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Biomedical subjects

H L Levitt

Publications and source records attributed to H L Levitt.

6 recordsLinked to original sources

Effects of two adhesion boosters on the shear bond strength of new and rebonded orthodontic brackets.

The purpose of this study was to evaluate the effects of 2 adhesion boosters, Enhance LC (Reliance, Itasca, Ill) and All-Bond 2 (Bisco, Schaumburg, Ill), on the shear bond strength of new and rebonded (previously debonded) brackets. Sixty new and 60 sandblasted rebonded brackets were bonded to 120 extracted human premolars with composite resin and divided equally into 6 groups based on the 2 adhesion boosters used: (1) new brackets/no booster (2) rebonded brackets/no booster (3) new brackets/Enhance (4) rebonded brackets/Enhance (5) new brackets/All-Bond (6) rebonded brackets/All-Bond. Shear bond strength of each sample was tested with an Instron machine (Instron Corp, Canton, Mass). Results show that the new brackets/All-Bond group yielded the highest strength (20.8 +/- 7.5 MPa), followed by the new brackets/Enhance group (18.6 +/- 6.5 MPa), rebond brackets/All-Bond group (17.3 +/- 7.2 MPa), new brackets/no booster group (16.8 +/- 6.3 MPa), rebonded brackets/no booster group (14.2 +/- 7.2 MPa), and rebonded brackets/Enhance group (13.6 +/- 6.7 MPa). No statistically significant difference was found among the 3 groups utilizing new brackets. For groups of rebonded brackets/no booster and rebonded brackets/Enhance, bond strength was significantly lower than groups of 3 new brackets and rebonded brackets/All-Bond. Rebonded brackets/All-Bond group had comparable bond strength to all 3 new brackets groups. It was concluded that in the process of replacing a failed bracket, (1) when new brackets are used, neither All-Bond 2 or Enhance LC improves bond strength significantly, (2) without the use of any adhesion booster, sandblasted rebonded brackets yield significantly less bond strength than new brackets, (3) Enhance LC fails to increase bond strength of sandblasted rebonded brackets, (4) All-Bond 2 significantly increases bond strength of sandblasted rebonded brackets, (5) sandblasted rebonded brackets with All-Bond 2 yield comparable bond strength to new brackets.

Analysis of Variance↗

Enamel preparation for orthodontic bonding: a comparison between the use of a sandblaster and current techniques.

Four methods of enamel preparation before orthodontic bonding that are currently in use or proposed for use were investigated. The study consisted of two parts. Part one evaluated the roughness of the prepared enamel surfaces by using optical profilometry and scanning electron microscopy (SEM). Part two compared the debonding force for the prepared enamel surfaces by using a mechanical testing machine. The teeth were divided into four groups as follows: In group A, the surfaces were only sandblasted. In group B, the surfaces were sandblasted and acid etched. In group C, the surfaces were buffed with an 1172 fluted bur and acid etched. In group D, the surfaces were pumiced and acid etched. There was no statistical difference in surface roughness among the four groups at p < 0.05, nor was there any statistical difference in bond strength among the three groups that were acid etched. However, there was a significant difference in bond strength between these groups and the group that received only sandblasting (no acid etching). Thus, in this preliminary study, sandblasting does not appear to damage the enamel surface and can therefore be used as a substitute for polishing with pumice. It should be followed by acid etching to produce enamel surfaces with comparable bond strengths.

Acid Etching, Dental↗

Orthodontic treatment for the adult periodontal patient.

The purpose of this article is to outline a method of orthodontic treatment for adult patients, particularly those with periodontal disease. The rationale for recommending orthodontics to these patients is discussed, with an emphasis on periodontal and occlusal management during treatment. Methods of using orthodontics to improve the periodontal status of adult patients are also demonstrated. Finally, there is a brief discussion on retention, and age considerations, as well as the obligations of both dentists and patients.

Adult↗