Fuji Ortho LC Research Articles

Comparison of Three Different Orthodontic Adhesives Bonded to Metallic and Ceramic Brackets: SEM and SEM/EDX Analysis (In Vitro Study).

To compare three different orthodontic adhesives (Transbond XT Light Cure Adhesive, Heliosit Orthodontic, Fuji Ortho LC) bonded to two types of orthodontic brackets: ceramic brackets (Fascination Roth 0.22) and metallic brackets (Topic Roth 0.22, Dentaurum). The study was performed on 18 human teeth (6 for each adhesive). The prepared teeth were divided into three groups according to the examination time. Subsequently, they were observed after 1, 2 and 3 weeks following bonding. After the experimental procedure, the teeth samples were cut in half along the longitudinal axis in the vestibulo-oral direction, fixed with conductive carbon cement, placed in a high-vacuum evaporator and then coated with carbon. One half of each sample was observed under a Field-emission gun scanning electron microscope (FEG-SEM Hitachi SU 8030, Japan), while on the second half of the samples qualitative (X-ray line-scans) and semi-quantitative point X-ray energy dispersive analyses (EDX) were performed with Thermo Noran (USA) NSS System 7, equipped with Ultra Dry detector (30 mm2 window). Transbond XT had an ideal bond with the enamel and the bracket base, with rare presence of microgaps and cracks in the enamel. Heliosit Orthodontic demonstrated a better bond relationship with the bracket base than the enamel, whereas in the latter the presence of microgaps in the bond was observed. The microphotographs of Fuji Ortho LC demonstrated many cracks inside the adhesive, and some of them continued to move forward into the enamel surface. Therefore, an impression of a very solid bond relationship with the enamel exists, with cracks being present in the enamel surface and never at the enamel-adhesive interface. Microgaps also appeared at the bracket-adhesive interface. Transbond XT is a highly filled composite resin and is an ideal orthodontic adhesive in each aspect examined, with an ideal enamel-adhesive and bracket-adhesive interface. Heliosit Orthodontic provides better bracket-adhesive interface compared to the enamel. Fuji Ortho LC as a solid resin-modified GIC provides a better enamel-adhesive interface, compared to the bracket base.

Effect of Fluoride Release on Enamel Demineralization Adjacent to Orthodontic Brackets.

This study aimed to evaluate the ability of fluoride-releasing adhesives to inhibit enamel demineralization surrounding orthodontic brackets. Two groups of 40 sound human premolars were sectioned mesio-distally. The halves were varnished, and orthodontic brackets were bonded with different adhesive materials. An area 1 mm wide surrounding the brackets was left exposed. Each specimen was immersed daily in a pH cycle for 28 days. In the second group, the specimens were exposed daily to a fluoride solution (250 ppm F-) at 37°C. The fluoride release from different groups was measured. Quantitative light-induced fluorescence (QLF) was used to quantify fluorescence loss of enamel surfaces adjacent to the brackets. Results were statistically analyzed using ANOVA at (p<0.05). Fluoride released from the three fluoride-releasing adhesives was significantly higher (p<0.001) in the group with daily fluoride exposures than in the group without fluoride exposures. Enamel adjacent to brackets bonded with Fuji Ortho LC, Ketac Cem, and Dyract Cem showed significantly less (p<0.001) changes in (ΔQ) value (less demineralization) than enamel bonded with Transbond, the control adhesive material. Using fluoride-releasing adhesives significantly reduced the level of demineralization adjacent to orthodontic brackets.

