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Purpose: The aim of this study was to compare the effects of 2 NiTi file systems [Twisted File Adaptive (TFA) and Reciproc (RP)] and 2 irrigation techniques [Conventional needle irrigation (CNI) and Laser activated irrigation (LAI)] on the amount of apically extruded debris in primary maxillary molars., Study Design: Sixty extracted primary maxillary molars were randomly divided into 4 groups. The mesio-buccal roots of teeth in 4 groups were instrumented using TFA with LAI, RP with LAI, TFA with CNI and RP with CNI respectively. Debris extruded during instrumentation was collected into Eppendorf tubes and amounts were determined. The data were analyzed using two-way ANOVA test at 0.05 level of significance., Results: The results indicated all instrumentation and irrigation systems caused a measurable apical extrusion of debris. However, no statistically significant difference in debris extrusion was observed between irrigation techniques or instrumentation systems (P > 0.05). The total amount of debris extruded apically by LAI was greater than that by CNI., Conclusions: All instrumentation and irrigation techniques caused debris extrusion. However, the optimal laser activation time and power settings should be investigated to ensure minimal extrusion of debris and irrigant due to cavitation and pressure during LAI in root canal treatment.

The objective of the present study is to evaluate how the elastic properties of the fabrication material of dental implants influence peri-implant bone load transfer in terms of the magnitude and distribution of stress and deformation. A three-dimensional (3D) finite element analysis was performed; the model used was a section of mandibular bone with a single implant containing a cemented ceramic-metal crown on a titanium abutment. The following three alloys were compared: rigid (Y-TZP), conventional (Ti-6Al-4V), and hyperelastic (Ti-Nb-Zr). A 150-N static load was tested on the central fossa at 6° relative to the axial axis of the implant. The results showed no differences in the distribution of stress and deformation of the bone for any of the three types of alloys studied, mainly being concentrated at the peri-implant cortical layer. However, there were differences found in the magnitude of the stress transferred to the supporting bone, with the most rigid alloy (Y-TZP) transferring the least stress and deformation to cortical bone. We conclude that there is an effect of the fabrication material of dental implants on the magnitude of the stress and deformation transferred to peri-implant bone., Competing Interests: The authors declare that there is no conflict of interests regarding the publication of this paper.

Objective: To investigate the expression of Wnt3a, Wnt10b, β-catenin and DKK1 in the periodontal ligament (PDL) during orthodontic tooth movement (OTM) in rats., Materials and Methods: Nickel-titanium closed-coil springs were used to deliver an initial 50 g mesial force to the left maxillary first molars in 30 rats. The force was kept constant for 1, 3, 5, 7, 10 and 14 days until the animals were sacrificed. The right maxillary molars without force application served as control. Paraffin-embedded sections of the upper jaws were prepared for histological and immunohistochemical analyses to detect Wnt3a, Wnt10b, β-catenin and DKK1 expression in PDL., Results: Wnt3a, Wnt10b, β-catenin and DKK1 were expressed on both the ipsilateral and contralateral sides of PDL in each group. After the application of orthodontic force, the expression of β-catenin and DKK1 was initially increased and then decreased on both sides, with maximal levels of expression at day 7 and day 10, respectively. On the compression side, Wnt3a and Wnt10b levels started to increase at day 5, while on the tension side, these two molecules began to increase at day 1. Furthermore, the expression levels of Wnt3a, Wnt10b, and β-catenin were much stronger on the tension side than on the compression side at any of the observation points, while DKK1 level was much higher on the compression side., Conclusion: Wnt3a, Wnt10b, β-catenin and DKK1 expression may be related to the periodontal tissue remodeling following the application of an orthodontic force in rats. These observations suggest that the Wnt/β-catenin signaling pathway may play a crucial role in periodontal tissue remodeling during OTM.

Objectives: To compare the differences in metal artefact degree and the depiction of structures in helical neck CT, in patients with metallic dental fillings, among adaptive iterative dose reduction three dimensional (AIDR 3D), forward-projected model-based iterative reconstruction solution (FIRST) and AIDR 3D with single-energy metal artefact reduction (SEMAR-A)., Methods: In this retrospective clinical study, 22 patients (males, 13; females, 9; mean age, 64.6 ± 12.6 years) with metallic dental fillings who underwent contrast-enhanced helical CT involving the oropharyngeal region were included. Neck axial images were reconstructed with AIDR 3D, FIRST and SEMAR-A. Metal artefact degree and depiction of structures (the apex and root of the tongue, parapharyngeal space, superior portion of the internal jugular chain and parotid gland) were evaluated on a four-point scale by two radiologists. Placing regions of interest, standard deviations of the oral cavity and nuchal muscle (at the slice where no metal exists) were measured and metal artefact indices were calculated (the square root of the difference of the squares of them)., Results: In SEMAR-A, metal artefact was significantly reduced and depictions of all structures were significantly improved compared with those in FIRST and AIDR 3D (p ≤ 0.001, sign test). Metal artefact index for the oral cavity in AIDR 3D/FIRST/SEMAR-A was 572.0/477.7/88.4, and significant differences were seen between each reconstruction algorithm (p < 0.0001, Wilcoxon signed-rank test)., Conclusions: SEMAR-A could provide images with lesser metal artefact and better depiction of structures than AIDR 3D and FIRST.

This study aims to compare stress transmitted to implants and passive fit of one-piece cast frameworks fabricated with 3 different materials: commercially pure titanium (G1-CP Ti), cobalt-chromium alloy (G2-Co-Cr), and nickel-chromium-titanium alloy (G3-Ni-Cr-Ti). In total, 12 frameworks simulating bars for fixed prosthesis in a model with 5 implants were fabricated. The passive fit of the framework interface was measured using an optical microscope and the stresses transmitted to implants were measured using quantitative photoelastic analysis. Data were statistically analyzed by analysis of variance (ANOVA) and least significant difference (LSD) tests (α = 0.05). Mean and standard deviation values of passive fit and stress over implants are presented, respectively: G1 [472.49 (109.88) μm and 11.38 (9.23) KPa], G2 [584.84 (120.20) μm and 15.83 (9.30) KPa], and G3 [462.70 (179.18) μm and 16.39 (9.51) KPa]. For stress over implants, there were significant differences between G1, G2, and G3 (P = 0.035), being the lowest values for the G1. There were no significant differences for passive fit between G1 and G3 (P = 0.844), but both were statistically different from G2 (P = 0.028 and P = 0.035, respectively), which showed the worse results. It may be concluded that the stress over implants was affected by the tested materials. The CP Ti presented the best values for the evaluated items.

