10/18/2022] [Indexed: 06/16/2023] Open
Abstract
Class II malocclusion is one of the most common dental anomalies and the use of intermaxillary elastomers is the standard method in its treatment. However, orthodontic elastics cannot exert continuous force over a period of time due to force degradation. Our goal was to mechanically characterize the different types of elastomers during static and cyclic loads, based on uniform methodology and examine the morphological changes after loading. Ten types of latex-containing and four latex-free intermaxillary elastics were examined from six different manufacturers. To determine the mechanical characteristics of the elastomers, tensile tests, cyclical tensile fatigue tests and 24 h relaxation tests were performed, and the elastics were also subjected to scanning electron microscopy (SEM) and Raman spectroscopy. Regardless of the manufacturer, the latex-containing elastomers did not show significant differences in the percentage of elongation at break during the tensile test. Only one type of latex-containing elastomer did not tear during the 24 h cyclical fatigue test. Fatigue was confirmed by electron microscopy images, and the pulling force reduced significantly. During the force relaxation test, only one latex-free ligature was torn; the force degradation was between 7.8% and 20.3% for latex ligatures and between 29.6% and 40.1% for latex-free elastomers. The results showed that dynamic loading was more damaging to ligatures than static loading, latex-containing elastomers were more resistant than latex-free elastics, and which observation could have clinical consequences or a potential effect on patient outcome.
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Affiliation(s)
- Zsuzsanna Gurdán
- Department of Paediatric and Adolescent Dentistry, Clinical Center, Medical School, University of Pécs, Tüzér Str. 1., H-7623 Pécs, Hungary
| | - Kinga Turzó
- Department of Paediatric and Adolescent Dentistry, Clinical Center, Medical School, University of Pécs, Tüzér Str. 1., H-7623 Pécs, Hungary
| | - Laura Lőrinc
- Department of Paediatric and Adolescent Dentistry, Clinical Center, Medical School, University of Pécs, Tüzér Str. 1., H-7623 Pécs, Hungary
| | - Péter Szabó
- Environmental Analytical and Geoanalytical Research Group, University of Pécs, Ifjúság Str. 20, H-7624 Pécs, Hungary
| | - Kristóf Karádi
- Department of Biophysics, Clinical Center, Medical School, University of Pécs, Szigeti Str. 12, H-7624 Pécs, Hungary
| | - András Lukács
- Department of Biophysics, Clinical Center, Medical School, University of Pécs, Szigeti Str. 12, H-7624 Pécs, Hungary
| | - Roland Told
- 3D Printing and Visualisation Centre, University of Pécs, Boszorkány Str. 2, H-7624 Pécs, Hungary
| | - Kinga Kardos
- 3D Printing and Visualisation Centre, University of Pécs, Boszorkány Str. 2, H-7624 Pécs, Hungary
| | - Péter Maróti
- 3D Printing and Visualisation Centre, University of Pécs, Boszorkány Str. 2, H-7624 Pécs, Hungary
- Medical Simulation Education Centre, Medical School, University of Pécs, Szigeti Str. 12, H-7624 Pecs, Hungary
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Warnecki M, Sarul M, Kozakiewicz M, Zięty A, Babiarczuk B, Kawala B, Jurczyszyn K. Surface Evaluation of Aligners after Immersion in Coca-Cola and Orange Juice. MATERIALS (BASEL, SWITZERLAND) 2022; 15:ma15186341. [PMID: 36143665 PMCID: PMC9504463 DOI: 10.3390/ma15186341] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 09/09/2022] [Accepted: 09/12/2022] [Indexed: 05/31/2023]
Abstract
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.