Comparison of microleakage under orthodontic brackets bonded with five different adhesive systems: in vitro study

BackgroundOrthodontic treatment is associated with numerous adverse side effects, such as enamel discoloration, demineralization or even caries. The presence of microleakage between the enamel and the adhesive and between the adhesive and the base of the orthodontic bracket allows penetration of the bacteria, molecules, and liquids into the enamel and can lead to unpleasant “white spot lesions” or secondary caries beneath and around the brackets. The aim of this in vitro study was to evaluate microleakage in five adhesive systems commonly used in orthodontic practice for bonding brackets.MethodsOne hundred extracted premolars were divided into five groups of twenty teeth. Stainless steel Legend medium metal brackets were bonded to teeth using five adhesive systems: resin-reinforced glass ionomer cement GC Fuji Ortho LC (GCF) and composite materials Light Bond (LB), Transbond XT (TB), Trulock™ Light Activated Adhesive (TL), and GC Ortho Connect (GCO). The specimens were subjected to thermal cycling, stained with 2% methylene blue, sectioned with low–speed diamond saw Isomet and evaluated under a digital microscope. Microleakage was detected at the enamel-adhesive and adhesive-bracket interfaces from occlusal and gingival margins. Statistical analysis was performed using generalized linear mixed models with beta error distribution.ResultsMicroleakage was observed in all materials, with GCF showing the highest amount of microleakage. Composite materials GCO, TB, and LB exhibited the lowest amount of microleakage with no statistical difference between them, while TL showed a statistically significantly higher amount of microleakage (p < 0.001). The enamel–adhesive interface had more microleakage in all composite materials (GCO, LB, TB, and TL) than the adhesive bracket–interface (p < 0.001). The highest amount of microleakage occurred in the gingival region in all materials.ConclusionComposite materials showed better adhesive properties than a resin-reinforced glass ionomer cement. The presence of microleakage at the enamel-adhesive interface facilitates the penetration of various substances into enamel surfaces, causing enamel demineralization and the development of dental caries.

Eighteen-Month Orthodontic Bracket Survival Rate with the Conventional Bonding Technique versus RMGIC and V-Prep: A Split-Mouth RCT

The association of the V-prep and a resin-modified glass ionomer cement (RMGIC) has shown to be a suitable alternative for the orthodontic bracket bonding procedure in vitro. The aim of this study was to evaluate over eighteen months the clinical bonding failure and survival rates of the conventional bonding technique using the Transbond XT (3M Unitek, Monrovia, CA, USA) and the RMGIC Fuji Ortho LC (GC Corporation, Tokyo, Japan) prepared with the V-prep. Therefore, one operator using the straight-wire technique bonded two hundred metallic brackets to upper and lower premolars of twenty-five patients requiring an orthodontic treatment. The randomized trial was a single-blind design in a split-mouth comparison. Each patient was randomly allocated one of the two bonding systems for each premolar on each side of the mouth. The bonding and rebonding techniques were standardized throughout the trial and bond failure was recorded each month for a period of eighteen months. The survival rates of the brackets were estimated by Kaplan–Meier and log-rank test (p &lt; 0.05). A total of 200 orthodontic brackets were included in the study with a significant lower failure rate of 9.0% for the V-prep and RMGIC compared to 25.0% for the conventional bonding technique (p &lt; 0.05). A higher survival rate was observed for the V-prep and RMGIC (16.36 months) over the conventional bonding technique (13.95 months) (p &lt; 0.05). Lower premolar bonding failure was higher than upper premolar for both bonding techniques. The V-prep followed by RMGIC, with enamel surface protection abilities, can be used as an alternative bonding technique in an orthodontic treatment.

Comparison of the shear bond strength of new and recycled metallic brackets using different adhesive materials : an in vitro study.

To evaluate and compare shear bond strength (SBS) of new and recycled metallic brackets bonded to conditioned and reconditioned enamel, using two different adhesive materials. 72 extracted sound human premolars were randomly divided into 6 groups. Transbond XT light cured composite (LCC) and Fuji Ortho LC resin-modified glass ionomer (RMGI), were used as adhesive materials. In groups 1 and 2 (control), new brackets were bonded to sound premolars using either LCC or RMGI, respectively. In Groups 3 and 4, new brackets were bonded to reconditioned enamel; and in groups 5 and 6, sandblasted recycled brackets were rebonded to reconditioned enamel. After 5.000 thermal cycles between 5ºC and 55ºC, SBS was evaluated and adhesive remnant on the enamel assessed using the ARI index. Statistical analyses included Shapiro-Wilk, ANOVA, Fligner-Killeen ANOVA and Tukey tests. The statistical analysis showed no significant difference in SBS comparing control and experimental groups for either new or recycled brackets (p = 0.848). The SBS was significantly higher in brackets bonded with LCC (15.7 MPa) than RMGI (11.6 MPa) (p = 0.006). Adhesive failure was the most frequent, with the adhesive remnant covering more than 50% of the bracket base. No significant differences were observed in SBS using either new or recycled brackets, regardless of the dental surface treatment (conditioned or reconditioned). Significantly higher SBS values were obtained with LCC adhesive. Adhesive failure prevails in all groups.

