Orthodontic attachments must be able to bond to a wide range of tooth and prosthetic surfaces. Despite the high prevalence of fluorosis in many parts of South Africa (Louw A, Chikte U 1997), only limited information is available on the integrity of the bond between orthodontic brackets and fluorosed teeth. The objective of this study was to measure and compare Shear Bond Strengths (SBSs) of metal and ceramic orthodontic brackets on fluorosed and non-fluorosed teeth. One hundred and twenty (60 fluorosed and 60 non-fluorosed) extracted premolar teeth were divided into four groups A to D, consisting of 30 teeth in each group. BluGloo® was used as an orthodontic adhesive to bond brackets on the buccal surface of each tooth. The experimental groups consisted of Group A, in which Nu-Edge® metal brackets were used and Group B, in which InspireIce® ceramic brackets were bonded to fluorosed teeth. Group C and D consisted of Nu-Edge® metal brackets and InspireIce® ceramic respectively, bonded to non-fluorosed teeth. Bonding techniques were kept the same and standardised for all four groups. An Instron testing device was used to debond and measure the SBSs. SBSs were compared using ANOVA with posthoc analysis done using Dunnett’s C test for pairwise comparisons. Significance was set at P<0.05. The results showed that SBS of Group B>Group C>Group D>Group A. Ceramic brackets bonded to fluorosed teeth had the highest SBS with a mean of 15.78 (SD=9.07) Megapascals (MPa), while metal brackets bonded to fluorosed teeth produced the lowest SBS of 8.41 (SD=4.68) MPa. The SBSs of ceramic brackets bonded to fluorosed teeth was significantly higher than that of SBS of metal brackets bonded to fluorosed teeth, but not significantly different from SBSs obtained from either brackets bonded to non-flurosed teeth. The BluGloo adhesive if used to bond ceramic brackets to fluorosed teeth can produce adequate SBS for clinical use. The recommendation from this study is that ceramic brackets can be used efficiently to bond to fluorosed teeth. A follow up study should be carried out to assess the nature of enamel damage caused during debonding of flourosed teeth. This is a laboratory study and thus the clinical application should be interpreted with caution. / Dissertation (MChD)--University of Pretoria, 2014. / tm2015 / Orthodontics / MChD / Unrestricted

Objective: The objective of this study was to determine the effect of pulsating vibration on the sliding resistance between orthodontic brackets and stainless steel wires. Brackets were placed at two different angulations (0° and 5°) to simulate leveling of a tipped tooth during tooth movement. Pulsating vibration was delivered via the AcceleDent device. Background: Friction is defined as a force that retards or resists the relative motion of two objects in contact, and its direction is tangential to the common boundary of the two surfaces in contact. This has been of interest to the orthodontist since the mid-20th century. Since the time of Stoner’s paper in 1960, the orthodontic literature has been full of studies done on friction in orthodontics including: friction with different ligation methods, friction among different arch wire materials, friction and different bracket materials, and friction with various slot designs. Understanding friction has led to the emergence of new technologies in orthodontics. One of the most popular is the self-ligating bracket. This popularity arose from claims that they reduce friction during treatment. Other innovations have been introduced in the field of orthodontics to help accelerate tooth movement. Among these innovations is the application of a pulsating vibration during active orthodontic treatment. Such pulsating vibration can be delivered during orthodontic treatment by AcceleDent, which is a hands- free device designed by OrthoAccel Technologies, Inc., Bellaire, TX. The company claims the output force helps accelerate bone turnover. The following study investigated whether it could decrease treatment time via a different mechanism: decreasing frictional resistance to tooth movement along the arch wire. Methods: A paper template was made of a typodont tooth with a bracket window cut out. The bracket cut out was made with the bracket window angulated 0° and 5°. 0.022” x 0.028” standard prescription edgewise brackets (American Orthodontics, Sheboygan, WI) of ceramic, twin and self-ligating design were bonded to 3 maxillary 1st premolar typodont teeth using the template. The teeth were leveled with a 0.019” x 0.025” SS arch wire and placed in a metal scaffold. They were held in place with Aquasil Ultra XLV wash material PVS (DENTSPLY Caulk, Milford, DE.). Only the middle bracket was adjusted for angulation and accuracy was checked with the iPhone 6 level. The AcceleDent Aura device (OrthoAccel Technologies, Inc., Bellaire, TX). was attached to the occlusal surface of the teeth via cable ties. The AcceleDent Aura device provided 30 Hz of pulsating vibration. All tests were performed with a 0.019” x 0.025” SS arch wire pulled through the brackets via a Universal Testing Machine (Instron, Grove City, PA) at a crosshead speed of 2.5mm/min for 30 seconds. Frictional resistance was measured by averaging 6 recordings every 5 seconds. Results: The pulsating vibration provided by the AcceleDent device significantly reduced the resistance to sliding for each bracket type at both 0° and 5° (p<0.05). Ceramic brackets had the highest resistance to sliding of all bracket types. Conclusions: Pulsating vibration via the AcceleDent Aura device reduces the resistance to sliding between a bracket and arch wire in vitro. This may potentially decrease overall treatment time but more in vivo studies need to be done to evaluate this.

