• 대한치과교정학회지
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• 제22권2호
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• pp.449-474
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• 1992

The purpose of this study was to evaluate the in vitro shear bond strengths to enamel and the failure sites of three ceramic brackets and one metal bracket in combination with light cured orthodontic adhesive. The brackets were divided into four groups. Each ceramic bracket group had different bonding mechanisms with adhesive. Group A; metal bracket with foil-mesh base (control group) Group B; ceramic bracket with micromechanical retention Group C; ceramic bracket with chemical bonding Group D; ceramic bracket with mechanical retention and chemical bonding. Forty extracted human lower first premolars were prepared for bonding and 10 brackets for each group were bonded to prepared enamel surfaces with $Transbond^{\circledR}$ light cured ortho dontic adhesive. Twenty four hours after bonding, the Instron universal testing machine was used to test the shear bond strength of brackets to enamel. After debonding, brackets and enamel surfaces were examined under stereoscopic microscope to determine the failure sites, Statistical analysis of the data was carried out with ANOVA test and $Scheff\acute{e}$ test using SPSS PC+. The results were as follows. 1 . There were statistically significant differences in mean shear bond strengths of three ceramic bracket groups (p < 0.05). Shear bond strengths of group C and D were significantly higher than that of group B and shear bond strength of group C was significantly higher than that of group D. 2. Group C and D both had significantly higher shear bond strengths than metal bracket (group A), but there were no significant differences in shear bond strengths between group A and B (p < 0.05). 3. The failure sites of four bracket groups were also different. Group C and D failed primarily at enamel-adhesive interface, but group A and B failed primarily at bracket base-adhesive interface. 4. Among all ceramic bracket groups, group B was very similar to metal bracket in the aspect of shear bond strength and failure site.

• 대한치과교정학회지
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• 제21권3호
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• pp.543-560
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• 1991

Practitioners are aware of the presence of friction between bracket system and archwire during sliding movement of teeth. Clinically a mesiodistally applied force must exceed the frictional force to produce a tooth movement. The objective of this study were to determine, on a dry condition, changes in magnitude of friction with respect to load, 3rd order inclination (Torque), archwire materials and ligature type. Three wire alloys (Stainless Steel, TMA, NiTi) in two wire sizes (.016, .016x, .022 inch) were examined respect to two bracket system (Straight, Standard), and two ligature type (Metal, Plastic ligature) at three levels of load (100g, 150g, 200g). The results were as follows; 1. Frictional resistance was found to increase with increasing load for S.S., TMA, NiTi. 2. The straight bracket system was exhibited more frictional force than standard bracket system for .016x, .022 S.S. tightly ligated metal ligature. But, torque difference did not increase friction for loose metal ligature & plastic ligature. 3. Regardless of the ligature type, torque and load, stainless steel wire sliding against stainless steel exhibited the lowest friction, and TMA sliding against stainless steel exhibited the highest friction. 4. The loose stainless steel ligature generated lower frictional resistance than plastic ligature in all experimental groups. 5. The following factors affected friction in decreasing order; wire material ligature type, and load.

• 대한치과교정학회지
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• 제37권3호
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• pp.204-211
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• 2007

심미적 교정장치에 대한 요구가 증가함에 따라 폴리카보네이트 브라켓에 대한 관심이 커지고 있으나 이는 윙이 쉽게 파절되는 문제를 가지고 있다. 본 연구는 새롭게 개발된 국산 폴리카보네이트 브라켓의 윙의 파절 강도를 측정하여 임상에서 사용할 수 있는지 평가하기 위하여 시행되었다. 실험군으로 Alice 브라켓을, 대조군으로 Spirit MB 브라켓을 사용하여 상온에서 방치한 경우와 $5^{\circ}C$와 $55^{\circ}C$에서 2,000회 열변환 시킨 경우로 나눈 다음, 만능시험기를 이용하여 브라켓 윙의 파절 강도를 측정하고 비교 분석하였다. 연구 결과 상온에서 방치한 경우와 열변환 시킨 경우 모두에서 Spirit MB 브라켓에 비하여 Alice 브라켓 윙의 파절 강도가 통계적으로 유의하게 높은 것으로 나타나 Alice 브라켓이 윙의 파절 강도 면에서 임상적으로 사용 가능함을 시사하였다.

