Thesis (M.S.)--University of Michigan, 1987.

Thesis (M.S.)--University of Michigan, 2006. / Includes bibliographical references (leaves 119-131).

Thesis (M.S.)--West Virginia University, 2005 / Title from document title page. Document formatted into pages; contains viii, 56 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 52-55).

Thesis (M.S.)--University of Michigan, 1987.

Thesis (M.S.)--University of Michigan, 1941.

Thesis (M.S.)--West Virginia University, 2000. / Title from document title page. Document formatted into pages; contains xi, 204 p. : ill. (some col.) Vita. Includes abstract. Includes bibliographical references (p. 104-111).

Mini-implantes ortodônticos são acessórios de ancoragem esquelética. O objetivo deste estudo foi descrever a cicatrização óssea inicial ao redor dos mini-implantes, esterilizados pelos pesquisadores, submetidos ou não à aplicação de carga imediata. Foram inseridos 144 mini-implantes autoperfurantes (TOMAS®, Dentaurum, Germany) nas tíbias de dezoito coelhos brancos. Carga imediata (50 cN) foi aplicada sobre 50% dos mini-implantes. Quatro coelhos foram sacrificados em cada tempo pós-cirúrgico: dias 15, 21, 30 e 60, e dois no dia 0, constituindo grupo controle. Radiografias digitais foram obtidas para mensuração da espessura da cortical óssea (ECO), contíguo aos mini-implantes e equidistante deles. Nas imagens digitais das lâminas histológicas, realizou-se análise histológica e histomorfométrica. Quantidade de osso (QO), contato osso-implante (BIC) e ECO foram analisados pelos testes t-pareado, ANOVA e coeficiente de correlação de Pearson. Aos 0 e 15 dias haviam áreas de fraturas da borda da cortical. Após 30 dias houve deposição de osso imaturo, que se apresentou maduro aos 60 dias. QO foi maior com carga aos 15 dias (p = 0,034); e aumentou ao longo da cicatrização, nos grupos com (p =0,004) e sem carga (p<0,001). Carga não afetou BIC; os valores aumentaram no decorrer do tempo, nos grupos com (p<0,001) e sem carga (p=0,001). ECO aumentou em todas as regiões (p<0,001). ECO próximo aos miniimplantes foi maior que no ponto médio, exceto aos 15 dias sem carga (p = 0.077). Concluiu-se que carga imediata leve não comprometeu a cicatrização óssea ao redor dos mini-implantes. Ósseointegração e o aumento da espessura da cortical óssea foram tempo-dependentes. / Mini-implants are attachments for orthodontic anchorage. This study aimed to describe the initial bone healing around mini-implants sterilized by the researchers, submitted or not to application of immediate loading. Were inserted 144 self-drilling mini-implants(TOMAS®, Dentaurum, Germany) in the tibia of eighteen white rabbits. Immediate loading (50 cN) was applied to 50% of mini-implants. The animals were sacrificed at each time post-surgery: day 15, 21, 30 and 60, and two on day 0, being the control group. Digital radiographs were obtained to measure the thickness of cortical bone (ECO), adjacent to mini-implants and equidistant from them. In digital pictures from histological slides histology and histomorphometry was analyzed. Amount of bone (QO), bone-implant contact (BIC) and ECO were analyzed by paired t-test, ANOVA and coefficient of Pearson correlation. At 0 and 15 days had shear areas. After 30 days there was deposition of immature bone, which appeared mature at 60 days. QO load was greater at 15 days (p = 0.034), and increased over healing in load (p = 0.004) and unloaded groups (p <0.001). Load affected BIC, the values increased over time in groups with load (p <0.001) and unloaded (p = 0.001). ECO increased in all regions (p <0.001). ECO near the mini-implants was greater than at midpoint, except for 15 days without load (p = 0,077). It was concluded that light immediate loading did not affect bone healing around the mini-implants. Osseointegration and increased cortical bone thickness were time-dependent.

