Aim: To analyze the influence of bracket base mesh geometry on the stresses generated in the tooth-cement-bracket continuum by a shear/peel load case and to compare the stress generated by three different loads (masticatory, peel, and twisting) on the bracket mesh base by employing a three-dimensional (3D) finite element computer model.
Methods: A validated 3D finite element model of the bracket-cement-tooth system was constructed consisting of 40,536 nodes and 49,201 finite elements.
Results: An increase in the diameter of the bracket mesh base wire resulted in a decrease in the stress at the enamel and cement. Increase in wire spacing (200 to 500 mm) increased the stresses in the enamel and cement at all wire diameters, but within the impregnated wire mesh, the major stress decreased with the increase in the wire spacing. Peel load produced comparatively less stress on enamel than masticatory and twisting force.
Conclusion: Alteration in mesh spacing and wire diameter influences the magnitude and distribution of stresses within the bracket-cement-tooth continuum. Peel load and twisting load are best to debond the bracket since they produced minimal stress on the enamel, which is suggestive of lower chances of enamel damage.
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J Int Soc Prev Community Dent
October 2024
School of Stomatology, Universidad Privada San Juan Bautista, Lima, Peru.
Aim: Bond failure can compromise the clinical efficacy and duration of orthodontic treatment. A decemented bracket can lengthen the course of treatment by about 0.6 months.
View Article and Find Full Text PDFEur J Orthod
December 2024
Department of Prosthodontics and Orthodontics, Dental Institute, Faculty of Medicine, Jagiellonian University Medical College, Montelupich St. 4/108, 31-155 Krakow, Poland.
Background: The fear of pain during the various stages of orthodontic treatment with fixed appliances is a common concern of patients. Therefore, the present research aimed to thoroughly investigate the impact of bracket architecture on pain perception during active treatment, debonding, and adhesive removal.
Materials: One hundred consecutive patients who completed treatment with one of two bracket systems (2-slot brackets with an integral base or conventional twin brackets with foil mesh) were included in this prospective cohort study.
Scientifica (Cairo)
November 2024
Department of Orthodontics, Faculty of Dentistry, University of Damascus, P.O. Box 16046, Damascus, Syria.
Despite the large number of studies that have been done in this area, there is still a gap in the literature when it comes to comparing the orthodontic tooth movement (OTM) efficacy of Invisalign and fixed orthodontic appliances. The primary objectives of this study were to evaluate and compare the efficacy of Invisalign and fixed orthodontic appliances in terms of the amount and rate of OTM. Specifically, the study aimed to determine if there was a statistically significant difference between these two treatment modalities in achieving OTM and to assess whether treatment duration differs significantly between Invisalign and traditional fixed appliances.
View Article and Find Full Text PDFTurk J Orthod
June 2024
İzmir Katip Çelebi University Faculty of Engineering and Architecture, Department of Biomedical Engineering, İzmir, Turkey.
Objective: To determine the optimum miniscrew head design in orthodontic treatments for primary stability and compare stress distribution on a representative bone structure.
Methods: Miniscrews with cross heads, mushroom-shaped heads, button heads, bracket heads, and through-hole heads were compared using finite element analysis. Miniscrews, whose three-dimensional drawings were completed using the SolidWorks computer-aided software package, were inserted in the bone block.
J Orthod Sci
May 2024
Department of Dental Research Cell, Dr. D.Y. Patil Dental College and Hospital, Pimpri, Pune, Maharashtra, India.
Enamel demineralization is a very common occurrence around bonded brackets in an orthodontic practice. Fluoride (FLR) applications have been used to prevent decalcification and further progression of white spot lesions. The purpose of this systematic review and meta-analysis was to systematically appraise available literature on the effectiveness of fluoride mouthrinse in the prevention of demineralization around fixed orthodontic appliances.
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