A COMPARATIVE EVALUATION OF ENAMEL SURFACE ROUGHNESS OF TWO DIFFERENT BONDING ADHESIVES AFTER DEBONDING WITH ATOMIC FORCE MICROSCOPY

Introduction: The goal of this research was to evaluate the pain felt by patients after veneers were debonded and gum remnants were removed using a tungsten carbide (TC) brush from two different cement frameworks: light fix composite and glass ionomer concrete glues. So long as we assume the null hypothesis is true, the two adhesive solutions do not vary in their ability to smooth out imperfections on the enamel surface.&#x0D; Materials and methods :- Based on the consideration and prohibition models, this in vitro study examined sixty newly removed human premolar teeth (n = 60) to assess orthodontic plans. Light fix cement (Trans bond XT, 3M Unitek, Monrovia, CA) was used to strengthen the metal portions in Group I (n = 30), whereas light glass ionomer concrete (GC Fuji Ortho LC, Tokyo, Japan) was used to accomplish the same in Group II (n = 30). The dried residues of the concrete glue were removed using a TC brush and a slow-speed handpiece. Maximum roughness (Rmax), root mean square roughness (Rq), and roughness (Ra) were all determined at time zero (before holding). and their attributes were compared to those at time two (after debonding and completion).&#x0D; Results:-The two groups had very different experiences with the roughness of the polished surface when held. The composite resin and glass ionomer cement groups had statistically significant (p0.001) differences in surface roughness.&#x0D; Conclusion:- After debonding the sections and finishing with a TC brush, the surface roughness of the veneer significantly increased with both the light fix and the glass ionomer strong concrete structures. The enamel surface roughness of the light cure group was worse than that of the glass ionomer cement group.

An in Vitro Comparison of The Shear Bond Strength of Human Teeth to Bovine Teeth in The Bonding Orthodontic Brackets

Purpose: This study aimed to evaluate bovine enamel as such an alternative. Methodology: Ten human premolars and ten bovine incisors were bonded with two types of brackets, metallic brackets and ceramic brackets, using two types of adhesives, a composite resin adhesive (Concise) and a glass ionomer cements (Fuji Ortho LC). All samples were bonded and subjected to 750 cycles of thermocycling between 4°C and 55oC with a dwell time in each temperature of 10 seconds and a 9 seconds interval between the two containers. Shear bond strength was tested using an universal Instron testing machine operating at cross head speed 0.02”/minute. Results: For brackets bonded with Concise, mean shear bond strength of bovine enamel was significantly lower than human teeth. Metallic Brackets bonded to bovine enamel exhibited 45%less bond strength than human enamel and ceramic brackets showed 28%less bond strength. No significant difference was observed between mean shear bond strength of either metallic or ceramic brackets bonded to bovine and human enamel when the adhesive used was glass ionomer cement. Conclusion: Bovine teeth could be used as alternatives to extracted human teeth for orthodontic bracket bonding studies.

Comparison of Bond Strength of Orthodontic Brackets Onto the Tooth Enamel of 120 Freshly Extracted Adult Bovine Medial Lower Incisors Using 4 Adhesives: A Resin-Modified Glass Ionomer Adhesive, a Composite Adhesive, a Liquid Composite Adhesive, and a One-Step Light-Cured Adhesive.