O tratamento ortodôntico em adultos, nos últimos tempos, tem ganhado popularidade na tentativa de melhorar a estética e a função. No entanto, é uma característica comum nestes pacientes, ter os dentes restaurados com facetas de resina, coroas metalo-cerâmicas e/ou porcelana pura. Neste contexto, o ortodontista se defronta com o desafio de colar braquetes em diferentes sistemas cerâmicos, de capacidade desconhecida de resistir às forças de cisalhamento. Portanto, os objetivos deste trabalho foram: 1) Verificar se a força de cisalhamento em braquetes colados em superfícies de porcelana feldspática e AllCeram é afetada por diferentes tempos de ataque com ácido hidrofluorídrico e 2) Observar se existe uma relação direta entre os valores obtidos da força de cisalhamento e o índice remanescente de adesivo (IRA). Sessenta espécimes de porcelana em formato cilíndrico foram aleatoriamente divididos em 3 grupos de 20 espécimes de acordo com o tempo de ataque do ácido hidrofluorídrico de 1 minuto, 30 segundos e 15 segundos (grupos 1, 2 e 3 respectivamente). Outros sessenta espécimes de porcelana AllCeram, com o mesmo formato e divididos da mesma maneira de acordo com o tempo de ataque ácido (grupos 4, 5 e 6 respectivamente). A colagem dos braquetes na superfície cerâmica incluiu aplicação de silano, colocação de resina fotoativada sobre a base do braquete e cimentação com força padronizada de 500g. Vinte e quatro horas após a cimentação, os espécimes foram submersos em água destilada a 37OC e submetidos ao teste de resistência ao cisalhamento em uma máquina de ensaio universal, com velocidade de 0,5 mm/min, cujos valores registrados em Kgf e convertidos em MPa. O tipo de falha também foi egistrado usando o IRA através de um estereoscópio com magnificação de 4x. A força de cisalhamento mais alta foi registrada no grupo 1 (21.21 MPa), que foi significativamente diferente dos grupos 2, 3, 4, 5 e 6 (11.01, 10.64, 14.31, 10.59, 10.39 MPa, respectivamente). Os valores mais baixos encontrados nos grupos remanescentes não diferiram entre si. A mediana dos escores do IRA para os grupos 1, 2, 3, 4, 5 e 6 foi 2, 3, 3, 0, 3, e 3, respectivamente. O grupo 1 (porcelana feldspática 1 minuto) foi afetado pelos diferentes tempos de ataque com ácido hidrofluorídrico, quando comparado aos grupos 2 e 3, ao passo em que os grupos 4, 5 e 6 de porcelana AllCeram não foram. Não houve relação direta entre o escore do IRA e os valores da força de cisalhamento. / Orthodontic treatment in the adult population has lately gained popularity in an attempt to improve esthetic and function. It is, however, a common feature in these patients, that their dentition is restored by resin veneers, porcelain fused to metal and all ceramic crowns. In this context, the orthodontist faces the challenge of bonding brackets to different porcelain based materials, of unknown ability to resist shear forces. Thus, the aim of this investigation was: 1) to test the null hypothesis that shear strength of brackets bonded to feldspathic and AllCeram porcelain surfaces is not affected by different hydrofluoridric etching times and 2) to test the null hypothesis that there is no direct relation between shear strength values and the adhesive remanescent index (ARI). Sixty feldspathic porcelain disc shaped specimens were randomly divided into 3 groups of 20 each, according to hydrofluoridric acid etching time of either 15, 30 seconds and 1 minute (groups 1, 2 and 3, respectively). Another 60 AllCeram specimens of the same shape were subjected to the same division, according to etching time (groups 4, 5, and 6 respectively). Bonding the brackets to the porcelain surfaces included silane coating, an overlying photoactivated resin and a standardized 500g cementation force. Twenty-four hours after cementation, at 37oC in destilled water, specimens were subjected to a shear force in a universal testing machine at a cross-head speed of 0,5mm/min and shear values registered in Kgf and then converted to MPa. Type of failure was lso recorded using ARI by means of a stereoscope at 4x augmentation. The highest shear strength was found for group 1 (21.21 MPa), which was significantly different than groups 2, 3, 4, 5, and 6 (11.01, 10.64, 14.31, 10.59, 10.39 MPa). The lower values found in the remaining groups were not different among each other. Median ARI scores for groups 1, 2, 3, 4, 5, and 6 were 2, 3, 3, 0, 3, and 3, respectively. The first hypothesis must be partially rejected since only feldspathic porcelain group 1 was affected by different hydrofluoric etching times, when compared to groups 2 and 3, while AllCeram groups 4, 5, and 6 were not. On the other hand, the second null hypothesis must be accepted since no direct relation between ARI score and shear strength values could be determined.

