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Biomedical subjects

M G Duncanson

Publications and source records attributed to M G Duncanson.

At least 19 recordsLinked to original sources

Ceramic bracket design: an analysis using the finite element method.

This investigation was designed to generate finite element models for selected ceramic brackets and graphically display the stress distribution in the brackets when subjected to arch wire torsion and tipping forces. Six commercially available ceramic brackets, one monocrystalline and five polycrystalline alumina, of twin bracket design for the permanent maxillary left central incisor were studied. Three-dimensional computer models of the brackets were constructed and loading forces, similar to those applied by a full-size (0.0215 x 0.028 inch) stainless steel arch wire in torsion and tipping necessary to fracture ceramic brackets, were applied to the models. Stress levels were recorded at relevant points common among the various brackets. High stress levels were observed at areas of abrupt change in geometry and shape. The design of the wire slot and wings for the Contour bracket (Class One Orthodontic Products, Lubbock, Texas) and of the outer edges of the wire slot for the Allure bracket (GAC, Central Islip, N.Y.) were found to be good in terms of even stress distribution. The brackets with an isthmus connecting the wings seemed to resist stresses better than the one bracket that did not have this feature. The design of the isthmus for the Transcend (Unitek/3M, Monrovia, Calif.) and Lumina (Ormco, Glendora, Calif.) brackets were found to be acceptable as well. The Starfire bracket ("A" Company, San Diego, Calif.) showed high stresses and irregular stress distribution, because it had sharp angles, no rounded corners, and no isthmus. The finite element method proved to be a useful tool in the stress analysis of ceramic orthodontic brackets subjected to various forces.(ABSTRACT TRUNCATED AT 250 WORDS)

Aluminum Oxide

Bond strengths and remnant adhesive resin on debonding for orthodontic bonding techniques.

Bond strengths and remnant adhesive resin on the tooth surface after debonding for three bonding techniques used to attach foil mesh orthodontic brackets to 315 freshly extracted bovine incisor teeth were compared in an in vitro study. Each method of bonding used 105 teeth in groups of 15, bonded with seven different (bis-GMA type) two-paste chemically cured resins. The direct method comprised bonding the attachments directly to the incisors with the composite resin. The indirect-1 method comprised securing attachments to die-stone models of the teeth with a water soluble glue, making silicone positioners to transfer the brackets from the models to the teeth, and bonding to the teeth with the use of the two-paste composite resin system. The indirect-2 method comprised bonding the attachments to die-stone models of the teeth with composite resin, making silicone positioners to transfer the brackets from the models to the teeth, and bonding to the teeth with the use of unfilled sealant resin. Significant differences in bond strength existed among the groups evaluated. The direct technique had statistically significant (p < 0.05) higher bond strength as compared with the indirect-1 and indirect-2 techniques in four of the seven groups evaluated. The indirect-1 and indirect-2 techniques were not significantly different (p < 0.05) in bond strength in six of seven groups tested. The indirect-2 technique had significantly lower adhesive remnant index scores (ARI) compared with the direct and indirect-1 techniques.(ABSTRACT TRUNCATED AT 250 WORDS)

Acid Etching, Dental

Relative kinetic frictional forces between sintered stainless steel brackets and orthodontic wires.

The level of kinetic frictional forces generated during in vitro translation at the bracket-wire interface were measured for two sintered stainless steel brackets as a function of two slot sizes, four wire alloys, and five to eight wire sizes. The two types of sintered stainless steel brackets were tested in both 0.018-inch and 0.022-inch slots. Wires of four different alloy types, stainless steel (SS), cobalt chromium (Co-Cr), nickel-titanium (Ni-Ti), and beta-titanium (beta-Ti), were tested. There were five wire sizes for the 0.018-inch slot and eight wire sizes for the 0.022-inch slot. The wires were ligated into the brackets with elastomeric ligatures. Bracket movement along the wire was implemented by means of a mechanical testing instrument, and time dependent frictional forces were measured by a load cell and plotted on an X-Y recorder. For most wire sizes, lower frictional forces were generated with the SS of Co-Cr wires than with the beta-Ti or Ni-Ti wires. Increase in wire size generally resulted in increased bracket-wire friction. There were no significant differences between manufacturer for the sintered stainless steel brackets. The levels of frictional force in 0.018-inch brackets ranged from a low of 46 gm with 0.016-inch Co-Cr wire to a high of 157 gm with 0.016 x 0.025-inch beta-Ti wire. In comparing the data from a previous study by Kapila et al. 1990 performed at OUHSC with the same apparatus, the friction of sintered stainless steel brackets was approximately 40% to 45% less than the friction of the conventional stainless steel brackets.

