Three-dimensional large displacement analysis of orthodontic appliances

An incremental technique for predicting the nonlinear load-displacement characteristics of orthodontic appliances is developed. The analysis is based upon a three-dimensional finite-difference formulation which permits the treatment of appliances that have arbitrary configurations and non-uniform material and cross-sectional properties. The effects of intermediate loading and attached springs may also be studied.

The results show the activated configurations and the associated force-couple systems for three appliances that are activated to the yield point. The incremental analysis results are compared to those of the linear solution for each case.     

固定矫治对儿童口腔微生态环境的影响

固定矫治的放置,增加细菌粘附能力,从而改变口腔微生态环境。本文就固定矫治对儿童口腔内微生态环境变化如：菌斑生物膜的变化、致龋菌数量的改变、牙周致病菌的变化、唾液的性质和牙齿形态及结构等方面改变的研究进展作一综述。     

Screening of fluoride analysis as a biochemical parameter in the orthodontic treatment using fixed appliances

Saliva is a critical and useful biological fluid necessary for good health and for the appropriate execution of mouth activities. Orthodontic biomaterials have a complex relationship with many components, including the oral environment. Treatment with fixed orthodontic appliances may causes dental caries. As a result, it is necessary to comprehend how orthodontic therapy and various fluoride regimens affect the chances of developing dental cavities as well as individual risk factors. Usage of fluoride will tend to reduce the caries in the patients diagnosed with the fixed orthodontic treatment. The aim of this study was to screen the biochemical parameter of the fluoride levels in the patients undergone and completed the treatment of orthodontic fixed appliances. In this study, 35 patients have been visited on day 1 as well as day 35 and categorized as T₀ and T₁ groups. Saliva samples were collected and fluoride levels were measured between T₀ and T₁ groups. Using the fluoride kit with the spectrophotometer, fluoride levels were measured. The results confirmed similar fluoride levels between T₀ (26.11 ± 4.86) and T₁ (27.71 ± 4.40) groups. There was no significant association observed in this study (p = 0.56). Fluoride might have no role in the patients undergoing orthodontic treatment.     

Large deformation analysis of some basic problems in biophysics

This study is concerned with the application of a possible form of a strain-energy function suitable for soft biological tissues. Two problems considered here are related to simultaneous extension and inflation of cylindrical arteries, and inflation of the left ventricle under a given internal pressure. The values of the material constants are obtained via comparison of theoretical results with experimental findings. Some details concerning the wall stresses and the elastic stiffness are also given in the paper. For each case, it is seen that experiment and theory are in good agreement.     

Microbiological and clinical periodontal effects of fixed orthodontic appliances in pediatric patients

The aim of this study was to evaluate changes of microbiota in ten patients undergoing orthodontic treatment. For each patient clinical examination of gingival index (GI) and plaque index (PI) were performed at the first molars at: baseline (T1), 2 (T2), 4 (T3) and 12 weeks (T4). At the same time subgingival plaque and tongue samples were taken for the microbiological study. Clinical results showed that at T4, the mean PI score was significantly lower than T1 and the GI was markedly reduced. Microbiological results showed that at T1 and T4 facultative aerobic bacteria were prevalent, whereas anaerobic bacteria were more common at T2 and T3.     

Large deformation of elastic tubes

In this paper a study is made of the large deformation of elastic tubes. Analysis is confined to the case of statical deformation. The energy of deformation is considered to be a function of the three strain invariants only. In order to determine its form for actual materials it is expanded in its Taylor's series. From the theoretical analysis of the inflation and extension of tubes, linear algebraic equations in the elastic constants are developed. Using these and appropriate measurements of diametral change and longitudinal stretch, obtained from experiments, elastic constants for the non-linear theory of elasticity are explicity determined with the aid of a computer program. The highly non-linear forms of deformation of tubes computed on the basis of the theory are compared with our experimental findings for a latex rubber tubing and for some bio-physical data taken from the literature.     

Large deformation of isotropic biological tissue

The requirements for the development of a general potential function describing the behavior of homogeneous, isotropic biological tissue are discussed and such a function is proposed. It is shown that this function yields both tensile and torsional results compatible with existing data.     

