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Biomedical subjects

T Eliades

Publications and source records attributed to T Eliades.

28 records · Page 2Linked to original sources

Residual monomer leaching from chemically cured and visible light-cured orthodontic adhesives.

The objective of this study was to quantify the amount of residual monomer leached from chemically cured and visible light-cured orthodontic adhesives based on Bis-GMA/TEGDMA monomers, when bonded to ceramic and stainless steel brackets. The residual TEGDMA and Bis-GMA monomer concentrations were determined by high performance liquid chromatographic (HPLC) analysis of the extracts after specimen immersion in ethanol/water solution for 15 days at 37 +/- 1 degree C. According to the results the highest monomer concentrations eluted were obtained from the chemically cured adhesive. Direct (through the bracket) irradiation of stainless steel brackets bonded to the visible light-cured adhesive showed high monomer elution as well. A polycarbonate base ceramic bracket manifested significantly greater amount of monomer release compared with ceramic brackets when combined with the visible light-cured adhesive. Indirect (from the incisal and cervical edges of the bracket) irradiation of the visible light-cured adhesive bonded to the stainless steel brackets resulted in lower residual monomer elution compared to that of directly (through the bracket) irradiated metallic brackets. No statistical difference was found between direct or indirect irradiation of the ceramic brackets tested, with respect to monomer elution from the light-cured adhesive.

Adhesives↗

Microbial attachment on orthodontic appliances: I. Wettability and early pellicle formation on bracket materials.

The objectives of this study were to investigate the wettability of orthodontic bracket material surfaces and the composition of salivary films adsorbed onto them after 30 and 60 minutes in vivo exposure. Specimens from stainless steel, fiber-reinforced polycarbonate, and polycrystalline alumina bracket manufacturing raw materials were subjected to (a) contact angle measurements with a homologous series of liquids, (b) micro multiple internal reflection Fourier transform infrared spectroscopy (microMIR FTIR) for the characterization of the molecular composition of the in vivo adsorbed groups, and (c) incident light optical microscopy of the acquired films. The highest critical surface tension was obtained from stainless steel (40.8 +/- 0.4 dynes/cm) followed by polycarbonate (32.8 +/- 1.3 dynes/cm) and alumina (29.0 +/- 0.9 dynes/cm), suggesting a higher potential for increased plaque-retaining capacity for the stainless steel brackets. Accordingly, the total work of adhesion and its polar and nonpolar components were consistent with the surface tension ranking. The nonpolar component of the work of adhesion was higher than its polar counterpart for all materials tested, implying a possible higher attachment prevalence for those microorganisms using dispersive forces, such as van der Waals forces, as the predominant attachment mechanism to surfaces. Qualitative and quantitative variations were observed in the adsorbed films after 30 and 60 minutes intraoral exposure that may reflect the influence of the surface properties of these substrates on the structure of the pellicle formed in vivo.

Adhesiveness↗

Direct light transmittance through ceramic brackets.

The objective of this study was to investigate the degree of direct light transmittance (%T) of various types of esthetic brackets and to correlate these values with their structure, morphologic factors, and composition. Eight types of brackets were used in the study; six brackets of each type were tested. An ultraviolet-visible spectroscopic direct transmission analysis was performed at 320 to 700 nm wavelength range. From each spectrum, the %T corresponded to the peak absorbance wavelength of the photoinitiator of the polymerization was recorded (468 nm). Recorded data were analyzed with one-way analysis of variance and Scheffe's test at alpha = 0.05 significance level. In addition, scanning electron microscope (SEM) images were used to reveal the structure and morphologic factors of the brackets tested. Highest %T values (Mean +/- 1 SD) were obtained from a monocrystal type of bracket (Starfire ["A" Company, San Diego, Calif.] 35.02 +/- 1.59%), followed by a polycrystalline (Fascination [Dentaurum, Pforzhein, Germany] 5.70 +/- 1.41%) and a ceramic/polycarbonate base one (Ceramaflex [TP Orthodontics, Inc., La Porte, Ind.] 4.02 +/- 0.96%). Also other brands presented the following data: Allure (GAC, Central Islip, N.Y.) 3.62 +/- 0.5%; Transcend 2000 (Unitek/3M, Monrovia, Calif.) 2.62 +/- 0.5%; Fascination (edgewise) (Dentaurum, Pforzhein, Germany) 1.97 +/- 0.69%; Lumina (Ormco, Glendora, Calif.) 1.57 +/- 0.5%; Signature (RMO, Denver, Colo.) 1.22 +/- 0.5%. The results showed that the structure, morphologic factors, and composition of the brackets tested were found to affect direct light transmission significantly.(ABSTRACT TRUNCATED AT 250 WORDS)