BACKGROUND This study aimed to compare the bond strength of orthodontic brackets onto the tooth enamel of 120 freshly extracted adult bovine medial lower incisors using 4 adhesives: a resin-modified glass ionomer adhesive, a composite adhesive, a liquid composite adhesive, and a one-step light-cured adhesive. MATERIAL AND METHODS The study group (120 freshly extracted bovine medial lower incisors) was divided into equal subgroups depending on the type of adhesive used to fix the brackets to the tooth enamel (n=30), and then according to the observation time (n=10). Orthodontic brackets were fixed onto the tooth enamel for 24 hours (T1), 3 months (T2), and 6 months (T3) using 4 types of adhesives: resin-modified glass ionomer adhesive Fuji Ortho LC, composite adhesive Transbond Plus Light Cure Band, flowable composite adhesive Transbond Supreme Low Viscosity, and a one-step light-cured adhesive GC Ortho Connect. Shear tests and fracture plane analyses were performed. RESULTS Statistically significant differences at time T1 were noted in the comparison of shear stress values when brackets were fixed with GC Ortho Connect adhesive compared to other adhesives (P<0.05), except for the Transbond Plus adhesive (P>0.05). At time T3, significant statistical differences occurred between GC Fuji Ortho LC and the other 3 adhesives (P<0.05). The fracture analysis showed that, regardless of the time function, adhesive-cohesive fractures without damage to the enamel were the most common for all the assessed materials. CONCLUSIONS Of the adhesives evaluated, GC Ortho Connect appears to be the most appropriate choice for bonding orthodontic brackets to the enamel surface.

A Comparative Evaluation of Enamel Surface Roughness of Two Different Bonding Adhesives After Debonding With Atomic Force Microscopy

Introduction The debonding procedures should restore the enamel surface to its pre-treatment state as much as possible after removing orthodontic attachments and all remaining adhesive remnants from the surface of the tooth. The orthodontic attachments are bonded commonly by a light-cured composite system. Light-cured glass ionomer cement has been developed as an alternative to the composite as a bonding agent for orthodontic brackets. There are different methods for cleaning the residual adhesive after the removal of orthodontic attachments. The study aims to evaluate and compare the enamel surface roughness of teeth between two different adhesive systems - light cure composite and glass ionomer cement adhesives - after debonding followed by the removal of resin remnants with a tungsten carbide (TC) bur.A null hypothesis is proposed that there exists no difference in the enamel surface roughness between the two adhesive systems. Materials and methods The test sample of 40 freshly extracted human premolar teeth(n = 40) for orthodontic purposes was taken up for this in vitro study based on the inclusion and exclusion criteria. The sample was randomly assigned into two equal groups, with metal brackets bonded in Group-I (n = 20) by light cure adhesive (Trans bond XT, 3M Unitek, Monrovia, CA)and Group-II(n = 20) with light glass ionomer cement (GC Fuji Ortho LC, Tokyo, Japan). All samples were stored in water at room temperature for 24 hand brackets were debonded with a debonding plier. The removal of cement adhesive remnants was performed with a TC bur with a low-speed handpiece. The three surface roughness parameters, average roughness (Ra), root mean square roughness (Rq), and maximum roughness depth (Rmax), were measured at T1 (before bonding) and at T2 (after debonding and finishing) and the values were compared. The mode of bond failure was assessed by a modifiedadhesive remnant index (ARI) and the time required for the clean-up of adhesive was also noted. Statistical analysis The continuous quantitative data were statistically analyzed usingSPSS Statistics v. 25.0 (IBM Corp., Armonk, NY). Student's independent t-test/independent-samples t-test is an inferential statistical test for analyzing the difference between the two groups. Paired t-test was used for comparison within the group. The ARIbetween the groups was analyzed by a chi-square test. The probability (p) value for statistical significance was 0.05 or less for the difference between any two groups for all the analytical tests. Results A comparison of enamel surface roughness before bonding and after debonding for both groups revealed that there was a statistically significant difference within each group. The surface roughness values of composite resin- Ra (98.75 ± 0.96), Rq (120.38 ±1.06), Rmax (650.14 ± 1.12) - and glass ionomer cement group - Ra (98.75 ± 0.96), Rq (62.76 ± 1.32), Rmax (434.36 ± 1.60) - showthat there was a statistically significant difference between the groups with p <0.01. Conclusion There was a significant increase in the surface roughness of enamel after debonding of brackets and finishing with a TC bur with both the light cure and the glass ionomer cement adhesive systems. The light cure group showed more enamel surface roughness when compared to the glass ionomer cement group. In this study, the null hypothesis was rejected as there is a significant difference between the groups tested.