O tratamento ortodôntico em adultos, nos últimos tempos, tem ganhado popularidade na tentativa de melhorar a estética e a função. No entanto, é uma característica comum nestes pacientes, ter os dentes restaurados com facetas de resina, coroas metalo-cerâmicas e/ou porcelana pura. Neste contexto, o ortodontista se defronta com o desafio de colar braquetes em diferentes sistemas cerâmicos, de capacidade desconhecida de resistir às forças de cisalhamento. Portanto, os objetivos deste trabalho foram: 1) Verificar se a força de cisalhamento em braquetes colados em superfícies de porcelana feldspática e AllCeram é afetada por diferentes tempos de ataque com ácido hidrofluorídrico e 2) Observar se existe uma relação direta entre os valores obtidos da força de cisalhamento e o índice remanescente de adesivo (IRA). Sessenta espécimes de porcelana em formato cilíndrico foram aleatoriamente divididos em 3 grupos de 20 espécimes de acordo com o tempo de ataque do ácido hidrofluorídrico de 1 minuto, 30 segundos e 15 segundos (grupos 1, 2 e 3 respectivamente). Outros sessenta espécimes de porcelana AllCeram, com o mesmo formato e divididos da mesma maneira de acordo com o tempo de ataque ácido (grupos 4, 5 e 6 respectivamente). A colagem dos braquetes na superfície cerâmica incluiu aplicação de silano, colocação de resina fotoativada sobre a base do braquete e cimentação com força padronizada de 500g. Vinte e quatro horas após a cimentação, os espécimes foram submersos em água destilada a 37OC e submetidos ao teste de resistência ao cisalhamento em uma máquina de ensaio universal, com velocidade de 0,5 mm/min, cujos valores registrados em Kgf e convertidos em MPa. O tipo de falha também foi egistrado usando o IRA através de um estereoscópio com magnificação de 4x. A força de cisalhamento mais alta foi registrada no grupo 1 (21.21 MPa), que foi significativamente diferente dos grupos 2, 3, 4, 5 e 6 (11.01, 10.64, 14.31, 10.59, 10.39 MPa, respectivamente). Os valores mais baixos encontrados nos grupos remanescentes não diferiram entre si. A mediana dos escores do IRA para os grupos 1, 2, 3, 4, 5 e 6 foi 2, 3, 3, 0, 3, e 3, respectivamente. O grupo 1 (porcelana feldspática 1 minuto) foi afetado pelos diferentes tempos de ataque com ácido hidrofluorídrico, quando comparado aos grupos 2 e 3, ao passo em que os grupos 4, 5 e 6 de porcelana AllCeram não foram. Não houve relação direta entre o escore do IRA e os valores da força de cisalhamento. / Orthodontic treatment in the adult population has lately gained popularity in an attempt to improve esthetic and function. It is, however, a common feature in these patients, that their dentition is restored by resin veneers, porcelain fused to metal and all ceramic crowns. In this context, the orthodontist faces the challenge of bonding brackets to different porcelain based materials, of unknown ability to resist shear forces. Thus, the aim of this investigation was: 1) to test the null hypothesis that shear strength of brackets bonded to feldspathic and AllCeram porcelain surfaces is not affected by different hydrofluoridric etching times and 2) to test the null hypothesis that there is no direct relation between shear strength values and the adhesive remanescent index (ARI). Sixty feldspathic porcelain disc shaped specimens were randomly divided into 3 groups of 20 each, according to hydrofluoridric acid etching time of either 15, 30 seconds and 1 minute (groups 1, 2 and 3, respectively). Another 60 AllCeram specimens of the same shape were subjected to the same division, according to etching time (groups 4, 5, and 6 respectively). Bonding the brackets to the porcelain surfaces included silane coating, an overlying photoactivated resin and a standardized 500g cementation force. Twenty-four hours after cementation, at 37oC in destilled water, specimens were subjected to a shear force in a universal testing machine at a cross-head speed of 0,5mm/min and shear values registered in Kgf and then converted to MPa. Type of failure was lso recorded using ARI by means of a stereoscope at 4x augmentation. The highest shear strength was found for group 1 (21.21 MPa), which was significantly different than groups 2, 3, 4, 5, and 6 (11.01, 10.64, 14.31, 10.59, 10.39 MPa). The lower values found in the remaining groups were not different among each other. Median ARI scores for groups 1, 2, 3, 4, 5, and 6 were 2, 3, 3, 0, 3, and 3, respectively. The first hypothesis must be partially rejected since only feldspathic porcelain group 1 was affected by different hydrofluoric etching times, when compared to groups 2 and 3, while AllCeram groups 4, 5, and 6 were not. On the other hand, the second null hypothesis must be accepted since no direct relation between ARI score and shear strength values could be determined.

