Evaluation of the Demineralization Development around Different Types of Orthodontic Brackets

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dc.authoridÇiçek, Orhan/0000-0002-8172-6043
dc.authoridDragomir, Roxana/0009-0007-3311-8901
dc.authorwosidÇiçek, Orhan/B-1629-2019
dc.authorwosidDragomir, Roxana/HJP-3387-2023
dc.contributor.authorErtop, Melis Toz
dc.contributor.authorÇiçek, Orhan
dc.contributor.authorErener, Hande
dc.contributor.authorÖzkalaycı, Nurhat
dc.contributor.authorÇiçek, Büşra Demir
dc.contributor.authorCömert, Füsün
dc.date.accessioned2023-05-06T17:20:47Z
dc.date.available2023-05-06T17:20:47Z
dc.date.issued2023
dc.departmentFakülteler, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü
dc.description.abstractThe aim of this study was to compare the demineralizations of the enamel surfaces around different types of orthodontic brackets in an artificial cariogenic environment. A total of 90 extracted human maxillary first premolar teeth were used in this in vitro study. The teeth were divided into 6 groups, 5 study and 1 control, each consisting of 15 samples. Victory metal, Gemini metal, Clarity self-ligating ceramic, APC Clarity Advanced ceramic and Clarity Advanced ceramic brackets (3M Unitek, Monrovia, Calif) used in the study groups were bonded to the teeth with the direct technique. The gingival, occlusal and proximal enamel surfaces adjacent to the brackets were measured with a DIAGNOdent pen (KaVo, Biberach, Germany) (T0). Then, the teeth were placed in a cariogenic suspension environment containing Streptococcus mutans, sucrose and artificial saliva. The teeth were removed from the cariogenic suspension at the end of 28 days. Enamel surfaces were remeasured with DIAGNOdent and the values were recorded (T1). Whether the obtained data were homogeneously distributed or not was determined by the Kolmogorov-Smirnov test, within-group comparisons were performed with the Wilcoxon test, and between-group comparisons were performed with Mann-Whitney U and Kruskal-Wallis tests. Significance level was accepted as p < 0.05. In all groups, the demineralization values of the enamel surfaces in the gingival, proximal and occlusal surfaces adjacent to the brackets were significantly higher in the T1 period than in the T0 period (p < 0.05). In the T1 period of Gemini metal, Clarity self-ligating ceramic and Clarity advanced ceramic bracket groups, the demineralization values of the proximal enamel surfaces were found to be significantly higher than the Victory metal and APC Clarity Advanced ceramic bracket groups (p < 0.05). In the T1 period, the demineralization values of the occlusal enamel surfaces of the Victory metal, APC Clarity Advanced ceramic bracket groups and control group were significantly lower than the Gemini metal, Clarity self-ligating ceramic and Clarity Advanced ceramic bracket groups (p < 0.05). Significant increases in enamel demineralization values were observed as a consequence of increased retention areas for microbial dental plaque on enamel surfaces adjacent to the bracket. Considering the importance of minimizing enamel demineralization in fixed orthodontic treatments, less enamel demineralization in Victory metal and APC Clarity Advanced ceramic bracket groups showed that these brackets can be preferred in patients with poor oral hygiene.
dc.identifier.doi10.3390/ma16030984
dc.identifier.issn1996-1944
dc.identifier.issue3en_US
dc.identifier.pmid36769990
dc.identifier.scopus2-s2.0-85147796976
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.3390/ma16030984
dc.identifier.urihttps://hdl.handle.net/20.500.11776/11937
dc.identifier.volume16
dc.identifier.wosWOS:000929728800001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorErener, Hande
dc.language.isoen
dc.publisherMdpi
dc.relation.ispartofMaterials
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectorthodontics
dc.subjectbracket
dc.subjectbond
dc.subjectartificial saliva
dc.subjectStreptococcus mutans
dc.subjectcariogenic environment
dc.subjectdemineralization
dc.subjectDIAGNOdent
dc.subjectdentistry
dc.subjectWhite-Spot Lesions
dc.subjectCaries-Like Lesions
dc.subjectEnamel Demineralization
dc.subjectAppliance Treatment
dc.subjectAdhesive Flash
dc.subjectPrevalence
dc.subjectOcclusal
dc.subjectMetal
dc.subjectModel
dc.titleEvaluation of the Demineralization Development around Different Types of Orthodontic Brackets
dc.typeArticle

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