Contrary to their popularity in satisfying aesthetic demands, plastic brackets still present some problems because of their decreased hardness and wear resistance. A problem of plastic brackets is discolouration, due to ultraviolet (UV) light and food dyes. The aim of this study was to investigate the colour stability of aesthetic brackets during UV irradiation and exposure to food dyes. Four different polymer brackets were exposed in a Suntest CPS+ ageing device to a xenon lamp to simulate natural day light. Because most tooth-coloured bracket systems are used in adult treatment, red wine, coffee, and tea were chosen as food colourants. After 24 and 72 hours of exposure, colour measurements were performed by means of a spectrophotometer according to the CIE L*a*b* system and colour changes (DeltaE*) were computed. Statistical differences were investigated using three-way analysis of variance (ANOVA). With the exception of the Aesthetic-Line bracket, almost all investigated polymer brackets showed clinically unacceptable discolouration during in vitro exposure to colourants. Most of the brackets became yellower after UV light treatment. In spite of the short exposure period of 72 hours, almost all polymer brackets showed undesirable discolouration. These current in vitro findings indicate that even newly developed plastic brackets, consisting of composite materials or modern polymers (polyoxymethylene) may have clinically unacceptable colour stability in the long-term.
Enamel discolouration after debonding of orthodontic attachments could occur because of irreversible penetration of resin tags into the enamel structure. Adhesives could discolour because of food dyes or ultraviolet irradiation. The aim of this study was to investigate the colour stability of adhesives during ultraviolet irradiation and exposure to food colourants. Four different adhesives were exposed in a Suntest CPS+ ageing device to a xenon lamp to simulate natural daylight (Transbond XT, Enlight, RelyX Unicem, and Meron Plus AC). Tomato ketchup, Coca Cola, and tea were chosen as the food colourants. After 72 hours of exposure, colour measurements were performed by means of a spectrophotometer according to the Commission Internationale de l'Eclairage L*a*b* system and colour changes (DeltaE*) were computed. Statistical differences were investigated using two-way analysis of variance (ANOVA) and Friedman test. Unsatisfactory colour stability after in vitro exposure to food colourants and ultraviolet light was observed for the conventional adhesive systems, Transbond XT and Enlight. RelyX Unicem showed the least colour change and the resin-reinforced glass-ionomer cement (GIC), Meron Plus AC, the greatest colour change. The investigated adhesives seem to be susceptible to both internal and external discolouration. These in vitro findings indicate that the tested conventional adhesive systems reveal unsatisfactory colour stability which should be improved to avoid enamel discolouration.
The purpose of this study was to compare the frictional properties of two self-ligating aesthetic brackets, Opal (Ultradent Products) and Oyster (Gestenco Int.), with those of four conventionally ligated aesthetic brackets, Transcend (3M Unitek), Inspire (Ormco), Allure (GAC Int.), and Image (Gestenco Int.). Friction was tested with different wire dimensions and qualities [stainless steel (SS) wire 0.017 x 0.025 inches; SS 0.019 x 0.025 inches; TMA 0.019 x 0.025 inches] using a Zwick testing machine. All brackets had a 0.022-inch slot and the prescription of an upper first premolar of the Roth system (tip: 0 degrees, torque: -7 degree). Each bracket/archwire combination was tested 10 times and each test was performed with a new bracket/wire sample that was pulled through twice. Additionally, two sets of 30 Opal brackets each were aged with an ageing machine under standardized conditions for 9-10 and 18-20 months, respectively. Friction of the aged brackets was tested with identical wire dimensions and qualities using the same testing procedure. All data were statistically analysed with unsigned comparisons of all bracket/wire combinations using GLM and the Games-Howell post hoc test. The results showed Opal brackets to have the lowest frictional forces for all wire dimensions and qualities. Furthermore, friction was lower at a significant level (P = 0.05) compared with all other brackets. Only the Oyster bracket had similar values in combination with a 0.019 x 0.025 inch SS wire. Aged Opal brackets showed higher values than new ones, but still lower frictional forces than the four conventional aesthetic brackets. Friction was comparable with the new Oyster bracket.
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