Abstract

Correction: On 23rd April 2020, corrections were made to page 16:
 The caption of Figure 6 (p.16) was changed FROM Figure 4: Petridishes showing Lactobacillus colonies of control samples at (a) 24 hours, (b) 48 hours and (c) 1 week TO Figure 6: Petridishes showing streptococcus mutans colonies of control group at (a) 24 hours, (b) 48 hours and (c) 1 week.
 The caption of Figure 7 (p.16) was changed FROM Figure 5: Petridishes showing Lactobacillus colonies of test samples at (a) 24 hours, (b) 48 hours and (c) 1 week TO Figure 7: Petridishes showing Streptococcus mutans colonies of test samples at (a) 24 hours (b) 48 hours and (c) 1 week.
 AbstractIntroduction: Decalcification, caries, inflammatory periodontal disease are the most common iatrogenic effects of orthodontic treatment because of failure to maintain proper oral hygiene. Although various methods have been tried to minimize the incidence of white spot lesions, none of them proved to be effective. The purpose of this study was to develop a hard coating of silver nanoparticles on stainless steel band material and to evaluate the antibacterial efficacy against most common cariogenic pathogens.
 Materials & Method: Stainless steel band material was cut into 45 pieces of about 0.5 x 1 cm in dimension, of these 25 band material strips were coated with silver nanoparticles using thermal evaporation technology in a Vacuum coating unit (Indovision, India) at a vacuum of 4.5 ×10−5 millibar at 961°C for 5 minutes and remaining strips served as control. Scanning electron microscopy (SEM) study of coated band material showed a uniform deposition of silver nanoparticles of about 18.63 percent by weight. Five coated and five uncoated band material strips were utilized for each test to evaluate the antibacterial effect of the coated band material against Streptococcus mutans, Lactobacillus acidophilus using zone of inhibition and direct contact test. In zone of inhibition test, the bacterial growth inhibition zone was measured after a period of 24-48 hours, where as in direct contact test, the number of bacterial colonies were counted after 24 hours, 48 hours and 1 week. Five coated band materials were immersed separately in a container having 5 ml of artificial saliva and the amount of silver nanoparticles released from coated samples was evaluated after 24 hrs, 48 hrs, and 1 week using atomic absorption spectrophotometer.
 Result: A stable uniform coating of silver nanoparticles on the band material was obtained by physical vapor deposition. The coated band material showed a potent antibacterial activity against L.acidophilus and S.mutans. The maximum amount of silver nanoparticles released from the silver nanoparticle coated band material was 0.0236 ± 0.0067 ppm, which is below the maximum permissible level set by WHO [0.1 mg /l], proving it as biocompatible.
 Conclusion: Silver nanoparticle coating on orthodontic band surfaces can provide suitable antimicrobial activity during active orthodontic treatment.

Highlights

  • Decalcification, caries, inflammatory periodontal disease are the most common iatrogenic effects of orthodontic treatment because of failure to maintain proper oral hygiene

  • Silver nanoparticle coating on orthodontic band surfaces can provide suitable antimicrobial activity during active orthodontic treatment

  • Twenty five stainless steel strips were coated with silver nanoparticles and included in the test group; the remaining strips served as controls. [Table1]

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Summary

Introduction

Decalcification, caries, inflammatory periodontal disease are the most common iatrogenic effects of orthodontic treatment because of failure to maintain proper oral hygiene. Fixed orthodontic treatment involves placement of bands and brackets on the teeth, and orthodontic bands are often seated in supra and subgingival areas. Banding of molar teeth has more tendencies for retention of plaque due to the greater area of band material compared to bonded attachments and due to the obstruction caused by band material to oral prophylactic measures. Accumulation of plaque around bands results in decalcification, white spot lesions and gingival inflammation which may progress to periodontal disease. Poor oral hygiene is shown to increase the orthodontic treatment time, as the cells involved in the tooth movement such as osteoclasts, do not efficiently perform in an inflammatory environment.[1]. Various techniques described in the Orthodontic Journal of Nepal, Vol 9 No 2, July-December 2019 13

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