Sub-gingival anaerobic pathogens can colonize an implant surface to compromise osseointegration of dental implants once the soft tissue seal around the neck of an implant is broken. In vitro evaluations of implant materials are usually done in monoculture studies involving either tissue integration or bacterial colonization. Co-culture models, in which tissue cells and bacteria battle simultaneously for estate on an implant surface, have been demonstrated to provide a better in vitro mimic of the clinical situation. Here we aim to compare the surface coverage by U2OS osteoblasts cells prior to and after challenge by two anaerobic sub-gingival pathogens in a co-culture model on differently modified titanium (Ti), titanium-zirconium (TiZr) alloys and zirconia surfaces. Monoculture studies with either U2OS osteoblasts or bacteria were also carried out and indicated significant differences in biofilm formation between the implant materials, but interactions with U2OS osteoblasts were favourable on all materials. Adhering U2OS osteoblasts cells, however, were significantly more displaced from differently modified Ti surfaces by challenging sub-gingival pathogens than from TiZr alloys and zirconia variants. Combined with previous work employing a co-culture model consisting of human gingival fibroblasts and supra-gingival oral bacteria, results point to a different material selection to stimulate the formation of a soft tissue seal as compared to preservation of osseointegration under the unsterile conditions of the oral cavity.

This article details the clinical techniques for conventional preformed metal crown placement. It aims to increase the readers' awareness of the clinical advantages of preformed metal crowns and the indications for their use. The second part will discuss the Hall Technique. CPD/Clinical Relevance: This two-part article aims to guide the reader through the conventional and alternative techniques available for placement of a preformed metal crown whilst providing an update of the evidence for each.

Aim: The purpose of this study was to assess the difference of removal torque values (RTV) and the bone-to-implant contact (BIC) between the sand-blasted, large grit, and acid-etched (SLA) surface-treated and the machined surface (MA) miniscrews., Material and Methods: Miniscrews used in this study were 6mm long with a diameter of 1.5mm. A total of 23 SLA miniscrews and 24 MA miniscrews were placed into the distal femoral condyle of 24 New Zealand rabbits. Removal torque test and the BIC was histologically evaluated at 0 and 8 weeks., Results: There was no statistical difference between the RTV in the MA group versus the SLA group at both 0 and 8 weeks. Comparing 0-8 weeks, there was no significant difference in RTV of the SLA group (P = 0.48), however the change in the MA group was statistically significant (P = 0.006). Histological observation showed a significant decrease in BIC comparing 0 and 8 weeks for the MA group. The BIC ratio at 8 weeks was statistically significantly higher in the SLA group compared to the MA group., Conclusion: SLA surface preparation does not increase the RTV of miniscrews. Further investigations under loading and a large sample size are required., (© The Author 2015. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

Objective: To study the electrochemical corrosion performance of a type of biomedical materials near beta titanium alloy(Ti-3Zr-2Sn-3Mo-25Nb, TLM) in artificial saliva before and after nitride changing, and to provide clinical basis for clinical application of titanium alloy TLM., Methods: The double glow plasma alloying technology was used to nitride the surface of titanium alloy TLM. The surface properties of the modified layer were observed and tested by optical microscope, scanning electron microscope, glow discharge spectrum analyzer, X-ray diffraction and micro hardness tester. Then, electrochemical measurement system was used to test and compare titanium alloy TLM's electrochemical corrosion in artificial saliva before and after its surface change. Finally, the surface morphology of the original titanium alloy and the modified layer was compared by scanning electron microscope., Results: By the technology of double glow plasma nitriding, the surface of the titanium alloy TLM had been successfully nitrided with a modified layer of 4-5 µm in thickness, uniform and compact. Its main compositions were Ti and Ti(2)N. The Microhardness of modified layer also had been improved from (236.8 ± 5.4) to (871.8 ± 5.2) HV. The self-corrosion potential in electrochemical corrosion tests had been increased from -0.559 V to -0.540 V, while the self- corrosion current density had been reduced from 2.091 × 10(-7) A/cm(2) to 7.188 × 10(-8) A/cm(2). Besides, alternating-current impedance(AC Impedance) had also been increased. With the scanning electron microscope, it's obvious that the diameter of corrosion holes on modified layer were approximately 10 µm. As to the diameter and number of corrosion holes on modified layer, they had been decreased comparing with the original titanium alloy., Conclusions: The type of near beta titanium alloy TLM can construct a nitriding modified layer on its surface. Meanwhile, the performance of its anti- corrosion in artificial saliva has been improved, comparing to the original titanium alloy TLM.

Objective: The objective of this study was to identify the different microstructures produced by CC, PM and as-cast techniques for Co-Cr alloys and their phase stability following porcelain firings., Methods: Three bi-layer porcelain veneered Co-Cr specimens and one monolithic Co-Cr specimen of each alloy group [cast, powder metallurgy (PM), CAD/CAM (CC)] were manufactured and analyzed using electron backscatter diffraction (EBSD), energy dispersive spectrometry (EDS) and X-ray diffraction (XRD). Specimens were treated to incremental numbers of porcelain firings (control 0, 5, 15) with crystallographic data, grain size and chemical composition subsequently obtained and analyzed., Results: EBSD datasets of the cast alloy indicated large grains >200 μm whereas PM and CC alloy consisted of mean arithmetic grain sizes of 29.6 μm and 19.2 μm respectively. XRD and EBSD results both indicated the highest increase in hcp content (>13vol%) for cast Co-Cr alloy after treatment with porcelain firing while PM and CC indicated <2vol% hcp content. A fine grain interfacial layer developed on all surfaces of the alloy after porcelain firing. The depth of this layer increased with porcelain firings for as-cast and PM but no significant increase (p>.05) was observed in CC. EDS line scans indicated an increase in Cr content at the alloy surface after porcelain firing treatment for all three alloys., Significance: PM and CC produced alloy had superior fcc phase stability after porcelain firings compared to a traditional cast alloy. It is recommended that PM and CC alloys be used for porcelain-fused-to-metal restorations., (Copyright © 2015 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.)

Objective: The aim was to evaluate the alteration of the deactivation forces of the most commonly used nickel-titanium wires under long-lasting oral cavity environmental influence., Materials and Methods: Randomized in vitro and in vivo trials of 540 pieces of orthodontic archwires, NeoSentalloy®, Copper NiTi® 35°C and Titanol Superelastic(®), round (0.016 inch), and rectangular (0.016 × 0.022 inch), were carried out. Randomization and blinding was achieved with 12-colour system that ensured encoding of key information on the tested specimens. Each of 270 patients (females, 18-20 years old, in the finishing stage of orthodontic treatment) received the piece of NiTi wire ligated piggyback, for a period of 4-6 weeks. Eventually, all samples were subjected to a three-point bending test. Data were statistically analysed at a 5 per cent significance level., Results: In the group of the round used wires, when compared with the new ones, the deactivation force (F dav) values increased significantly for Titanol Superelastic®; the NeoSentalloy® and Copper NiTi® 35°C wires did not change their values of F dav. In the group of rectangular wires, F dav decreased for Titanol Superelastic®, but increased for NeoSentalloy® wires. The F dav values of the Copper NiTi® 35°C used wires practically did not change, but a remarkable increase of the standard deviation was noted., Limitations: No calculations concerning effectiveness of in vivo aligning of analysed wires were made., Conclusions: For the purpose of a 4-6-week aligning stage, round NeoSentalloy® with a diameter of 0.016 inches seems to be the wire of choice because of the low level of F dav., (© The Author 2015. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

