• Title/Summary/Keyword: Lingual orthodontics

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Low-shrinking composites. Are they reliable for bonding orthodontic retainers?

  • Uysal, Tancan;Sakin, Caglar;AI-Qunaian, Talal
    • The korean journal of orthodontics
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    • v.41 no.1
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    • pp.51-58
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    • 2011
  • Objective: To evaluate the shear bond strength (SBS), fracture mode, wire pull out (WPO) resistance and microleakage between low-shrinking and conventional composites used as a lingual retainer adhesive. Methods: A total of 120 human mandibular incisor teeth, extracted for periodontal reasons, were collected. Sixty of them were separated into two groups. To determine the SBS, either Transbond-LR (3M-Unitek) or Silorane (3M-Espe) was applied to the lingual surface of the teeth by packing the material into standard cylindrical plastic matrices (Ultradent) to simulate the lingual retainer bonding area. To test WPO resistance, 20 samples were prepared for each composite where the wire was embedded in the composite materialand cured. Then tensile stress was applied until failure of the composite occurred. The remaining 60 teeth were divided into two groups and multi-stranded 0.0215-inch diameter wire was bonded with the same composites. Microleakage was evaluated by the dye penetration method. Statistical analyses were performed by Wilcoxon, Pearson chi-square, and Mann-Whitney-U tests at p < 0.05 level. Results: The SBS and WPO results were not statistically significant between the two groups. Significant differences were found between the groups in terms of fracture mode (p < 0.001). Greater percentages of the fractures showed mix type failure (85%) for Silorane and adhesive (60%) for Transbond-LR. Microleakage values were lower in low-shrinking composite than the control and this difference was found to be statistically significant (p < 0.001). Conclusions: Low-shrinking composite produced sufficient SBS, WPO and microleakage values on the etched enamel surfaces, when used as a lingual retainer composite.

A STATISTICAL STUDY OF CLINICAL CROWN INCLINATION IN KOREAN'S NATURALLY OCCURRING OPTIMAL OCCLUSION (한국인 정상교합자의 치관경사도에 관한 임상통계학적 연구)

  • Kim, Jong-Sung;Jin, Keun-Ho;Hong, Sung-Joon
    • The korean journal of orthodontics
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    • v.22 no.3 s.38
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    • pp.715-733
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    • 1992
  • The objective of this study was to evaluate some clinical aspect of the crown inclination in Korean's naturally occuring optimal occlusion, and to statistically compare the crown inclination at Andrews' FA points group and another bracket slot level group based on marginal ridges. The materials consisted of study models of 30 patients (14; Korean's males, 16; Korean's females) who have nonorthodontic normal occlusion. The results were as follows; 1. Mean, standard deviation, range of clinical inclination in the Andrews' FA points and another bracket slot level were obtained. 2. Statistically difference between Andrews' FA points group and bracket slot level group based on marginal ridge was non significant (p > 0.05). But standard deviation and range in FA points group was more stability than marginal ridge group. 3. A lingual crown inclination at FA points in the upper posterior teeth existed (canines through molars). 4. The lingual crown inclination at FA points in the lower dentition progressively increased from the incisors through the second molars.

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In-vitro investigation of the mechanical friction properties of a computer-aided design and computer-aided manufacturing lingual bracket system under diverse tooth displacement condition

  • Kim, Do-Yoon;Ha, Sang-Woon;Cho, Il-Sik;Yang, Il-Hyung;Baek, Seung-Hak
    • The korean journal of orthodontics
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    • v.49 no.2
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    • pp.73-80
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    • 2019
  • Objective: The purpose of this study was to compare the static (SFF) and kinetic frictional forces (KFF) of a computer-aided design and computer-aided manufacturing lingual bracket (CAD/CAM-LB) with those of conventional LB (Con-LB) and Con-LB with narrow bracket width (Con-LB-NBW) under 3 tooth displacement conditions. Methods: The samples were divided into 9 groups according to combinations of 3 LB types (CAD/CAM-LB [Incognito], Con-LB [7th Generation, 7G], and Con-LB-NBW [STb]) with 3 displacement conditions (no displacement [control], maxillary right lateral incisor with 1-mm palatal displacement [MXLI-PD], and maxillary right canine with 1-mm gingival displacement [MXC-GD]; n = 6/group). While drawing a 0.016-inch copper or super-elastic nickel-titanium archwire with 0.5 mm/min for 5 minutes in a chamber maintained at $36.5^{\circ}C$, SFF and KFF were measured. The Kruskal-Wallis method with Bonferroni correction was performed. Results: The Incognito group demonstrated the highest SFF, followed by the 7G and STb groups ([STb-control, STb-MXLI-PD, Stb-MXC-GD] < [7G-MXC-GD, 7G-MXLI-PD, 7G-control] < [Incognito-MXLI-PD, Incognito-control, Incognito-MXC-GD]; p < 0.001). However, there were no significant differences in SFF among the 3 displacement conditions within each bracket group. Within each displacement condition, the Incognito group demonstrated the highest KFF, followed by the 7G and STb groups ([STb-control, STb-MXLI-PD] < Stb-MXC-GD < 7G-MXLI-PD < [7G-control, 7G-MXC-GD] < [7G-MXC-GD, Incognito-MXLI-PD, Incognito-control] < [Incognito-control, Incognito-MXC-GD]; p < 0.001). MXC-GD exhibited higher KFFs than MXLI-PD in the same bracket group. Conclusions: The slot design and ligation method of the CAD/CAM-LB system should be modified to reduce SFF and KFF during the leveling/alignment stage.

Assessment of lower incisor alveolar bone width using cone-beam computed tomography images in skeletal Class III adults of different vertical patterns

  • Lee, Sanghee;Hwang, Soonshin;Jang, Woowon;Choi, Yoon Jeong;Chung, Chooryung J;Kim, Kyung-Ho
    • The korean journal of orthodontics
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    • v.48 no.6
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    • pp.349-356
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    • 2018
  • Objective: This study was performed to investigate the alveolar bone of lower incisors in skeletal Class III adults of different vertical facial patterns and to compare it with that of Class I adults using cone-beam computed tomography (CBCT) images. Methods: CBCT images of 90 skeletal Class III and 29 Class I patients were evaluated. Class III subjects were divided by mandibular plane angle: high (SN-MP > $38.0^{\circ}$), normal ($30.0^{\circ}$ < SN-MP < $37.0^{\circ}$), and low (SN-MP < $28.0^{\circ}$) groups. Buccolingual alveolar bone thickness was measured using CBCT images of mandibular incisors at alveolar crest and 3, 6, and 9 mm apical levels. Linear mixed model, Bonferroni post-hoc test, and Pearson correlation analysis were used for statistical significance. Results: Buccolingual alveolar bone in Class III high, normal and low angle subjects was not significantly different at alveolar crest and 3 mm apical level while lingual bone was thicker at 6 and 9 mm apical levels than on buccal side. Class III high angle group had thinner alveolar bone at all levels except at buccal alveolar crest and 9 mm apical level on lingual side compared to the Class I group. Class III high angle group showed thinner alveolar bone than the Class III normal or low angle groups in most regions. Mandibular plane angle showed negative correlations with mandibular anterior alveolar bone thickness. Conclusions: Skeletal Class III subjects with high mandibular plane angles showed thinner mandibular alveolar bone in most areas compared to normal or low angle subjects. Mandibular plane angle was negatively correlated with buccolingual alveolar bone thickness.