Pub Date : 2023-10-23DOI: 10.1177/03015742231203469
Dhruv Jain, Sanjeev Datana, Sukhbir Singh Chopra
Objectives The aim of this study was to evaluate and compare the long-term skeletal stability of mandibular advancement and mandibular setback achieved with bilateral sagittal split ramus osteotomy (BSSRO) procedure in adult patients with a minimum follow-up of at least 1 year. Methods A literature search was systematically performed according to PRISMA guidelines from four databases without limitation till 15 June 2021. Available literature was assessed for long-term skeletal stability as horizontal/vertical changes at cephalometric point B following conventional mandibular surgery (BSSRO) with rigid internal fixation. The quality of selected articles was assessed using Newcastle–Ottawa scale and the meta-analysis was carried out with Q statistic method, I-squared statistics, and fixed-effect model to estimate the pooled mean and Begg–Mazumdar bias indicator. Results A total of five studies (three pertaining to mandibular advancement and two setback groups) were included for comparative evaluation of relapse. The mean horizontal relapse was 7.85% pertaining to mandibular advancement (4.2–7.06 mm) as compared to 27% pertaining to mandibular setback (7.18–10.26 mm). The meta-analysis of four included studies (two in each group) revealed significant differences in long-term skeletal stability of mandibular advancement and setback (pooled proportion = 20.10; 95% confidence interval = 2.48–39.57). Conclusion Mandibular setback can be expected to relapse by 21.7–32.3% (mean 27%) as compared to mandibular advancement accounting for a relapse of 2.1–15.4% (mean 7.85%) in adult patients. Hence, mandibular advancement is a relatively stable procedure in the long term. PROSPERO registration number: CRD42021261466
{"title":"Long-term Skeletal Stability of Mandibular Surgery with Bilateral Sagittal Split Ramus Osteotomy—Advancement Versus Setback: A Systematic Review and Meta-analysis","authors":"Dhruv Jain, Sanjeev Datana, Sukhbir Singh Chopra","doi":"10.1177/03015742231203469","DOIUrl":"https://doi.org/10.1177/03015742231203469","url":null,"abstract":"Objectives The aim of this study was to evaluate and compare the long-term skeletal stability of mandibular advancement and mandibular setback achieved with bilateral sagittal split ramus osteotomy (BSSRO) procedure in adult patients with a minimum follow-up of at least 1 year. Methods A literature search was systematically performed according to PRISMA guidelines from four databases without limitation till 15 June 2021. Available literature was assessed for long-term skeletal stability as horizontal/vertical changes at cephalometric point B following conventional mandibular surgery (BSSRO) with rigid internal fixation. The quality of selected articles was assessed using Newcastle–Ottawa scale and the meta-analysis was carried out with Q statistic method, I-squared statistics, and fixed-effect model to estimate the pooled mean and Begg–Mazumdar bias indicator. Results A total of five studies (three pertaining to mandibular advancement and two setback groups) were included for comparative evaluation of relapse. The mean horizontal relapse was 7.85% pertaining to mandibular advancement (4.2–7.06 mm) as compared to 27% pertaining to mandibular setback (7.18–10.26 mm). The meta-analysis of four included studies (two in each group) revealed significant differences in long-term skeletal stability of mandibular advancement and setback (pooled proportion = 20.10; 95% confidence interval = 2.48–39.57). Conclusion Mandibular setback can be expected to relapse by 21.7–32.3% (mean 27%) as compared to mandibular advancement accounting for a relapse of 2.1–15.4% (mean 7.85%) in adult patients. Hence, mandibular advancement is a relatively stable procedure in the long term. PROSPERO registration number: CRD42021261466","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"23 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135412127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-18DOI: 10.1177/03015742231201713
Alisha Lalani, Shailesh Shenava, Robin Mathew, Sandeep Singh
Orthodontists, on a day-to-day basis, have started to use bone screws for various tooth movements such as distalization, retraction, intrusion, etc. The most common sites for the placement of bone screws are IZC6 and IZC7 with an angulation of 55° to 70°. Their added advantage is an extra-radicular site with rare chances of failure. Failure of these IZC screws may take place due to improper placement or improper angulation, which may lead to inaccurate ideal final angulation, leading to trauma to the buccal mucosa, and inter radicular placement of the IZC screw. Asymmetrically placed IZC screws on the left and right side of the mouth can lead to alteration of biomechanics. A clinician usually finds it challenging to find a purchase point of the cancellous bone and to place it at the correct angulation, which needs to be achieved for the success of the bone screw. Herein, fabrication of a guide for the accurate placement of the IZC screws, using the basic armamentarium available in a clinic, is demonstrated. The method is economical, quick, non-tedious, and accurate.