Purpose: To evaluate the corrosion properties of absorbed protein on the surface of NiCr alloys, and provide experimental base for corrosion resistance of dental casting alloys., Methods: NiCr alloy specimens were divided into 3 groups: one group was exposed to the artificial saliva(control group), and the other 2 groups were exposed to the artificial saliva with 1% bovine serum albumin(BSA), or 0.22% lysozyme(LSZ). Group of BSA and group of LSZ were the experimental group. Specimens in 3 groups were cultured in solution of Streptococcus mutans for 12 h, 24 h, 36 h and 48h, and investigated with electrochemical impedance spectroscopy measurement(EIS) and potentiodynamic polarization measurement(POT) to determine the corrosion resistance of the alloys. The data was analyzed with SPSS 17.0 software package., Results: The results indicated that the corrosion resistance of both BSA group and LSZ group were higher than that of the control group (P<0.05) and LSZ group was superior to BSA group cultured in the solution of Streptococcus mutans for 12 h. When cultured for 24 h, the corrosion resistance of BSA group and LSZ group had no significant difference (P>0.05), but was still higher than that of the control group. After 36 h culture time, the control group and the BSA group had no statistical difference in corrosion resistance （P>0.05), while the LSZ group had the poorest corrosion resistance. When the culture time extended to 48 h, the control group had a better corrosion resistance compared with the BAS group and the LSZ group(P<0.05), but BSA group had displayed lower corrosion properties than LSZ group. The potentiodynamic polarization curve and electrochemical impedance spectroscopy had similar results., Conclusions: The adhesion of BSA and LSZ on the surface of the NiCr alloys in the early time could effectively inhibit the corrosive effect of Streptococcus mutans. The LSZ had better effect than BSA. With the continuing role of bacteria and the consumption of the absorb protein, the corrosion resistance of NiCr alloys toward Streptococcus mutans becomes lower than the alloys without absorb protein, which demonstrated that the adhesion of protein would change the surface structure of NiCr alloys and BSA had a greater effect.

Aims: The aim of this work was to investigate the effects of commonly used orthodontic appliances on the magnetic resonance (MR) image quality of the craniofacial region, with special interest in the soft palate and velopharyngeal wall using real-time speech imaging sequences and anatomical imaging of the temporomandibular joints (TMJ) and pituitaries., Methods: Common orthodontic appliances were studied on 1.5 T scanner using standard spin and gradient echo sequences (based on the American Society for Testing and Materials standard test method) and sequences previously applied for high-resolution anatomical and dynamic real-time imaging during speech. Images were evaluated for the presence and size of artefacts., Results: Metallic orthodontic appliances had different effects on image quality. The most extensive individual effects were associated with the presence of stainless steel archwire, particularly if combined with stainless steel brackets and stainless steel molar bands. With those appliances, diagnostic quality of magnetic resonance imaging speech and palate images will be most likely severely degraded, or speech imaging and imaging of pituitaries and TMJ will be not possible. All non-metallic, non-metallic with Ni/Cr reinforcement or Ni/Ti alloys appliances were of little concern., Limitations: The results in the study are only valid at 1.5 T and for the sequences and devices used and cannot necessarily be extrapolated to all sequences and devices. Furthermore, both geometry and size of some appliances are subject dependent, and consequently, the effects on the image quality can vary between subjects. Therefore, the results presented in this article should be treated as a guide when assessing the risks of image quality degradation rather than an absolute evaluation of possible artefacts., Conclusions: Appliances manufactured from stainless steel cause extensive artefacts, which may render image non-diagnostic. The presence and type of orthodontic appliances should be always included in the patient's screening, so the risks of artefacts can be assessed prior to imaging. Although the risks to patients with fixed orthodontic appliances at 1.5 T MR scanners are low, their secure attachment should be confirmed prior to the examination., (© The Author 2015. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

Purpose: To measure and compare the depth of cure (DOC) of two bulk fill resin composites using a monowave and polywave light curing unit (LCU) according to ISO 4049 and using custom tooth molds., Methods: The DOC of Tetric Evoceram Bulk Fill and Filtek Bulk Fill Posterior were measured using a monowave LED LCU (Elipar S10) and a polywave LED LCU (Bluephase G2). Metal molds were used to fabricate 10 mm long DOC specimens (n = 10) according to ISO 4049. Uncured composite material was scraped away with a plastic instrument and half the length of remaining composite was measured as the DOC. Custom tooth molds were fabricated by preparing > 10 mm long square- shaped (4 x 4 mm) holes into the mesial/distal surfaces of extracted human molars. Resin composite was placed into one end of the prepared tooth and light polymerized. Uncured resin composite was removed from the opposite side from which the tooth was irradiated and the tooth was sectioned mesio-distally. Half the length of remaining cured composite was measured as the DOC. Data were analyzed by three-way ANOVA (α = 0.05) for factors material, LCU, and mold., Results: The main effect LCU was not significant (P = 0.58). The interaction effect between material x mold was significant (P = 0.0001). The DOC of the composites differed significantly only with the stainless steel mold in which Tetric Evoceram Bulk Fill showed a deeper DOC than Filtek Bulk Fill Posterior (4.03 ± 0.14 vs 3.56 ± 0.38 mm, P < 0.0001).

Objectives: To investigate the effects of surface roughness on the removal torque and bone-to-implant contact of four different orthodontic mini-implants., Materials and Methods: Mini-implants and circular discs were made from alloy Ti6Al4V grade 5. On the basis of surface treatment, the study was divided into four groups-group 1: machined (n = 32), no surface treatment; group 2: acid etched (n = 32), with hydrochloric acid; group 3 (n = 32), grit blasted with alumina; and group 4, grit blasted + acid etched (n = 32). Mean surface roughness (Ra) and quadratic average roughness (Rq) from each group were measured two dimensionally in non-contact mode by the optical profilometer. Contact angle measurement of discs from each group was done with a contact angle goniometer. Contact angle of liquids with different hydrophobicity and hydrophilicity was measured: 1. highly hydrophilic liquid sodium chloride (NaCl), 2. lightly hydrophobic liquid dimethylsulfoxide, 3. distilled water, and 4. human blood. One hundred and twenty-eight miniscrews, differing in surface treatment, were placed into the tibias and femurs of adult male New Zealand white rabbits. Rabbits were euthanized after 8 weeks and removal torque and bone-to-implant contact were measured., Results: Surface roughness of group 3 was significantly greater than other groups (P < 0.05). Group 4 had significantly lower contact angle measurements, both for blood and sodium chloride (NaCl; 40.26 degrees, 27.20 degrees) when compared to other three groups (P ≤ 0.01). Group 4 had significantly higher torque and bone-to-implant contact than group 3 (P = 0.007), group 2 (P = 0.003), and group 1 (P = 0.0002)., Conclusion: Surface roughness and wettability of mini-implants influence their biological response., (© The Author 2015. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