Shear bond strength of different bonding agents to orthodontic metal bracket and zirconia.

This study aimed to evaluate the shear bond strength (SBS) of four bonding agents used to bond metal brackets to zirconia under different storage conditions. Four bonding agents were used [FLC: (Fuji ORTHO LC), XT: (TransbondTM XT), RUC-SBU: (Rely XTM Ultimate Clicker Adhesive Resin Cement+Single Bond Universal), and RUC-GBU: (Rely XTM Ultimate Clicker Adhesive Resin Cement+Gluma Bond Universal)] to bond two types of metal brackets (PT/3M) to zirconia surfaces, and they were stored in water at 37ºC for 24 h or thermocycling for 3,000 cycles. The SBS data of RUC-SBU and RUC-GBU using PT brackets were significantly higher than those of 3M brackets before and after thermocycling. It could be concluded that RUC-SBU and RUC-GBU could offer sufficient bond strength between metal brackets and zirconia for the short term compared with FLC and XT. The design of brackets can significantly affect the bond strength to zirconia.

Assessment of the Effectiveness of Different Fluoride-releasing Bonding Agents on Prevention of Enamel Demineralization around Orthodontic Bracket: An In Vitro Study

The aim of the current research was to evaluate the efficacy of different fluoride-releasing bonding products in preventing enamel demineralization around orthodontic brackets by using a scanning electron microscope (SEM). This research was performed using 80 healthy human premolar teeth that were extracted in course of orthodontic therapy. Until use, the sample premolars were subjected to storage in 0.1% thymol. Each premolar was thereafter cleansed with pumice for 10 seconds. Stainless steel brackets for premolars were employed. The 80 samples were allocated at random to one of the four groups (20 in each) as follows: Group I, control; group II, Transbond Plus color change adhesive; group III, GC Fuji Ortho LC; and group IV, Vitremer. An hour following bonding, all samples were subjected to pH cycling at a temperature of 37°C for a 14-day period. The premolar teeth were assessed below SEM. Analysis was performed with the one-way analysis of variance. Statistical significance was set at a p-value less than 0.05. The extreme area of demineralization was abridged by the use of Transbond™ Plus color change adhesive (108.19 ± 0.68), trailed by GC Fuji Ortho LC (119.24 ± 0.37) use, Vitremer (121.56 ± 0.92) as well as the control group (141.88 ± 1.09) in that order. And there was a statistically significant difference found between the groups (p <0.001). Tukey's honestly significant difference (HSD) was employed in an overall comparison of mean areas of enamel demineralization, which depicted that differences were significant statistically with the exception of group III and group IV. The current research came to a conclusion that the Transbond Plus color change adhesive group was more potent in significant inhibition of demineralization areas in comparison to GC Fuji Ortho LC group and Vitremer group. In course of fixed orthodontic therapy, demineralization of enamel is an inherent occurrence. Multiple approaches are being continually developed to avoid the formation of white spot lesions (WSLs) that compromise esthetics and cause deprived remineralization that enhances the menace of dental caries. Bonding agents that can release fluorides are thus considered highly efficacious.

Shear bond strength of orthodontic brackets bonded with resin coating material

The purpose of this study was to determine whether a system using a resin coating material (PRG Barrier Coat) with anticariogenic ability can effectively bond orthodontic brackets to human teeth. Resin-modified glass-ionomer cement system (Fuji Ortho LC, group 1) and resin composite cement systems (BeautyOrtho Bond) combined with a self-etching primer (group 2), with the resin coating material (group 3), and with the resin coating material after an organic acid etching agent (group 4) were used for bracket bonding. The mean shear bond strength (SBS) was significantly higher in group 1 than in groups 2, 3 and 4. Groups 2 and 4 exhibited a significantly higher mean SBS than group 3. The resin composite cement system combined with the resin coating material after the organic acid etching agent can serve as an alternative for orthodontic bracket bonding.

