Research Article
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Şeffaf plak ataşmanı yapımında kullanılan çeşitli kompozit malzemelerin yapışma performansının karşılaştırılması

Year 2025, Volume: 42 Issue: 2, 88 - 95, 05.05.2025
https://doi.org/10.17214/gaziaot.1470625

Abstract

Amaç: Bu çalışma, günlük diyetlerinde sık tüketilen içeceklerin şeffaf plak tedavilerinde kullanılan kompozit ataşmanların yapışma performansı üzerindeki etkisini araştırmayı amaçlamaktadır.
Materyal ve Metod: Doksan adet çekilmiş premolar diş temizlendi ve cilalandı. Bu premolar dişler, üç farklı kompozit türü ve bir bağlantı şablonu kullanılarak ataşman yerleştirme işlemi yapıldı. In vitro değerlendirme sırasında bağlantıların yapışma dayanıklılığına içeceklerin etkisini simüle etmek için bağlantılar kahve, kola ve distile su içeren üç farklı çözeltiye maruz bırakıldı. Yapışma kuvveti, kesme bağlanma dayanıklılığı testi kullanılarak ölçüldü ve kalıcı yapışkanı değerlendirmek için ARI İndeksi skorlarına bakıldı. Two way ANOVA testi, normal dağılmayan veriler arasında üç veya daha fazla grup arasında karşılaştırma yapmak için kullanıldı. Chi-Kare testi ise ARI ölçümlerini karşılaştırmak için kullanıldı.
Bulgular: Gc Aligner Connect/Omnichroma/Tetric PowerFlow grupları arasında değerler açısından fark vardır (p=0.000 < 0.05). Kahve Çözeltisi/Kola Çözeltisi/Distile Su grupları arasında farklar gözlemlenmiştir (p=0.013 < 0.05). Gruplar ve materyaller arasında etkileşim yoktur (p=0.207 > 0.05). Gc Aligner Connect ve Tetric Power Flow arasında fark yoktur (p=1.00 > 0.05). Kahve, kola ve distile su çözeltilerinde tutulan GC Aligner Connect, Omnichroma ve Tetric PowerFlow alt grupları için ARI değerleri arasında fark veya bağımlılık yoktu (p > 0.05).
Sonuç: Günlük diyetlerde tüketilen içecekler, kompozit malzemelerin yapışma özelliklerini ve davranışını etkileyebilir. Klinisyenler, uygun diyet kurallarının ve uyumun önemini hastalara vurgulamalı ve uygun malzeme seçerken diyet alışkanlıklarını göz önünde bulundurmalıdır.

References

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  • 2. Rinchuse DJ, Rinchuse DJ. Active tooth movement with Essix-based appliances. J Clin Orthod 1997; 31:109-12.
  • 3. Shah S. Orthodontic Biomechanics: Treatment of Complex Cases Using Clear Aligner Eur J Orthod 2017;39: 342. 4. Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod 2015; 85:881-9.
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  • 28. Boncuk Y, Çehreli ZC, Polat-Özsoy Ö. Effects of different orthodontic adhesives and resin removal techniques on enamel color alteration. Angle Orthod 2014; 84:634-41.

Comparison of the adhesive performance of various composite materials used for clear aligner attachments

Year 2025, Volume: 42 Issue: 2, 88 - 95, 05.05.2025
https://doi.org/10.17214/gaziaot.1470625

Abstract

OBJECTIVE: This study aims to investigate the impact of commonly consumed beverages in patients’ daily diets on the bonding performance of composite attachments used in clear aligner treatments.
MATERIALS AND METHODS: Extracted ninety premolar teeth were cleaned and polished. These premolar teeth were then used for attachment placement, utilizing three distinct types of composites and with an attachment template. To simulate the impact of beverages on bond strength during in vitro evaluation, the attachments were exposed to three different solutions: coffee, cola, and
distilled water. The bonding force was quantified using the shear bond strength test, followed by an assessment of the Adhesive Remnant Index (ARI) scores to evaluate the remaining adhesive. Statistical analyses were done.
RESULTS: The subgroups within the GC Aligner Connect showed statistically significant differences in shear bond strength (p < 0.05). Specifically, the cola group’s shear bond strength values were significantly lower than the coffee and distilled water groups. Additionally, the shear bond strength values in the distilled water group were significantly higher than those observed in the coffee
group (p < 0.05). Notably, the measured values for the cola solution exhibited a significant difference across the groups (p < 0.05).
CONCLUSIONS: The three composites immersed in acidic solutions of cola, coffee, and distilled water were affected to varying degrees, with Omnichroma being the least affected. Clinicians should emphasize to patients the significance of proper dietary rules and their compliance. Additionally, they should consider dietary habits when selecting suitable materials.

