Inadvertent side effects of fixed lingual retainers : An in vitro study.

IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-05-01 Epub Date: 2022-11-11 DOI:10.1007/s00056-022-00432-4
Marlen Seide, Teresa Kruse, Isabelle Graf, Christoph Bourauel, Bernd G Lapatki, Rudolf Jäger, Bert Braumann
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Abstract

Purpose: To better understand the side effects of fixed lingual retainers by means of an in vitro study in a two-tooth model determining the three-dimensional (3D) force-moment components acting at adjacent teeth combined with different composite-wire interfaces.

Methods: Triple-stranded round retainer wires were embedded in cured disks of flowable composite. At one side the composite-wire interface was untreated and checked to be absolutely fix. At the other side the composite-wire interface was configured as either an isolated compound with (1) petroleum jelly coating, or an adhered compound with (2) no manipulation, (3) ethanol degreasing or (4) ethanol degreasing and rectangular bending of the wire ends. The 3D force-moment components were registered, while the intertooth distance was increased in steps of 0.01 mm leading to increasing tension of the wire. Measurements were repeated after artificially aging the specimens.

Results: Retainer wire specimens with adhered compound (2, 3, 4) showed negative vestibulo-oral moments ranging maximally each between -0.3 and -0.9 Nmm in opposite direction to positive moments of 1.9 Nmm for specimens with isolated compound 1. Significant tipping moments occurred in the group with isolated compound at lower forces than in those groups with adhered compound. Similar effects were observed after artificial aging.

Conclusion: Side effects emerge under specific circumstances: an altered adhesive compound combined with the presence of oral forces. Compounds with lost adhesion at the composite-wire interface showed rotational moments in the direction of the wire windings even during low tensile forces similar to those that may occur in clinical settings. Opposite rotational moments leading to unwinding of the wire may occur in cases with adhered compounds at higher tensile forces. Utilization of round triple-stranded retainer wires without bent ends are of higher risk to induce inadvertent side effects.

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舌侧固定矫治器的意外副作用:一项体外研究。
目的:通过在双牙模型中进行体外研究,确定作用于邻牙的三维(3D)力矩成分以及不同的复合材料-钢丝界面,从而更好地了解舌侧固定保持器的副作用:方法:将三股圆形保持器钢丝嵌入固化的可流动复合材料盘中。一侧的复合材料-钢丝界面未经处理,经检查绝对固定。在另一侧,复合材料-钢丝界面被配置为(1)凡士林涂层的隔离复合材料,或(2)无操作、(3)乙醇脱脂或(4)乙醇脱脂并对钢丝末端进行矩形弯曲的粘附复合材料。记录三维力矩分量,同时以 0.01 毫米为单位增加齿间距离,从而增加金属丝的张力。对试样进行人工老化后重复测量:带有粘附化合物(2、3、4)的保持器钢丝试样显示出负的前庭-口腔力矩,最大值为-0.3 至-0.9 Nmm,而带有孤立化合物(1)的试样则显示出 1.9 Nmm 的正力矩。 与带有粘附化合物的试样组相比,带有孤立化合物的试样组在较低的力下就出现了明显的倾覆力矩。人工老化后也观察到了类似的效果:结论:副作用是在特定情况下出现的:改变的粘附化合物与口腔力的存在。在复合钢丝界面失去粘附力的复合材料,即使在低拉伸力的情况下也会出现钢丝绕组方向的旋转力矩,这与临床环境中可能出现的情况类似。在拉力较大的情况下,粘附的复合材料可能会出现相反的旋转力矩,导致金属丝松开。使用无弯曲末端的圆形三股保持架钢丝的风险较高,可能会导致意外的副作用。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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