Orthodontic materials with fluoride have an antimicrobial ability for the prevention of white spot lesions

Aim: Orthodontic brackets during their wear cause demineralization of enamel, which is the initial step in caries development. The prevention of such spots is crucial to ensure healthy teeth, but patients’ compliance is not the most optimal way. The aim of this study was to compare the antimicrobial properties of fluoride-containing orthodontic materials to the materials without additional fluoride. Materials and Methods: Antibacterial effectiveness of orthodontic materials with fluoride – Transbond Plus SEP Bonding agent, Transpond Plus Adhesive agent, Fuji I Band cement, Fuji Ortho LC Adhesive agent, Ortho Solo Bonding agent, and without antimicrobial substances – Transpond XT Bonding agent, Transbond XT Primer were tested with the inhibition on most common causes L. achidophilus (ATCC 4356) and S. mutans (ATCC 10449) and compared to negative control. Antimicrobial effectiveness of each material was measured with the agar diffusion method and expressed with the diameters of inhibition zones around the disk. Results: Materials containing fluoride showed more antimicrobial effectiveness compared to materials without fluoride or negative control (p&amp;lt;0.001), respectively. Materials from the group with no antibacterial substances were not statistically different compared to the negative control (P&amp;gt;0.05). Conclusion: Materials containing fluoride showed more significant antimicrobial effectiveness when compared to the materials without antimicrobial substance and thus might have the potential of antimicrobial properties in vivo.

Assessment of Microleakage under Stainless Steel Orthodontic Brackets Bonded with Various Adhesive Systems: An In Vitro Study

The aim of this study was to evaluate the extent of microleakage beneath stainless steel orthodontic brackets bonded with different adhesive systems. Freshly extracted 60 human premolar teeth from mandibular arch were included in this study. After sterilizing all teeth, they were stored in thymol solution of 1% for further preparation. Acrylic blocks were used to mount the teeth in a way their roots were totally implanted up to the cement enamel junction in acrylic with crown being visible. A 0.022 slot, stainless steel preadjusted edgewise premolar brackets were taken. Sixty premolars were categorized randomly into three groups (20 premolars in each group) as follows: group I: flowable composite, group II: Fuji Ortho LC, group III: Transbond XT. Later, all the samples were subjected to thermocycling and tested immediately and 24 hours after water storage. The samples were submerged for 24 hours in methylene blue solution (2%) at room temperature. A ×20 magnification stereomicroscope was used to examine all samples. The lowest microleakage (1.34 ± 0.20) was shown by Transbond XT restored teeth, followed by flowable composite group (1.79 ± 0.32) and Fuji Ortho LC group (2.98 ± 0.13). An analysis of variance showed statistically significant differences among various adhesive systems. A statistically significant difference (p <0.05) among groups I and II, and groups II and III adhesive materials was seen. This study demonstrated microleakage in all the examined adhesive groups but the lowest microleakage was found with Transbond XT group followed next by Filtek Z350 XT group and Fuji Ortho LC group. Due to microleakage, the bacteria and fluids present intraorally penetrate through the gaps along the enamel-adhesive boundary. This penetration results in significant esthetic and clinical complications. Such problems related to microleakage can be addressed with the use of an appropriate adhesive agent.