Analysis of Variance

Elastic energy/stiffness ratios for selected orthodontic wires.

This investigation determined the ratio of the energy available for orthodontic tooth movement to the stiffness and flexibility of a given wire. Twenty-five specimens each of five brands of orthodontic wire were tested in tension in the as-received condition. Force versus elongation diagrams were obtained and then converted into stress-strain data. Mean values were determined for the yield strength and yield strain for each brand of wire. The modulus of elasticity (E), modulus of resilience (R), and elastic compliance (C) were then calculated. Two ratios were established by using the three mechanical properties: (1) the modulus of resilience/modulus of elasticity (R/E) ratio and (2) the modulus of resilience/elastic compliance (R/C) ratio. The results confirmed that the use of these two ratios in combination permitted one to differentiate among the various types of orthodontic wires, with respect to stored energy and its relationship to the stiffness or flexibility of the wire.

Analysis of Variance

Variables affecting silicone-polymethyl methacrylate interfacial bond strengths.

PURPOSE: This study investigated the effects of various polymerization methods and of various types of silane coupling agents on the interfacial bond strengths of Molloplast-B and of two types of heat-processed polymethyl methacrylate (PMMA). MATERIALS AND METHODS: Standardized blocks of PMMA were processed and stored in 100% humidity for 14 days. Silicone of equal dimensions was flasked and processed with premixed and fresh-mixed silane coupling agents interposed. Processing utilized both a typical heated-water system and a dry-heat oven. Following recovery, the specimens were peel-tested at an angle of 180 degrees in an Instron machine. RESULTS: There was no significant difference between the test variables of Lucitone (Dentsply/York Division, York, PA) versus Lucitone 199 (Dentsply/York Division), nor with wet versus dry heat polymerization methods. However, the mean bond strengths for premixed silane improved slightly in a wet polymerization environment. Conversely, fresh-mixed silane's mean bond strength increased slightly with dry-heat polymerization. CONCLUSIONS: The bond strength between a methyl methacrylate denture base and a silicone soft liner varies only slightly when either Lucitone, Lucitone 199, or polymerization in a wet or dry environment is used. Under the conditions of this study, a fresh-mixed silane coupling agent produced a distinctly superior bond strength.

Acrylic Resins

Effect of luting media on the compressive strengths of two types of all-ceramic crown.

This study evaluated the effect of selected luting media on the compressive strength of two types of all-ceramic crown. Tooth preparation was standardized; each preparation had a shoulder width of approximately 1.2 mm, and all internal preparation angles were rounded. Hi-Ceram and Dicor all-ceramic crowns were fabricated and cemented into the preparations with zinc phosphate, glass-ionomer, or composite resin cement. Coronal compressive fracture strengths were determined, using a set of unrestored teeth as a control. There were no statistically significant differences among the mean compressive strengths of the three luting media, and there was no statistically significant difference between the mean compressive strength of Dicor and that of the natural tooth control.

Aluminum Oxide

Force degradation of closed coil springs: an in vitro evaluation.

