Sevi Burçak Çehreli

Microleakage beneath ceramic and metal brackets bonded with a conventional and an antibacterial adhesive system.

OBJECTIVE To assess microleakage of a tooth-adhesive-bracket complex when metal or ceramic brackets were bonded with a conventional and an antibacterial self-etching adhesive. MATERIALS AND METHODS Forty freshly extracted human premolars were randomly assigned to four equal groups and received the following treatments: group 1 = Transbond XT + metal bracket, group 2 = Transbond XT + ceramic bracket, group 3 = Clearfil Protect Bond + ceramic bracket, and group 4 = Clearfil Protect Bond + metal bracket. After photopolymerization, the teeth were kept in distilled water for 1 month and thereafter subjected to thermal cycling (500 cycles). Specimens were further sealed with nail varnish, stained with 0.5% basic fuchsin for 24 hours, sectioned and examined under a stereomicroscope, and scored for marginal microleakage for the adhesive-tooth and bracket-adhesive interfaces from incisal and gingival margins. Statistical analysis was accomplished by Kruskal-Wallis test and Mann-Whitney U-test with Bonferroni correction. RESULTS All groups demonstrated microleakage between the adhesive-enamel and bracket-adhesive interfaces. A significant difference was observed among all groups (P < .05) for the microleakage between the bracket-adhesive interface. Metal brackets exhibited significantly more microleakage than did ceramic brackets between the bracket-adhesive interface with either of the adhesives. Clearfil Protect Bond exhibited results similar to Transbond XT. Clearfil Protect Bond may be a choice of adhesive in bracket bonding because of its antibacterial activity and similar microleakage results with the orthodontic adhesive. CONCLUSIONS Metal brackets cause more leakage between an adhesive-bracket interface, which may lead to lower clinical shear bond strength and white-spot lesions.

Microleakage beneath Ceramic and Metal Brackets Photopolymerized with LED or Conventional Light Curing Units

OBJECTIVE To test the null hypotheses that (1) the type of light curing unit used (quartz-tungsten-halogen [QTH] or light-emitting diode [LED]) would not affect the amount of microleakage observed beneath brackets, and (2) the bracket type used (ceramic or metal) would not influence the amount of microleakage observed beneath brackets. MATERIALS AND METHODS 40 freshly-extracted human premolars were randomly assigned into 4 bonding groups (n = 10/group): group 1, metal bracket + LED-cured Transbond XT; group 2, ceramic bracket + LED-cured Transbond XT; group 3, metal bracket + QTH-cured Transbond XT; and group 4, ceramic bracket + QTH-cured Transbond XT. The teeth were kept in distilled water for 1 month, and thereafter subjected to 500 thermal cycles. Then, specimens were sealed with nail varnish, stained with 0.5% basic fuchsin for 24 hours, sectioned, and photographed under a stereomicroscope. Microleakage was scored with regard to the adhesive-tooth interface and the bracket-adhesive interface at both incisal and gingival margins. Statistical analysis was accomplished by Kruskal-Wallis and Mann-Whitney U-tests with Bonferroni correction. RESULTS Microleakage was observed in all groups. When an LED curing unit was used for adhesive polymerization, ceramic brackets displayed significantly less microleakage than metal brackets in both tooth-adhesive and bracket-adhesive interfaces. When a QTH curing unit was used, ceramic brackets displayed significantly less microleakage than metal brackets in the bracket-adhesive interface in both gingival and incisal margins. CONCLUSIONS Ceramic brackets cured with LED units were the best combination, demonstrating the lowest microleakage scores.

Effects of a fluoride-containing casein phosphopeptide- amorphous calcium phosphate complex on the shear bond strength of orthodontic brackets

