Summary Background Bracket failure increases the treatment time of orthodontic therapy and burdens patients with unnecessary costs, increased chair time, and possible new appointments. Objective To compare the bond failures of different orthodontic materials based on the results of available clinical studies. Search methods A systematic search of clinical trials was performed in the Cochrane, Embase, and Pubmed databases with no limitations. The list of investigated techniques contained conventional acid-etch primer (CM-AEP), self-etch primer (SEP), self-cure resin (SCR), and simple or resin-modified glass ionomer (RM-GIC) materials and procedures. Selection criteria Clinical studies reporting the failure rate of bonded brackets after using direct adhesive techniques on buccal sites of healthy teeth were included. Data collection and analysis Bracket failure rates from eligible studies were extracted by two authors independently. Risk ratios (RRs) were pooled using the random-effects model with DerSimonian–Laird estimation. Results Thirty-four publications, involving 1221 patients, were included. Our meta-analysis revealed no significant difference in the risk of bracket failures between SEP and CM-AEP. After 6, 12, and 18 months of bonding, the values of RR were 1.04 [95% confidence interval (CI), 0.67–1.61], 1.37 (95% CI, 0.98–1.92), and 0.93 (95% CI, 0.72–1.20), respectively. At 18 months, bracket failure was 4.9 and 5.2% for SEP and CM-AEP, respectively. Heterogeneity was good or moderate (I2 < 42.2%). The results of RM-GIC at 12 months indicated a 57% lower risk of bracket failure using SCR as compared with RM-GIC (RR: 0.38; 95% CI, 0.24–0.61). At 18 months, bracket failures for SCR and RM-GIC were 15.8 and 36.6%, respectively (RR: 0.44; 95% CI, 0.37–0.52, I2 = 78.9%), demonstrating three to six times higher failure rate than in the case of etching primer applications. Limitations A major limitation of the present work is that the included clinical trials, with no exceptions, showed variable levels of risk of bias. Another possible problem affecting the outcome is the difference between the clustering effects of the split mouth and the parallel group bracket allocation methods. Conclusions and implications The results revealed no significant difference between SEP and CM-AEP up to 18 months after application. RM-GIC had much worse failure rates than acid-etching methods; additionally, the superiority of SCR over RM-GIC was evident, indicating strong clinical relevance. Registration Prospero with CRD42020163362.
Background: The need for the whitening effects of toothpastes became primary for most users. Changes in the surface roughness of restoration materials after tooth brushing are inevitable, and the abrasion is known to increase the possibility of dental plaque accumulation. Aim of the study: To evaluate in vitro surface roughness changes of different dental restorative materials after tooth brushing simulation. Material and methods: Fifty specimens of two composite materials (Evicrol, Super-Cor), two glass ionomer materials (Glassfill, Kavitan Cem) and a silicate cement (Fritex) were prepared according to the manufacturer's instructions. Each group of specimens was divided in three subgroups for tooth brushing simulation: using two different types of toothpaste and without toothpaste. Before and after 153 hours of tooth brushing simulation with a custom-made device, the surface roughness was measured with a surface roughness tester. Statistical analysis was performed after collecting the data. Results: All materials exhibited changes in surface roughness after the use of both toothpastes. The self-curing composite showed the less change and glass ionomer materials showed the greatest changes in surface roughness. Conclusions: The surface changes of dental materials depended on their composition and the cleaning procedure. Although self-curing composite was the most resistant to surface changes, its surface roughness values were high. Light-curing composite presented the lowest surface roughness values, even after brushing with toothpastes. The "medium" labeled toothbrush caused significant changes without toothpaste on the surface of light-curing composite, glass ionomer and silicate cement materials.
In case of the contemporary teeth, the Carabelli cusps appeared in a more pronounced morphological form and with a higher frequency, which emphasizes the European origin of today's population. Orv Hetil. 2018; 159(30): 1235-1240.
Changes in the surface roughness of dental restorative materials after tooth brushing are inevitable. The abrasion is known to increase the possibility of dental plaque accumulation which is responsible for several pathologies of the oral cavity. The aim of this in vitro study was to evaluate the changes of surface roughness of microhybrid composite materials produced by different toothbrushes with and without toothpaste. Forty-eight specimens of two composite materials (Charisma and Super-Cor) were prepared using a silicone template according to the manufacturer�s instructions. Each sample was brushed for eight hours. Each group of specimens was divided in two subgroups: half of the samples were brushed using only distilled water and the other half with a mixture of distilled water and toothpaste (Colgate Total; ratio 1:1). The average roughness value (Ra) of surfaces were measured with profilometer three times: the initial measurement was performed before starting the toothbrush simulation, the second was after 4 hours and the third was after 8 hours of brushing. Three different bristle stiffness toothbrush heads were used (medium sensitive, medium and soft). After collecting all numerical data one-way ANOVA and Friedman tests were performed for statistical analysis. All examined microhybrid composites exhibited changes in surface roughness after the toothbrush simulation. The simulation of toothbrushing without toothpaste, only with water as cleaning substrate, showed at every measurement the lowest values of roughness in all three toothbrush heads. Significantly increase of mean Ra values were observed in both tested composite samples when medium and soft toothbrushes with toothpaste were used. The surface roughness changes of tested microhybrid composites depend on the brushing procedure. The toothpaste has a much greater effect on the abrasion than the type of toothbrush.
Background: Measurement-based studies are prone to measurement errors, which occur at the same operator or between different operators during repeated measurements of the same sample. Aim of the study: To assess the inter-operator reliability of morphometric measurements using a bidimensional image analysis method. Material and methods: Eight study models have been selected, images of teeth and models were taken from vestibular and occlusal view. The following parameters were measured individually by three, previously trained operators: mesio-distal, occluso-gingival, and vestibulo-oral dimensions, vestibular and occlusal area, depth of palatal arch, arch breadth, arch circumference, and arch length. Intraclass correlation coefficients were calculated for each measurement. Results: The reliability of the measurements showed high degrees, all values being higher than 0.8. Conclusions: Dental morphometric measurements done by 2D image analysis can be performed by multiple operators with an excellent reliability.
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