Purpose: To compare the effectiveness of immediately loaded total prostheses supported by implants with a roughened surface versus implants with a machined/turned surface., Materials and Methods: Fifty edentulous or to-be-rendered edentulous patients requiring an implant-supported cross-arch prosthesis, were randomised either to receive four to eight implants with a roughened surface (25 patients) or with a machined/turned surface (25 patients). Provisional metal-reinforced acrylic prostheses were delivered 48 h after implant placement. Provisional prostheses were replaced after 4 months, by definitive screw-retained metal-resin cross-arch restorations. Outcome measures were prosthesis and implant failures, any complications and peri-implant marginal bone level changes. Patients were followed 1 year after loading., Results: One year after loading no patient dropped out. No prosthesis failed, but two machined implants were found to be mobile at definitive impression taking in 1 patient (Fisher's exact test: P = 0.312; difference in proportions = 4%; 95% Cl: -10 to 18). No complications occurred. Both groups presented a significant peri-implant marginal bone loss at 1 year after loading (P < 0.0001), -0.64 ± 0.20 mm for rough implants and -0.68 ± 0.23 mm for turned implants, respectively, with no statistically significant differences between the two groups (P = 0.482; mean difference = 0.04 mm; 95% Cl: -0.17 to 0.25)., Conclusions: Up to 1 year after immediate loading, both implant surfaces provided good and similar results, however, the only two implants which failed early in the same patient had a machined surface. These preliminary results must be confirmed by larger trials with longer follow-ups.

Introduction: Autotransplantation has become a major therapeutic option for replacing missing teeth in adult orthodontic patients. However, little systematic information is available about the long-term stability of autotransplanted teeth with complete root formation after the application of an orthodontic force. The objective of this study was to investigate the outcomes of autotransplanted teeth with complete root formation that underwent orthodontic treatment., Methods: One hundred teeth, autotransplanted in 89 patients, were examined over a mean observation period of 5.8 years. Orthodontic force was applied with nickel-titanium wires 4 to 8 weeks after autotransplantation. Root resorption, ankylosis, mobility, pocket depth, and inflammation at the recipient site were investigated clinically and with radiographs., Results: The survival rate of the autotransplanted teeth was 93.0%. Abnormal findings were found in 29 teeth, including 7 lost teeth, for a success rate of 71.0%. Donor tooth type and occlusal condition of the donor tooth before transplantation were associated with abnormal findings., Conclusions: The early application of orthodontic force may increase the success rate of autotransplanted teeth, and the type and presurgical occlusal condition of donor teeth affect the success rate., (Copyright © 2015 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.)

Aim: This aim was to evaluate preformed metal crowns (PMC) placed under general anaesthesia using an occlusal template in comparison to crowns placed without the use of a template., Methodology: CONSORT protocols were followed in the design of the study. A total of 60 children between 4-7 years requiring pulpotomy and PMC for all primary molars met the inclusion criteria for this study. The control group comprised patients for whom the PMC were placed without the use of an occlusal template, while in the test group crowns were placed using a polyvinyl siloxane occlusal template. Patients were followed up at 24 h, 7 days, 3 and 6 months. The time taken for the placement of crowns, instances of post-operative discomfort, success or failure of the pulp therapy and loss of any crowns were compared between the groups., Results: The mean time taken for completion of the procedure in the control group was significantly greater than the template group (t = 2.566, p = 0.013). Significantly fewer patients in the template group reported symptoms of discomfort or high points at the 24-h recall; however, these differences were not significant at the 1-week, 3- or 6-month recall., Conclusion: The use of an occlusal template for the placement of multiple PMC under general anaesthesia reduces the time taken for their placement and reduces the incidence of immediate post-operative discomfort.

Part 2 of this series of two articles addresses the Hall Technique for preformed metal crowns. It will discuss the need for an effective child and dentist friendly method to restore carious primary molars. The technique is described in detail and the evidence for its effectiveness and acceptance by children, parents, dentists and dental educators is presented. CPD/Clinical Relevance: Dentists and dental care professionals should be aware of the evidence to support the adoption of the Hall Technique.

Objectives: CrCoMo alloy specimens were successfully fabricated using selective laser melting (SLM). The aim of this study was to carefully investigate microstructure of the SLM specimens in order to understand the influence of their structural features inter-grown on different length scales ranging from nano- to macro-levels on their mechanical properties., Methods: Two different sets of processing parameters developed for building the inner part (core) and the surface (skin) of dental prostheses were tested. Microstructures were characterized by SEM, EBSD and XRD analysis. The elemental distribution was assessed by EDS line profile analysis under TEM. The mechanical properties of the specimens were measured., Results: The microstructures of both specimens were characterized showing formation of grains comprised of columnar sub-grains with Mo-enrichment at the sub-grain boundaries. Clusters of columnar sub-grains grew coherently along one common crystallographic direction forming much larger single crystal grains which are intercrossing in different directions forming an overall dendrite-like microstructure. Three types of microstructural defects were occasionally observed; small voids (<10 μm), fine cracks at grain boundaries (<10 μm) and cracks at weld line boundaries (>10 μm). Despite the presence of these defects, the yield and the ultimate tensile strength (UTS) were 870 and 430MPa and 1300MPa and 1160MPa, respectively, for the skin and core specimens which are higher than casted dental alloy., Significance: Although the formation of microstructural defects is hard to be avoided during the SLM process, the SLM CoCrMo alloys can achieve improved mechanical properties than their casted counterparts, implying they are "defect-tolerant"., (Copyright © 2015 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.)

Background: The aim of this study was to evaluate the influence of cervical preflaring on apical transportation in curved root canals prepared using the Reciproc and WaveOne reciprocating file systems., Methods: Sixty curved canals were instrumented using Reciproc R25 and WaveOne Primary files, with and without preflaring (n = 15). A double-digital technique was used to digitally superimpose the file before instrumentation (#15 K-file) on the final apical reciprocating file (#25/08). The angle between the tip of the initial and final file was measured and recorded. Groups were compared using the Kruskal-Wallis test, and significance was set at p < 0.05., Results: The mean and standard deviation for apical transportation was 0.93 ± 2.48 for the Reciproc Group, 0.84 ± 1.94 for the Preflaring + Reciproc Group, 0.40 ± 1.14 for the WaveOne Group, and 0.83 ± 2.20 for the Preflaring + WaveOne Group. No statistically significant differences were found among the groups (p = 0.9509)., Conclusions: Under the conditions of this study, cervical preflaring did not influence apical transportation in curved root canals instrumented using Reciproc R25 and the WaveOne Primary files. Based on the in vitro measurements of apical transportation, the reciprocating files may be used without preflaring in curved root canals.