Real time polymerase chain reaction analysis in the patients treated with fixed appliances after the orthodontic treatment: A follow-up study

This study aimed to compare the changes in the salivary cariogenic bacteria levels using qPCR and oral hygiene status after orthodontic treatment with fixed appliances during the retention phase concerning the patient and treatment variables. In this study, saliva samples were collected from 35 patients before debonding (T₀) and after five weeks of debonding on retention (T₁). The saliva samples were collected to extract the genomic DNA, and using specific probes and primers using real-time polymerase chain reaction was performed to analyze the changes in S. mutants, S. sobrinus, L. Casei after orthodontic treatment with fixed appliances. Additionally, OHI levels were also measured. The current study confirms the statistical association between T0 and T1 groups of S. mutants (p = 0.028) and S. sobrinus (p = 0.049). However, a lack of association was observed with L. Casei (p > 0.05). The number of bacteria was decreased from the T₀ group and increased in the T₁ group in Streptococcus mutants (S. mutants) and Streptococcus Sobrinus (S. sobrinus) while in Lactobacillus Casei (L. Casei) it was vice versa between T₀ and T₁ groups. The Oral Hygiene Levels (OHI) levels were also found to be statistically associated (p = 0.003). This study concludes that comparing the salivary cariogenic bacterial levels at T₀ (before debonding of fixed orthodontic appliances), with T1 (Five weeks after the debonding), and despite better oral hygiene, there was increase in salivary S mutants and S sobrinus levels. The current study suggested that orthodontic patients need careful hygienic procedures during the retention period. Future studies are recommended with additional follow-up and a large sample size.     

Screening of biochemical parameters in the orthodontic treatment with the fixed appliances: A follow-up study

The aim of this study was to assess the changes in vital salivary parameters such as calcium, phosphorous, alkaline phosphatase, buffering capacity, pH, flow-rate and Oral Hygiene Index (OHI) in fixed orthodontic treatment patients during the retention period. In this study, saliva samples were collected from 35 patients before de-bonding (T₀) and after 4 to 5 weeks of de-bonding or on retention period (T₁). The biochemical parameters such as calcium, phosphorous and alkaline phosphatase levels were measured with saliva samples. Additionally, flow-rate, buffering capacity, pH and OHI levels was also measured. The current study results showed reduction in calcium, alkaline phosphatase, pH, flow-rate and OHI levels during T₁ (p < 0.05). However, phosphorous and buffering capacity levels were increased at T₁. The phosphorous levels showed non statistically significant difference when compared between T₀ and T₁ (p = 0.42). The remaining salivary parameters showed statistically significant difference when compared between T₀ and T₁ (p < 0.05). The present study concludes that there was a statistically significant decrease in the calcium, alkaline phosphatase, pH, flow rate and OHI values a month after de-bonding and increased in the buffering capacity values.     

Large deformation mechanics of the enucleated eyeball

Large deformation of enucleated pig eyeballs under rigid cylindrical indenters was studied analytically and experimentally. The analytic model for the eyeball consists of a fluid-filled spherical membrane composed of an incompressible, elastic material with an exponential strain energy function. The Rayleigh-Ritz technique provided an approximate solution via a potential energy formulation. Comparison with results from tests on eyeballs and a water-filled rubber (Mooney-Rivlin) shell shows good agreement at large deflection, where membrane action dominates. Due to the highly nonlinear stress-strain relations for the sclera, the load remains relatively small until the indenter displacement approaches 40-60 percent of the eyeball radius, and then the load increases rapidly. Depending on the indenter size, either a perforation or a rupture type of failure occurs.     

Large deformation shear properties of liver tissue

Characterization of the mechanical properties of soft biological tissues is important for establishing the mechanical tolerances of the tissues, and for input to computational models. In this work, the viscoelastic properties of bovine liver tissue in shear loading have been measured using relaxation and constant shear rate loading. The tissue is nonlinearly viscoelastic for strains greater than 0.2%, has a yield strain of approximately 10, and shows moderate strain-rate sensitivity. The response can be modelled using a nonlinear viscoelastic differential model previously developed for brain tissue.     

Three-dimensional analysis of orthodontic tooth movement

A three-dimensional finite element model was used to investigate the biomechanical response of an upper canine tooth. The physical model was developed from ceramic replicas and X-rays, and consisted of cancellous and cortical bone, the periodontal ligament, dentine and pulp chamber. Horizontal forces were applied at the tip of the crown and at the cervical margin and a rotational force was applied at the cervical margin of the tooth crown. The resulting displacements and stress field for each load case are presented with particular emphasis being placed on the response of the periodontal ligament. The investigation shows that quantitative information on initial tooth movement can be accurately predicted and used to evaluate the response of orthodontic treatment.     

Metallic ion content and damage to the DNA in oral mucosa cells of children with fixed orthodontic appliances

Although the metal devices used in orthodontic treatments are manufactured highly resistance to corrosion, they may still suffer some localized corrosion resulting from the oral cavity conditions. The corrosion causes the release of metals from the alloys used for their manufacture. In this report, we evaluated the in vivo metal ions release of three alloys (stainless steel, titanium and nickel-free) usually used in the orthodontics treatments and its genotoxicity. We applied to 15 patients, between 12 and 16 years, 4 tubes and 20 brackets. Samples from oral mucosa were taken before the treatment and 30 days later. The concentration of the titanium, chromium, manganese, cobalt, nickel, molybdenum and iron were detected using inductively coupled plasma mass spectrometry (ICP-MS). The genotoxicity was measured with a comet assay (Olive moment). The oral mucosa cells in contact with the stainless steel alloy displayed the greatest titanium and manganese concentrations and those in contact with the nickel-free alloy presented the greatest concentration of chromium and iron. Both alloys, stainless steel and nickel-free, induced a higher DNA damage in the oral mucosa cells than the titanium alloy, in which the Olive moment was similar to controls. Based on the results of our study, we can conclude that titanium brackets and tubes are the most biocompatible of the three alloys.     

