IU Indianapolis ScholarWorks :: Browsing by Subject "Orthodontic Brackets"

Browsing by Subject "Orthodontic Brackets"

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A Comparison of Shear-Peel Bond Forces of Flattened and Unaltered Brackets on Flattened and Curved Enamel Surfaces
(2007) Wyatt, Tracy D.; Katona, Thomas R.; Baldwin, James J.; Hohlt, William F.; Moore, B. Keith; Shanks, James C.
One aspect of bond strength testing that varies among researchers is the contour of the tooth and bracket bases that are tested. Unaltered teeth with as-manufactured brackets are the most commonly used combination. Flattened teeth with unaltered bracket bases and mechanically flattened teeth and brackets are also used. The intended purpose of this project was to determine the effect of tooth and bracket contour combinations on the shear, tension and torsional bond forces of bonded brackets. The crowns of two-hundred and four bovine incisors were potted in acrylic tubes with their facial surfaces slightly protruding. The facial surfaces of half of them were ground flat on a Wehmer model trimmer (The Wehmer Corporation, Lombard, IL). The remainder were contoured on a Wehmer model trimmer using a jig that rotated the tooth's facial surface on a radius of approximately 3 inches. One-hundred and two maxillary right central incisor brackets (3M Unitek, Monrovia, CA. Victory Series, .022 slot) were flattened, ten at a time with a 2000 N force on a self-leveling plate in the MTS Bionix testing machine (MTS Systems Corporation, Eden Prarie, MN). Another 102 brackets were unaltered. The Day 1 data set samples (shear-peel loading) were etched with 35% phosphoric acid gel and bonded with Transbond XT Light Cured Adhesive Paste (3m Unitek). This provided 17 specimens for each of four groups: curved tooth/curved bracket (C/C), curved tooth/flat bracket (C/F), flat tooth/curved bracket (F/C), and flat tooth/flat bracket (F /F). The samples were de-bonded in the MTS Bionix testing machine with the force applied parallel to the bracket base, (i.e., in shear-peel) and the peak forces were recorded. Due to large variations in the results and low forces compared with previously published studies from this laboratory, the bonding protocol and loading were altered for Day 2 testing. Rather than torsion loading, the shear-peel debond set was repeated. The following changes were made to the bonding protocol. The samples were pumiced following sanding and stored in fresh de-ionized water prior to bonding. The samples were also dried with compressed air following etching and the primer was thinned with compressed air. Following preparation the samples were debonded in the MTS Bionix testing machine and peak forces were recorded. These results were also inexplicably variable and relatively low. Day 3 samples, intended for torsion debonding, were bonded the same as the Day 2 samples except that a 3 7% phosphoric acid liquid (Reliance, Itasca IL) was used to etch the samples and a new bottle and tube of Trans bond XT Light Cured Adhesive Primer and Transbond XT Light Cured Adhesive Paste (3M Unitek) were used. The samples were also debonded in shear-peel in the MTS Bionix testing machine and peak forces were recorded. Despite the outlined efforts, these results were also scattered and relatively lower than obtained previously. An analysis of variance model was used to evaluate the bond forces and showed no statistical difference among the groups except that in the Day 2 data set the C/C group was significantly weaker than the F/F group (p= .0452). In the Day 3 data set the C/C group was also weaker than the F/F group though the results were not significant (p=.0739). There is a trend to suggest that the bracket base and crown curvatures may be important factors in determining shear bond force.
A Comparison of Three Debonding Techniques Employing Two Different Cements
(2004) McCabe, Russell; Katona, Thomas R.; Baldwin, James J.; Hohlt, William F.; Moore, B. Keith; Shanks, James C.