Magister Scientiae Dentium - MSc(Dent) / Background: A close marginal adaptation between the tooth and the bracket base is important since it provides the space for the adhesive. In order to withstand and resist the orthodontic forces exerted as well as everyday forces like mastication and oral hygiene practices, the adhesive material to the bracket must have sufficient sheer bond strength. This means that no deformations, cracks, or fractures should occur within the bracket material and adhesive (Keizer et al., 1976). Aim: The aim of this study was to determine the accuracy of the marginal adaptation of the bracket bases of seven different brands of orthodontic brackets to the tooth surface of a right upper first premolar (ie. Abzil, Forestadent, GAC, Gemini, IMD, Ormco and Victory LP). Method: This research was an in vitro, descriptive comparison study. Fifteen caries and crack free intact human first premolars were used. The teeth were obtained from patients requiring extractions for orthodontic purposes and collected from Tygerberg Oral Health Centre. A convenience sample method was used, where whenever an upper caries free premolar was extracted, the parent was asked if the tooth could be used for this study and consent was obtained. The crowns of the 15 teeth were cleaned and polished with pumice and rubber cups for 10 seconds (as the clinician would do prior to bracket cementation). The same 15 teeth were used with the seven different brands of brackets in order to establish a comparison of the adaptability of the brackets. The brackets were placed at a set orthodontic prescription of 4mm (measured from the slot area of the bracket to the tip of the buccal cusp of the tooth) on the upper first premolars. After bracket placement, the dontrix gauge was applied to the bracket to engage the slot area. The brackets were held in place with a constant force of 0.70 Newton (N) by the dontrix gauge. This allowed for reproducibility for the seven brackets with all fifteen teeth. In order to assess the space between the brackets and the teeth no adhesive was used. The space between the margins of the bracket and tooth interface was viewed under the Stereomicroscope (Carl Zeiss microscope, Zeiss Stemi508) at 50 times magnification. A two way mixed measures ANOVA was run to determine whether there were differences between the seven brackets placed at six points on the tooth surface. Results: GAC had the smallest overall mean measurement between bracket base and tooth surface followed by Ormco and Gemini respectively. Abzil had the largest overall mean measurement for the six points around the bracket

Objectives: The aim of this study was to evaluate dental and/or skeletal changes following orthodontic treatment with Damon self-ligating (SL) brackets in non-extraction patients. Methods: Frontal and lateral cephalomteric radiographs of 20 patients before and after non-extraction treatment with Damon SL brackets were analyzed in a three-dimensional analysis computer program (3DCeph, UIC, IL., USA). Changes of intermolar and intercanine distances, incisor positions and maxillary basal bone width of Damon treated subjects were compared to corresponding untreated controls (Bolton templates). Comparisons between the two groups were made with Nonparametric (Mann-Whitney U) test. Results and Conclusions: Transverse changes in distances between crowns of upper and lower first molars and canines in Damon group were similar to untreated individuals (P >0.01). However, in Damon group distances between roots of upper molars and lower canines increased 4.59 and 3.49 mm respectively, compared with 0.8 and -0.01 mm in the Control group (P <0.001, P= 0.001). Lingual root torque of upper incisors and proclination of lower incisors were larger in the Damon group (P<0.05). Damon treatment did not result in buccal tipping of molar crowns or maxillary base width increase (P>0.05). Overall, teeth alignment with Damon system was accomplished with a combination of arch width changes and incisor proclination and/or lingual root torque.

Thesis (M.S.)--West Virginia University, 2002. / Title from document title page. Document formatted into pages; contains x, 101 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 90-100).

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Thesis (M.S.)--West Virginia University, 2008. / Title from document title page. Document formatted into pages; contains ix, 204 p. : ill. (some col.). Includes abstract. Includes bibliographical references (p. 136-139).

Thesis (M.S.)--University of Alabama at Birmingham, 2007. / Title from first page of PDF file (viewed on June 26, 2009). Includes bibliographical references.