Objective: The aim of this study was to assess apical root resorption (RR) following the application of micro-osteoperforation (MOP) and piezocision (PzC) assisted orthodontics for the acceleration of tooth movement (TM). Materials and Methods: A total number of 16 patients seeking orthodontic therapy were included in this study. All patients had undergone 1 st premolars extraction and were indicated for canine retraction. These patients were divided into two groups; one was treated using MOP in one side while the other side served as control. In the other group PzC was performed in one side with no intervention done on the other side. Cone-beam Computed Tomography (CBCT) scans were obtained for every patient before and after canine retraction in order to evaluate amount of RR. Results: In the MOP group, there was no significant difference in canine root length between experimental and control sides. Whereas, in the PzC group, there was a statistically significant decrease in root length in the experimental side compared with the control side. When comparing both groups, the experimental PzC side showed a statistically significant decrease in root length compared to experimental MOP side postoperatively. Conclusion: Experimental PzC showed statistically significant decreases in canine root length compared to both experimental MOP and control side after canine retraction.

Background Risk of enamel damage that often accompanies ceramic brackets debonding raises the demand of finding an optimal method for debonding of them without adverse effects. Different techniques were proposed in an attempt to facilitate their debonding. Comparison of these techniques is crucial. The aim of this study was to evaluate and compare different techniques for debonding of ceramic brackets in terms of shear bond strength and adhesive remnant index. Materials and methods A total of 100 extracted premolars were randomly allocated into 5 groups. Ceramic brackets were then bonded to teeth using light cure composite resin. Among test groups; group I: served as control, group II: chemical aided debonding via peppermint oil, group III: ultrasonic aided debonding, group IV: diode laser aided debonding, and group V: Er:YAG laser aided debonding. Brackets were shear tested using universal testing machine followed by ARI assessment and evaluation of enamel microstructure was performed using scanning electron microscopy. Results A significantly lower shear bond strength was found in ultrasonic, diode, and Er:YAG laser groups. However, no significant difference was found in the chemical group. A significantly higher adhesive remnant index was found solely in Er:YAG laser group with minimal enamel microstructure alterations. Conclusions Er:YAG laser is a promising tool in debonding ceramic brackets. Ultrasonic and diode laser significantly reduced shear bond strength. Yet, adhesive remnant index in both groups revealed no difference. Chemical aided debonding had little effect and hence, it cannot be recommended without further development.

The objective of this study was to evaluate the canine retraction rate with two low-level laser therapy (LLLT) irradiation protocols, involving both a high and a low application frequency. Twenty patients were randomly divided into two equal groups. In Group A, one side of the maxillary arch randomly received LLLT on days 0, 3, 7, 14, and every 2 weeks thereafter, whereas in Group B, one side received LLLT every 3 weeks. Tooth movement was checked every three weeks since the onset of canine retraction, over the 12-week study period. Moreover, Interleukin-1β (IL-1β) levels in the gingival crevicular fluid were assessed. Results revealed a significant increase in the canine retraction rate on the laser sides of groups A and B, in comparison with the control sides (p < 0.05), with no significant differences reported between the laser sides in both groups (p = 0.08–0.55). Also, IL-1β levels were significantly higher on the laser sides of both groups, in comparison with the control sides (p < 0.05). Therefore, LLLT can effectively accelerate tooth movement, with both frequent and less frequent applications, which is attributed to an enhanced biological response as reflected by the elevated IL-1β levels on the compression sides.

Objectives: The aim of this study was to evaluate the shear bond strength of three different types of bonding systems for orthodontic brackets to tooth surface. Materials and Methods: Sixty sound premolar teeth divided randomly into three groups of 20 each. In group A, the brackets were bonded using conventional etch system. In group B, brackets were bonded using self-etch primer system, while in group C, brackets were bonded using one step adhesive system. Premolar teeth were mounted with cold acrylic resin in metallic mold and brackets were shear tested to failure using universal testing machine recorded in Newton for all specimens. Results: Group C shows significantly higher value of shear bond strength in comparison to groups A and B, while there was no significant difference between group A and B. Conclusion: Orthodontic brackets bonded to enamel surface using one-step bonding system (GC ortho connect) without primer was significantly higher than brackets bonded using conventional or self-etch systems.