{"title":"EZC Guidance for Bone Screws: A Chairside Solution","authors":"Alisha Lalani, Shailesh Shenava, Robin Mathew, Sandeep Singh","doi":"10.1177/03015742231201713","DOIUrl":"https://doi.org/10.1177/03015742231201713","url":null,"abstract":"Orthodontists, on a day-to-day basis, have started to use bone screws for various tooth movements such as distalization, retraction, intrusion, etc. The most common sites for the placement of bone screws are IZC6 and IZC7 with an angulation of 55° to 70°. Their added advantage is an extra-radicular site with rare chances of failure. Failure of these IZC screws may take place due to improper placement or improper angulation, which may lead to inaccurate ideal final angulation, leading to trauma to the buccal mucosa, and inter radicular placement of the IZC screw. Asymmetrically placed IZC screws on the left and right side of the mouth can lead to alteration of biomechanics. A clinician usually finds it challenging to find a purchase point of the cancellous bone and to place it at the correct angulation, which needs to be achieved for the success of the bone screw. Herein, fabrication of a guide for the accurate placement of the IZC screws, using the basic armamentarium available in a clinic, is demonstrated. The method is economical, quick, non-tedious, and accurate.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135883584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-18DOI: 10.1177/03015742231198640
Amit Prakash, Chandni Bharti, Pravin Kumar Maroore
The article describes an innovative and unconventional approach to correct rotations with the aid of self-made rotation e-cleat utilizing the unused elastic module carrier piece freely available in our clinics.
{"title":"Rotation e-Cleat","authors":"Amit Prakash, Chandni Bharti, Pravin Kumar Maroore","doi":"10.1177/03015742231198640","DOIUrl":"https://doi.org/10.1177/03015742231198640","url":null,"abstract":"The article describes an innovative and unconventional approach to correct rotations with the aid of self-made rotation e-cleat utilizing the unused elastic module carrier piece freely available in our clinics.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"162 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135883433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-18DOI: 10.1177/03015742231195307
Abhiram Cherukuri, Shreya Naik
Retrognathic mandible is the most common feature in growing children with skeletal Class II malocclusion. This does not self-correct with growth. Functional appliances are known to exert beneficial effects to improve this skeletal pattern. Among several removable functional appliances, Twin Block is the most preferred. Twin Blocks are designed for full-time wear such that maximum benefit from functional forces can be obtained. The maxillary and mandibular bite blocks occlude at a 70° angle on complete closure. It is important to angulate the inclines at exactly 70°, as an increase in this angulation will require a conscious effort from the patient. Incline Correct is designed to accurately measure and construct inclines at 70° to the occlusal plane.
