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Preventing enamel decalcification during orthodontic treatment.

One hundred thirty-two extracted premolar teeth were selected and divided into four equal groups. The first group of thirty-three teeth received a topical application of acidulated phosphate fluoride; the second group, a topical application of stannous fluoride; the third group, an application of a polymeric adhesive coating; the fourth group was left untreated to serve as a control. On each tooth a loosely fitted orthodontic band was cemented to place. After cementation, the band was broken to simulate a loose orthodontic band in vivo. The four groups of teeth were simultaneously immersed in a decalcifying gelatin and were left undisturbed for 11 weeks. The teeth were then removed and a record was made of the decalcification produced. A chi-square test was used to compare the teeth in each group to those in every other group. Compared to a control group of teeth, those teeth treated with polymeric adhesive coating, acidulated phosphate fluoride, or stannous fluoride produced a statistically significant reduction in decalcification of the tooth surfaces beneath loose orthodontic bands. For a one-application technique, the polymeric adhesive coating provided more protection against decalcification of teeth under loose orthondontic bands than did either acidulated phosphate fluoride or stannous flouride.

Calcium Metabolism Disorders

Enamel decalcification in orthodontic treatment.

One hundred twenty previously extracted premolar teeth were used in this study. Teeth were divided into five groups of twenty-four each. The first group was treated with Copalite, the second with Portrait Veneer, the third with a polymeric adhesive coating material (Protecto), the fourth group with Nuva-Seal, and the fifth group served as a control. Orthodontic bands were selected and cemented to each tooth. The cement seal was then broken and teeth were thermocycled to simulate an in vivo condition. All teeth were then submerged in a decalcifying gelatin for 21 weeks. Every group was further broken into three equal subdivisions. Division A was to be submerged for 7 weeks, Division B in each group was to be submerged for 14 weeks, and Division C was to be submerged for 21 weeks. At each time interval, teeth were cleaned and examined for decalcification. Data were recorded and analyzed by means of the chi-square test. It was found that acid-etching materials protect the teeth against decalcification best. Among the acid-etching materials used, Nuva-Seal proved to be the best at protecting the teeth against decalcification for 21 weeks with this experimental design.

Acid Etching, Dental

Oral manifestations of secondary hyperparathyroidism related to long-term hemodialysis therapy.

Patients on long-term hemodialysis therapy may develop secondary hyperparathyroidism with oral symptoms. As the life expectancy of the dialysis patient increases, the dentist is seeing these manifestations with increasing frequency. A review of the subject is presented along with a case illustrating dramatic roentgenographic changes in a patient who was placed on hemodialysis when the technique was in its infancy.

Adult

Dental management for children with chronic renal failure undergoing hemodialysis therapy.

Patients with chronic renal failure who are undergoing hemodialysis therapy demonstrate problems of significant importance for dental treatment. A case is presented in which secondard hyperparathyroidism, resulting from renal failure and hemodialysis, was noted in a child. Other relationships between renal failure, hemodialysis, and dental care were also presented.

Child

Evaluation of fluoride release from an orthodontic bonding system.

Decalcification around brackets is sometimes observed after orthodontic treatment. Fluoride-releasing orthodontic adhesives have been developed in an attempt to reduce the frequency and severity of decalcification. This study evaluated, in vitro, a light-activated, fluoride-releasing composite resin adhesive, FluorEver OBA. The findings indicate that FluorEver OBA released small concentrations of fluoride ions over time. A mean of 2.6 ppm was released on day 1, decreasing to a mean of 0.42 ppm by day 2 and to 0.04 ppm by day 43. The clinical implications of these findings are discussed.

Acrylic Resins