Aluminum Oxide↗

Torsional bond strength and failure pattern of ceramic brackets bonded to composite resin laminate veneers.

The objectives of this study were to investigate the torsional bond strength of ceramic brackets bonded to composite resin veneer laminates and to human enamel. Microfilled resin veneers were bonded directly to prepared, etched bovine teeth embedded in epoxy resin. Brackets [Allure IV (NSB), Fascination, Starfire TMB, and Transcend 2000] were bonded to abraded, acid-etched resin veneers with a light-cured or a chemically-cured adhesive. Brackets were also bonded to human teeth with light-cured and chemically-cured adhesives for comparison purposes. After 24 hours storage in water, specimens were subjected to torsional stress and the maximum shear stress tau max, was calculated. The debonded brackets, the veneer, and enamel surfaces were examined under a stereomicroscope and a SEM to study the failure modes. Three-way ANOVA with a Tukey multiple comparisons test revealed significant differences in bond strengths among bracket types and bonding substrate at P = 0.05 level. Highest bond strength was observed in brackets with a combination of micromechanical retention and chemical adhesion. Significant interactions among bracket, substrate (enamel or resin) and mode of cure of adhesive were observed. Analysis of the failure pattern of brackets revealed adhesive and/or cohesive resin failures in all brackets studied, while cohesive bracket failures occurred in the single-crystal Starfire TMB bracket and the polycrystalline Transcend 2000 bracket. Debonding ceramic brackets under a steady torsional load caused no substrate surface alterations regardless of adhesive used.

Analysis of Variance↗

Surface characterization of ceramic brackets: a multitechnique approach.

The purpose of this study was to investigate the microstructure and bonding mechanisms for four types of ceramic brackets by using information from several methods. Two of the bracket types provided exclusively micromechanical retention as a bonding mechanism, with the use of microspheres or microcrystals to achieve a rough structure for the bracket base. A silane layer that provided chemical adhesion was found to cover the bases of the two other types of brackets; one type also used central regions of increased roughness to provide additional micromechanical retention. Polarized-light optical microscopy showed that the silane layer was not continuous. Small area x-ray photoelectron spectroscopy analysis (SAXPS) of the silane layer was consistent with the presence of gamma-methacryloxypropyl trimethoxysilane. The study of the ceramic bracket bases revealed a wide variety in composition, structure, morphologic condition, and coating treatment that implies different bonding mechanisms to orthodontic adhesives.

Aluminum Oxide↗

Treatment of Class II division 2 malocclusion with combined bilateral sagittal split osteotomy and total subapical osteotomy.

This paper describes a modification of the combined bilateral sagittal split osteotomy and total subapical osteotomy procedure; a representative case treated with this approach is presented. In addition, diagnostic and treatment planning considerations for the comprehensive surgical-orthodontic therapy of individuals presenting with differential sagittal discrepancy between the mandibular corpus and symphysis are discussed, along with limitations of diagnostic criteria commonly used in cephalometric appraisal of the facial soft tissue outline.

Adult↗

Failure mode analysis of ceramic brackets bonded to enamel.