Magister Scientiae Dentium - MSc(Dent) / Aim: The aim of this study was to evaluate, in-vitro, the shear bond strength (SBS) and the resultant failure pattern after debonding of metal orthodontic brackets bonded with TransbondTM XT adhesive resin cement and RelyXTM Unicem 2 self-adhesive resin cement to pre-treated (35% ortho-phosphoric acid and silane coupling agent application) IPS eMax and porcelain veneered zirconia crowns. Material and methodology: A Typhodont maxillary lateral incisor was used and prepared in a conventional manner to receive a full ceramic crown. A CAD (computer aided design)/ CAM (computer aided manufacturing) machine was used to scan the prepared tooth and manufacture 40 IPS eMax crowns and 40 porcelain veneered zirconia crowns. Half the number of IPS eMax crown specimens (ie. 20) and half the number of porcelain veneered zirconia crown specimens (ie. 20) were thermocycled (ie. to mimic thermal changes which occur in the mouth), from 5 to 55o for 500 cycles as recommended by the International Organization for Standardization (ISO 6872, 2008). The remaining 20 IPS eMax crown specimens and 20 porcelain veneered zirconia crown specimens remained new and unexposed to thermal changes. The facial surfaces of all the thermocycled and non-thermocycled crown specimens were then etched. Etching of all the ceramic bonding surfaces was performed by the application of 35 per cent ortho-phosphoric acid liquid for 2 minutes, followed by a thin layer of a ceramic primer. A lateral incisor metal bracket with a bracket base area of 9mm2 (as confirmed by the manufacturer) was bonded to each of the etched and silane treated ceramic crown specimens and separated in the following manner: Group 1: (10 thermocycled, etched and silane treated IPS eMax and 10 thermocycled, etched and silane treated porcelain veneered zirconia crown specimens) RelyX™ Unicem 2 self-adhesive resin cement was used to bond the bracket to the ceramic crown specimens, Group 2: (10 thermocycled, etched and silane treated IPS eMax and 10 thermocycled, etched and silane treated porcelain veneered zirconia crown specimens) Transbond™ XT light cure adhesive primer was first applied onto the bonding surface of the crowns and then Transbond™ XT adhesive resin was used to bond the bracket to the ceramic crown specimens, Group 3: (10 non-thermocycled, etched and silane treated IPS eMax and 10 non-thermocycled, etched and silane treated porcelain veneered zirconia crown specimens) RelyX™ Unicem 2 self-adhesive resin cement was used to bond the bracket to the ceramic crown specimens, Group 4: (10 non-thermocycled, etched and silane treated IPS eMax and 10 non-thermocycled, etched and silane treated porcelain veneered zirconia crown specimens) Transbond™ XT light cure adhesive primer was first applied onto the bonding surface of the crowns and then Transbond™ XT adhesive resin cement was used to bond the bracket to the ceramic crown specimens. After bonding all samples were stored in distilled water for 24 hours before being submitted to the shear bond strength test. Debonding forces in Newtons (N) was determined by using a shear testing machine and converted into Mega Pascals (MPa). Results: The results after debonding were compared. The mean shear bond strength for RelyXTM Unicem 2 self-adhesive resin cement bonded to the all ceramic non-thermocycled crowns (Group 3) ranged from a low of 5.1 MPa (45.5 Newtons) when brackets were bonded to the IPS eMax crowns to a high of 5.8 MPa (51.9 Newtons) when brackets were bonded to the porcelain veneered zirconia crowns. The mean shear bond strength for Transbond XT adhesive resin cement bonded to the all ceramic non-thermocycled crowns (Group 4) ranged from a low of 6.4 MPa (57.3 Newtons) when brackets were bonded to the porcelain veneered zirconia crowns to a high of 8.1 MPa (72.7 Newtons) when brackets were bonded to the IPS eMax crowns. The side by side Box-and-Whisker plots of the shear bond strengths show wide and overlapping dispersions of the crown/adhesive resin combinations which consequently lessen the probability of significant differences between the crown/adhesive resin combinations in all 4 groups. According to the Kruskal-Wallis test (p < 0.05), and the Bonferroni Test the non-thermocycled crown/adhesive resin combinations do not differ significantly. Study of the mean ARI (Adhesive Remnant Index) values for the non-thermocycled crown/adhesive combinations shows that brackets bonded with Rely-XTM Unicem 2 to non-thermocycled porcelain veneered zirconia crowns failed entirely at the ceramic/adhesive interface and for all the other non-thermocycled ceramic/adhesive combinations most of the failures of the bond (70%) occurred at the bracket/adhesive interface, ie. cohesive fractures within the composite resin. No cohesive fractures of the porcelain crowns were noted. The results of the thermocycled groups (Group 1 and Group 2) show the TransbondTM XT/non-thermocycled IPS eMax crown combination yielded the highest overall mean shear bond strength of 8.1 MPa (72.7 Newtons) but dropped to a mean shear bond strength of 5.1 MPa (46.1 Newtons) (36.4% drop in shear bond strength) when the crowns were thermocycled prior to bonding. The TransbondTM XT/non-thermocycled porcelain veneerd zirconia crown combination yielded the second highest overall mean shear bond strength of 6.4 MPa (57.3 Newtons) and dropped to a mean shear bond strength of 5.1 MPa (45.8 Newtons) (19.3% drop in shear bond strength) when the crowns were thermocycled prior to bonding. The RelyXTM Unicem 2/non-thermocycled porcelain veneered zirconia crown combination yielded the third highest overall mean shear bond strength of 5.8 MPa (51.9 Newtons) but dropped significantly to a mean shear bond strength of 3.2 MPa (29.1 Newtons) (a significant 43.8% drop in shear bond strength) when the crowns were thermocycled prior to bonding. Lastly, the RelyXTM Unicem 2/non-thermocycled IPS eMax crown combination yielded the fourth highest mean shear bond strength of 5.1MPa (45.5 Newtons) but dropped to a mean shear bond strength of 4.9 MPa (44.5 Newtons) (a drop in shear bond strength of only 3%) when the crowns were thermocyled prior to bonding. Relaxing the significance level (p-value) somewhat demonstrates the negative influence of thermocycling on the shear bond strength of the crown/adhesive combinations. The non-thermocycled all ceramic crown/adhesive combinations showed mean ARI values of between 1.3 and 2.1 indicating cohesive fractures within the composite resin and efficient bonding of the adhesive material to the porcelain surface. However, all the thermocycled all ceramic crown/adhesive treatment combinations showed mean ARI values of between 0 and 0.8 indicating a bond failure between adhesive and porcelain and highlighting the negative influence of thermocycling on bond strength of both adhesive resin cements. Conclusion: Within the limitations of this study, it can be concluded that: 1.There was no significant difference in the shear bond strengths of metal orthodontic brackets bonded with RelyXTM Unicem 2 self-adhesive resin cement and metal orthodontic brackets bonded with TransbondTM XT adhesive resin cement to IPS eMax and porcelain-veneered zirconia crowns which were conditioned with 35 % phosphoric acid and a silane coupling agent. 2. Conditioning the porcelain surface with 35% phosphoric acid and a silane coupling agent (which is safer to use than Hydrofluoric acid) is sufficient for bonding metal orthodontic brackets to all ceramic crowns, and should make it simpler for clinicians to remove the remaining adhesive from the porcelain surface after debonding. 3. The negative influence of thermocycling prior to bonding can be seen on shear bond strength values. 4. Most of the failures of the bond occurred at the ceramic/adhesive interface and cohesive fractures within the composite resin. No cohesive fractures of the porcelain crowns were noted.