• 대한소아치과학회지
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• 제26권1호
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• pp.88-95
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• 1999

구강내의 교정 장치는 미생물 전파에 있어서 다양한 장소를 제공한다. 치태는 치아 우식증 발생에 있어 매우 큰 역할을 하며 미생물, 비세포성 물질로 구성되어 있다. 본 연구의 목적은 생체외에서 교정용에서의 인공 치태 생성에 영향을 주는 요인을 평가하는 것이다. Streptococcus mutans type c는 $CO_2$ incubator내의 $37^{\circ}C$에서 brain heart infusion broth에서 배양 되었다. 중절치에 사용하는 9개의 $.018"{\times}.025"$ standard edgewise brackets을 3개씩 비이커의 배양액에 매달았다. 3개 비이커의 배양액 pH는 각 각 pH 5.5, 7.0 그리고 8.5로 조절되었다. 5시간 후에 비이커에서 각각의 bracket을 꺼내서, bracket의 평균 무게를 측정하였다. 배지의 stirring effect를 측정하기 위하여 3개씩 $.018"{\times}.025"$ standard edgewise brackets을 2개의 비이커에 위치시켰다. 12개의 brackets을 $CaCl_2$(0.25, 1.0, 4.0 그리고 16.0mM). KCl(2.5, 10, 40 그리고 160mM) 그리고 $MgCl_2$(0.1, 0.4, 1.6, 그리고 6.4mM) 용액에 각각 매달았다. 6개의 $.018"{\times}.025"$ standard edgewise brackets, 6개의 $.022"{\times}.028"$ Roth brackets과 6개의 $.022"{\times}.028"$ Broussard brackets을 각각의 비이커 내에 매달았다. 배양액 내에서 5시간 동안 배양한 후 각각의 brackets을 근사값의 milligram 단위로 측정하였다. 그룹 사이의 차이는 Mann-Whitney와 Kruskal-Wallis tests를 이용하여 비교하였다. p value<0.05의 조건에서 이들의 차이는 통계학적 유의성을 갖는다. 5시간 동안 pH 5.5에서 배양된 Streptococcus mutans에 의해 형성된 인공 치태는 pH 7.0 이나 pH 8.5에서 배양된 것보다 작았다(p<0.05). 인공 치태는 배양하는 동안 저어졌을 때 더 많이 형성되었다(p<0.05). 결론적으로 bracket에 형성된 인공 치태는 좀 더 높은 알칼리성 배지에서 배양됨으로써, 그리고 배양 동안 배지를 저어줌으로써 유의성있게 증가하였다. 그러나 배지의 $CaCl_2,\;KCl,\;MgCl_2$의 농도와 상업적으로 다른 종류의 이용 가능한 교정용 bracket에 대해서는 유의한 차이가 없었다.

• 대한치과교정학회지
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• 제45권1호
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• pp.13-19
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• 2015

Objective: This study aimed to compare the frictional force (FR) in self-ligating brackets among different bracket-archwire angles, bracket materials, and archwire types. Methods: Passive and active metal self-ligating brackets and active ceramic self-ligating brackets were included as experimental groups, while conventional twin metal brackets served as a control group. All brackets were maxillary premolar brackets with 0.022 inch [in] slots and a $-7^{\circ}$ torque. The orthodontic wires used included 0.018 round and $0.019{\times}0.025$ in rectangular stainless steel wires. The FR was measured at $0^{\circ}$, $5^{\circ}$, and $10^{\circ}$ angulations as the wire was drawn through the bracket slots after attaching brackets from each group to the universal testing machine. Static and kinetic FRs were also measured. Results: The passive self-ligating brackets generated a lower FR than all the other brackets. Static and kinetic FRs generally increased with an increase in the bracket-archwire angulation, and the rectangular wire caused significantly higher static and kinetic FRs than the round wire (p < 0.001). The metal passive self-ligating brackets exhibited the lowest static FR at the $0^{\circ}$ angulation and a lower increase in static and kinetic FRs with an increase in bracket-archwire angulation than the other brackets, while the conventional twin brackets showed a greater increase than all three experimental brackets. Conclusions: The passive self-ligating brackets showed the lowest FR in this study. Self-ligating brackets can generate varying FRs in vitro according to the wire size, surface characteristics, and bracket-archwire angulation.