{"title":"Incline Correct: A Novel Device for Accurate Inclination of Twin Block Appliances","authors":"Abhiram Cherukuri, Shreya Naik","doi":"10.1177/03015742231195307","DOIUrl":"https://doi.org/10.1177/03015742231195307","url":null,"abstract":"Retrognathic mandible is the most common feature in growing children with skeletal Class II malocclusion. This does not self-correct with growth. Functional appliances are known to exert beneficial effects to improve this skeletal pattern. Among several removable functional appliances, Twin Block is the most preferred. Twin Blocks are designed for full-time wear such that maximum benefit from functional forces can be obtained. The maxillary and mandibular bite blocks occlude at a 70° angle on complete closure. It is important to angulate the inclines at exactly 70°, as an increase in this angulation will require a conscious effort from the patient. Incline Correct is designed to accurately measure and construct inclines at 70° to the occlusal plane.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"75 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135883423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Documentation of patient records helps to evaluate, plan, and monitor the treatment progress. It should be recorded timely and legibly. Recently, TADs are being used commonly in our orthodontic practice, but the precise description of the site requires lengthy cumbersome statements. Here, we describe an easy method to describe the TAD site, thus improving the efficiency of documentation.
{"title":"Yen Implant Map: A Novel Method to Record Orthodontic Temporary Anchorage Device Site","authors":"Shafees Koya, Ahzana Abda, Vivek Amin, Sandeep Shetty","doi":"10.1177/03015742231201492","DOIUrl":"https://doi.org/10.1177/03015742231201492","url":null,"abstract":"Documentation of patient records helps to evaluate, plan, and monitor the treatment progress. It should be recorded timely and legibly. Recently, TADs are being used commonly in our orthodontic practice, but the precise description of the site requires lengthy cumbersome statements. Here, we describe an easy method to describe the TAD site, thus improving the efficiency of documentation.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135095914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective The aim of this study was to evaluate and compare the stress along the root surfaces of anterior maxillary dentition during retraction in labial and lingual mechanics with varying level of bone support. Materials and methods Eight 3D finite element models (FEM) having 340,215 nodes and 211,543 elements were created with normal periodontium and different levels of alveolar bone loss; four with labial brackets and four with lingual brackets. Sliding mechanics were simulated as en masse retraction of the anterior dentition. The equivalent stresses along the roots of six anterior maxillary teeth were measured in all the models. Results Equivalent stresses in pascals (Pa) generated at the root surfaces of central incisors are always higher in labial technique (right: 4.6013 × 10 -2 ; left: 7.1158 × 10 -2 ) and of canines (right: 10.003 × 10 -2 ; left: 16.789 × 10 -2 ) are always higher in lingual technique. Conclusion In labial technique, central incisor roots are experiencing maximum stress, which might be the explanation of commonly seen higher incidence of root resorption in them during en masse retraction. In lingual technique, canine roots are experiencing higher stresses as compared to other anterior teeth during en masse retraction. Equivalent stresses generated at the root surfaces of canines are more irrespective of the alveolar bone loss in lingual technique.
{"title":"Stresses Along the Root Surfaces of Maxillary Anterior Dentition During Retraction in Labial and Lingual Mechanics with Varying Level of Bone Support: A Finite Element Study","authors":"Rahul Roy, Smruti Bhusan Nanda, Sumita Mishra, Rururaj Pradhan, Virag Bhatia","doi":"10.1177/03015742231199316","DOIUrl":"https://doi.org/10.1177/03015742231199316","url":null,"abstract":"Objective The aim of this study was to evaluate and compare the stress along the root surfaces of anterior maxillary dentition during retraction in labial and lingual mechanics with varying level of bone support. Materials and methods Eight 3D finite element models (FEM) having 340,215 nodes and 211,543 elements were created with normal periodontium and different levels of alveolar bone loss; four with labial brackets and four with lingual brackets. Sliding mechanics were simulated as en masse retraction of the anterior dentition. The equivalent stresses along the roots of six anterior maxillary teeth were measured in all the models. Results Equivalent stresses in pascals (Pa) generated at the root surfaces of central incisors are always higher in labial technique (right: 4.6013 × 10 -2 ; left: 7.1158 × 10 -2 ) and of canines (right: 10.003 × 10 -2 ; left: 16.789 × 10 -2 ) are always higher in lingual technique. Conclusion In labial technique, central incisor roots are experiencing maximum stress, which might be the explanation of commonly seen higher incidence of root resorption in them during en masse retraction. In lingual technique, canine roots are experiencing higher stresses as compared to other anterior teeth during en masse retraction. Equivalent stresses generated at the root surfaces of canines are more irrespective of the alveolar bone loss in lingual technique.