This in vitro study was designed to determine the force degradation of closed coil springs made of stainless steel (SS), cobalt-chromium-nickel (Co-Cr-Ni) and nickel-titanium (Niti) alloys, when they were extended to generate an initial force value in the range of 150 to 160 gm. The specimens were divided into two groups. Group I included SS, Co-Cr-Ni, and two nickel-titanium spring types (Niti 1 and Niti 2), 0.010 x 0.030 inch with an initial length of 12 mm. Group II was comprised of SS, Co-Cr-Ni, and Niti 3 0.010 x 0.036-inch springs, with an initial length of 6 mm. A universal testing machine was used to measure force. A pilot study determined the extension required for each spring type, so that the initial force was in the range of 150 to 160 gm. Initial force was recorded, and then the springs were extended to the respective distances at 4 hours, 24 hours, 3 days, 7 days, 14 days, 21 days, and 28 days resulting in a total of eight time periods. Between the time intervals, all springs were extended to the same initial extension on specially designed racks and stored in a salivary substitute at 37 degrees C. Means and standard deviations of force values, percent force loss, and mean extension were statistically analyzed. All springs showed a force loss over time. Of the total, the major force loss for most springs was found to occur in the first 24 hours.(ABSTRACT TRUNCATED AT 250 WORDS)

Analysis of Variance

Fracture strengths of ceramic brackets subjected to mesial-distal archwire tipping forces.

This study tested the strength of ceramic orthodontic brackets subjected to mesial-distal tipping forces on five types of preadjusted, maxillary right central incisor ceramic twin brackets for both 0.018" and 0.022" slot sizes. Description of each bracket was by manufacturer's abbreviation-crystallinity-slot bracket, eg., AL-P-18, meaning Allure-polycrystalline-0.018" slot bracket. Thirty brackets of each type were used for a total of 300 brackets, each bonded to a porcelain denture tooth. A special apparatus was designed to hold the denture tooth, the wire, and the bracket in a standard position while an Instron machine applied a tipping force to the full size rectangular archwire at a distance of 7.0 mm lateral to the center of the bracket. The tipping force was applied until the bracket fractured. The fracture force, fracture angle, and fracture location were recorded. High fracture force values tended to accompany large fracture angles while low fracture force values tended to be associated with small fracture angles. The clinical significance was that the stronger ceramic brackets can be expected to withstand larger amounts of archwire tipping adjustments prior to bracket fracture. With the literature indicating the optimum force for tipping of maxillary incisors to be from 50 to 125 g, all the brackets are sufficiently strong to consistently withstand the suggested magnitude of archwire tipping forces. However, if excessive tipping forces were required by the clinician, ceramic brackets would be prone to fracture.

Ceramics

A comparison of the abrasiveness of six ceramic surfaces and gold.

A type III gold alloy and six different ceramic surfaces were secured in an abrasion machine opposing extracted teeth to determine their relative abrasiveness and resistance to wear. The rankings of restorative materials from least abrasive to most abrasive were: gold alloy, polished; cast ceramic, polished; porcelain, polished; cast ceramic, polished and shaded; porcelain, polished and glazed; cast ceramic, cerammed skin shaded; and cast ceramic, cerammed skin unshaded. The ranking of materials from most wear-resistant to least wear-resistant was: gold alloy, cast ceramic cerammed, cast ceramic cerammed and shaded, porcelain polished, porcelain glazed, cast ceramic polished and shaded, and cast ceramic polished.

Analysis of Variance

Fracture resistance of ceramic brackets during arch wire torsion.

The purpose of this study was to determine the fracture resistance of commercially available ceramic brackets during arch wire torsion. Lingual root torque was applied at the distal side of upper central incisor brackets with 0.022-inch slots by means of a 0.0215 x 0.028-inch arch wire. A specially designed apparatus was used to test six types of ceramic bracket in sample groups of 30. The amount of torque and degrees of torsional rotation at fracture were measured. The ceramic brackets could be separated into three statistically different groups with mean torques at fracture ranging from 3,706 to 6,177 gm-mm. The mean torsional rotation at fracture ranged from 9.5 degrees to 17.8 degrees. The single-crystal alumina bracket had the most intragroup variation. Eight to ten degrees of torsional rotation of the arch wire produced sufficient orthodontic force to achieve the torque. The fracture resistance of the ceramic brackets appears to be adequate for clinical use. The Starfire, Allure III, and Transcend brackets had the highest fracture resistance values.

