Avaliação clinica e laboratorial da colagem de braquetes metalicos com compositos ortodonticos
Fabio Lourenço Romano
TESE
Português
T/UNICAMP R662a
[Clinical and laboratory evaluation of metallic brackets bonded with orthodontic composites]
Campinas, SP : [s.n.], 2009.
64 f. : il.
Orientadores: Maria Beatriz Borges de Araujo Magnani, Lourenço Correr Sobrinho
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
Resumo: O objetivo neste estudo foi avaliar clinicamente e em laboratório, a taxa de descolagem e a resistência ao cisalhamento de bráquetes metálicos colados com compósitos ortodônticos. O experimento clínico consistiu de 20 pacientes (10,5-15,1 anos de idade), que procuraram tratamento ortodôntico...
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Resumo: O objetivo neste estudo foi avaliar clinicamente e em laboratório, a taxa de descolagem e a resistência ao cisalhamento de bráquetes metálicos colados com compósitos ortodônticos. O experimento clínico consistiu de 20 pacientes (10,5-15,1 anos de idade), que procuraram tratamento ortodôntico corretivo. Nestes pacientes foram colados bráquetes de 2° pré-molar a 2° pré-molar no arco superior e inferior com os sistemas adesivos: Concise Ortodôntico, Transbond XT convencional, Transbond XT sem agente de união e Transbond XT em esmalte preparado com ácido-primer Transbond Plus Self Etching Primer (TPSEP). Todos os sistemas foram utilizados em todos os pacientes, em rodízio pelos quadrantes, sendo que, a mesma sequência de colagem se repetiu em cada cinco pacientes. Arcos iniciais foram inseridos uma semana após a colagem dos bráquetes. Os pacientes foram avaliados durante seis meses para quantificar o número de bráquetes descolados. Ao final do período de observação ocorreram 8 descolagens com Concise Ortodôntico, 2 com Transbond XT convencional, 9 com Transbond XT sem agente de união e 1 com TPSEP + Transbond XT. Pelo Método de Kaplan-Meier foram encontradas diferenças estatísticas significantes na taxa de descolagem entre os materiais (P=0,0198) e o teste Logrank identificou estas diferenças. O Transbond XT convencional e TPSEP + Transbond XT foram estatisticamente superiores (apresentaram menos descolagens) em relação ao Concise Ortodôntico e Transbond XT sem agente de união (P<0,05). Entre os materiais Transbond XT convencional e TPSEP + Transbond XT não foram encontradas diferenças estatísticas significantes, assim como, entre Concise Ortodôntico e Transbond XT sem agente de união (P>0,05). O experimento laboratorial teve como objetivo avaliar a resistência ao cisalhamento de bráquetes metálicos colados com o novo compósito ortodôntico Transbond Plus Color Change (TPCC, 3M Unitek) em diferentes preparações de esmalte e analisar após a descolagem o Índice de Remanescente de Adesivo (IRA). Foram utilizados 72 pré-molares humanos divididos em seis grupos (n=12). No Grupo 1 (controle) foi utilizado o compósito Transbond XT convencionalmente. Nos demais grupos (2 a 6) utilizou-se o TPCC nas seguintes condições de esmalte: ácido fosfórico e XT primer; ácido-primer TPSEP; somente ácido fosfórico; ácido fosfórico, XT primer e saliva; TPSEP e saliva, respectivamente. Após a colagem dos bráquetes e fotoativação, os corpos de prova foram armazenados em água destilada em estufa a 37°C por 24 horas. Em seguida, os bráquetes foram carregados em máquina Instron à velocidade de 0,5 mm/min. e o IRA avaliado em lupa estereoscópica. Osvalores médios de resistência ao cisalhamento (MPa) foram: Grupo 1- 24,6; Grupo 2-18,7; Grupo 3-17,5; Grupo 4-19,7; Grupo 5-17,5 e Grupo 6-14,8. Os dados foram submetidos à ANOVA e ao teste de Tukey (5%). O Grupo 1 apresentou maior média e diferiu estatisticamente dos grupos 3, 5 e 6 (P<0,05) e sem diferença estatística significante em relação aos grupos 2 e 4 (P>0,05). Entre os grupos 2, 3, 4, 5 e 6 não foram encontradas diferenças estatísticas significantes (P>0,05). A colagem de bráquetes com TPCC apresentou valores comparáveis ao Transbond XT convencional e o tipo de preparo de superfície não influenciou esta adesão
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Abstract: The aim of this study was to assess clinically and laboratory the bracket failure rate and shear bond strength of metallic brackets bonded with orthodontic composites. The in vivo study consisted of 20 patients aged between 10.5 to 15.1 years old who had sought corrective orthodontic...