The purpose of instrumentation is to facilitate irrigation and allow controlled obturation. This article will revisit methods of instrumentation of the root canal system with consideration given to length determination, apical preparation and the concept of patency filing. It will discuss hand instrumentation and rotary preparation looking at emerging technology such as reciprocating systems and the self-adjusting file. CPD/CLINICAL RELEVANCE: Mechanical preparation of the root canal system is of fundamental importance in achieving success, creating a more easily managed environment from a biological perspective.

Purpose: The aim of this study was to analyze through a three-dimensional finite element analysis (3D-FEA) stress distribution on four implants supporting a full-arch implant-supported fixed prosthesis (FFP) using different prosthesis designs., Materials and Methods: A 3D edentulous maxillary model was created and four implants were virtually placed into the maxilla and splinted, simulating an FFP without framework, with a cast metal framework, and with a carbon fiber framework. An occlusal load of 150 N was applied, stresses were transmitted into peri-implant bone, and prosthodontic components were recorded., Results: 3D-FEA revealed higher stresses on the implants (up to +55.16%), on peri-implant bone (up to +56.93%), and in the prosthesis (up to +70.71%) when the full-acrylic prosthesis was simulated. The prosthesis with a carbon fiber framework showed an intermediate behavior between that of the other two configurations., Conclusion: This study suggests that the presence of a rigid framework in full-arch fixed prostheses provides a better load distribution that decreases the maximum values of stress at the levels of implants, prosthesis, and maxillary bone.

Implant-supported, full-arch hybrid prostheses have developed from cast-metal frameworks with acrylic or porcelain to all-ceramic zirconia frameworks. CAD/CAM manufacturing removed the inaccuracies seen with casting and made use of zirconia possible. The materials and processes for prosthodontic fabrication are explained. Zirconia is highly opaque and versatile. However, porcelain-veneered zirconia frameworks have shown higher enamel wear, among other problems. Lithium disilicate has been shown to be more translucent than zirconia. Improved stained and more translucent zirconia frameworks have been produced as well. These promising new methods have gained popularity, but long-term studies are scarce and, thus, more research is required.

Objectives: The aim of the present study was to assess and compare the shear bond strength (SBS) of metal pre-coated orthodontic brackets bonded to fluorotic and non-fluorotic teeth treated with three different etching techniques. A second aim was to determine the volume of adhesive remaining on the tooth at debond using micro-computed tomography (μCT)., Methods: Ninety extracted premolars were selected to include 45 fluorotic (test group) and 45 non-fluorotic (control group) teeth. Each group was divided into three subgroups of 15 each, which were treated as follows: 1) micro-etched; 2) acid-etched; and 3) both micro-etched and acid-etched. A bonding agent was applied to the prepared surfaces; pre-coated and light-cured brackets were attached to all teeth. An Instron universal testing machine was used to record the debonding force. Specimens were then scanned using a microCT to evaluate the amount of adhesive remaining on the teeth. The significance of the statistical tests was pre-determined at p < 0.05., Results: Two-way ANOVA showed that fluorosis of teeth had no influence on the SBS (p = 0.165) whereas the volume of adhesive remnants was significantly higher in the control group compared with the test group (p < 0.001)., Conclusions: Fluorosis had no influence on the SBS of brackets, whereas it had a negative influence on retaining adhesives onto the tooth surfaces.

Objective: To test the null hypothesis that neither the flexural properties of orthodontic adhesive resins nor the enamel pre-treatment methods would affect metal bracket debonding behaviours, including enamel fracture., Materials and Methods: A dimethacrylate-based resin (Transbond XT, TX) and two methyl methacrylate (MMA)-based resins (Super-Bond C&B, SB; an experimental light-cured resin, EXP) were tested. Flexural strength and flexural modulus for each resin were measured by a three-point-bending test. Metal brackets were bonded to human enamel pretreated with total-etch (TE) or self-etch adhesive using one of the three resins (a total of six groups, n = 15). After 24 hours of storage in water at 37°C, a shear bond strength (SBS) test was performed using the wire loop method. After debonding, remaining resin on the enamel surfaces and occurrence of enamel fracture were assessed. Statistical significance was set at P < 0.05., Results: The two MMA resins exhibited substantially lower flexural strength and modulus values than the TX resin. The mean SBS values of all groups (10.15-11.09MPa) were statistically equivalent to one another (P > 0.05), except for the TE-TX group (13.51MPa, P < 0.05). The two EXP groups showed less resin remnant. Only in the two TX groups were enamel fractures observed (three cases for each group)., Limitations: The results were drawn only from ex vivo experiments., Conclusions: The hypothesis is rejected. This study suggests that a more flexible MMA resin is favourable for avoiding enamel fracture during metal bracket debonding., (© The Author 2014. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

Introduction: Despite the importance of nickel and chromium release from orthodontic brackets, there are no in vivo or in vitro studies on this issue in the case of metal-injection molding (MIM) brackets., Methods: Saliva samples were collected from 30 orthodontic patients divided randomly into two groups of conventional and MIM brackets, before treatment and 2 months later. Approved attendees with odd and even numbers were, respectively, assigned to the control and treatment groups. For blinding, the patients were not informed of their bracket types, and the saliva samples were coded. Nickel and chromium levels were determined using atomic absorption spectrophotometry. Data were analysed using repeated-measures two-way analysis of covariance, independent-samples t-test, chi-squared, Spearman and point-biserial correlation coefficients, Mann-Whitney, and Wilcoxon tests (α = 0.05)., Results: Mean nickel level increased from 7.87±8.14 (pre-treatment) to 12.57±9.96 (2nd month) in the control group, and from 8.62±9.85 (pre-treatment) to 8.86±6.42 µg/l in the MIM group. Both of these increases were significant (Wilcoxon P < 0.03). Average chromium level changed from 0.25±0.56 (pre-treatment) to 0.35±0.62 and from 0.42±0.48 to 0.26±0.57 µg/l in the MIM group. Only the reduction observed in the MIM group was significant (Wilcoxon P = 0.0438). Age and gender had no significant influence on ion levels (P > 0.1). The differences between both ions' levels measured in the 60th day in both bracket groups were not significant (Mann-Whitney P > 0.05). The extents of changes over time were not significantly different between the bracket types (Mann-Whitney P > 0.05)., Limitations: The sample size was not predetermined based on power calculations. The spectrophotometer was limited to detecting chromium concentrations above 0.25 µg/l. Ion discharge from brackets might continuously change. The current in vivo methods are unable to take such fluctuations into account., Conclusion: Nickel might increase in patients undergoing treatment with both bracket types, although the rate of increase might be greater in patients under treatment with conventional brackets. Using MIM brackets might reduce salivary chromium for a trivial but generalizable amount. Still, ion levels leached from conventional versus MIM brackets might not show a difference after 2 months. Age and gender might not affect the ion levels in normal people or orthodontic patients., Registration: The protocol is registered offline at the university library., Protocol: The protocol was not published before the trail commencement., Funding: Self-funded (S. H.)., Conflict of Interest: None to declare., (© The Author 2014. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