The purpose of this study was to investigate the effects of enamel pre-treatment with a new fluoride-containing casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) complex on the shear bond strength (SBS) of brackets bonded with etch-and-rinse or self-etching adhesive systems. The material comprised 66 extracted human premolars randomly divided into six equal groups with respect to the enamel pre-treatment and adhesive system employed: 1. No pre-treatment and brackets bonded with the etch-and-rinse adhesive system (Transbond XT). 2. Pre-treatment with fluoride-containing CPP-ACP paste (MI Paste Plus) and Transbond XT. 3. Pre-treatment with non-fluoride CPP-ACP paste (MI Paste) and Transbond XT.4. No pre-treatment and brackets bonded with the self-etching adhesive system (Transbond Plus). 5 and 6. Enamel pre-treated as for groups 2 and 3, respectively, and the Transbond Plus. Bonded specimens were subjected to thermal cycling (×1000) before SBS testing. The residual adhesive on the enamel surface was evaluated after debonding with the adhesive remnant index (ARI). Data evaluation was made using one-way analysis of variance and Tukey test for SBS results, and Kruskal-Wallis test for ARI results. The results showed that enamel pre-treatment with either fluoride or non-fluoride CPP-ACP paste had no significant effect on the SBS of the self-etching adhesive system (P > 0.05). Enamel pre-treatment with non-fluoride CPP-ACP in group 3 significantly reduced the SBS of the etch-and-rinse adhesive (P < 0.001), while pre-treatment with fluoride-containing CPP-ACP paste (groups 2 and 5) did not affect debonding values (P > 0.05). The fluoride-containing CPP-ACP did not compromise the SBS of brackets bonded with the tested etch-and-rinse and self-etching systems, but its non-fluoride version significantly decreased the SBS of the etch-and-rinse adhesive system.

Resin composite repair: Quantitative microleakage evaluation of resin-resin and resin-tooth interfaces with different surface treatments.

Objective: The aim was to evaluate the effect of different adhesive systems and surface treatments on the integrity of resin-resin and resin-tooth interfaces after partial removal of preexisting resin composites using quantitative image analysis for microleakage testing protocol. Materials and Methods: A total of 80 human molar teeth were restored with either of the resin composites (Filtek Z250/GrandioSO) occlusally. The teeth were thermocycled (1000×). Mesial and distal 1/3 parts of the restorations were removed out leaving only middle part. One side of the cavity was finished with course diamond bur and the other was air-abraded with 50 μm Al 2 O 3 . They were randomly divided into four groups (n = 10) to receive: Group 1: Adper Single Bond 2; Group 2: All Bond 3; Group 3: ClearfilSE; Group 4: BeautiBond, before being repaired with the same resin composite (Filtek Z250). The specimens were re-thermocycled (1000×), sealed with nail varnish, stained with 0.5% basic fuchsin, sectioned mesiodistally and photographed digitally. The extent of dye penetration was measured by image analysis software (ImageJ) for both bur-finished and air-abraded surfaces at resin-tooth and resin-resin interfaces. The data were analyzed statistically. Results: BeautiBond exhibited the most microleakage at every site. Irrespective of adhesive and initial composite type, air-abrasion showed less microleakage except for BeautiBond. The type of initial repaired restorative material did not affect the microleakage. BeautiBond adhesive may not be preferred in resin composite repair in terms of microleakage prevention. Conclusions: Surface treatment with air-abrasion produced the lowest microleakage scores, independent of the adhesive systems and the pre-existing resin composite type. Pre-existing composite type does not affect the microleakage issue. All-in-one adhesive resin (BeautiBond) may not be preferred in resin composite repair in terms of microleakage prevention.

Age of majority assessment in Dutch individuals based on Cameriere’s third molar maturity index

Radiological examination of the third molar is done in living individuals for estimation of chronological age, especially in the late adolescence. The aim of this study was to assess the application of Camerieres third molar maturity index (I3M) to determine whether an individual is 18 years or older (adult) or younger than 18 years (minor) in a sample of Dutch individuals. The sample consisted of panoramic images of 360 individuals aged between 14 and 22 years old. Three observers performed the measurements. Gender was not statistically significant in discriminating adults and minors. The highest value of the Youden index of the receiver operating curve analysis was for the value of I3M<0.08 in discriminating individuals as minor or adult. The specificity (Sp) and sensitivity (Se) results for females were 96.3% and 72.7% respectively. The Sp and Se for males were 95.0% and 84.0% respectively. The probabilities of correctly classified individuals were 83.3% and 88.9%, and Bayes post-test probability was 96.3% and 95.7% in females and males respectively. Obtained results showed that the specific cut-off point of I3M<0.08 may be a useful and reliable method for adult age assessment in a Dutch population.

Use of cone-beam computed tomography in diagnosis of an otherwise undetected periapical lesion in an anomalous tooth

Fusion is a developmental anomaly of dental hard tissues. Since dental fusion is characterized by irregular coronal morphology and a complex endodontic anatomy, endodontic therapy of such teeth may present a serious clinical challenge. Cone-beam computed tomography (CBCT) is a useful tool for the management of complex endodontic problems and dental anomalies. In the case presented here, a CBCT scan revealed morphological details as well as the severity of periapical infection that had not been visualized with conventional imaging techniques. The results obtained with detailed imaging led to a change in the treatment plan.