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"214 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135351088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction Various skeletal and dental factors help in predicting the mandibular third molar eruption, but the reliability of these factors may vary within subjects with different growth patterns. Thus, the present study aims to analyze these parameters for the lower third molar eruption in subjects with different facial growth patterns. Material and Methods The study was conducted on 120 pre-treatment lateral cephalograms and orthopantomograms of the subjects who were equally divided (based on the SN-GoGn angle) into three groups: normodivergent, hypodivergent, and hyperdivergent. The groups were further subdivided into impacted and erupted subgroups based on mandibular third molar eruption status. Nine radiographic parameters were compared between the impacted and erupted subgroups, using the independent Student’s t-test, to check their association with mandibular third molar eruption in different growth patterns. Results Beta angle was significantly different in the erupted and impacted subgroups in all three groups (with p <.05). The retromolar space and alpha angle was significant in hypodivergent group (p <.01) and the gamma angle was significant in the hyperdivergent group (p <.01). Conclusion Among all the parameters that were analyzed for the third molar eruption, only the beta angle was significantly related to the third molar eruption in subjects with all three different growth patterns.
{"title":"Assessment of Lower Third Molar Eruption Status in Different Facial Growth Patterns in Adults","authors":"Kiranjeet Kaur, Ajit Jaiswal, None Shivani, Jaskaran Singh","doi":"10.1177/03015742231199844","DOIUrl":"https://doi.org/10.1177/03015742231199844","url":null,"abstract":"Introduction Various skeletal and dental factors help in predicting the mandibular third molar eruption, but the reliability of these factors may vary within subjects with different growth patterns. Thus, the present study aims to analyze these parameters for the lower third molar eruption in subjects with different facial growth patterns. Material and Methods The study was conducted on 120 pre-treatment lateral cephalograms and orthopantomograms of the subjects who were equally divided (based on the SN-GoGn angle) into three groups: normodivergent, hypodivergent, and hyperdivergent. The groups were further subdivided into impacted and erupted subgroups based on mandibular third molar eruption status. Nine radiographic parameters were compared between the impacted and erupted subgroups, using the independent Student’s t-test, to check their association with mandibular third molar eruption in different growth patterns. Results Beta angle was significantly different in the erupted and impacted subgroups in all three groups (with p <.05). The retromolar space and alpha angle was significant in hypodivergent group (p <.01) and the gamma angle was significant in the hyperdivergent group (p <.01). Conclusion Among all the parameters that were analyzed for the third molar eruption, only the beta angle was significantly related to the third molar eruption in subjects with all three different growth patterns.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135899267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The NiTi open coil spring is commonly accustomed to creating spaces for crowded teeth. It is difficult to anticipate the length of the open coil spring desired to open up the exact quantity of space; sometimes, the length of the open spring falls short of opening up the space required. In such a case, the base arch wire must be taken out and replaced with an expanded open coil spring, which is both difficult and time-consuming. There are various reactivation methods available, such as split tubings, cutting a C-shaped tube to the desired length, adding extra length to the spring, creating C-rings, and using composite beads. Hence, we have designed a very simple yet effective chairside method to reactivate NiTi open coil spring with the removal of base arch wire.
