Three-Dimensional Assessment of Dental Enamel Microcrack Progression After Orthodontic Bracket Debonding Using Optical Coherence Tomography.

IF 5.2 3区 医学 Q1 ENGINEERING, BIOMEDICAL Journal of Functional Biomaterials Pub Date : 2024-12-30 DOI:10.3390/jfb16010007
Ahmed Haj Hamdan, Sm Abu Saleah, Daewoon Seong, Naresh Kumar Ravichandran, Ruchire Eranga Wijesinghe, Sangyeob Han, Jeehyun Kim, Mansik Jeon, Hyo-Sang Park
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Abstract

The current study aimed to quantify the length progression of enamel microcracks (EMCs) after debonding metal and ceramic brackets, implementing OCT as a diagnostic tool. The secondary objectives included a three-dimensional assessment of EMC width and depth and the formation of new EMCs. OCT imaging was performed on 16 extracted human premolars before bonding and after debonding. Debonding was conducted with a universal Instron machine, with ARI values recorded. Additionally, 2D and 3D OCT images were employed to detect EMC formation and progression. Enface images quantified the length, width, and number of EMCs, and the length and width were analyzed using Image J (1.54f) and MATLAB (R2014b), respectively. Sagittal cross-sectional images were used for EMC depth analysis. A paired t-test showed significant differences in the length, width, and number of EMCs after debonding (p-value < 0.05), while the Wilcoxon non-parametric test indicated significant EMC depth changes (p-value < 0.05). No significant results were identified for the EMC number in ceramic brackets and EMC depth in metal brackets. Three-dimensional OCT imaging monitored existing EMCs at higher risk of progression and detected new EMCs following orthodontic bracket debonding. This study provides novel insights into EMC progression regarding the length, width, depth, and number after debonding.

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光学相干断层成像对正畸支架脱粘后牙釉质微裂纹进展的三维评价。
目前的研究旨在量化金属和陶瓷支架脱粘后牙釉质微裂纹(EMCs)的长度进展,并将OCT作为诊断工具。次要目标包括电磁兼容宽度和深度的三维评估以及新电磁兼容的形成。对16颗拔除的人前磨牙进行粘接前后的OCT成像。用通用Instron机器进行脱粘,记录ARI值。此外,采用二维和三维OCT图像检测EMC的形成和进展。Enface图像量化了EMCs的长度、宽度和数量,分别使用Image J (1.54f)和MATLAB (R2014b)对长度和宽度进行分析。矢状面横断面图像用于EMC深度分析。配对t检验显示脱粘后EMC的长度、宽度和数量有显著差异(p值< 0.05),Wilcoxon非参数检验显示EMC的深度有显著变化(p值< 0.05)。陶瓷托槽的电磁兼容数和金属托槽的电磁兼容深度没有显著的结果。三维OCT成像监测存在较高进展风险的EMCs,并检测正畸支架脱粘后的新EMCs。本研究提供了关于脱粘后的长度、宽度、深度和数量的EMC进展的新见解。
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来源期刊
Journal of Functional Biomaterials
Journal of Functional Biomaterials Engineering-Biomedical Engineering
CiteScore
4.60
自引率
4.20%
发文量
226
审稿时长
11 weeks
期刊介绍: Journal of Functional Biomaterials (JFB, ISSN 2079-4983) is an international and interdisciplinary scientific journal that publishes regular research papers (articles), reviews and short communications about applications of materials for biomedical use. JFB covers subjects from chemistry, pharmacy, biology, physics over to engineering. The journal focuses on the preparation, performance and use of functional biomaterials in biomedical devices and their behaviour in physiological environments. Our aim is to encourage scientists to publish their results in as much detail as possible. Therefore, there is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Several topical special issues will be published. Scope: adhesion, adsorption, biocompatibility, biohybrid materials, bio-inert materials, biomaterials, biomedical devices, biomimetic materials, bone repair, cardiovascular devices, ceramics, composite materials, dental implants, dental materials, drug delivery systems, functional biopolymers, glasses, hyper branched polymers, molecularly imprinted polymers (MIPs), nanomedicine, nanoparticles, nanotechnology, natural materials, self-assembly smart materials, stimuli responsive materials, surface modification, tissue devices, tissue engineering, tissue-derived materials, urological devices.
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