Stereomicroscope analysis of enamel surface after orthodontic bracket debonding

After orthodontic brackets debonding, the remaining resin has to be removed. The purpose of this study was to determine the most efficient method as well as to introduce a new method of composite removal. The study was carried out on a sample of 30 premolars, extracted for orthodontic purposes. Brackets had been bonded using the Ortho One Bisco composite resin. After the removal of brackets, samples were randomly divided into three groups of ten. Composite remnants in the first group were removed using the Band Driver (KaVo). For the second group, the tungsten carbide bur (Komet) was applied. In the third group, composite remnants were removed manually, using adhesive removing pliers (ORMCO). The samples were analysed using a light-stereomicroscope (Olympus). Photomicrographs were examined and the ARI (Adhesive Remnant Index) was calculated. Post Hoc tests (Scheffe, Tukey) indicated a statistically significant difference between groups 1 and 2 as well as between groups 1 and 3. The tungsten carbide bur was found to be the most efficient instrument for composite remnant removal.     

Passive deformation analysis of human leukocytes

The following analysis presents an experimental and theoretical study of the passive viscoelastic behavior of human leukocytes. Individual neutrophils in EDTA were observed both during their partial aspiration into a small micropipette and after expulsion from a large micropipette where the cell had been totally aspirated and deformed into a sausage shape. To analyze the data, a passive model of leukocyte rheology has been developed consisting of a cortical shell containing a Maxwell fluid which describes the average properties of the cell cytoplasm. The cortical shell represents a crosslinked actin layer near the surface of the cell and is assumed to be under pre-stressed tension. This model can reproduce the results of experiments using micropipette for both short-time small deformation and slow recovery data after large deformation. In addition, a finite element scheme has been established for the same model which shows close agreement with the analytical solution.     

Numerical analysis of orthodontic treatment elements of pseudo-elastic NiTi alloys]

In orthodontic treatment malpositions of teeth are often corrected by fixed appliances, consisting, in part, of loops made by the orthodontist. The most important alloys in use are steel, cobalt-chromium, or titanium-molybdenium alloys. The static force systems of fixed appliances made of these materials are well known from experimental and numerical studies, but as they may change during tooth movement, we are often confronted with problems in therapy. The introduction of pseudoelastic nickel titanium alloys (NiTi) into orthodontic treatment, offers the chance of improving the effectiveness and reliability of orthodontic devices. In the present paper a plane finite element (FE) for the analysis of orthodontic loops is presented. It enables the determination of the nonlinear behaviour of pseudoelastic NiTi-alloys and is capable of simulating large structural displacements and rotations accompanied by moderate strains. A comparative numerical and experimental study shows the efficiency of this element. The associated results reflect pseudoelastic effects on certain loop designs, and reveal the benefits for the orthodontist and his patients.     

Comparative assessment of the cell-surface antigens and gene expression profiles of the gingival tissue biomarkers in subjects with fixed functional and removable functional orthodontic appliances

BackgroundThis study aimed to examine the cellular components of the gingiva during orthodontic treatment with fixed and removable appliances. The cellular and molecular cues of pathologies of the gingival tissue associated with the use of different orthodontic appliances could be studied.Materials and methodsTissue samples of gingiva were received from healthy patients undergoing gingivectomy for aesthetic purpose and from patients with fixed and removable functional orthodontic appliances undergoing gingivectomy for gingival overgrowth. The collected samples were stored in a sterile container with phosphate-buffered saline and to carry out further processes it was transported to the laboratory.ResultsCells positive for ECAD and NCAD were found to be increased in fixed appliances where as CD90 and CD105 positive cells showed no significant difference in all the three groups. CD24 and CD146 positive cells were increased significantly in removable and fixed than normal whereas CD133 positive cells were decreased in removable and fixed than normal. CD44 positive cells showed no noticeable change in all three groups. The gene expression levels of KRT5, SOX2, NANOG, and CXCL5 were found to be significantly increased in removable and fixed appliance groups. However, KRT8, CXCL10, and TIMP1 were increased only in fixed appliance group but CXCL10 showed decreased expression in removable appliance group. KRT6A, MYC, and MMP9 were decreased in fixed appliance group whereas MYC and MMP9 were increased in removable appliance group. KRT6A, KRT8, and TIMP1 showed no significant difference in removable appliance group.ConclusionThis study demonstrated essential roles of various genes, showing their contribution in regulating cell proliferation and migration in both the removable and fixed functional appliances.