• Journal of Korean Dental Science
• /
• v.14 no.2
• /
• pp.69-78
• /
• 2021

Purpose: The primary objective of this study was to evaluate the change in the temperature of the adhesive resin in polycrystalline ceramic brackets irradiated using a diode laser at different irradiation energy levels and times. Materials and Methods: For the measurement of the temperature of the adhesive resin, it was applied at the base of the ceramic bracket, a thermocouple was placed at the center of the base surface, the bracket was placed on prepared resin specimens for light curing, and a laser was irradiated to the center of the bracket slot at 5, 7, and 10 W. For the measurement of the temperatures of the enamel under the bracket and pulp cavity, extracted premolar was fixed to a prepared mold and the ceramic bracket was bonded to the buccal surface of the premolar. The Kruskal-Wallis H test and Friedman test were used for statistical analysis. Result: At 5 W, the temperature of the adhesive resin did not reach the resin softening temperature of 200℃ within 30 seconds. At 7 W, it reached 200℃ when the ceramic bracket was irradiated continuously for 28 seconds. At 10 W, it reached 200℃ when the ceramic bracket was irradiated continuously for 15 seconds. During laser irradiation, the temperature of the enamel under the bracket increased by over 5℃ within 15 seconds. Conclusion: The use of diode laser irradiation for bracket debonding should be carefully considered because the pulp cavity temperature increases by over 5℃ within the irradiation time for resin thermal softening.

• The korean journal of orthodontics
• /
• v.36 no.3 s.116
• /
• pp.207-217
• /
• 2006

Although ceramic brackets have been used widely for improved esthetics during treatment, ceramic brackets have some inherent problems; brittleness, attrition of the opposing teeth and high frictional resistance. This study was performed to understand the frictional resistance of the ceramic brackets, as well as to be a helpful reference for finding the solutions to the problem of frictional resistance. Three different kinds of brackets were used; metal bracket, polycrystalline ceramic brackets with a metal slot to reduce the high frictional resistance and monocrystalline ceramic brackets. The brackets were tested with a $.019{\times}.025$ stainless steel wire with a second order angulation of $0^{\circ}\;and\;10^{\circ}$, and the static and kinetic frictional forces were measured on the universal testing machine. The results of this study showed that the ceramic brackets, especially the monocrystalline ceramic bracket without a metal slot, generated higher frictional resistance than the metal bracket, and the frictional resistance was increased as the angulation between the bracket slot and the wire increased. Therefore, the development of the ceramic bracket with reduced frictional resistance and the prevention of excessive crown tipping during orthodontic treatment will lead to the simultaneous attainment of more efficient and improved esthetic treatment goals.

• The korean journal of orthodontics
• /
• v.41 no.1
• /
• pp.16-24
• /
• 2011

Objective: The purpose of this study was to determine (1) the shear bond strength (SBS) of an antimicrobial monomer-containing self-etching primer according to ceramic bracket types and (2) the bracket-adhesive failure mode using an adhesive remnant index (ARI). Methods: A total of 90 extracted human teeth were randomly divided into 6 groups. Each group consisted of one of two ceramic brackets (monocrystalline, polycrystalline) and one of three primers (Transbond XT primer, Transbond Plus SEP, Clearfil Protect Bond) with each group containing 15 specimens. The SBS was measured, and adhesive residues left on the tooth surface were assessed. Results: The SBS of polycrystalline ceramic bracket groups was Significantly higher than that of the monocrystalline ceramic bracket groups (p < 0.001). The SBS of Transbond XT primer groups was significantly higher than those of Transbond Plus SEP groups and Clearfil Protect Bond groups (p < 0.001). All the groups showed bonding failures between the bracket base and adhesive. Conclusions: The combination of a self-etching primer with a monocrystalline bracket is recommended for clinical use, considering its acceptable SBS and mode of failure.