Background Controversial results have been reported regarding the impact of photobiomodulation (PBM) on orthodontically induced inflammatory root resorption (OIIRR). The aim of this study was to evaluate the influence of two PBM protocols, one of them requiring a high application frequency (on days 0, 3, 7, 14, then every 2 weeks), while the second requires less frequent applications (every 3 weeks), on OIIRR accompanying orthodontic treatment. Methods Twenty female patients were recruited for this randomized controlled trial, requiring the therapeutic extraction of maxillary first premolars, and they were randomly divided into 2 equal groups. In Group A, one side of the maxillary arch randomly received PBM on days 0, 3, 7, 14, and every 2 weeks thereafter, while in Group B, one side was randomly chosen to receive PBM every 3 weeks. The laser applied was a Diode laser with a wavelength of 980 nm, in a continuous mode. Canine retraction in both groups was carried out using closed-coil springs, delivering 150 g of force, and the force level was checked every 3 weeks, over a 12-week study period. Pre-retraction and post-retraction cone-beam computed tomography (CBCT) was done for the evaluation of OIIRR. Results No significant differences in the amount of OIIRR have been reported between the laser and control sides in both groups A and B. Also, no significant differences have been reported between the laser sides in both groups. Conclusions Photobiomodulation does not affect OIIRR, whether by increasing or decreasing its occurrence, with both laser application protocols. Therefore, it can be stated that PBM does not result in root resorption less than the commonly observed range elicited with conventional orthodontic treatment, and that it has no effect on OIIRR. Trial registration Two Low-level Laser Irradiation Protocols on the Rate of Canine Retraction (NCT04926389), 15/06/2021—retrospectively registered. https://clinicaltrials.gov/ct2/show/NCT04926389.

Objective: The aim of this study was to evaluate the efficacy of REGENAMEL® on white spot lesions (WSLs)in terms of the extent of color change and the degree of mineralization.Materials and methods: Artificial white spot lesions were induced in 40 extracted human premolars, divided into a test and a control groups. REGENAMEL® was applied to the test group according to manufacturer's instructions, while the control group received no treatment. Both groups were incubated in remineralizing solution for 90 days at 37 °C. Specimens were evaluated using VITA Easyshade advance spectrophotometer at baseline (E0), after WSLs induction (E1) and 90 days following treatment (E2).DIAGNOdent evaluation was done After WSLs induction (D1) and at the end of incubation period (D2). Results: The Data was collected and statistical analyses were done using Statistical Package for Social Sciences (SPSS).No significant difference between groups was found after formation of WSLs ΔE (T0 -T1). Meanwhile significant difference was present between the two groups when comparing the color change after 90 days (T2-T1). ΔE values were 8.2 ± 4.81 and 1.92 ± 1.21 for the test and control groups respectively. Despite the final outcome showed marked improvement when compared to the baseline readings (T2-T0) 4.94 ± 3.66, the final color of the lesions was still not matching the baseline color. For the DIAGNOdent readings, at T1 the mean value for the test group was 15.55 ± 3.81 while that of the control group was 14.95 ± 2.16. At T2, for the test group, all specimens showed significantly decreased fluorescence values towards the values of sound dental tissues with mean value of 9.9 ± 1.94. The fluorescence values for the control group at T2 showed minimal change with mean value of 13.65 ± 2.03. Conclusion: REGENAMEL® is effective in improving the color of WSLs and remineralization of demineralized enamel surface.

Objective:Objective: Objective: Objective: The aim of this study is to evaluate the effectiveness of piezocision technique during rapid canine retraction. Materials and Methods :Materials and Methods : Materials and Methods : Materials and Methods : Material of the study consisted of ten patients of both genders, with age ranging from 16 to 25 years with malocclusion that require extraction of first premolars followed by canine retraction. Before starting canine retraction, maximum anchorage was ensured by placing mini-screws 10 mm in length and 1.6 mm in diameter between the second premolar and the first molar. In the experimental group, two vertical incisions were made on the buccal aspect mesial and distal to the canine. Piezo electric knife was used to create cortical bone incisions to a depth of 3 mm. Canine retraction was performed on both sides using nicklel-titanium closed coil springs with force of 150 gm. Scanned casts were used to evaluate canine retraction movement on both sides. Results:Results: Results: Results: On comparing the two sides at the same time, it was found that there was a significant difference between both sides. It was found that the test side was significantly decreased more than the control side. Conclusion: Conclusion: Conclusion: Conclusion: Piezocisionfacilitated orthodontics is an effective treatment alternative that decreases the time required for canine retraction.

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