The theory and practice of bonding orthodontic brackets to enamel has become the accepted standard. However, regardless of the adhesive of choice, much controversy exists regarding bond strength values and testing protocols. Most bond strength testing has been done in either shear/shear-peel or tension. Some studies have used shear and tension and very few have used shear, tension and torsion. Some authors contend there is no difference in the stress required to produce bond failure by either tensile or shear test models. However, it has been shown that stress is not distributed uniformly during loading and each mode of strength testing produces unique stress patterns. Additionally, since in the oral cavity brackets are subject to shear, tensile and torsion forces, it seems logical that a complete picture of bond strength could not be formulated without all three test methods. Confounding the issue is the fact that adhesive research is being performed in non-standardized manners making it impossible to compare results among different researchers. Despite the vast amount of information presented in articles, this has resulted in a lack of consensus regarding clinical bond strength values. The purpose of this investigation was to evaluate the three debonding techniques (shear-peal, tension, torsion) using stainless steel brackets and two different bonding agents (traditional resin cement vs. resin reinforced glass ionomer). The hypotheses of this investigation were (1) the relative shear-peal, tensile and torsional bond strengths will show consistent results and (2) cement type will have a significant effect on the bond strengths. One hundred sixty-two bovine incisors were randomly assigned to 6 groups of 27 specimens per group. Teeth were bonded with either a resin composite adhesive or a resin reinforced glass ionomer cement following manufacturers' instructions. Bonding was performed under controlled temperature and humidity (71 °F± 2° and 56% RH± 5%). In addition, specimens were bonded utilizing a bonding jig that held the thickness of the adhesive constant at 0.006 inches. All groups were tested to failure using the MTS Bionix machine in shear, tension and torsion. The results showed that the resin composite had a significantly higher load at failure in shear and torque than the resin-modified glass ionomer. However, in tension, no significant difference was found between the two cements. Additionally, analysis of relative strength indicated a difference between shear strength and tension suggesting that testing mode influences bond strength values. It is the conclusion of this study that the load at failure for resin composite and resin-modified glass ionomer are not consistent and depend on the loading mode.
A Comparison of Three Debonding Techniques Employing Two Methods of Tooth Preparation
(2003) Long, Robert W.; Katona, Thomas R.; Baldwin, James J.; Hohlt, William F.; Moore, B. Keith; Shanks, James C.
Traditionally, orthodontic adhesive systems consisted of three separate agents: an enamel conditioner, a primer solution, and an adhesive resin. Newer systems have combined the conditioning and priming agents into a single acidic primer solution. The purpose of this investigation is to evaluate the three debonding techniques (shear-peel, tension, torsion) using stainless steel brackets and two different methods of tooth preparation (37% phosphoric acid+ primer vs. self-etching primer). The null hypotheses of this investigation are (1) the method of tooth preparation will not have a significant effect on the bond strengths and (2) the relative shear-peel, tensile and torsional bond strengths will show consistent results. One hundred and fifty bovine incisors were randomly assigned to 6 groups of 25 specimens per group. Teeth were prepared for bonding by employing either (1) acid-etching with 37% phosphoric acid+ primer or (2) self-etching primer. The brackets were bonded with a resin composite adhesive under controlled temperature and humidity conditions at 74°F ± 2 and 54% ± 5 RH. In addition, specimens were bonded utilizing a bonding jig that held the thickness of the adhesive constant at 0.152 mm. All groups were tested to failure using the MTS Bionix machine. Results from this study showed that the prime-etching method of tooth preparation had significantly greater mean shear-peel bond strength than did the self-etch method and that the prime-etching method had significantly less mean tensile bond strength than did the self-etch method; however there were no significant differences in torque strengths between the two methods of tooth preparation. In addition, results for the true ratio of mean forces showed shear-peel bond strengths lies clearly above the confidence intervals for the other debonding measures, thus the three measures of debonding are dissimilar in the comparison of the two tooth preparation methods. Thus, both null hypotheses were rejected.
A Frictional Evaluation of a New Surface-Modified Titanium Orthodontic Bracket
(2000) Olsen, Marc E.; Oshida, Yoshiki; Andres, Carl J.; Katona, Thomas R.; Moore, B. Keith; Roberts, W. Eugene; Shanks, James C.