{"title":"“V” Spring for Reactivation of NiTi Open Coil Spring","authors":"Swapnil Prakash Mangwade, Santosh Jetu Chavan, Wasundhara Ashok Bhad","doi":"10.1177/03015742231188795","DOIUrl":"https://doi.org/10.1177/03015742231188795","url":null,"abstract":"The NiTi open coil spring is commonly accustomed to creating spaces for crowded teeth. It is difficult to anticipate the length of the open coil spring desired to open up the exact quantity of space; sometimes, the length of the open spring falls short of opening up the space required. In such a case, the base arch wire must be taken out and replaced with an expanded open coil spring, which is both difficult and time-consuming. There are various reactivation methods available, such as split tubings, cutting a C-shaped tube to the desired length, adding extra length to the spring, creating C-rings, and using composite beads. Hence, we have designed a very simple yet effective chairside method to reactivate NiTi open coil spring with the removal of base arch wire.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136094716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-01DOI: 10.1177/03015742231209597
Vignesh Kailasam
{"title":"The JIOS Chronicles","authors":"Vignesh Kailasam","doi":"10.1177/03015742231209597","DOIUrl":"https://doi.org/10.1177/03015742231209597","url":null,"abstract":"","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136094414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-26DOI: 10.1177/03015742231189052
Mohana Nethivalavan, Ajit Vikram Parihar, Chandan Upadhyay, Vipul Kumar Sharma, T. P. Chaturvedi, Arya K. Das
Objectives The objective of this study was to evaluate the ability of the bioactive glass-bonds to inhibit the demineralization surrounding the orthodontic brackets and evaluate the physical and mechanical properties in order to be accepted as an orthodontic bonding agent. Materials and Methods Preparation of mesoporous bioactive glass (MBG) used an improved sol-gel method. The samples were prepared with different surfactant to oil ratio with 12 groups and one control group with six samples each. The debonding characteristics were analyzed using an Instron Universal Testing Machine (UTM). After six months of pH cycling in vitro saliva solution to simulate the oral environment, the microstructure was analyzed using a field emission gun-based scanning electron microscope (SEM). The sample, which is viable in terms of physical and mechanical properties, is converted into a single paste form by addition of resins and compared with the control group Transbond XT adhesive. Results SEM analysis showed that the prepared MBG particles possess spherical morphology. Novel orthodontic bonding material (BG) provides adequate mechanical properties with bond strength of 7.2 MPa ( p = .304) in order to be accepted as an orthodontic bonding agent since its bond strength both at the time of bonding ( p = 1) and after six months ( p = .325) in simulated salivary conditions is in par with conventional bonding resin (TBXT) with reduced demineralization potential. Conclusion This novel adhesive results in reduced demineralization surrounding orthodontic brackets and possesses optimal physical and mechanical properties to be accepted as an orthodontic adhesive.
{"title":"Integration of Nanobioadhesion in Orthodontic Bonding: An In Vitro Study","authors":"Mohana Nethivalavan, Ajit Vikram Parihar, Chandan Upadhyay, Vipul Kumar Sharma, T. P. Chaturvedi, Arya K. Das","doi":"10.1177/03015742231189052","DOIUrl":"https://doi.org/10.1177/03015742231189052","url":null,"abstract":"Objectives The objective of this study was to evaluate the ability of the bioactive glass-bonds to inhibit the demineralization surrounding the orthodontic brackets and evaluate the physical and mechanical properties in order to be accepted as an orthodontic bonding agent. Materials and Methods Preparation of mesoporous bioactive glass (MBG) used an improved sol-gel method. The samples were prepared with different surfactant to oil ratio with 12 groups and one control group with six samples each. The debonding characteristics were analyzed using an Instron Universal Testing Machine (UTM). After six months of pH cycling in vitro saliva solution to simulate the oral environment, the microstructure was analyzed using a field emission gun-based scanning electron microscope (SEM). The sample, which is viable in terms of physical and mechanical properties, is converted into a single paste form by addition of resins and compared with the control group Transbond XT adhesive. Results SEM analysis showed that the prepared MBG particles possess spherical morphology. Novel orthodontic bonding material (BG) provides adequate mechanical properties with bond strength of 7.2 MPa ( p = .304) in order to be accepted as an orthodontic bonding agent since its bond strength both at the time of bonding ( p = 1) and after six months ( p = .325) in simulated salivary conditions is in par with conventional bonding resin (TBXT) with reduced demineralization potential. Conclusion This novel adhesive results in reduced demineralization surrounding orthodontic brackets and possesses optimal physical and mechanical properties to be accepted as an orthodontic adhesive.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"272 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134886413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}