[Prevention of dental caries in orthodontic therapy: synthetic orthodontic materials with fluoride-storing function].
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Maximum anchorage in the maxilla can only be achieved by using headgear worn full-time or by using an implant. As full time wear requires considerable patient cooperation, we describe a technique for use of the Straumann Ortho Implant, exemplified by a case presentation. The cephalometric analysis at the end of therapy confirms that the upper molars did not slip forward during treatment (no anchorage loss).
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Dentistry is becoming more sophisticated and capable of providing much higher treatment standards than ever before. Treatments previously considered impossible can now be achieved as a direct consequence of these advances. However, this increased complexity of treatment also means that the different branches of dentistry have, as a necessity, become more and more specialised. It is important that the specialities collaborate in a systematic focused way to ensure the optimal treatment outcome with the minimum burden of care for the patient.
The objective of this study was to determine the resilience, glass transition temperature (Tg), ultimate flexural strength (UFS), and penetration coefficient of 3 composite adhesives (Concise, Transbond, and Right On) and a glass ionomer cement (Fuji Ortho LC). For 25 minutes after initial set, the composite materials were significantly more resilient than Fuji Ortho LC (P = .000). Resilience values for all materials increased for up to 90 minutes after initial set, reflecting a continuation of their setting reaction. Right On remained the most resilient material at 90 minutes after initial set (P < or = .01). At 120 minutes, there was no significant difference in the resilience of Concise, Right On, and Fuji Ortho LC. However, Transbond was significantly less resilient than these materials (P < or = .01). The composite materials recorded significantly higher glass transition values (89-123 degrees C) than Fuji Ortho LC (54 degrees C). The composite materials were also significantly stronger (61-68 MPa) than Fuji Ortho LC (35 MPa) in flexion. The penetration coefficients of Concise and Transbond were significantly higher (P < or = .001) than Right On and Fuji Ortho LC. However, the relative penetration coefficients of the materials studied did not appear to influence the degree of bracket base penetration achieved by the cements. In conclusion, Fuji Ortho LC offered a reduced energy-absorbing capacity immediately after bracket placement and reduced cohesive and mechanical adhesive strength. In addition, the glass transition temperature of Fuji Ortho LC was low; this may result in compromised attachment at temperatures above 60 degrees C. Significant differences in the penetration coefficient of the materials studied have been recorded. However, the penetration of the 4 cements into a range of bracket base morphologies was uniformly good. Therefore, the differences in penetration coefficient recorded should not influence the quality of the bracket cement interface provided.
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