Sliding mechanics is a popular method of moving teeth orthodontically. Sliding mechanics refers to the guiding of a tooth by means of the bracket slot along an archwire in response to some applied force. This concept of tooth movement is subject to both static and kinetic friction. An accurate evaluation of an appliance's frictional properties enables a clinician to identify applications where the utilization of a new appliance may be advantageous. The aim of this study was to evaluate the frictional properties of this new surface-modified titanium orthodontic bracket compared with a traditional stainless steel orthodontic bracket and a currently available non-surface modified titanium bracket. Fifteen brackets (5 Stainless steel, 5 Titanium, 5 Coated Titanium) were combined with five archwires from each material type (SS, NiTi, βTi). Frictional evaluation was completed on each bracket material utilizing .021" x .028" size archwire materials in a specially designed apparatus under wet conditions. The frictional resistance was measured on an Instron Universal Testing machine (Instron Corp, Canton, Mass). The brackets/archwire samples were tested one at a time individually. In addition, a single bracket/ archwire sample from each group was repeatedly tested five times. Measurements were made at every 0.1mm for 30mm via a computer attached to the testing machine. An ANOV A was used to determine differences between groups. The results indicate that stainless steel brackets exhibited significantly better static and kinetic frictional properties than the titanium brackets. Stainless steel wires possessed superior frictional properties to NiTi and β-Ti wires. NiTi wires were generally superior than β-Ti wires. As brackets and archwires were reused, the overall frictional values showed a distinct trend to increase.
An Evaluation of the Bond Strength of Recycled Orthodontic Bonded Brackets
(1981) Higgins, Duncan W.
This investigation was designed to determine the effects of recycling orthodontic bonded attachments on bond strength. It was hypothesised that the reduction of the bracket mesh wire diameter as a result of electro-polishing may affect the bond at the mesh-resin interface. Ten brackets with brazed mesh were bonded to extracted bicuspid teeth and after 24 hours the mesh-resin bond was tested to failure in tension. The brackets were recycled in an Esmadent bracket reconditioner and rebonded to 10 fresh teeth. The process was repeated until the brackets had been recycled six times each and the bond strength determined for a total of 70 teeth, with the following results. 1. The mean bond strengths for each group were not significantly different at the .05 probability level. 2. There was no significant correlation between the number of cycles and bond strength. 3. After the brackets had been recycled five times, there were areas of missing mesh around the periphery of same brackets. It can be concluded that the primary factor limiting the number of times a bracket can be reused is the widening of the bracket slot, rather than the decrease in band strength.
An analytical approach to 3D orthodontic load systems
(The Angle Orthodontist, 2014-09) Katona, Thomas R.; Isikbay, Serkis C.; Chen, Jie; Department of Orthodontics and Oral Facial Genetics, IU School of Dentistry
OBJECTIVE: To present and demonstrate a pseudo three-dimensional (3D) analytical approach for the characterization of orthodontic load (force and moment) systems. MATERIALS AND METHODS: Previously measured 3D load systems were evaluated and compared using the traditional two-dimensional (2D) plane approach and the newly proposed vector method. RESULTS: Although both methods demonstrated that the loop designs were not ideal for translatory space closure, they did so for entirely different and conflicting reasons. CONCLUSIONS: The traditional 2D approach to the analysis of 3D load systems is flawed, but the established 2D orthodontic concepts can be substantially preserved and adapted to 3D with the use of a modified coordinate system that is aligned with the desired tooth translation.
Clinical Evaluation of Glass Ionomer Cement as an Adhesive for the Bonding of Orthodontic Brackets
(1988) Miller, James R.; Garner, LaForrest D.; Moore, B. Keith; Shanks, James C., Jr.; Barton, Paul; Potter, Rosario H.