A thesis submitted to the College of Dental Medicine of Nova Southeastern University of the degree of Master of Science in Dentistry. Objectives: To determine the amount of initial fluoride release from four orthodontic bonding systems over a period of four weeks, and then to subject these materials to an external source of fluoride for recharge in order to measure the amount of fluoride re-release over another four-week interval. Additionally the surface morphology of these materials was analyzed under the scanning electron microscope in order to identify microscopic changes in the materials that may have occurred during the experiment. Methods: Four orthodontic adhesives: Fuji Ortho LC (GC America, Alsip, IL), Transbond XT (3M Unitek, Monrovia, CA), Illuminate Light Cure (Ortho Organizers, Carlsbad, CA), and Opal Seal with Opal Bond MV (Ultradent, South Jordan, UT), n=120 (30/material) were tested for fluoride release at 1 hour, 24 hours, 3 days, 1 week, 2 weeks, 3 weeks and 4 weeks. Samples (10/subgroup/material) were then recharged with an external source of fluoride (toothpaste, foam, or varnish), and retested for fluoride re-release at 1 hour, 24 hours, 3 days, 1 week, 2 weeks, 3 weeks and 4 weeks. The scanning electron microscope was utilized in order to assess each material's surface morphology before testing and after completion of the experiment (n=16). Descriptive statistics, means and standard deviations were calculated for all four materials and their subgroups at each time interval. A mixed model two-way ANOVA was run, using a level of significance of 0.05. Bonferroni multiple comparison tests were conducted using if groups were found to be statistically significantly different. To determine significant differences between fluoride release and re-release for each recharge subgroup within each material group, paired t-tests were performed for the time intervals of 24 hours, 2 weeks, and 4 weeks. For the paired t-tests, the level of significance used was 0.02 to allow for Bonferroni correction. Results: During the initial 24 hours the fluoride measurements (in mg/L or ppm) were as follows: Fuji 9.78±0.65, Illuminate 7.83±1.49, Opal 0.05±0.02, and Transbond 0.01±0.0. At the initial four weeks time point, the readings were as follows: Fuji 6.68±0.79, Illuminate 3.82±1.84, Opal 0.06±0.01, and Transbond 0.01±0.01. The greatest fluoride release came from the varnish subgroups from each of the materials at 2 weeks post re-charge: Fuji 9.16±1.53, Illuminate 7.5±3.1 (tied with foam subgroup 7.5±4.4), Opal 5.3±2.45, and Transbond 3.75±1.67. The greatest fluoride measurement for each material at the final week post-recharge was: Fuji varnish subgroup 8.3±3.58, Illuminate foam subgroup 6.5±3.5, Opal varnish subgroup 2.50±1.1, and Transbond varnish subgroup 1.72±1.82. SEM results showed an observable difference between the materials pre-experiment and post-experiment at a magnification of 50X and 500X. The Fuji foam and paste subgroups displayed surface crackling patterns at both magnifications when compared to the control and varnish samples. The Illuminate control, foam, and paste specimens all had a roughened grainy appearance, while the varnish specimen seemed to be smoothed over by the varnish material. The Transbond samples appeared to have observable differences in surface morphology at 50X, but not at 500X. The Opal paste and foam specimens appeared to have a smoother surface than both the control and the varnish samples. Conclusions: There were significant differences in release and re-release of fluoride among all four adhesives at different time intervals over a period of eight weeks. Significant increase in fluoride re-release was seen for all three of the recharge subgroups for both Opal and Transbond at each time interval. A significant increase in fluoride re-release for the Illuminate group was mainly observed at the end of second and fourth week. Though no significant increase in fluoride re-release was observed, Fuji released highest amount of fluoride during release and re-release, at all different time intervals. Fluoride varnish was the superior recharge material, as it provided the greatest fluoride measurements, followed by foam and toothpaste. There were observable changes in the surface morphology of the materials pre-experiment and post-experiment at a magnification of 50X and 500X, which may have an affect on the fluoride releasing capabilities of the materials.