This study investigated solute portioning and precipitation in dental castings of a Co-Cr-Mo alloy and discussed their effects on alloy performance, in particular, the mechanical properties. Samples of a commercial Co-29Cr-6Mo (mass%) alloy were prepared using a dental-casting machine. The precipitates formed owing to the partitioning behaviors of the alloying elements were investigated using scanning electron microscopy, electron backscatter diffraction analysis, electron probe microanalysis, and transmission electron microscopy. The prepared samples exhibited a very coarse face-centered-cubic γ-phase dendritic structure with an average grain size of a few millimeters. A large number of precipitates, which decomposed further into complex interdendritic constituents (σ- and M23C6 carbide phases) were observed in the interdendritic regions rich in Cr, Mo, Si, and C. A reaction between the σ-phase and carbon is probably responsible for the carbide M23C6; however, this reaction did not occur to completion in the current case in spite of slow cooling (i.e., long exposure to elevated temperatures) in dental casting. While these precipitates result in high strength (hardness) and/or brittleness, the properties can be improved further by optimizing the alloy composition and the manufacturing process. The results of this study shed light on the significance of precipitation control in dental castings of Co-Cr-Mo alloys and should aid in the design of novel biomedical Co-Cr-based dental alloys that exhibit better performances., (Copyright © 2015 Elsevier Ltd. All rights reserved.)

Objectives: This study investigated the effects of sliding on the ultrastructure of three representative esthetic superelastic 0.014 inch nickel-titanium (NiTi) archwires., Methods: Atomic force microscopy, scanning electron microscopy, and light microscopy were used to estimate the surface roughness of archwires and bracket systems. Energy-dispersive X-ray spectroscopy was used to estimate the molecular differences between coated and uncoated areas. A combination of four different types of 0.014 inch metallic wires and two different types of 0.022 inch × 0.028 inch conventional brackets were evaluated by in vitro sliding tests using a novel self-made tensile-strength tester with a miniature load cell and syringe pump. The NiTi wires included an uncoated NiTi archwire (CO group), epoxy resin-coated NiTi archwire (ER group), Teflon(®) -coated NiTi archwire (TF group), and Ag/biopolymer-coated NiTi archwire (AG group). The brackets included contained stainless steel (SS) and ceramic (CE) brackets., Results: Both ER and TF wire groups exhibited less surface roughness than CO wire groups. The AG group showed the highest surface roughness compared with the others because of its silver particles (P<0.001, ANOVA test). In vitro sliding tests led to a significant increase (P < 0.001, ANOVA test) in the surface roughness of all 0.014 inch NiTi wires regardless of bracket type. The wire groups combined with SS brackets were rougher than those of CE brackets regardless of the coating materials because of exfoliation of the coating materials. The TF-SS group showed the highest increase (fivefold) in surface roughness compared to the others, while the ER groups showed the lowest increase (1.4-fold) in surface roughness compared with the others (P < 0.001, ANOVA test)., Conclusions: The results suggested that the sliding-driven surface roughness of superelastic NiTi archwires is directly affected by coating materials. Although the efficiency of orthodontic treatment was affected by various factors, epoxy resin-coated archwires were best for both esthetics and tooth movement when only considering surface roughness., (© 2015 Wiley Periodicals, Inc.)

Statement of Problem: Metal ions released into the oral cavity from dental prosthesis alloys may damage the cellular metabolism or proliferation and cause hypersensitivity or allergies. The oral cavity environment is particularly prone to corrosion due to saliva, microorganisms, and pH variations., Purpose: The purpose of this in vitro study was to evaluate the ion release of chromium, cobalt, and iron from the Co-Cr alloys used for traditionally cast and computer-aided design/computer-aided manufacturing dental devices after interaction with oral bacteria and different pH conditions., Material and Methods: All specimens were prepared from currently available alloys, polished, and immersed in 3 different pH media (artificial saliva [pH 2.3] and 6.5% and 0.9% saline solution [pH 7.1]). Specimens were also incubated in the presence of the bacterium Eikenella corrodens. Solutions were analyzed with an atomic absorption spectrometer after 15 and 30 days in the chemical corrosion test and 30 days in the biocorrosion test to detect ions released in different solutions. An ANOVA test was used to evaluate statistically significant differences among the percentages of metal corrosion ion release values., Results: The greatest amount of element release was seen after 30 days: 4.964 ppm of casting alloy, 2.642 ppm of milling alloy, and 2.351 ppm of laser metal sintering., Conclusions: With the exception of casting alloy under acidic conditions, no significant differences were found, even after exposure to bacteria., (Copyright © 2015 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)

Objective: The aim of this in vitro study was to determine the load and deflection at failure of different lingual retainers bonded with composite to enamel in a standardized three-point bending test. The results were rationalized with finite element analysis (FEA) models., Materials and Methods: Four types of multistranded wires, Dead Soft Respond, Twisted ligature, Penta-One, Gold-plated Penta-One, and two glass fibre-reinforced composite retainers, Fibre 07 and Fibre 09, were bonded to enamel with composite and submitted to a three-point bending test. The load and deflection at failure and the mode of debonding were recorded. The stiffness of the wires was determined and all experimental data were used in FEA models to rationalize the observed values and mode of debonding., Results: Significant higher load and deflection were found for the most flexible retainers Twisted ligature and Dead Soft Respond. All retainers failed between the wire and composite, which was confirmed by FEA showing the highest stress in the composite around the retainer. The FEA models showed that the amount of composite used for bonding the retainers should be 2-4mm., Conclusions: Based on the in vitro results, optimal bonding of lingual retainers can be achieved by flexible retainers, bonded with intrinsically strong composites. According to the FEA models the retainer should be bonded with 2-4mm composite, leaving the critical 'free-wire' length for the success of the retainer system., (© The Author 2014. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