Glass ionomer cement has been shown in previous studies to retard decalcification and caries formation. This cement would be valuable in orthodontics if it proved to have adequate adhesive properties. Therefore, this study was designed to determine if there is a significant difference in the failure rate of brackets attached to teeth using a glass ionomer cement, Ketac-fil, and the failure rate of brackets attached to teeth using a conventional orthodontic adhesive system, Rely-a-bond. Six patients in the Department of Orthodontics at Indiana University School of Dentistry participated in this study. Each patient had 16 to 20 teeth available for bracketing. Direct-bond orthodontic brackets were attached to one-half of each participant's available teeth using Ketac-fil. Rely-a-bond was used to bond brackets to the remaining half of the teeth. Fifty-three brackets were placed with Ketac-fil, and 53 with Rely-a-bond. This study lasted a minimum of ten weeks for each patient. The following observations were made: 1) The failure rates for brackets attached with Ketac-fil and those attached with Rely-a-bond. 2) The type of bracket failure for brackets bonded with Ketac-fil. 3) Pre-study and post-study decalcification patterns of teeth with brackets attached with Ketac-fil. The bracket failure rate was 3.77% for the Ketac-fil group and 5.66% for the Rely-a-bond group. There was no significant difference between the failure rates of these two groups at the alpha = 0.05 level when tested with the Fisher Exact Probability Test. Of the two brackets that failed in the Ketac-fil group, only one was available for examination and it demonstrated a definite adhesive type of bracket failure. With respect to decalcification patterns, no obvious change in pattern occurred for teeth in the Ketac-fil group. There was no statistical difference between the failure rates of brackets attached with Ketac-fil and those attached with Rely-a-bond. Previous studies have shown that glass ionomer cements release fluoride and that this may retard decalcification and caries formation. Decalcification and caries formation around the margins of orthodontic brackets have been identified as potential risks of orthodontic treatment. Thus, the use of a glass ionomer cement as a bonding agent in orthodontics might reduce these potential risks without compromising the attachment of the brackets to teeth. This study provides the basis for more extensive clinical trials of glass ionomer cements as bonding agents for direct-bond orthodontic brackets.
Comparative Tensile Strengths of Brackets Bonded to Porcelain with Orthodontic Adhesives and Porcelain Repair Systems
(1986) Eustaquio, Robert I.; Garner, LaForrest D.; Barton, Paul; Hennon, David K.; Moore, B. Keith; Muñoz, Carlos; Shanks, James C.
This study evaluated the feasibility of bonding brackets to porcelain for orthodontic purposes by measuring and comparing tensile strengths of five silane-based adhesive systems. Each adhesive system bonded mesh pad brackets to 10 glazed and 10 deglazed metal-ceramic crowns and the specimens were then thermocycled between 16 degrees and 56 degrees for 2500 cycles. Clinically relevant bond strengths, comparable to those of adhesives bonding brackets to enamel, were recorded for four of the systems compared. System l+ and Porcelain Primer had the highest mean values followed by Lee's Enamelite 500, then Vivadent's Silanit, Contact-Resin and Isopast, then 3M's Concise and Scotchprime. Most, if not all, failure sites for the four were at the bracket-resin interface. Two-way factorial analysis of variance demonstrated significant differences at P<.001 among the four adhesives but no contribution of surface effect, whether glazed or deglazed, was suggested statistically. Neuman-Keul sequential range tests showed significant differences between System l+ and the three other systems but no significant differences among the three were detected. Den-Mat's Ultrabond recorded extremely low tensile strength values and was of dubious clinical value. A t-test suggested that deglazing porcelain contributed no significant difference in strength compared with intact, glazed porcelain. All failure sites were at the porcelain-resin interface for this product. Since resin may remain bonded to porcelain following debonding, George Taub's diamond polishing paste and Shofu porcelain polishing wheels were compared as to their ability in restoring the porcelain to its original state. Because of the great adhesive bond of the resin to porcelain, craters, pits or tears may be created when resin is cleaned from porcelain with conventional scalers and pliers. The diamond paste gave a better restorative finish than the stones but the end result depended on the extent of original damage following cleaning. Orthodontists should take this point into account when considering bonding to porcelain crowns or veneers for esthetics sake where final risks may outweigh initial benefits. In a limited survey of 100 orthodontists responding to a questionnaire, 89% indicated that they have bonded or contemplated bonding to composite restored teeth, and 83% indicated that they have bonded or contemplated bonding to porcelain.
Comparison of Root Resorption in Patients Treated With .018 Slot Brackets Versus Those Treated With .022 Slot Brackets
(2002) Bailey, Spencer S.; Hohlt, William F.; Hathaway, Ronald; Baldwin, James J.; Parks, Edwin T.; Shanks, James C.
