• The korean journal of orthodontics
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• v.39 no.2
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• pp.105-111
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• 2009

Objective: To estimate the effects of bracket material type on enamel decalcification during orthodontic treatment, this study analyzed the adhesion level of mutans streptococci (MS) to orthodontic bracket materials in vivo. Methods: Three different types of orthodontic bracket materials were used: stainless steel, monocrystalline sapphire, and polycrystalline alumina. A balanced complete block design was used to exclude the effect of positional variation of bracket materials in the oral cavity. Three types of plastic individual trays were made and one subject placed the tray in the mouth for 12 hours. Then, the attached bacteria were isolated and incubated on a mitis salivarius media containing bacitracin for 48 hours. Finally, the number of colony forming units of MS was counted. The experiments were independently performed 5 times with each of the 3 trays, resulting in a total of 15 times. Mixed model ANOVA was used to compare the adhesion amount of MS. Results: There was no difference in colony forming units among the bracket materials irrespective of jaw and tooth position. Conclusions: This study suggested that the result of quantitative analysis of MS adhesion to various orthodontic bracket materials in vivo may differ from that of the condition in vitro.

• The korean journal of orthodontics
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• v.12 no.1
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• pp.15-20
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• 1982

The requirement of ideal orthodontic direct bonding adhesive should include longevity of bond, ability to withstand a variety of forces, resistance to the degrading effects of the oral environment, and ability to be easily removed without affecting the integrity of the enamel. The purpose of this study was to evaluate the adhesive properties of recently developed 3 orthodontic directbonding adhesives by testing the tensile strength. 75 premolars extracted for orthodontic treatment were used. The tensile strength was tested by Tensilon/UTM-1-10000C after 24 hours from bonding. Following results were obtained; The mean tensile strength of each product was higher than the maximum force $(29kg/cm^2)$ exerted on a bracket during orthodontic treatment. The tensile strength of Mono-Lok was statistically higher than Concise and Dyna-Bond, although there was no difference between the tensile strength of Concise and Dyna-Bond statistically. Of the filure, the combination type of failure $(68\%)$, where part of the adhesive remained on the tooth and part on the bracket was the most common type. The second type of failure $(22.7\%)$ occurred at the toothadhesive interface and the last type of failure $(9.3\%)$ occurred at the adhesive-bracket interface.

• 대한치과교정학회:학술대회논문집
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• 2005.11a
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• pp.153.1-153.1
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• 2005

• Imaging Science in Dentistry
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• v.51 no.4
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• pp.413-419
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• 2021

Purpose: The aim of this in vitro study was to assess the role of bandwidth on the area of magnetic resonance imaging (MRI) artifacts caused by orthodontic appliances composed of different alloys, using different pulse sequences in 1.5 T and 3.0 T magnetic fields. Materials and Methods: Different phantoms containing orthodontic brackets (ceramic, ceramic bracket with a stainless-steel slot, and stainless steel) were immersed in agar gel and imaged in 1.5 T and 3.0 T MRI scanners. Pairs of gradient-echo (GE), spin-echo (SE), and ultrashort echo time (UTE) pulse sequences were used differing in bandwidth only. The area of artifacts from orthodontic devices was automatically estimated from pixel value thresholds within a region of interest (ROI). Mean values for similar pulse sequences differing in bandwidth were compared at 1.5 T and 3.0 T using analysis of variance. Results: The comparison of groups revealed a significant inverse association between bandwidth values and artifact areas of the stainless-steel bracket and the self-ligating ceramic bracket with a stainless-steel slot(P<0.05). The areas of artifacts from the ceramic bracket were the smallest, but were not reduced significantly in pulse sequences with higher bandwidth values(P<0.05). Significant differences were also observed between 1.5 T and 3.0 T MRI using SE and UTE, but not using GE 2-dimensional or 3-dimensional pulse sequences. Conclusion: Higher receiver bandwidth might be indicated to prevent artifacts from orthodontic appliances in 1.5 T and 3.0 T MRI using SE and UTE pulse sequences.