Observational Study Regarding Two Bonding Systems and the Challenges of Their Use in Orthodontics: An In Vitro Evaluation

The purpose of this in vitro study was to analyze and identify a methodology for the improvement of the shear bond strength of orthodontic brackets bonded with two orthodontic adhesive systems considered to be widely used, Transbond Plus Color Change with Transbond Plus Self-Etching Primer and Fuji Ortho LC with orthophosphoric acid under various enamel conditions: dry, moistened with water and moistened with saliva. The sample size included a group of 120 freshly extracted premolars distributed into six study groups, each one of 20 teeth. A universal testing machine was used to detach the brackets. We determined and compared the strength of the two studied adhesive systems used in different enamel surface conditions. The mean shear bond strength values in groups 1 (TPCC, TSEP, dry), 2 (TPCC, TSEP, water), 3 (TPCC, TSEP, saliva), 4 (Fuji Ortho LC, etched, dry enamel), 5 (Fuji Ortho LC, etched enamel, water) and 6 (Fuji Ortho LC, etched enamel, saliva) were 15.86, 12.31, 13.04, 15.27, 14.14 and 13.11 MPa, respectively. ANOVA test and Student’s t-test showed significant differences between groups. While clinically acceptable shear bond strengths were obtained for all six studied groups, a particular outcome that to the authors’ knowledge has not been documented elsewhere has been obtained: in case of water contamination, it is preferable to use Fuji Ortho LC instead of Transbond Plus.

Effect of different fluoride releasing bonding agents in preventing of enamel demineralization around orthodontic brackets

Objective: Compare the effect of different fluoride releasing bonding agents in prevention of enamel demineralization around the orthodontic brackets. Materials and methods: 100 premolar used, these premolars were bonded by 5 bonding agents which were: group 1: Twenty brackets were bonded by Transbond XT adhesive (control group). group 2: Twenty brackets were bonded by Transbond plus color change adhesive. group 3: Twenty brackets were bonded by Transbond XT and covered by Fluoride. group 4: Twenty brackets were bonded by GC Fuji ORTHO lC. group 5: Twenty brackets were bonded by Ketac Cem, subjected to pH cycle for 21 days at room temperature then examined by visual examination and examined by electron microscope. Results: Fuji Ortho showed the least demineralization while composite (Transbond XT showed the most one in demineralization of teeth. Conclusion: Fuji Ortho L.C bonding agent showed the highest property in preventing of demineralization during orthodontic treatment

Evaluation of a novel fixed-space maintainer made of light-cured acrylic resin: an in vitro study

To evaluate a fixed-space maintainer made of light-cure acrylic resin (LCAR) for its flexural and shear bond strength using different bonding systems to the enamel. 45 extracted primary teeth were selected. They were randomly divided into three equal groups (n = 15) along with the type of adhesive system (Tetric Flow, Transbond XT, and Fuji Ortho LC) used for bonding (LCAR) to the tooth surface. Surfaces were treated; LCAR was attached to the treated surfaces using a split Teflon mold. For flexural strength testing, ten bars of LCAR were made using another Teflon-split mold. Shear bond strength and mean flexural strength values were evaluated by a universal testing machine. The highest values of bond strength were recorded for Transbond XT, followed by Tetric Flow, while the lowest values were for Fuji Ortho LC. Various groups had a significant difference as investigated by ANOVA. ARI scores showed no significant difference in debond sites. Mean value and standard deviation of flexural strength for LCAR were 82.83 ± 5.2. LCAR has superior mechanical properties and could be an alternative to currently-in-use space maintainer though in vivo and in vitro trials are needed to progress the ultimate design of LCAR.

Dental trauma simulation training using a novel 3D printed tooth model.

Opportunities for dental students to obtain experience in the management of traumatic dental injuries are limited, and most encounter their first trauma patient after graduation. Recognizing this need, the aim of this study was to investigate dental students' experiences of a workshop using a 3D printed tooth. The hypothesis was that the simulation experience with the aid of a 3D printed tooth would enhance their learning experience. A total of 73 students completed a questionnaire after completing dental trauma simulation training. With the aid of a 3D printed avulsed tooth, students constructed a nylon fishing line/GC Fuji Ortho LC splint and a wire/composite splint. Descriptive data analysis was performed to determine the perceptions of the experience gained through the simulation training. Over a third of the participants (38%) agreed that the dental trauma simulation training felt realistic. Additionally, 59% agreed and 22% strongly agreed that they felt engaged in the learning activity. Furthermore, 81% agreed/strongly agreed that they felt more prepared to treat patients who present with a traumatic dental injury in the future, and 93% agreed/strongly agreed that it added value to their training when compared to relying solely on didactic training. After the use of splinting materials, 38% of participants disagreed/strongly disagreed that nylon fishing line/GC Fuji Ortho Splint was easier to place than wire/composite splint. However, 52% of participants found that it was easier to remove the GC Fuji Ortho Splint. Overall, 93% of participants agreed/strongly agreed that dental trauma simulation training should be a mandatory component of the dental curriculum. The use of dental trauma simulation training offers an additional means of learning about dental traumatology. Simulation has the potential to be used as an adjunct tool in the learning and management of dental traumatology as it has demonstrated increased student engagement, but limitations still remain.