Autotransplantation of an impacted mandibular third molar to replace a severely impacted mandibular second molar: A borderline case

The alveolar bone support around the transplanted tooth, the stage of root development and apical closure are accepted as basic clinical factors that affect the success of tooth transplantation. Due to its high failure ratio, tooth transplantation is not common in the field of dentistry; however, major advantages of the technique such as continuing physiological root development, formation of interdental papilla, and rapid generation of alveolar bone with a lower cost should be considered. The aim of this report was to present autotransplantation of a third molar into adjacent deep-impacted second molar extraction socket without sufficient alveolar bone support. A 15-year-old healthy male patient referred to Department of Orthodontics due to dental crowding. For left mandibular quadrant, it was multidisciplinary planned to surgical removal of deep-impacted vertically positioned second molar and adjacent impacted mesioangular third molar was re-implanted to its extraction socket. Patient was followed for 4 years; clinical and radiological results were thoroughly sufficient. Even in this borderline case where there is only alveolar bone support on lingual site, autotransplanted tooth can survive successfully.

Comparison of microleakage of a multi-mode adhesive system with contemporary adhesives in class II resin restorations

Aim: The aim was to compare the microleakage of resin composite bonded with different adhesive systems in class-II cavities at enamel or dentine margins. Material and methods: 60 extracted human molar teeth received slot cavity preparations on mesial and distal surfaces (mesial cervical margin was prepared in enamel and distal in dentine). They were randomly divided into five groups (n = 12) according to the adhesive system: Group-A: Silorane Bond (S), Group-B: Adper Single Bond 2 (SB), Group-C: Clearfil SE Bond (CSE), Group-D: Single Bond Universal (USel) (selective etch-and-rinse), Group-E: Single Bond Universal (USE) (all-in-one). The preparations were restored using the same resin composite (Filtek Ultimate) except Group A which was restored by Silorane composite. The teeth were thermocycled, immersed in dye, sectioned, and dye penetration was evaluated quantitatively using image analysis. The data were analyzed using the two-way analysis of variance and Bonferroni test. Results: In all groups, there was no statistically significant difference between enamel margins at occlusal and gingival sites (p > 0.05). The statistical difference between Group-A (S) and Group-B (SB) was significant at all margins. Group-B (SB) presented the greatest microleakage amounts at all margins and the highest scores were obtained in the dentine. Likewise, SB demonstrated statistically significant differences between dentine and enamel margins (occlusal and gingival)(p < 0.05). Conclusion: All adhesive systems showed similar microleakage values between enamel margins in occlusal and gingival regions. However, when the gingival margin is located in the dentine, etch&rinse adhesive systems may not be a choice in terms of microleakage prevention.

Dental and dentofacial problems in a female child with Toriello‐Carey ­syndrome: changes in 3 years

Toriello-Carey syndrome is a rare disease whose clinical manifestations are midline facial defects, laryngeal and pharyngeal hypoplasia, cardiac defect, and corpus callosum hypoplasia. Literature states that clinical manifestations are more evident in males. This is the second report in the literature which describes the dental and dentofacial -features in an 8-year-old female patient with Toriello-Carey syndrome.

Do Adhesive Systems Leave Resin Coats on the Surfaces of the Metal Matrix Bands? An Adhesive Remnant Characterization

Reestablishing proximal contacts with composite resins may prove challenging since the applied adhesives may lead to resin coating that produces additional thickness. The aim of this study was to investigate the surface of metal matrix bands after application of adhesive systems and blowing or wiping off the adhesive before polymerization. Seventeen groups of matrix bands were prepared. The remnant particles were characterized by energy dispersive spectrum and scanning electron microscopy. Total etch and two-step self-etch adhesives did not leave any resin residues by wiping and blowing off. All-in-one adhesive revealed resin residues despite wiping off. Prime and Bond NT did not leave any remnant with compomer. Clinicians must be made aware of the consequences of possible adhesive remnants on matrix bands that may lead to a defective definitive restoration. The adhesive resin used for Class II restorations may leave resin coats on metal matrix bands after polymerization, resulting in additional thickness on the metal matrix bands and poor quality of the proximal surface of the definitive restoration when the adhesive system is incorporated in the restoration.