Objectives This study prospectively examines the relationship of possible aetiological factors to the presence of tooth erosion in a cohort of children. Patients and methods A random sample of 1,753 children was examined at age 12 and 1,308 of the same children were re-examined at age 14 years. The children were asked to complete questionnaires on both occasions, 1,149 subjects gave usable replies. The erosion index used was based upon the 1993 Survey of Children's Dental Health. Results were analysed using logistic regression. Results At age 12 significant positive associations were found between erosion and decay experience (odds ratio [OR]=1.48), drinking fruit juice (OR=1.42) or fizzy pop (OR = 1.59-2.52, depending on amount and frequency). The presence of calculus (OR 0.48) or eating fruit other than apples or citrus fruit (OR 0.48) reduced the chances of erosion. High consumption of carbonated drinks increased the odds of erosion being present at 12 years by 252% and was a strong predictor of the amount of erosion found at age 14. Conclusions Of the factors investigated, a history of dental caries and a high consumption of carbonated drinks were most closely related to the presence of dental erosion. The risk of erosion bore a strong relationship to the amount and frequency of carbonated drink consumption.It is only relatively recently that tooth erosion has been recognized as presenting a dental health problem in children. In 1993, the prevalence of erosion was reported as part of the national survey of Children's Dental Health in England and Wales 1 for the first time. Fifty per cent of 6-year-olds were found to have erosion and in 23% of children it had progressed into dentine. Thirty two per cent of 14-year-old children had erosion of the permanent dentition, with dentinal involvement present in 2%.The three main types of non-carious loss of dental hard tissue are attrition, abrasion and erosion. 2 Attrition implies removal of tooth surface due to movement of teeth against one another, pos-
New erosive lesions developed in 12.3% of the subjects between the ages of 12 and 14 years. New or more advanced lesions were seen in 27% of the children over the 2 years of the study. Males, white children and social deprivation were significantly associated with erosion experience.
The aim of this investigation was to establish a regime for orthodontic bonding to feldspathic porcelain, which ensures adequate bond strength (6-8 MPa) with minimal damage on debond and consisted of an ex vivo investigation measuring the effects of porcelain surface preparation and thermocycling on shear bond strength of orthodontic brackets. One-hundred-and-twenty feldspathic porcelain bonded crown surfaces were divided into 12 equally-sized groups to assess the effects of: (1) glaze removal, (2) application of hydrofluoric acid, phosphoric acid, or omission of acid treatment, and (3) silane priming upon the bond strength of premolar brackets bonded with Right-on (TM) composite resin adhesive. Specimens were subjected to thermocycling and then to shear debonding forces on an Instron machine. Removal of the porcelain glaze, or use of hydrofluoric acid, prior to bonding were found to be unnecessary to secure the target bond strength. Hydrofluoric acid application was associated with increased porcelain surface damage. Thermocycling caused a significant reduction in shear bond strength to porcelain (P < 0*001). The best regime for orthodontic bonding to feldspathic porcelain was to apply phosphoric acid for 60 seconds, and prime with silane prior to bonding. Usually the porcelain surfaces could be repolished. Refereed Paper
The aim of the study was to evaluate and compare the clinical performance of adhesive precoated brackets (APC) with that of two types of uncoated bracket bases, Straight-Wire and Dyna-Lock, bonded using two types of orthodontic adhesives, Transbond XT, and Right-On. Forty consecutive orthodontic patients entered the trial and 607 brackets were bonded. The incidence and site of first time bond failures were recorded over a period of 1 year. The time required for bonding was also recorded. The overall bond failure rate was 6.6 per cent. There were no significant differences between the failure rates of the five groups, or between the upper and lower arch. However, significantly more brackets failed on the left side than on the right. Premolar brackets were lost most often, whilst incisor brackets failed least. No association was found between bond failure and time elapsed since bonding. Bonding time was least with Right-On adhesive. There were no significant differences between bonding times using APC or Transbond. Results of the present study conflict with those of a previous ex vivo study by the authors, using the same materials and bonding technique. Suggested reasons for this are discussed.
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