Antimicrobial Effect of Orthodontic Materials on Cariogenic Bacteria Streptococcus mutans and Lactobacillus acidophilus.

BackgroundWhite spot lesions (WSLs) are a common complication after orthodontic treatment. The aim of this study was to characterize and compare the antimicrobial properties of selenium-containing vs. fluoride-containing orthodontic materials.Material/MethodsAntibacterial efficacy of orthodontic materials (SeLECT Defense bonding agent, Adhesive agent, Band Cement, Transbond Plus SEP bonding agent, Transbond Plus Adhesive agent, Fuji I Band cement, Fuji Ortho LC Adhesive agent, Ortho Solo Bonding agent, Transbond XT bonding agent, and Transbond XT primer) was tested with the inhibition of 2 bacterial strains: S. mutans (ATCC 10449) and L. acidophilus (ATCC 4356). The antimicrobial efficacy of the materials was measured by agar diffusion test. The diameters of inhibition zones around each disk were measured in millimeters (mm).ResultsMaterials containing selenium and fluoride showed significant differences from the negative control (both p<0.001). Orthodontic materials containing fluoride as a potential antimicrobial agent showed larger zones of inhibition in total (9.1±2.6 mm), the selenium group was the second-most effective (4.7±4.9 mm), and the group without any potential antimicrobial agent showed the least antimicrobial effect (0.9±1.0 mm). Materials from the group with no antibacterial agent were not significantly different from the negative control group (p>0.05).ConclusionsMaterials containing selenium carried the most significance when comparing microorganisms with the agent, since they were the only ones showing difference between the 2 microorganisms. They showed statistically significant difference in efficacy against S. mutans, and poor antimicrobial effect against L. acidophilus. These data suggest that orthodontic materials containing selenium might have the potential to prevent WSLs due to their antimicrobial properties.

A comparison between RMGIC and composite with acid-etch preparation or hypochlorite on the adhesion of a premolar metal bracket by testing SBS and ARI: In vitro study

A bonding material can be acceptable in orthodontics when Shear Bond Strength (SBS) is higher than 5.9Mpa. The aim of our study was to compare the bonding of a metal orthodontic bracket "in vitro" under different types of healthy enamel surface preparations and with two bonding products: the composite and the Resin Modified Glass Ionomer Cement (RMGIC). Premolars preserved in 1% thymol water were bonded on their vestibular and palatal/lingual surfaces with different techniques of bonding and surface preparation: Group 1: Etching+Bonding+Composite, Group 2: Etching+Fuji Ortho LC, Group 3: V-prep+Fuji Ortho LC, Group 4: V-prep+Fuji Ortho LC+Thermocycling. The SBS was measured in Newton on the universal testing machine and the sample was observed under an optical microscope with 10-fold magnification to note the adhesive remnant index score (ARI), before and after thermocycling. 120 premolars were used in this study. RMGIC bonding was significantly increased when the surface was prepared at V-prep (P<0.001). In these conditions, RMGIC bonding on the buccal surface was similar to that of the composite and superior on the palatal/lingual surface (P=1). After 2 years of aging using a thermocycling machine for simulation, RMGIC bonding significantly decreased (P<0.001). The ARI score was significantly lower for the RMGIC group than the composite group (P<0.001). RMGIC bonding with V-prep preparation is recommended for palatal/lingual surfaces and for hard-to-dry surfaces. For vestibular surfaces, studies are still needed to recommend bonding with RMGIC instead of composite.