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Affiliation(s)
- Maciej Warnecki
- Independent Researcher, Niemodlińska 63, 45-864 Opole, Poland
| | - Michał Sarul
- Department of Integrated Dentistry, Wrocław Medical University, 50-425 Wrocław, Poland
| | - Marcin Kozakiewicz
- Department of Maxillofacial Surgery, Medical University of Lodz, 113 Żeromskiego Str., 90-549 Lodz, Poland
| | - Anna Zięty
- Department of Mechanics, Materials and Biomedical Engineering, Faculty of Mechanical Engineering, Wrocław University of Science and Technology, Smoluchowskiego 25, 50-372 Wrocław, Poland
| | - Bartosz Babiarczuk
- Department of Mechanics, Materials and Biomedical Engineering, Faculty of Mechanical Engineering, Wrocław University of Science and Technology, Smoluchowskiego 25, 50-372 Wrocław, Poland
| | - Beata Kawala
- Department of Dentofacial Orthopedics and Orthodontics, Wrocław Medical University, Krakowska 26, 50-425 Wrocław, Poland
| | - Kamil Jurczyszyn
- Department of Oral Surgery, Wrocław Medical University, Krakowska 26, 50-425 Wrocław, Poland
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Castroflorio T, Sedran A, Spadaro F, Rossini G, Quinzi V, Deregibus A. Analysis of Class II Intermaxillary Elastics Applied Forces: An in-vitro Study. FRONTIERS IN DENTAL MEDICINE 2022. [DOI: 10.3389/fdmed.2021.748985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
ObjectivesThe aims of this study were: (1) to assess the average inter-arch distances characterizing Class II malocclusions, (2) to analyze the applied forces at those distances by different elastics, and (3) to compare measured forces with those declared by manufacturers, both in dry and wet environments.Materials and MethodsSettings and sample population: Class II models of 167 adult subjects (96 women and 71 men, age: 28 ± 3 years) referred to the Orthodontic Department of the University of Turin, Turin, Italy, between January 2018 and January 2020, were collected. Distances between facial axes (FA) points of upper canines and lower first molars (A), upper first premolar and lower first molar (B), upper second premolar and lower first molar (C), upper canine and lower first premolar (D), and upper canine and lower second premolar (E), were measured using 3Shape Ortho® Viewer program. Different elastics' diameters and forces were tested at those distances. The MTS Insight® Electromechanical Testing System was used to measure the tensile forces of elastics. The applied forces were measured in dry (T0) and wet conditions, after 1 (T1), 6 (T2), and 12 h (T3).ResultsAverage distances were calculated: A = 24.64 mm (SD 2.10), B = 16.3 mm (SD 1.94), C = 9.78 mm (SD 1.77), D = 9.8 mm (SD 1.88), and E = 15.99 mm (SD 2.06). Significant differences (p < 0.05) were highlighted between the measured force and the force declared by manufacturers, and all elastics had a significant force decay (p < 0.05).ConclusionThe results showed that 3/16" 4.5 oz are the most reliable elastics in terms of applied force with respect to the declared one and in terms of force degradation.
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Nitrini ATL, Chagas AS, Freitas KMS, Valarelli FP, Cançado RH, de Oliveira RCG, de Oliveira RCG. Comparison of the Force Released by Intermaxillary Elastics Used for Different Time Periods. Turk J Orthod 2020; 32:190-194. [PMID: 32110462 DOI: 10.5152/turkjorthod.2019.18022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2018] [Accepted: 02/07/2019] [Indexed: 11/22/2022]
Abstract
Objective The objective of the present study was to compare the strength degradation of the force of intermaxillary elastic used for different periods. Methods The sample included intermaxillary elastics used for 20 adult patients with bilateral Class II or III malocclusion in orthodontic treatment with fixed appliances, with a mean age of 27.25 years. Latex orthodontic elastics with 3/16 inch of diameter were used, with an average stretching of three times its diameter. The elastics were used in the same patient bilaterally for different periods, with each pair of elastics used for 1, 12, 24, and 48h. Thus, the sample consisted of 200 elastics, with 40 being used in each period (one pair used by each patient) and 40 new elastics without use tested as control. Elastics were tested using a universal testing machine, stretched with a velocity of 30 mm/min, and the force was evaluated in stretches of 15, 20, 25, and 30 mm. The degradation force was compared in the four different times of use and control by one-way ANOVA (analysis of variance) and Tukey tests. Results There were significant differences among the groups in all evaluated stretches (15, 20, 25, and 30 mm). The control elastics presented higher average forces numerically and statistically significant for all tested times, except for the elastic used for 1h. The elastics used for 1, 12, and 24h had similar forces among them, with a significant difference to the elastics used for 48h. Conclusion It is recommended to change the intermaxillary elastics after 24 h of use.