Aluminum Oxide

Evaluation of friction between edgewise stainless steel brackets and orthodontic wires of four alloys.

This investigation was designed to determine the effects of wire size and alloy on frictional force generated between bracket and wire during in vitro translatory displacement of bracket relative to wire. Stainless steel (SS), cobalt-chromium (Co-Cr), nickel-titanium (NiTi), and beta-titanium (beta-Ti) wires of several sizes were tested in narrow single (0.050-inch), medium twin (0.130-inch) and wide twin (0.180-inch) stainless steel brackets in both 0.018- and 0.022-inch slots. The wires were ligated into the brackets with elastomeric ligatures. Bracket movement along the wire was implemented by means of a mechanical testing instrument, and frictional forces were measured by a compression cell and recorded on an X-Y recorder. beta-Ti and NiTi wires generated greater amounts of frictional forces than SS or Co-Cr wires did for most wire sizes. Increase in wire size generally resulted in increased bracket-wire friction. The wire size-alloy interaction on the magnitude of bracket-wire friction was statistically significant (p less than 0.005). With most wire sizes and alloys, narrow single brackets were associated with lower amounts of friction than wider brackets were. The levels of frictional forces in 0.018-inch brackets ranged from 49 gm with 0.016-inch SS wires in narrow single brackets to 336 gm with 0.017 x 0.025-inch beta-Ti wires in wide twin brackets. Similarly for 0.022-inch brackets, frictional forces ranged from 40 gm with 0.018-inch SS wires in narrow single brackets to 222 gm with 0.019 x 0.025-inch NiTi wires in wide twin brackets.

Analysis of Variance

Evaluation of friction between ceramic brackets and orthodontic wires of four alloys.

The purpose of this investigation was to determine the frictional resistance offered by ceramic brackets used in combination with wires of different alloys and sizes during in vitro translatory displacement of brackets. Findings with ceramic brackets were also compared with outcomes of treatment with stainless steel brackets. Stainless steel, cobalt-chromium, beta-titanium, and nickel-titanium wires of different cross-sectional sizes were tested in medium-twin monocrystalline ceramic brackets with both 0.018-inch and 0.022-inch slot sizes. The wires were ligated into the brackets with elastomeric modules. Brackets were moved along the wire by means of an Instron universal testing machine, and frictional force was measured by a compression cell and recorded graphically on an xy recorder. Wire friction in the ceramic brackets increased as wire size increased, and rectangular wires produced greater friction than round wires. Beta-titanium and nickel-titanium wires were associated with higher frictional forces than stainless steel or cobalt-chromium wires. These findings follow the same general trends as those found with stainless steel brackets; however, wires in ceramic brackets generated significantly stronger frictional force than did wires in stainless steel brackets.

Analysis of Variance

An evaluation of the shape-memory phenomenon of nickel-titanium orthodontic wires.

This investigation was undertaken to quantitatively analyze the shape-memory phenomenon of wires made of seven commercially available nickel-titanium alloys. The shape memory was determined by calculation of the percent shape recovery that occurred when the wire of each alloy was first plastically deformed below its TTR and then heated to a temperature above its TTR. The findings indicate that: 1. The mean percent recovery ranged from 89% to 94% for Ni-Ti, nitinol, Orthonol, Titanol, Sentinol Light, and Sentinol Medium alloys. The Sentinol Heavy alloy showed a mean recovery of 41.3%, which was significantly less than that of the other alloys. 2. It appears that Sentinol Heavy wire showed relatively less percent recovery because its TTR was close to room temperature. This resulted in minimal plastic deformation, because the alloy recovered its original length almost immediately, and this also indicates the importance of a proper TTR. It was concluded that the TTR should be reasonably higher than the oral temperature for clinical application of the shape-memory phenomenon of nickel-titanium alloys. 3. The heat-recovery temperature was kept to 300 degrees F in this study for maximum possible recovery. Although the results indicate that the recovery was around 90% for most alloys tested, future studies are required to determine the shape recovery at or just above oral temperature.