Indiana University-Purdue University Indianapolis (IUPUI) / Orthodontic closing loops offer an efficient way to control the moment to force ratios (M/F) delivered during space closure. The triangular loop is often used in the Graduate Orthodontic Clinic at the Indiana University School of Dentistry. Previous studies on the triangular loop were concerned with various loop geometries. The present project was designed to study the triangular loop in a clinically realistic experimental set up. Compared to the previous studies, three major changes were implemented: instead of two coplanar brackets, the current study employed a bracketed typodont arch (1) the effects of loop locations (2) and different interbracket distances were considered (3). The measured moment and forces reflect considerable differences in the systems due to the new experimental set up. As in previous studies, the triangular loops were fabricated from 0.016 X 0.022- inch stainless steel wire. The loops were equilateral triangles with 8 mm sides, ligated to the arch wire by elastomeric rings. There were 4 loop locations: location 1 was at 1.2 mm away from the mesial bracket; location 2 was at 3 .2 mm away from the distal bracket; location 3 was centered in the middle of the original interbracket distance; location 4 was located 2.6 mm away from the mesial bracket. There were three interbracket distances (IB). The original IB (IBl) of 12.6 mm was decreased by 3 mm (IB 2) and by 6 mm (IB 3). The loops were activated by 1.6 mm and 3.3 mm. Force and moment components were measured along three mutual perpendicular axes (x, y, and z) corresponding to the buccolingual, mesiodistal, occlusogingival axes respectively. Comparisons of Mx/Fy and Mz/Fy at the mesial and distal, by three activation levels, three interbracket distances, and four locations, and all interaction effects, were performed using a mixed design repeated measures ANOV A procedure. The General Linear Model (GLM) procedure for unbalanced designs was used because not all interbracket distances could be accommodated with all loop locations. Activation distance was the within specimen repeated factor. Loop location and interbracket distance were the between specimen factor. It was theorized that the location of the triangular loop, as well as the interbracket distance, have a considerable effect on the generated M/F. The Null Hypothesis was that there are no significant differences (p > 0.05) in the M/F ratios generated by the triangular loop as the loop position changes relative to the brackets, and there are no significant differences (p>0.05) in the M/F ratios generated by the triangular loop as the interbracket distance becomes shorter with space closure. Statistical significant interactions were found for Mx/Fy and Mz/Fy at location 2, for all activations, at both the mesial and distal measures. Therefore we rejected the first part of the Null Hypothesis (no differences as the loop location changes), and accept the second part (no differences as the interbracket distance shortens). We were able to see clear trends at all loop locations, as well as interbracket distances, and draw useful clinical implications. We found that the mesial closing forces are quite small when compared to those at the distal. We attributed this discrepancy to the U shape geometry of the continuous arch wire technique. We observed that if closing loops are delivered with no activation, then counterproductive M/F ratios are produced. Our data also indicated that anchorage becomes more critical as the interbracket distance shortens. Finally, we determined that wire tie ligation for prevention of rotation along the long axis of the tooth is especially important for the lateral incisor.