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Qodcieh SMA, Al-Khateeb SN, Jaradat ZW, Abu Alhaija ESJ. Force degradation of orthodontic latex elastics: An in-vivo study. Am J Orthod Dentofacial Orthop 2017; 151:507-512. [PMID: 28257735 DOI: 10.1016/j.ajodo.2016.08.023] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2016] [Revised: 08/01/2016] [Accepted: 08/01/2016] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Our objectives were to assess the force degradation of orthodontic latex elastics over 48 hours in vivo and to study the relationship between the amount of mouth opening and the degree of force decay. METHODS Fifty-two orthodontic patients wearing fixed appliances using Class II elastics were asked to wear premeasured-force 3/16-in heavy and medium intermaxillary elastics. The force amounts were measured and compared at different time intervals. RESULTS Fifty percent of the force was lost after 3.9 hours for the medium elastics and after 4.9 hours for the heavy elastics. A continuous significant force drop in all elastics was seen at all time intervals (P <0.05, P <0.001). There was greater force loss in the heavy elastics compared with the medium elastics in vivo at all time intervals (P <0.001); the rates of force loss, however, were similar. CONCLUSIONS Fifty percent of force degradation occurred in the first 4 to 5 hours. Because of breakage and for oral hygiene purposes, orthodontic elastics should be changed daily; otherwise, elastics can be used for 48 hours. Force decay of the elastics was correlated to the lateral distance between the maxillary canine and the mandibular first molar in occlusion.
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Affiliation(s)
- Sadeq M Adel Qodcieh
- Department of Preventive Dentistry, Division of Orthodontics, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | - Susan N Al-Khateeb
- Department of Preventive Dentistry, Division of Orthodontics, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan.
| | - Ziad W Jaradat
- Department of Biotechnology and Genetic Engineering, Faculty of Science and Art, Jordan University of Science and Technology, Irbid, Jordan
| | - Elham S J Abu Alhaija
- Department of Preventive Dentistry, Division of Orthodontics, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
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Ajami S, Farjood A, Zare M. Synergic effect of salivary pH baselines and low pH intakes on the force relaxation of orthodontic latex elastics. Dent Res J (Isfahan) 2017; 14:68-72. [PMID: 28348621 PMCID: PMC5356392 DOI: 10.4103/1735-3327.201129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: Latex elastics are still in common use due to their low cost and high flexibility to improve sagittal discrepancies or interdigitation of teeth. Mechanical properties of elastics are influenced by several environmental factors such as pH changes. This study evaluated similar latex elastics to define the influence of synergic effect of intermittent low pH and various baselines pH of saliva. Materials and Methods: Four groups of latex elastics (3-M Unitek, 3/16 inch) were tested (n = 15 in each group). Two groups of elastics were immersed in two tanks of artificial saliva with different pH levels of 7 and 5, and two groups were immersed in two tanks of artificial saliva with intermittent drop of pH to 4. The force was measured when the elastics were stretched to 25 mm. These measurements were taken in 0, 4, 8, 12, 24, 36, and 48 h for each group. Repeated measures analysis of variance (RMANOVA) and post-hoc Tukey's test were used to assess the findings. The level of significance was 0.05%. Results: The interaction between pH and time analyzed with RMANOVA showed no significant differences (P > 0.05) except in 36 h (P = 0.014). The Tukey's analysis showed that each comparison between any two groups did not indicate significant differences (P > 0.05) except between Groups 1 and 3 and between Groups 2 and 3 (P < 0.05). Conclusion: No significant correlation was seen between fluctuation of pH and force degradation in latex elastic band except in 36 h.
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Affiliation(s)
- Shabnam Ajami
- Department of Orthodontics, Orthodontic Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Amin Farjood
- Department of Orthodontics, Orthodontic Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahbubeh Zare
- Department of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
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