Objective: To evaluate the effects of self-ligating bracket (SLB) type and vibration on frictional force and stick-slip phenomenon (SSP) in diverse tooth displacement conditions when a levelling/alignment wire was drawn., Materials and Methods: A total of 16 groups were tested (n = 10/group): Two types of SLBs [active SLB (ASLB, In-Ovation R) and passive SLB (PSLB, Damon Q)]; vibration (30 Hz and 0.25 N) and non-vibration conditions; and 4 types of displacement [2mm lingual displacement of the maxillary right lateral incisor (LD), 2mm gingival displacement of the maxillary right canine (GD), combination of LD and GD (LGD), and control]. After applying artificial saliva to the typodont system, 0.018 copper nickel-titanium archwire was drawn by Instron with a speed of 0.5mm/min for 5 minutes at 36.5°C. After static/kinetic frictional forces (SFF/KFF), and frequency/amplitude of SSP were measured, statistical analysis was performed., Results: ASLB exhibited higher SFF, KFF, and SSP amplitude (all P < 0.001) and lower SSF frequency (all P < 0.05) than PSLB in all displacement groups. Vibration decreased SFF, KFF, and SSP amplitude and increased SSP frequency in control and all displacement groups (all P < 0.001). ASLB exhibited lower SSP frequency than PSLB only under non-vibration condition (P < 0.05 in LD and GD, P < 0.01 in LGD). However, regardless of vibration conditions, ASLB demonstrated higher SSP amplitude than PSLB in all displacement groups (all P < 0.001 under non-vibration; all P < 0.01 under vibration)., Conclusion: Even in tooth displacement conditions, vibration significantly reduced SFF, KFF, SSP amplitude, and increased SPP frequency in both PSLB and ASLB. However, in vivo studies would be needed to confirm the clinical significance., (© The Author 2014. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

Statement of Problem: Whether topical anticaries medicaments used in the oral environment will affect the surface integrity of restorative materials is uncertain., Purpose: The purpose of this in vitro study was to investigate the effect of various anticaries agents on the surface roughness of 3 different restorative materials., Material and Methods: Sixty-four specimens of each restorative material (feldspathic porcelain, Ni-Cr metal ceramic alloy, and Ti-6Al-4V titanium alloy) were prepared and separated into 4 equal groups for soaking in anticaries agents (Prevident Dental Rinse, ACT mouth wash, chlorhexidine gluconate, and water). A profilometer was used to measure surface roughness before and after soaking the materials for 2 years of simulated usage. The mean change in surface roughness for each specimen was calculated. Statistical analysis was performed with a 2-way ANOVA, followed by the Tukey HSD test (α=.05)., Results: A significant interaction was found between the materials and anticaries agents (F=2.64, P=.02). The significant interaction was between Prevident and chlorhexidine gluconate. Porcelain specimens soaked in Prevident produced a negative change (-0.072 ±0.35 μm) in surface roughness (smoother surface), while chlorhexidine gluconate produced a positive change (0.094 ±0.42 μm) in surface roughness (rougher surface)., Conclusion: Within the limitations of this in vitro study, it can be concluded that Prevident Dental Rinse and chlorhexidine gluconate may cause a change in the surface roughness of feldspathic porcelain., (Copyright © 2015 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)

Background: To test the null hypothesis that there is no difference in the apical root resorption seen after orthodontic treatment with the conventional brackets and the self-ligating brackets., Methods: Pre-treatment and post-treatment periapical radio-graphs of 70 patients, (35 treated with the Damon3 0.022" bracket and 35 with the 0.022" 3 M bracket) were studied. The long cone paralleling technique was used for all the radio-graphs. Any image distortion between the pre-treatment and post-treatment radio-graph was calculated and compensated for by using the crown length measurements, on the assumption that the crown length remains unaltered during the treatment period. Quantitative measurements of crown and root lengths for the maxillary and the mandibular central and lateral incisors were compared. Means and standard deviations for the percentage root resorption per tooth group were calculated. A paired t-test and non paired t-test analysis was performed to determine whether there was an appliance, treatment time, or initial age effect on the amount of root resorption seen after treatment., Result: No statistically significant difference in root resorption between the two appliance systems was found. The patient's degree of root resorption were graded as grade 1 and grade 2 in the self-ligating group which is more than the conventional group., Conclusions: There was no significant difference in root resorption between self-ligating brackets and conventional brackets in severe crowding incisors subjects.

Many authors have been involved in developing brackets in order to improve the quality, stability, speed and efficiency of orthodontic treatment. In order to reduce friction between bracket and archwire, new therapeutic approaches have been devised based on novel technologies. Among these innovative techniques, self-ligating brackets are increasingly popular. SLBs can be classified into several categories according to their mode of action and their materials. We performed an experimental study to compare the friction forces generated during the sliding of orthodontic archwires made from various alloys through conventional and self-ligating brackets. Results show the favorable influence of SLBs, compared to conventional systems using elastomeric or metal ligatures, on the level of friction, particularly when shape-memory Ni-Ti archwires are used., (© EDP Sciences, SFODF, 2015.)

Introduction: Our objective was to investigate the effect of low-frequency mechanical vibration (LFMV) on the rate of tooth movement, bone volume fraction, tissue density, and the integrity of the periodontal ligament. Our null hypothesis was that there would be no difference in the amount of tooth movement between different values of LFMV., Methods: Sixty-four male CD1 mice, 12 weeks old, were used for orthodontic tooth movement. The mice were randomly divided into 2 groups: control groups (baseline; no spring + 5 Hz; no spring + 10 Hz; and no spring + 20 Hz) and experimental groups (spring + no vibration; spring + 5 Hz; spring + 10 Hz; and spring + 20 Hz). In the experimental groups, the first molars were moved mesially for 2 weeks using nickel-titanium coil springs delivering 10 g of force. In the control and experimental groups, LFMV was applied at 5, 10, or 20 Hz. Microfocus x-ray computed tomography analysis was used for tooth movement measurements, bone volume fraction, and tissue density. Additionally, immunostaining for sclerostin, tartrate-resistant acid phosphatase (TRAP) staining, and picrosirius red staining were used on the histologic sections. Simple descriptive statistics were used to summarize the data. Kruskal-Wallis tests were used to compare the outcomes across treatment groups., Results: LFMV did not increase the rate of orthodontic tooth movement. Microfocus x-ray computed tomography analysis showed increases in bone volume fractions and tissue densities with applications of LFMV. Sclerostin expression was decreased with 10 and 20 Hz vibrations in both the control and experimental groups. Additionally, the picrosirius staining showed that LFMV helped in maintaining the thickness and integrity of collagen fibers in the periodontal ligament., Conclusions: There was no significant increase in tooth movement by applying LFMV when compared with the control groups (spring + no vibration)., (Copyright © 2015 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.)

Objectives: To evaluate and compare the parental satisfaction among resin composite strip crown, preveneered stainless steel crown (PVSSC) and the newly introduced pre-fabricated primary zirconia crown for restoring maxillary primary incisors., Study Design: A prospective clinical study on 39 children with carious or traumatized primary maxillary incisors. They were randomly and equally distributed in three groups and received one of the full-coronal restorations. Children were recalled to evaluate and compare parental satisfaction about performance of crowns after one year through a questionnaire., Results: Parents were satisfied with all three tooth colored full-coronal restoration techniques. A significant relationship was found between colour of PVSSC (p=0.003) and durability of resin strip crowns (p=0.009) with the overall parental satisfaction levels. Parents who gave poor ratings in these two variables however rated their overall acceptance levels as being satisfied., Conclusion: Parental overall satisfaction was highest for zirconia primary crowns followed by resin composite strip crowns and lowest satisfaction was reported for pre-veneered SSCs. Parents were least satisfied with durability of resin composite strip crowns and colour of pre-veneered stainless steel crowns. However, this did not affect their overall satisfaction with these crowns.

