The purpose of this study was to assess the current literature on the effectiveness of rapid palatal expansion (RPE) in assisting the spontaneous eruption of impacted maxillary canines. Materials and methods: Four electronic databases were searched (Pubmed, Scopus, Web of Science, Embase) by applying appropriate Medical Subject Headings (MeSH). Two authors independently and systematically reviewed the literature. Randomised controlled trials (RCTs) and prospective controlled clinical trials (pCCTs) were identified and selected. The Cochrane Collaboration's risk of bias tool and the risk of bias in non-randomised studies of interventions (ROBINS-I) were used to assess the quality of the obtained articles. Spontaneous canine eruption was used as a primary outcome. Results: Three RCTs and two pCCTs met the inclusion criteria. One study was assessed at a high risk of bias in the RCT group, while the remainder were at an unclear risk of bias. Both pCCTs were classified as a moderate risk of bias based on the ROBINS-I tool. The success rate of canine eruption following RPE, with or without additional treatment, ranged from 65.7 to 85.7%, which was statistically significantly different from the control group. Conclusion: RPE appears to improve the position of displaced maxillary canines and increase the likelihood of spontaneous eruption. However, there is a shortage of high-quality evidence to conclude that RPE can be an effective treatment option for impacted maxillary canines.
Objective: The aim of this study was to evaluate the adhesion ofStreptococcus mutans (S. mutans)on different types of orthodontic brackets commonly used in Thailand. Materials and Methods: The adhesion ofS. mutanson 7 types of orthodontic brackets (Clarity, Spirit MB, Inspire Ice, 3M, Tomy, Ormco and W&H) was investigatedin vitro. The saliva-coated brackets were immersed in a flat-bottomed 96-well plate containingS. mutanssuspension (108CFU/ml) and incubated at 37 ̇C in 10% CO2and 100 rpm for 2 hours. The adhered bacterial cells were fixed by 99% methanol and stained with 0.5% crystal violet. The quantity of adhesion was determined by measuring optical density (OD) at 590 nm. The data were analyzed with Kolmogorov-Smirnov test, Levene test, one way ANOVA and Games-Howell post hoc test. Results: Significantly higher bacteria adhesion was found on Clarity, Spirit MB, Tomy, Ormco and W&H compared to Inspire Ice and 3M Gemini. However, there were no significant differences among the different types of bracket materials (ceramic, plastics and metal). Conclusion: The amount of bacteria adhesion was independent of the type of bracket materials. The size and shape of brackets also played an important role in the amount of adhesion of microorganism.
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