References

  • 1. Kesling HD. The philosophy of the tooth positioning appliance. Am J Orthod 1945; 31:297-304.
  • 2. Rinchuse DJ, Rinchuse DJ. Active tooth movement with Essix-based appliances. J Clin Orthod 1997; 31:109-12.
  • 3. Shah S. Orthodontic Biomechanics: Treatment of Complex Cases Using Clear Aligner Eur J Orthod 2017;39: 342. 4. Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod 2015; 85:881-9.
  • 5. Rosvall MD, Fields HW, Ziuchkovski J, Rosenstiel SF, Johnston WM. Attractiveness, acceptability, and value of orthodontic appliances. Am J Orthod Dentofacial Orthop 2009; 135:276-7.
  • 6. Weir T. Clear aligners in orthodontic treatment. Aust Dent J 2017; 62:58–62.
  • 7. Karras T, Singh M, Karkazis E, Liu D, Nimeri G, Ahuja B. Efficacy of Invisalign attachments: a retrospective study. Am J Orthod Dentofacial Orthop 2021; 160:250-8.
  • 8. Bowman SJ. Improving the predictability of clear aligners. In WB Saunders (ed) Semin Orthod 2017; 23:65-75.
  • 9. Dasy H, Dasy A, Asatrian G, Rózsa N, Lee H-F, Kwak JH. Effects of variable attachment shapes and aligner material on aligner retention. Angle Orthod 2015; 85:934-40.
  • 10. Yaosen C, Mohamed A, Jinbo W, Ziwei Z, Al-Balaa M, Yan Y. Risk factors of composite attachment loss in orthodontic patients during orthodontic clear aligner therapy: A prospective study. BioMed Res Int 2021;6620377.
  • 11. Chen W, Qian L, Qian Y, Zhang Z, Wen X. Comparative study of three composite materials in bonding attachments for clear aligners. Orthod Craniofac Res 2021; 24:520-7.
  • 12. Alsaud BA, Hajjaj MS, Masoud AI, Abou Neel EA, Abuelenain DA, Linjawi AI. Bonding of Clear Aligner Composite Attachments to Ceramic Materials: An In Vitro Study. Materials 2022; 15:4145.
  • 13. Jungbauer R, Al-Burghol P, Rosentritt M, Kirschneck C, Proff P, Paulsen F, et al. Curvature-dependent shear bond strength of different attachment materials for orthodontic lingual indirect bonding. Sci Rep 2021; 11:16611.
  • 14. Erçin Ö, Kurnaz M, Kopuz, D. Evaluation of the color stability of attachments made with different resin composites. Am J Orthod Dentofac Orthop 2023;164: e121-e128.
  • 15. Årtun J, Bergland S. Clinical trials with crystal growth conditioning as an alternative to acid-etch enamel pretreatment. Am J Orthod 1984; 85:333-40.
  • 16. Mocuta D-E, Grad O, Mateas M, Luca R, Carmen Todea D. Comparative evaluation of influence of Nd: YAG Laser (1064 nm) and 980 nm Diode Laser on enamel around orthodontic brackets: An in vitro study. Medicina 2022; 58:633.
  • 17. Hammad SM, Enan ET. In vivo effects of two acidic soft drinks on shear bond strength of metal orthodontic brackets with and without resin infiltration treatment. Angle Orthod 2013; 83:648-52.
  • 18. Kessler P, Turp JP. Influence of Coca-Cola on orthodontic material. Swiss Dent J 2020; 130:777–80.
  • 19. Iosif C, Cuc S, Prodan D, Moldovan M, Petean I, Badea ME. Effects of acidic environments on dental structures after bracket debonding. Int J Mol Sci 2022; 23:15583.
  • 20. Park SB, Son WS, Ko CC, García-Godoy F, Park MG, Kim HI. Influence of flowable resins on the shear bond strength of orthodontic brackets. Dent Mater J 2009; 28:730-4.
  • 21. Reynolds IR. A Review of Direct Orthodontic Bonding. Br J Orthod 1975; 2:171–8.
  • 22. Ilie N, Rencz A, Hickel R. Investigations towards nano-hybrid resinbased composites. Clin Oral Investig 2013; 17:185–93.
  • 23. Hirata-Tsuchiya S, Yoshii S, Ichimaru-Suematsu M, Washio A, Saito N, Urata M, et al. Two-year clinical comparison of a flowabletype nano-hybrid composite and a paste-type composite in posterior. J Investig Clin Dent 2017;8:e12227.
  • 24. CK Alp, BA Dinçtürk, H Altınışık. The effect of food-simulating liquids on surface features of single-shade universal composites: An in vitro study. J Int Soc Prev Community Dent. 2023;13:157-165.
  • 25. Germane N, Bentley BE, Isaacson RJ. Three biologic variables modifying faciolingual tooth angulation by straight-wire appliances. Am J Orthod Dentofac Orthop 1989; 96:312–9.
  • 26. Kircelli BH, Kilinc DD, Karaman A, Sadry S, Gonul EY, Gögen H. Comparison of the bond strength of five different composites used in the production of clear aligner attachments. J Stomatol Oral Maxillofac Surg 2023;124:101481.
  • 27. Rodríguez‐Chávez JA, Arenas‐Alatorre,J, Belio‐Reyes IA. Comparative study of dental enamel loss after debonding braces by analytical scanning electron microscopy (SEM). Microscopy Research and Technique, 2017;80, 680-6.
  • 28. Boncuk Y, Çehreli ZC, Polat-Özsoy Ö. Effects of different orthodontic adhesives and resin removal techniques on enamel color alteration. Angle Orthod 2014; 84:634-41.
There are 27 citations in total.