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Abstract: The aim of this study was to assess clinically and laboratory the bracket failure rate and shear bond strength of metallic brackets bonded with orthodontic composites. The in vivo study consisted of 20 patients aged between 10.5 to 15.1 years old who had sought corrective orthodontic treatment. Brackets were bonded of the second premolar - second premolar to their upper and lower arches using the adhesive systems: Orthodontic Concise, conventional Transbond XT, Transbond XT without primer, and Transbond XT applied to enamel etched with Transbond Plus Self-etching Primer (TPSEP). All the adhesive systems were used in all patients on a quadrant-rotation basis by repeating the same bonding sequence in every 5 patients. Initial archwires were inserted a week after the brackets bonding. The patients were evaluated during six months in order to quantify the number of brackets failure regarding each adhesive system. At the end of the observation period, 8 brackets failure rates were observed for Orthodontic Concise, 2 for conventional Transbond XT, 9 for Transbond XT without primer, and
1 with Transbond XT + TPSEP. By using the Kaplan-Meier methods, statistically significant differences were found between the materials (p=.0198), and the Logrank test identified these differences. It was observed that conventional Transbond XT and Transbond XT + TPSEP were statistically superior (fewer debonded brackets) compared to Orthodontic Concise and Transbond XT without primer (P<.05). However, no statistically significant differences were found between conventional Transbond XT and TPSEP + Transbond XT as well as between Orthodontic Concise and Transbond XT without primer (P>.05). The in vitro study aimed at assessing the shear bond strength of metallic brackets bonded to different enamel surfaces using the Transbond Plus Color Change composite (TPCC, 3M Unitek) as well as to analyse the Adhesive Remnant Index (ARI). Seventy-two human premolars were used for study, with all samples being divided into six groups (n =12). In Group 1 (control), Transbond XT composite was conventionally used. In other groups (2-6), TPCC was used under the following enamel conditions: phosphoric acid and XT primer; TPSEP; phosphoric acid only; phosphoric acid, XT primer and saliva; and TPSEP and saliva, respectively. After bracket bonding and photo-activation, the samples were stored in distilled water for 24 hours at 37°C in a stove. Next, the brackets were debonded by using an Instron machine at crosshead speed of 0.5 mm/min, and the ARI were evaluated by using a stereoscopic magnifying glass. The mean shear strength values (MPa) were the following: Group 1, 24.6; Group 2, 18.7; Group 3, 17.5; Group 4, 19.7; Group 5, 17.5; and Group 6, 14.8. Data were submitted to both ANOVA and Tukey's test (5%). Group 1 was found to be statistically superior to Groups 3, 5, and 6 (P<.05), with no statistically significant difference compared to Groups 2 and 4 (P>.05). No statistically significant differences were found between Groups 2, 3, 4, 5 and 6 (P>.05). The bracket bonding using TPCC composite showed values comparable to the conventional Transbond XT, and the type of enamel preparation had no influence Ver menos
1 with Transbond XT + TPSEP. By using the Kaplan-Meier methods, statistically significant differences were found between the materials (p=.0198), and the Logrank test identified these differences. It was observed that conventional Transbond XT and Transbond XT + TPSEP were statistically superior (fewer debonded brackets) compared to Orthodontic Concise and Transbond XT without primer (P<.05). However, no statistically significant differences were found between conventional Transbond XT and TPSEP + Transbond XT as well as between Orthodontic Concise and Transbond XT without primer (P>.05). The in vitro study aimed at assessing the shear bond strength of metallic brackets bonded to different enamel surfaces using the Transbond Plus Color Change composite (TPCC, 3M Unitek) as well as to analyse the Adhesive Remnant Index (ARI). Seventy-two human premolars were used for study, with all samples being divided into six groups (n =12). In Group 1 (control), Transbond XT composite was conventionally used. In other groups (2-6), TPCC was used under the following enamel conditions: phosphoric acid and XT primer; TPSEP; phosphoric acid only; phosphoric acid, XT primer and saliva; and TPSEP and saliva, respectively. After bracket bonding and photo-activation, the samples were stored in distilled water for 24 hours at 37°C in a stove. Next, the brackets were debonded by using an Instron machine at crosshead speed of 0.5 mm/min, and the ARI were evaluated by using a stereoscopic magnifying glass. The mean shear strength values (MPa) were the following: Group 1, 24.6; Group 2, 18.7; Group 3, 17.5; Group 4, 19.7; Group 5, 17.5; and Group 6, 14.8. Data were submitted to both ANOVA and Tukey's test (5%). Group 1 was found to be statistically superior to Groups 3, 5, and 6 (P<.05), with no statistically significant difference compared to Groups 2 and 4 (P>.05). No statistically significant differences were found between Groups 2, 3, 4, 5 and 6 (P>.05). The bracket bonding using TPCC composite showed values comparable to the conventional Transbond XT, and the type of enamel preparation had no influence Ver menos
Correr Sobrinho, Lourenço, 1960-
Coorientador
Ruellas, Antonio Carlos de Oliveira
Avaliador
Ferreira, Jose Tarcisio Lima
Avaliador
Consani, Simonides, 1939-
Avaliador
Avaliação clinica e laboratorial da colagem de braquetes metalicos com compositos ortodonticos
Fabio Lourenço Romano
Avaliação clinica e laboratorial da colagem de braquetes metalicos com compositos ortodonticos
Fabio Lourenço Romano
Exemplares
Nº de exemplares: 1
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