Dental Alloys

An in vitro evaluation of bond strength of three glass ionomer cements.

The purpose of this study was to determine the bond strength of three commercially available glass ionomer cements when used to bond mesh-backed medium twin (0.130 inch) brackets to enamel surface. Three different enamel surface conditions, which included use of pumice, pumice and polyacrylic acid, and pumice followed by acidulated phosphate fluoride, were also tested to determine their effect on the bond strength. In addition, bond strength of one composite resin was compared with those of glass ionomer cements. The teeth were bonded with all the materials according to manufacturers' instructions. Each specimen was embedded in Super-Die with the bonded facial surface exposed. A surveyor was used to align the teeth in the stone uniformly for all specimens. A special bracket holder was used to hold the brackets precisely under the wings during debonding. An Instron universal testing machine was used to measure the force required for bond failure. To stimulate oral conditions, the direction of pull was so designed that it included an element of torsional stress along with tensile force. The findings indicate that a large variation existed between the bond strengths of all materials tested. The bond strength of glass ionomer cements was significantly less than that composite resin. However, the bond strength of at least one glass ionomer cement appears to be adequate for clinical use. The different surface preparation before bonding did not significantly affect the bond strengths of glass ionomer cements. Further investigation is required to test the bond strengths of glass ionomer cements clinically.

Acidulated Phosphate Fluoride

Load-deflection rate measurements of activated open and closed coil springs.

The purpose of this investigation was to provide load-deflection rate data for a variety of open and closed coil springs. Ten millimeter lengths of open and closed coil stainless steel and Cobalt-Chromium-Nickel (Co-Cr-Ni) alloys in combinations of 0.008, 0.009 and 0.010 inch wire sizes, and 0.030 and 0.032 inch lumen sizes were tested. Other groups included heat treated Co-Cr-Ni springs and springs of 15 and 20 millimeter lengths. Forces and activations were measured by a tension load cell with an Instron universal testing instrument. Stiffness increased dramatically with wire size and pitch angle of the coils. Stiffness decreased slightly with increased lumen size. Co-Cr-Ni closed coil springs were slightly stiffer than stainless steel, whereas stainless steel open coil springs were much stiffer than Co-Cr-Ni. Heat treatment increased the stiffness of Co-Cr-Ni coil springs. The length of the spring had a great effect on the load-deflection rate. A shorter spring is stiffer than a longer spring by an amount directly proportional to the ratio of the length of the longer spring to that of the shorter spring.

Chromium Alloys

Effectiveness of four sterilizing procedures on prophylaxis cups.

Though manufactured as a single use, disposable item, prophylaxis (prophy) cups are often cleaned, sterilized or disinfected, and re-used. The purpose of this study was to determine whether 1) sterilization of prophy cups is achieved during routine procedures 2) debris is completely removed after cleaning. Three types of prophy cups (250 of each type) were evaluated. Prophy cups were contaminated with a pumice slurry containing B. stearothermophilus spore. After contamination, cups were distributed equally between ultrasonic or manual cleaning, then further distributed to one of four sterilization procedures: ETO, chemiclave, autoclave, and glutaraldehyde (GLU) immersion (6 3/4 hours). Five cups served as control and were not subjected to sterilization. Additionally, 15 prophy cups were contaminated and immersed in GLU for 10 minutes. Results indicate sterilization may be achieved by all sterilization methods tested. However, recommended disinfection immersion time of 10 minutes for GLU was not effective in achieving adequate disinfection of prophy cups. Photomicrographs indicate debris remains trapped in prophy cups after manual or ultrasonic cleaning. Prophy cup sterilization may be achieved through standard routine sterilization procedures, but remaining debris is likely due to porosity of rubber and configuration of the cups. Time management, cost effectiveness, and sound clinical judgment suggest single use.

Dental Prophylaxis