• The korean journal of orthodontics
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• v.23 no.4 s.43
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• pp.671-691
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• 1993

To estimate the possibility in the application of TiN ion-plating to the orthodontic appliance, this study investigated frictional force and frictional coefficient between non-ionplated and TiN ion-plated to the orthodontic appliance. The obtained results were as follows : 1. For each group, the frictional force between metal bracket and arch wire in the wet condition was exhibited lower than that in the dry condition. 2. In the dry condition, the frictional force was lowest with fourth group, and it increased in the order of the 3rd, 1st, and 2nd group. Same situation happened in the wet condition. 3. Experimental results using ceramic & plastic bracket showed that group B was lower than group A, and group D was similar to group C. 4. The surface texture after experiment showed that the scratch due to a friction with bracket was observed in an arch wire of dry contition. Also the surface of bracket was rougher than before. 5. We observed that a specimen surface processed with the TiN ion plating was smoother than that of without the TiN ion plating. 6. The surface texture of a metal bracket and an arch wire in the wet condition was observed smoother than that in the dry condition. 7. In the dry condition, the friction coefficient of each specimen was very similar to each other, but in the wet condition, the friction coefficient of specimen processed with the TiN ion plating showed lower values.

• The korean journal of orthodontics
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• v.18 no.1 s.25
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• pp.155-163
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• 1988

The purpose of this study was to evaluate and compare frictional forces generated between orthodontic brackets and arch wires. Independent variables were chosen for study: arch wire size and shape, arch wire material, bracket width, and second-order angulation between bracket and arch wire. Kinetic frictional forces of stainless steel (0.014', 0.016', 0.018', 0.016' ${\times}$ 0.022', 0.018' ${\times}$ 0.022'), $\beta-titanium$ (0.016' ${\times}}$ 0.022') arch wires were measured on wide and junior edgewise twin brackets (0.018' ${\times}$ 0.022' slot). Instron was used to pull arch wires while $0^{\circ},\;3^{\circ},\;6^{\circ},\;or\;9^{\circ}$ angulation between and wire and bracket was given. The results were as follows: 1. The frictional force of $\beta-titanium$ wire was larger than that of stainless steel wire. 2. The frictional force was generally increased as the size of wire is increased. 3. The frictional force of rectangular wire was larger than that of round wire. 4. As second order angulation was increased, the frictional force was also increased. 5. The frictional force was larger on a wide bracket than on a junior bracket.

• The korean journal of orthodontics
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• v.51 no.4
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• pp.270-281
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• 2021

Objective: The aim of this in vitro study was to evaluate the changes in friction between orthodontic brackets and archwires coated with aluminum oxide (Al₂O₃), titanium nitride (TiN), or chromium nitride (CrN). In addition, the resistance of the coatings to intraoral conditions was evaluated. Methods: Stainless steel canine brackets, 0.016-inch round nickel-titanium archwires, and 0.019 × 0.025-inch stainless steel archwires were coated with Al₂O₃, TiN, and CrN using radio frequency magnetron sputtering. The coated materials were examined using scanning electron microscopy, an X-ray diffractometer, atomic force microscopy, and surface profilometry. In addition, the samples were subjected to thermal cycling and in vitro brushing tests, and the effects of the simulated intraoral conditions on the coating structure were evaluated. Results: Coating of the metal bracket as well as nickel-titanium archwire with Al₂O₃ reduced the coefficients of friction (CoFs) for the bracket-archwire combination (p < 0.01). When the bracket and stainless steel archwire were coated with Al₂O₃ and TiN, the CoFs were significantly lower (0.207 and 0.372, respectively) than that recorded when this bracket-archwire combination was left uncoated (0.552; p < 0.01). The friction, thermal, and brushing tests did not deteriorate the overall quality of the Al₂O₃ coatings; however, some small areas of peeling were evident for the TiN coatings, whereas comparatively larger areas of peeling were observed for the CrN coatings. Conclusions: Our findings suggest that the CoFs for metal bracket-archwire combinations used in orthodontic treatment can be decreased by coating with Al₂O₃ and TiN thin films.