• The korean journal of orthodontics
• /
• v.30 no.5 s.82
• /
• pp.613-623
• /
• 2000

The purpose of this study was to amount of the frictional forces with the brackets and wires, ligation methods, dry/wet, offsets, interbracket distances, velocity and to compare them each other by different conditions. This study tested 0.018'x0.025' slot sized 8 types of orthodontic bracket systems and 0.016', 0.016'x0.022' sized stainless steel, NiTi, Cu-NiTi orthodontic wires. One cuspid bracket were positioned on the slide glass and archwire was engaged into bracket and ligated with elastomeric modules. The values of frictional forces were measured with the instron universal testing machine. The results were as follows; 1. Polycrystalline ceramic bracket had the highest mean frictional forces and followed and by ceramic reinforced plastic bracket, metal bracket, plastic bracket with metal slot, monocrystalline ceramic bracket, single bracket, self-ligating bracket, friction free bracket in descending order. The self-ligating bracket showed low frictional forces in the round wires and high frictional forces in the rectangular wires. 2. Stainless steel wires had the least frictional forces and followed by NiTi, Cu-NiTi wires in descending order. Round wires had lower frictional forces then that of rectangular wires. 3. The stainless steel ligation method had significantly greater mean frictional forces them the elastomeric module ligation method. 4. Artificial saliva statistically increased the frictional forces in stainless steel wire, NiTi wire and Cu-NiTi wire. 5. There was a statistically significant difference with offset change 6. There was no statistically significant difference with interbracket distance in stainless steel wires but a significant difference in NiTi wires as the interbracket was decreased. 7 There was no statistically significant difference with velocity change. From the above findings, self-ligating bracket, stainless steel wires and the elastomeric module ligation method might be effective than any other materials to reduce the frictional forces in the orthodontic treatment and can be correlated to clinical situations seen in orthodontic patient care.

• The korean journal of orthodontics
• /
• v.46 no.6
• /
• pp.364-371
• /
• 2016

Objective: With the introduction of third-generation light-emitting diodes (LEDs) in dental practice, it is necessary to compare their bracket-bonding effects, safety, and efficacy with those of the second-generation units. Methods: In this study, 80 extracted human premolars were randomly divided into eight groups of 10 samples each. Metal or polycrystalline ceramic brackets were bonded on the teeth using second- or third-generation LED light-curing units (LCUs), according to the manufacturers' instructions. The shear bond strengths were measured using the universal testing machine, and the adhesive remnant index (ARI) was scored by assessing the residual resin on the surfaces of debonded teeth using a scanning electron microscope. In addition, curing times were also measured. Results: The shear bond strengths in all experimental groups were higher than the acceptable clinical shear bond strengths, regardless of the curing unit used. In both LED LCU groups, all ceramic bracket groups showed significantly higher shear bond strengths than did the metal bracket groups except the plasma emulation group which showed no significant difference. When comparing units within the same bracket type, no differences in shear bond strength were observed between the second- and third-generation unit groups. Additionally, no significant differences were observed among the groups for the ARI. Conclusions: The bracket-bonding effects and ARIs of second- and third-generation LED LCUs showed few differences, and most were without statistical significance; however, the curing time was shorter for the second-generation unit.

• The korean journal of orthodontics
• /
• v.39 no.4
• /
• pp.213-224
• /
• 2009

Objective: The aim of this study was to find out whether Er:YAG laser can aid in debonding ceramic brackets, and to see what kind of method will be the most appropriate for debonding. Methods: One hundred and ninety teeth, monocrystalline brackets ($MISO^{TM}$, HT, Ansan-Si, Korea), polycrystalline brackets ($Transcend^{TM}$ series 6000, 3M Untek, Monrovia, CA, USA) and the KEY Laser3 (KavoDental, Biberach, Germany) were used. Experimental groups were classified according to the type of ceramic brackets, and the amount of laser energy (0, 140, 300, 450, 600 mJ). After applying laser on the bracket at two points at 1 pulse each, the shear bond strength was measured. The effect of heat caused by laser was measured at the enamel beneath the bracket and pulp chamber. After measuring the shear bond strength, adhesive residue was evaluated and enamel surface was investigated using SEM. Results: All ceramic bracket groups showed a significant decrease in shear bond strength as the laser energy increased. The greatest average temperature change was $3.78^{\circ}C$ on the enamel beneath the bracket and $0.9^{\circ}C$ on the pulp chamber. Through SEM, crater shape holes caused by the laser was seen on the enamel and adhesive surfaces. Conclusions: If laser is applied on ceramic brackets for debonding, 300 - 450 mJ of laser energy will be safe and efficient for monocrystalline brackets ($MISO^{TM}$), and about 450 mJ for polycrystalline brackets ($Transcend^{TM}$ series 6000).

