Objectives: This study aimed to assess the impact of recommended mouthwashes (chlorhexidine, hydrogen peroxide, and povidone-iodine) used during the COVID-19 pandemic on the shear bond strength (SBS) of orthodontic brackets. Materials and Methods: A total of 52 human premolar teeth were divided into 4 groups (N=13) consisting of no intervention (control group), 0.2% chlorhexidine, 1.5% hydrogen peroxide, and 0.2% povidone-iodine. Following immersion in the mouthwashes, orthodontic brackets were bonded to enamel surfaces. Then, the brackets were debonded using a universal testing machine. The specimens were evaluated with a scanning electron microscope (SEM) and adhesive remnant index (ARI) score was assessed. One-way ANOVA and Tukey test were used for statistical analysis and P<0.05 was considered significant. Results: The SBS of the experimental groups decreased compared to the control group. The highest SBS mean value was observed in the controls and the lowest was found in the 0.2% povidone-iodine group. Significant differences in SBS values were found between the 0.2% povidone-iodine group and the 1.5% hydrogen peroxide group when compared to the control group (P=0.023, P=0.028, respectively). SEM analysis revealed similar characteristics among the groups, with a closer resemblance between the chlorhexidine and control groups. Additionally, these groups exhibited greater etching depth compared to the other groups. Conclusion: Our findings highlight the importance of careful selection and application of mouthwashes in orthodontic procedures. While 1.5% hydrogen peroxide and 0.2% povidone-iodine may have some impact on bond strength, their use can still be considered acceptable within defined limits.
Objectives: This in vitro study aimed to compare the effect of external staining agents (black tea and grape juice) on the color change of three hybrid ceramics including a new material in comparison to zirconia-reinforced lithium silicate. Materials and Methods: Ten samples of two hybrid dental ceramics including Vita Enamic (Vita Zahnfabrik) and Crystal Ultra (Digital Dental) in addition to a resin nanoceramic, Lava Ultimate (3M ESPE); and a zirconia-reinforced lithium silicate glass ceramic, Vita Suprinity (Vita Zahnfabrik) were prepared and immersed in black tea or grape juice for 30 days. A spectrophotometer was used to evaluate color change. All samples were carefully chosen in A3 shades or their equivalent. Two-way ANOVA and Bonferroni tests were used to analyze the color differences (ΔE00) among the materials and the staining solutions at a significant level of 0.05. Results: Significant color changes were observed in Vita Enamic and Lava Ultimate groups after immersion in both solutions (P<0.001). The least color changes (ΔE00) belonged to the Vita Suprinity (1.34) and Crystal Ultra (1.92) groups, respectively. Conclusion: The color changes of Vita Enamic and Lava Ultimate materials were beyond clinical acceptability. However, the mean color changes of Vita Suprinity and Crystal Ultra groups were clinically acceptable.
Oral schwannomas (OSs) are uncommon benign nerve sheath tumors accounting for 1% of all schwannomas and may arise from either soft tissue or bone. Cellular schwannoma is a rare histological variant of schwannoma which is characterized by increased cellularity. The most common intraoral site of occurrence is the tongue followed by the floor of the mouth and palate. Here, we are reporting a rare case of intraoral cellular schwannoma involving both facial and palatal gingiva of the right maxilla in a young Indian male patient.