• 대한치과교정학회지
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• 제26권6호
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• pp.705-715
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• 1996

The lingual multibracket appliance was developed to overcome the unesthetic nature of traditional fixed orthodontic labial appliances; however, treatment with this appliance was regarded as very difficult as well as a time-consuming. Recently, these problems have been reduced because of advances in lingual bracket systems, improved indirect bonding technique and the development of more flexible wires. There has been a marked increase in the number of adults desiring orthodontic treatment over recent years and many of these patients tend to seek invisible orthodontic appliances due to esthetic reasons. Although the lingual multibracket treatment is not ideal, this form of treatment is currently the best option for the patients with esthetic concerns. Here, I would like to present a case treated successfully with lingual multibracket appliance.

• 대한치과교정학회지
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• 제45권1호
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• pp.29-37
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• 2015

Objective: The coefficients of friction (COFs) of aesthetic ceramic and stainless steel brackets used in conjunction with stainless steel archwires were investigated using a modified linear tribometer and special computer software, and the effects of the bracket slot size (0.018 inches [in] or 0.022 in) and materials (ceramic or metal) on the COF were determined. Methods: Four types of ceramic (one with a stainless steel slot) and one conventional stainless steel bracket were tested with two types of archwire sizes: a $0.017{\times}0.025$-in wire in the 0.018-in slots and a $0.019{\times}0.025$-in wire in the 0.022-in slot brackets. For pairwise comparisons between the 0.018-in and 0.022-in slot sizes in the same bracket, an independent sample t-test was used. One-way and two-way analysis of variance (ANOVA) and Tukey's post-hoc test at the 95% confidence level (${\alpha}$ = 0.05) were also used for statistical analyses. Results: There were significant differences between the 0.022-in and 0.018-in slot sizes for the same brand of bracket. ANOVA also showed that both slot size and bracket slot material had significant effects on COF values (p < 0.001). The ceramic bracket with a 0.022-in stainless steel slot showed the lowest mean COF (${\mu}$ = 0.18), followed by the conventional stainless steel bracket with a 0.022-in slot (${\mu}$ = 0.21). The monocrystalline alumina ceramic bracket with a 0.018-in slot had the highest COF (${\mu}$ = 0.85). Conclusions: Brackets with stainless steel slots exhibit lower COFs than ceramic slot brackets. All brackets show lower COFs as the slot size increases.

• 대한치과교정학회지
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• 제51권6호
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• pp.375-386
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• 2021

Objective: To evaluate the accuracy of a one-piece bracket jig system fabricated using computer-aided design and manufacturing (CAD/CAM) by employing three-dimensional (3D) digital superimposition. Methods: This in vitro study included 226 anterior teeth selected from 20 patients undergoing orthodontic treatment. Bracket position errors from each of the 40 arches were analyzed quantitatively via 3D digital superimposition (best-fit algorithm) of the virtual bracket and actual bracket after indirect bonding, after accounting for possible variables that may affect accuracy, such as crowding and presence of the resin base. Results: The device could transfer the bracket accurately to the desired position of the patient's dentition within a clinically acceptable range of ± 0.05 mm and 2.0° for linear and angular measurements, respectively. The average linear measurements ranged from 0.029 to 0.101 mm. Among the angular measurements, rotation values showed the least deviation and ranged from 0.396° to 0.623°. Directional bias was pronounced in the vertical direction, and many brackets were bonded toward the occlusal surface. However, no statistical difference was found for the three angular measurement values (torque, angulation, and rotation) in any of the groups classified according to crowding. When the teeth were moderately crowded, the mesio-distal, bucco-lingual, and rotation measurement values were affected by the presence of the resin base. Conclusions: The characteristics of the CAD/CAM one-piece jig system were demonstrated according to the influencing factors, and the transfer accuracy was verified to be within a clinically acceptable level for the indirect bracket bonding of anterior teeth.