• The korean journal of orthodontics
• /
• v.37 no.4
• /
• pp.293-304
• /
• 2007

The purpose of this study was to estimate the fracture resistance of commercially available ceramic brackets to torsional force exerted from arch wires and to evaluate the characteristics of bracket fracture. Methods: Lingual root torque was applied to maxillary central incisor brackets with 0.022-inch slots by means of a $022\;{\times}\;028-inch$ stainless steel arch wire. A custom designed apparatus that attached to an Instron was used to test seven types of ceramic brackets (n = 15). The torque value and torque angle at fracture were measured. In order to evaluate the characteristics of failure, fracture sites and the failure patterns of brackets were examined with a Scanning Electron Microscope. Results: Crystal structure and manufacturing process of ceramic brackets had a significant effect on fracture resistance. Monocrystalline alumina (Inspire) brackets showed significantly greater resistance to torsional force than polycrystalline alumina brackets except InVu. There was no significant difference in fracture resistance during arch wire torsional force between ceramic brackets with metal slots and those without metal slots (p > 0.05). All Clarity brackets partially fractured only at the incisal slot base and the others broke at various locations. Conclusion: The fracture resistance of all the ceramic brackets during arch wire torsion appears to be adequate for clinical use.

• The korean journal of orthodontics
• /
• v.39 no.4
• /
• pp.234-247
• /
• 2009

Objective: The purpose of this study was to evaluate the shear bond strength of rebonded ceramic brackets according to each condition and find an appropriate method to rebond ceramic brackets with proper shear bond strength in clinical practice. Methods: The study consisted of 12 experimental groups, according to the types of brackets, debonding methods, and treatment methods of the bracket base. Shear bond strength was measured, and adhesive residues left on the tooth surface were assessed. The base of the bracket was examined under scanning electron microscopy. Results: The shear bond strength of the monocrystalline ceramic bracket group was significantly higher than thatof the polycrystalline bracket group with only sandblasting (p < 0.05). There was no significant difference in shear bond strength between groups that used rebonded brackets which were debonded with shear force and debonded with laser (p > 0.05). The shear bond strength of the sandblasted/silane group was significantly higher than that of the selectively grinded group with a low-speed round bur and the sandblasted only group (p < 0.001). The retentive structure was more presented in groups where laser was applied than in groups where shear force was applied to debond brackets prior to rebonding. The bracket bases which were treated before rebonding presented smoother surfaces than new brackets. Conclusions: Shear bond strength could be increased by applying a silane coupling agent after sandblasting before rebonding. Also, the bond strength of the selectively grinded group with a low-speed round bur and the sandblasted group showed acceptable bond strength for clinical orthodontic treatment.

• The korean journal of orthodontics
• /
• v.40 no.5
• /
• pp.294-303
• /
• 2010

Objective: This study was designed to measure the surface roughness at the slot floor of various ceramic brackets. Methods: One kind of stainless steel bracket ($Succes^{(R)}$), two kinds of monocrystalline brackets (Inspire $Ice^{(R)}$, $Perfect^{(R)}$) and two kinds of polycrystalline brackets (Crystalline $V^{(R)}$, $Invu^{(R)}$) were examined. Atomic force microscopy (AFM) was used to measure the surface roughness of each bracket. Data acquisition and processing were performed using $SPIP^{TM}$. Results: The differences in values of Sa, Sq, and Sz in $Invu^{(R)}$ and Inspire $Ice^{(R)}$ were not statistically different from the control group $Succes^{(R)}$. The values of Sa, Sq, and Sz of $Perfect^{(R)}$ and Crystalline $V^{(R)}$ were greater than those of $Succes^{(R)}$. Differences of all the Sa, Sq, and Sz values between $Perfect^{(R)}$ and Crystalline $V^{(R)}$ were not statistically significant. Conclusions: It is concluded that the slot surfaces of $Succes^{(R)}$, Inspire $Ice^{(R)}$, and $Invu^{(R)}$ were smooth compared to those of Crystalline $V^{(R)}$ and $Perfect^{(R)}$.