Understanding the factors that increase patients susceptibility to orthodontically induced root resorption is of the utmost importance to the practicing clinician. Numerous studies have been conducted that investigated contributing and etiological factors that tend to increase the amount of external apical root resorption a patient may incur during orthodontic treatment. However, there has been little research that has attempted to determine if patients treated with different slot size orthodontic brackets exhibit the same amount of external apical root resorption. The purpose of this research was to determine if patients treated with the 0.018 x 0.025 slot size bracket and patients treated with the 0.022 x 0.028 exhibited similar amounts of external apical root resorption during orthodontic treatment. Pre and Post treatment panoramic films from 91 consecutively treated orthodontic patients from a private orthodontic practice were used for this study. Each case that was included in the study had been treated with standard edgewise brackets using the Tweed-Merrifield philosophy of treatment. Forty-three cases from the 0.018 group and 48 from the 0.022 group were obtained. Each film that was analyzed was blinded prior to measuring to minimize observer bias. Mitutoyo Digimatic® calipers accurate to the nearest tenth of a millimeter were used for obtaining tooth measurements. Measurements were made from the Cemento-enamel junction and from incisal/occlusal to most apical portion of each incisor and all first molars. Statistical analysis was performed and the results showed no significant correlation between the size of the bracket and the amount of root resorption. No significant correlations existed between the groups for patient age, time in treatment, gender, and angle classification. Statistically significant differences were noted for cases in which extraction of four bicuspids was performed. Subjects belonging to the extraction group demonstrated significantly more external apical root resorption than those in which extractions were not done. This study demonstrated that the incidence of EARR that a patient may incur during treatment is independent of the size of the slot of the orthodontic bracket.
Comparison of Tensile Bond Strengths of Glass Ionomer Cements Using Hydroxyapatite Coated and Uncoated Orthodontic Brackets
(1993) Ng, Richard I. Cheng Hin; Hohlt, William F.; Moore, B. Keith; Oshida, Yoshiki; Garetto, Lawrence P.; Roberts, W. Eugene; Shanks, James C.
The use of glass ionomer cements (GIC) in orthodontics as a bonding agent has been receiving considerable attention due to its favorable properties, ie., physico-chemical adhesion to enamel, fluoride leaching capabilities and less traumatic bonding procedure to tooth structure. GIC ability to bond to the hydroxyapatite (HA) in the tooth enamel was tested utilizing an HA coated bracket developed by American Orthodontics. This study compared in vitro tensile bond strengths of four dental adhesives: Ketac-cem™ (KC), Vitrebond™ (VB), Transbond™ (TB) or Unite™ (UN), when used to bond to HA coated brackets and non-HA coated brackets. Bovine incisors were divided into eight groups of 20 specimens each. Each group included either an HA coated or non-HA coated bracket and one of the four adhesives. The brackets are manufactured with a Tricalcium Phosphate (TPC) coating, which is converted to an HA coating by the addition of -OH during autoclaving. The coated and non-coated brackets were bonded to the bovine teeth, which were embedded in epoxy resin blocks to fabricate the testing specimen. All of the specimens were stored in distilled water at room temperature for two weeks. This was followed by thermocycling after which the specimens were returned to water storage for an additional two weeks. The specimens were tested in tension on an lnstron Testing Machine until bond failure occurred. Mode of bond failure was determined visually by light microscope. The mean tensile bond strengths for KC and VB were each significantly less (p< 0.05) than the other three materials, while UN and TB were not significantly different. KC was the weakest at 0.68± 0.31 MPa, while UN was the strongest, 4.38±0.84 MPa. When comparing the GIG alone, there was a significant difference (p<0.0001) between the VB and the KC. The resins were not significantly different from each other. Differences between coated and non-coated were significant at p<0.05 with the noncoated brackets having the higher strength. Adhesive failure at the bracket interface for the two bracket types showed no difference for KC. TB and UN showed this type of failure significantly more with the coated brackets (p<0.05), and VB showed the opposite and more failure with non-coated brackets (p<0.01). The tensile bond strength of GIG continues to be significantly less than those of existing resins. The bond failure also revealed a high degree of within group variability. Trends relating failure mode to tensile bond strength could not be established. Greater bond strengths with the coated brackets and the GIG were not shown; however in the case of VB, the tendency for the coated brackets to fail less frequently at the bracket adhesive interface shows some promise. Further studies of these coated brackets are still warranted.

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