The purpose of this study was to evaluate in vitro the failure pattern of ceramic brackets bonded to enamel with a light-cured orthodontic adhesive. Five types of ceramic brackets and 125 incisors were used in the study. The brackets were bonded onto enamel with a light-cured orthodontic adhesive. After 1 week storage and thermal cycling, the samples were debonded by one operator according to the individual technique for each bracket group proposed by each manufacturer. The fracture surfaces were examined under a stereomicroscope to reveal the type of failures. The effect of the debonding procedure on enamel structure was significantly affected by the various bonding mechanisms of the bracket bases. Cohesive enamel fractures were detected from brackets that provided a bonding mechanism of micromechanical retention and chemical adhesion. The brackets that combined mechanical retention and chemical adhesion, presented both cohesive resin fractures and fractures located at the bracket resin or the resin enamel interface. The higher frequency of cohesive bracket fractures was obtained from a monocrystalline bracket.

Ceramics↗

Enamel fluoride uptake from an experimental fluoride-releasing orthodontic adhesive.

The purpose of this study was to evaluate quantitatively the fluoride uptake by enamel from an experimental visible light-cured orthodontic adhesive (VP-862) based on YbF3 filler. Sixteen contralateral premolars were extracted from 10 orthodontic patients and were classified in four groups (A, B, C, D) of four buccal surfaces each. Standardized enamel areas located on these surfaces were acid etched and were subjected to the following adhesive treatments: (A) VP-862; (B) Heliosit Orthodontic; (C) Heliobond + VP 862; and (D) Heliobond + Heliosit Orthodontic. Groups B and D were used as a reference. After 9 months in vivo, the teeth were extracted and cross-sectioned, and the enamel-adhesive interfaces were studied by combined wavelength-energy dispersive electron probe microanalysis. According to the results, the cumulative fluoride uptake by enamel from the experimental adhesive was not statistically different from the fluoride detected in the reference groups. No effect of the liquid resin, Heliobond, on the fluoride uptake gradients of enamel could be differentiated.

Acrylates↗

Bonding of ceramic brackets to enamel: morphologic and structural considerations.

The purpose of this study was to evaluate the form and microstructure of three types of ceramic bracket and to assess their interfacial surface shapes and bond strengths with visible light-cured and chemically cured adhesives after thermocycling. One monocrystalline and two polycrystalline structures were identified. The form of the bonding bases implied three types of bonding with the adhesive: a chemical bonding, a combination of mechanical retention and adhesion, and a combination of micromechanical retention and adhesion. All the ceramic bases were covered with a layer of gamma-methacryloxypropyltrimethoxysilane coupling agent. The thickness of the adhesive layer was affected by the design of the bracket bases. The highest bond strength was obtained from the brackets by a combination of micromechanical retention and adhesion, with the site of failure located at the resin/bracket interface. The other types of ceramic brackets had a greater amount of resin left on the enamel and some cases of cohesive bracket fractures.

Adhesives↗

Passive film growth on titanium alloys: physicochemical and biologic considerations.

The role of reactive oxygen derivatives (hydroxy peroxide, hydroxyl radical, and singlet oxygen) on the precipitation of inorganic and organic complexes onto the surface of titanium implant alloys is discussed in this review. In addition, the effect of possible implication of several biologic entities surrounding the implant on the implant-tissue interface constituents is described. Evidence from relevant studies suggests that local microenvironmental byproducts and factors associated with the inflammatory response resulting from the implant-induced tissue insult may enhance the expressivity of the inherent, clinically important property of titanium to form oxides. Growth of titanium oxide may be explained through several processes derived from biologic, thermodynamic, and electrochemical approaches. The models proposed to interpret this phenomenon are often contradictory, demonstrating inward or outward from the bulk material passive film growth, with increasing or self-limiting levels of oxide formation as a function of time. However, in vivo observations are consistent with aging-induced thickening of the complexes precipitated on the implant material surface. This review attempts to clarify several critical issues pertaining to passive film formation and kinetics on titanium-alloy surfaces.

Alloys↗