• 대한치과의사협회지
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• 제54권7호
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• pp.563-574
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• 2016

A clear overlay appliance is a type of a removable appliance made from transparent thermoplastic plastic film that covers the entire dentition to move the teeth. It is one of the most favored orthodontic methods opted for by adult patients; this treatment is esthetic, does not cause discomfort and allows oral hygiene to be easily managed when compared to other conventional fixed treatment methods. However, the use of clear overlay appliances, such as invisalign or clear aligner, is associated with various clinical challenges. In particular, the appliances require longer treatment periods compared to fixed treatment, and due to the structural characteristics of the appliances, it is difficult to make proper posterior occlusion and certain type of tooth movement, including extrusion, rotation and tip. Thus, the clear overlay appliances are regarded as supplementary appliances by most orthodontists and have been used for simple orthodontic treatments, such as partial anterior alignments or orthodontic relapse cases. Owing to the remarkable advancement in the field of 3D digital technology over a period of 15 years, the accuracy and convenience of modern clear overlay appliances have continuously improved. Moreover, orthodontic outcomes have also been greatly improved by the introduction of new materials and successful application of various biomechanical methods from conventional orthodontic treatments in the design of clear overlay appliances. This study investigates the clinical limitations that should be considered during the application of clear overlay appliances and also examines the efforts and methods used to overcome these challenges.

• 치위생과학회지
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• 제18권4호
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• pp.218-226
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• 2018

불소 적용 후 교정용 브라켓 접착제 종류에 따른 불소의 재흡수성과 표면의 변화를 비교 평가하고자 하였다. 불소가 방출되지 않은 복합레진 Transbond $XT^{(R)}$, 불소 방출성 복합레진 $Blugloo^{(R)}$와 $LightBond^{(R)}$, 레진강화형 글라스 아이오노머 Rely $X^{TM}$ Luting $2^{(R)}$, 재래형 글라스 아이오노머 Fuji $I^{(R)}$를 사용하였다. 시편에서 방출되는 불소 방출량을 측정하였고, 불소 재흡수 능력을 비교하기 위해서 시편에 3가지의 불소 제품(APF gel, Tooth Mousse $Plus^{(R)}$, Fluor Protector)을 도포하였으며, 불소함유 치약으로 잇솔질을 하여 불소방출량 변화를 측정하였고, 표면조도 측정기와 FE-SEM을 이용하여 시편의 표면 조도 및 변화를 비교 평가하였다. Rely $X^{TM}$ Luting $2^{(R)}$와 Fuji $I^{(R)}$에서는 다른 불소 제품인 Tooth Mousse $Plus^{(R)}$, Fluor Protector뿐만 아니라 불소함유 치약으로 잇솔질한 후에도 불소의 재흡수량을 관찰할 수 있었다. Tooth Mousse $Plus^{(R)}$를 도포한 후에는 Transbond $XT^{(R)}$를 제외하고 표면 조도 값이 유의하게 증가하였으며, 모든 교정용 접착제에서 부분적인 미세 필러 입자의 탈락을 보였다. Fluor Protector를 도포한 후에는 Transbond $XT^{(R)}$, Rely $X^{TM}$ Luting $2^{(R)}$를 제외하고 표면 조도 값이 유의하게 증가하였으며, 모든 교정용 접착제의 표면에 막을 형성하여 기포가 생긴 부분을 제외하고 매끄러운 양상을 나타내었다. 모든 교정용 접착제에 APF gel을 도포했을 때는 표면 조도 값이 유의하게 크게 증가하였다. 이상의 결과를 종합해 볼 때, 교정용 브라켓을 접착할 때 치아우식 예방 효과를 도모하기 위한 불소 방출량을 고려한다면 Rely $X^{TM}$ Luting $2^{(R)}$와 Fuji $I^{(R)}$가적극 추천되며, 불소 제품으로는 Tooth Mousse $Plus^{(R)}$, Fluor Protector가 APF gel보다 우수한 것으로 나타났고, 불소가 함유된 치약으로 잇솔질을 하였을 때도 치아우식을 예방할 수 있을 것으로 생각된다.