This study evaluated the effect of binder choice in mixing ceramic powder on the chemical and morphological features between the margin ceramic-framework interfaces. Titanium and zirconia frameworks (15 x 5 x 0.5 mm3) were veneered with margin ceramics prepared with two different binders, namely a) water/conventional or b) wax-based. For each zirconia framework material, four different margin ceramics were used: a- Creation Zi (Creation Willi Geller International); b- GC Initial Zr (GC America); Triceram (Dentaurum); and d- IPS emax (voclar Vivadent). For the titanium framework, three different margin ceramics were used: a- Creation Ti (Creation Willi Geller International); b- Triceram (Dentaurum); and c- VITA Titaniumkeramik (Vita Zahnfabrik). The chemical composition of the framework-margin ceramic interface was analyzed using Energy Dispersive X-ray Spectroscopy (EDS) and porosity level was quantified within the margin ceramic using an image program (ImageJ) from four random areas (100 x 100 pixels) on each SEM image. EDS analysis showed the presence of Carbon at the margin ceramic-framework interface in the groups where wax-based binder technique was used with the concentration being the highest for the IPS emax ZirCAD group. While IPS system (IPS ZirCAD and IPS Emax) presented higher porosity concentration using wax binder, in the other groups wax-based binder reduced the porosity of margin ceramic, except for Titanium - Triceram combination.

Introduction: In some skeletal Class III adult patients with nasomaxillary hypoplasia, the LeFort I osteotomy provides insufficient correction. This case report describes a 20-year-old woman with a combination of nasomaxillary hypoplasia and a protrusive mandible with a congenitally missing mandibular second premolar., Methods: We performed a LeFort II osteotomy for maxillary advancement. Autotransplantation of a tooth was also performed; the donor tooth was used to replace the missing permanent tooth. To increase the chance of success, we applied light continuous force with an improved superelastic nickel-titanium alloy wire technique before extraction and after transplantation., Results: The patient's profile and malocclusion were corrected, and the autotransplanted tooth functioned well. The postero-occlusal relationships were improved, and ideal overbite and overjet relationships were achieved., Conclusions: The methods used in this case represent a remarkable treatment., (Copyright © 2015 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.)

Introduction: Our objective was to evaluate the effect of overloading on the palatal movement of the maxillary molar., Methods: The maxillary first molars of male C57Bl/6 mice were moved palatally with loads of 10 or 30 g for 14 days, and the amount of tooth movement was longitudinally measured on microcomputed tomography images. Bone remodeling around the molar root with the 30-g load was evaluated at days 3, 5, 7, and 14 after the start of tooth movement using histomorphometry and immunodetection of bone-restricted interferon inducible transmembrane-like protein, a novel marker of active bone formation., Results: In the 10-g load group, the amount of tooth movement increased dramatically between days 5 and 7 and increased gradually thereafter. Tooth movement at days 5 and 7 was significantly lower in the 30-g-load group than in the 10-g load group; however, the total tooth movement at 14 days was similar in the 2 groups. An orthodontic load of 30 g stimulated bone formation on the sinus wall, but bone resorption on the periodontal ligament side was delayed because of hyalinization, which means that strong force application did not accelerate tooth movement. Moreover, some root resorption was induced by the excessive force., Conclusions: Root penetration into the sinus and bone height reduction do not occur because new bone formation on the maxillary sinus is induced before bone resorption on the periodontal side, even though an excessive orthodontic force is applied. However, an excessive force can induce root resorption., (Copyright © 2015 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.)

The incisive canal is located on the median plane of the maxilla, posterior to the roots of the central incisor. Although the incisive canal is not considered an anatomic structure that may limit tooth movement, it has recently gained attention regarding the possibilities of surgical invasion and associated complications because of its proximity to the maxillary central incisors. In the 2 illustrated cases, lip protrusion was improved by en-masse bodily retraction of the anterior teeth (>8 mm) using temporary anchorage devices. Three-dimensional cone-beam computed tomography showed that the maxillary incisor roots were approximated to the incisive canal after maximum retraction. One central incisor root was in direct contact with the incisive canal with severe root resorption, but tooth vitality and the overall occlusion were stable in the long term without any sensory dysfunction. The apparent root resorption may be mainly related to the large amounts of anterior retraction and root movement in the 2 patients. However, the anatomic location of the incisive canal and the possibilities of its invasion after tooth movement should be closely monitored when maximum retraction is planned, to prevent potential complications., (Copyright © 2015 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.)

Introduction: This in-vitro study presents the development and validation of an artificial tooth-periodontal ligament-bone complex (ATPBC) and comparison of its behavior with that of rigid dowels during third-order torque simulation., Methods: ATPBCs were coupled using a 1:1 mixture of room-temperature vulcanization silicone and gasket sealant to act as a periodontal ligament simulant (PDLS). PDLS thicknesses ranging from 0.2 to 0.7 mm, in increments of 0.1 mm (n = 5 for each thickness), were tested using a linear crown displacement procedure. A suitable PDLS thickness was selected for use in third-order torque simulations to compare ATPBC (n = 29) and rigid (n = 24) dowel behavior. Their results were compared for archwire rotations up to 20° for both loading and unloading curves with repeated-measures analysis of variance., Results: When used in third-order torque simulations, the ATPBC dowels with a 0.5-mm PDLS thickness showed a statistically significant difference from rigid dowels (P = 0.020), with a 95% confidence interval (0.254, 2.897 N·mm) and a mean difference of 1.575 N·mm., Conclusions: Inclusion of a PDLS in an ATPBC resulted in a statistical difference when compared with rigid dowels; however, the region where behavior differed was at low angles of archwire rotation, and the resultant torque was arguably outside a clinically relevant range., (Copyright © 2015 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.)

Background: The aim of this study was to compare the apical and coronal extrusions by using two reciprocating and two rotary instrumentation systems., Methods: Eighty extracted human single-rooted anterior teeth were randomly assigned to four groups. Four different root canal instrumentation systems were used according to the manufacturers instructions, including two reciprocating single-file systems, Reciproc and WaveOne, and two full-sequence rotary BLX and ProTaper instruments. Debris collected from the coronal by the instruments and apical extrusions were quantified respectively. After drying the collections, the mean weight of debris collected from apical and coronal extrusions was assessed using an electronic balance and analyzed using the Kruskal-Wallis H and Mann-Whitney U tests., Results: Statistically significant differences in the apical extrusion were observed among the four groups. Reciproc and WaveOne instruments produced significantly less debris than BLX and ProTaper instruments (P < 0.05)., Conclusions: All of the systems produced apical extrusion of debris. However, reciprocating single-file systems produced less apical extrusion than full-sequence rotary systems. No relationship was observed between apical and coronal extrusions.