Details

Primary Language English
Subjects Orthodontics and Dentofacial Orthopaedics, Restorative Dentistry
Journal Section Original Research Article
Authors

Merve Kurnaz

Özlem Erçin 0000-0003-3379-4567

Dilan Kopuz

Publication Date May 5, 2025
Submission Date April 19, 2024
Acceptance Date August 13, 2024
Published in Issue Year 2025 Volume: 42 Issue: 2

Cite

APA Kurnaz, M., Erçin, Ö., & Kopuz, D. (2025). Comparison of the adhesive performance of various composite materials used for clear aligner attachments. Acta Odontologica Turcica, 42(2), 88-95. https://doi.org/10.17214/gaziaot.1470625
AMA Kurnaz M, Erçin Ö, Kopuz D. Comparison of the adhesive performance of various composite materials used for clear aligner attachments. Acta Odontol Turc. May 2025;42(2):88-95. doi:10.17214/gaziaot.1470625
Chicago Kurnaz, Merve, Özlem Erçin, and Dilan Kopuz. “Comparison of the Adhesive Performance of Various Composite Materials Used for Clear Aligner Attachments”. Acta Odontologica Turcica 42, no. 2 (May 2025): 88-95. https://doi.org/10.17214/gaziaot.1470625.
EndNote Kurnaz M, Erçin Ö, Kopuz D (May 1, 2025) Comparison of the adhesive performance of various composite materials used for clear aligner attachments. Acta Odontologica Turcica 42 2 88–95.
IEEE M. Kurnaz, Ö. Erçin, and D. Kopuz, “Comparison of the adhesive performance of various composite materials used for clear aligner attachments”, Acta Odontol Turc, vol. 42, no. 2, pp. 88–95, 2025, doi: 10.17214/gaziaot.1470625.
ISNAD Kurnaz, Merve et al. “Comparison of the Adhesive Performance of Various Composite Materials Used for Clear Aligner Attachments”. Acta Odontologica Turcica 42/2 (May 2025), 88-95. https://doi.org/10.17214/gaziaot.1470625.
JAMA Kurnaz M, Erçin Ö, Kopuz D. Comparison of the adhesive performance of various composite materials used for clear aligner attachments. Acta Odontol Turc. 2025;42:88–95.
MLA Kurnaz, Merve et al. “Comparison of the Adhesive Performance of Various Composite Materials Used for Clear Aligner Attachments”. Acta Odontologica Turcica, vol. 42, no. 2, 2025, pp. 88-95, doi:10.17214/gaziaot.1470625.
Vancouver Kurnaz M, Erçin Ö, Kopuz D. Comparison of the adhesive performance of various composite materials used for clear aligner attachments. Acta Odontol Turc. 2025;42(2):88-95.