• The korean journal of orthodontics
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• v.30 no.5 s.82
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• pp.613-623
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• 2000

The purpose of this study was to amount of the frictional forces with the brackets and wires, ligation methods, dry/wet, offsets, interbracket distances, velocity and to compare them each other by different conditions. This study tested 0.018'x0.025' slot sized 8 types of orthodontic bracket systems and 0.016', 0.016'x0.022' sized stainless steel, NiTi, Cu-NiTi orthodontic wires. One cuspid bracket were positioned on the slide glass and archwire was engaged into bracket and ligated with elastomeric modules. The values of frictional forces were measured with the instron universal testing machine. The results were as follows; 1. Polycrystalline ceramic bracket had the highest mean frictional forces and followed and by ceramic reinforced plastic bracket, metal bracket, plastic bracket with metal slot, monocrystalline ceramic bracket, single bracket, self-ligating bracket, friction free bracket in descending order. The self-ligating bracket showed low frictional forces in the round wires and high frictional forces in the rectangular wires. 2. Stainless steel wires had the least frictional forces and followed by NiTi, Cu-NiTi wires in descending order. Round wires had lower frictional forces then that of rectangular wires. 3. The stainless steel ligation method had significantly greater mean frictional forces them the elastomeric module ligation method. 4. Artificial saliva statistically increased the frictional forces in stainless steel wire, NiTi wire and Cu-NiTi wire. 5. There was a statistically significant difference with offset change 6. There was no statistically significant difference with interbracket distance in stainless steel wires but a significant difference in NiTi wires as the interbracket was decreased. 7 There was no statistically significant difference with velocity change. From the above findings, self-ligating bracket, stainless steel wires and the elastomeric module ligation method might be effective than any other materials to reduce the frictional forces in the orthodontic treatment and can be correlated to clinical situations seen in orthodontic patient care.

• Journal of dental hygiene science
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• v.11 no.6
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• pp.489-495
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• 2011

The present study was designed to grasp the oral health behavior practice levels and PHP index and gingival index of orthodontic patients' orthodontic related characteristics. A survey and oral examination were conducted for 206 orthodontic patients with fixed appliances. The collected data were analyzed with a t-test, one way ANOVA and stepwise multiple regression. Women were higher than men of the toothbrushing parts(p<0.05), toothbrushing frequency(p=0.001) and use of more oral hygiene products(p<0.01). As for the use of more oral hygiene products practice, it has higher when experience of more education(p<0.05), toothbrushing method practice difference when it comes to age(p<0.05). As for toothbrushing times, difference was purpose of orthodontics(p<0.05) and period of orthodontics(p<0.05) and orthodontics equipment(p<0.05). As for orthodontic equipment, conventional-ligating bracket high score compared to the self-ligating bracket with Buccal PHP index(p<0.001) and gingival index(p<0.05). The factors with lowest possible Buccal PHP index; when age is greater(p<0.05), toothbrushing method practice is higher(p<0.001) and when patients have self-ligating bracket(p<0.001). Education for the orthodontic patients on the oral health behavior practice should be carried out structurally to the group of patients who are 17 years old or younger, to the group with conventional-ligating bracket and to the men. Moreover, it is critical to ensure that there won't be oral health problem during on orthodontic period.

• The korean journal of orthodontics
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• v.52 no.4
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• pp.278-286
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• 2022

Objective: To evaluate differences in the adhesion levels of the most common oral pathogens, Streptococcus mutans and Porphyromonas gingivalis, in human saliva-derived microcosm biofilms with respect to time and raw materials of orthodontic brackets. Methods: The samples were classified into three groups of bracket materials: 1) monocrystalline alumina ceramic (CR), 2) stainless steel metal (SS), and 3) polycarbonate plastic (PL), and a hydroxyapatite (HA) group was used to mimic the enamel surface. Saliva was collected from a healthy donor, and saliva-derived biofilms were grown on each sample. A real-time polymerase chain reaction was performed to quantitatively evaluate differences in the attachment levels of total bacteria, S. mutans and P. gingivalis at days 1 and 4. Results: Adhesion of S. mutans and P. gingivalis to CR and HA was higher than the other bracket materials (SS = PL < CR = HA). Total bacteria demonstrated higher adhesion to HA than to bracket materials, but no significant differences in adhesion were observed among the bracket materials (CR = SS = PL < HA). From days 1 to 4, the adhesion of P. gingivalis decreased, while that of S. mutans and total bacteria increased, regardless of material type. Conclusions: The higher adhesion of oral pathogens, such as S. mutans and P. gingivalis to CR suggests that the use of CR brackets possibly facilitates gingival inflammation and enamel decalcification during orthodontic treatment.