Digital Commons Network^™

Alveolar Bone Remodeling In Response To Orthodontic Tooth Movement, Matthew Raymond Mcgrady

Master's Theses (2009 -)

Objective: Dental protrusion and retrusion are common malocclusions in clinical orthodontics. When teeth are moved orthodontically, the alveolar bone surrounding the teeth remodels. In the past, incisor retraction-associated alveolar bone remodeling has been studied. However, less is known about the alveolar bone remodeling after incisors are proclined. This study aimed to assess the changes in alveolar bone thickness after proclination of maxillary incisors. The null hypothesis was that there is no difference in the surrounding alveolar bone thickness after orthodontic tooth movement. Materials and Methods: Patients were selected under the inclusion criteria of moderate-to-severe bimaxillary dental retrusion (U1-SN < 97°, L1-MP < 88.0°), absence of craniofacial anomalies, non-extraction, absence of missing teeth, with quality pre-and post-treatment lateral cephalometric images. Nineteen patients (10 males, 9 females; mean age 14.7 years) were selected, and their pre-treatment and post-treatment lateral cephalograms were digitally traced using a customized cephalometric analysis to compare changes in labial and lingual alveolar bone thickness (ABT) after orthodontic treatment. A two-sample t-test with R statistical software version 4.1.2 was used to measure the differences between the pre- and post-treatment cephalometric measurements. A p value less than 0.05 was considered statistically significant. Results: According to the SN-7° measurement method, ABT increased at the labial(b) SN-7 (0.27mm ± 0.70; p<0.05) and U1 labial(c) SN-7 (0.79mm ± 1.56; p<0.05) levels; however, ABT decreased at the U1 lingual (c) SN-7 (1.13mm ± 1.35; p<0.05) level. According to the perpendicular of the long axis of U1 root measurement method, ABT increased at the U1 labial(c) ⊥U1 (0.55mm ± 1.35; p<0.05) level while ABT decreased at the U1 lingual (b) ⊥U1 (0.79mm ± 1.03; p<0.05) and U1 lingual (c) ⊥U1 (1.61mm ±1.39; p<0.05) levels. Statistically significant changes were also found in post-treatment incisor angulation U1-SN° (8.05° ± 8.25; p<0.05), U1 – NA° (7.44° ± 8.08; p < 0.05) and post-treatment incisor position U1 – NA (mm) (1.64mm ± 2.63; p<0.05). Conclusion:The null hypothesis was rejected based on our results. There are statistically significant changes to the labial and lingual alveolar bone (ABT) after proclination of the maxillary incisors. Our data support previous findings in orthodontics literature. Further studies should be conducted that can employ larger sample sizes with imaging methods that overcome the limitations of conventional two-dimensional imaging.

Maxillary And Mandibular Incisor And Molar Dentoalveolar Heights In Untreated Subjects Presenting Class I And Class Ii Malocclusion, Samantha Zavada Cardinal

Master's Theses (2009 -)

Objective : Class II malocclusion has been extensively studied, however there are many unanswered questions. This study analyzed the difference in incisor and molar dentoalveolar heights of untreated subjects presenting with Class I and Class II malocclusion. Dentialveolar heights are an aspect of the craniofacial complex that changes with growth and development and are manipulated by orthodontists. These changes hold important clinical implications for the development, maintenance and treatment of malocclusions. Methods : A sample of 96 untreated Class I and Class II subjects, with a total of 611 cephalograms was drawn from the archives of the University of Michigan …

The Influence Of The Digitization Method On The Assessment Of Accuracy And Reliability Of Implant Placements, Ajitesh Singh

Master's Theses (2009 -)

Purpose: Studies investigating the accuracy of implant placement are utilizing different methods to digitize the post-operative implant position to compare it with the planned reference position. This study aimed to compare the influence on radiographic and digital methods in the accuracy of static computer-assisted and free hand implant placement.Methods: In total, n=40 implants were placed either fully guided (n=20) or free-handed (n=20) in standardized mandible replicas. A static surgical guide was planned for the fully guided surgery group (FG) for an implant at the lower right first molar site and 3D printed. In the free-hand group (FH) the implant surgery …

The Influence Of Peri-Cervical Dentin Conservation On The Propagation Of Cracks In Mandibular Molars, Hassanain Zaheer

Master's Theses (2009 -)

Introduction: The objective of this study was to investigate the effect of peri-cervical dentin conservation during root canal treatment on the longitudinal propagation of cracks, utilizing the finite element method. Methods: Two 3D printed mandibular molars were subjected to a simulated root canal therapy protocol. The teeth were divided into two test groups: Group 1: Instrumented with using Protaper Gold (PTG) rotary files. Group 2: Instrumented with using TruNatomy. Each access was restored with composite at the level of the CEJ to the occlusal surface. The two teeth were digitized using a high-resolution micro–computed tomographic scan to create 3-D models …

A Digital Assessment Of Centric Relation Precision, Christine Roenitz

Master's Theses (2009 -)

Objective: Recording the centric relation position is a critical step in diagnosis and treatment in prosthodontics. There are various methods that can be used to position a patient’s mandible into centric relation. Among these are: swallow technique (unguided closure), chin-point guidance, and bimanual manipulation. The precision of these methods has previously been studied by traditional methods. Data is lacking on the precision of virtual recordings of these methods taken by an intraoral scanner. The purpose of this study was to assess the digital precision of the swallow, chin-point guidance, and bimanual manipulation centric relation positioning techniques.Materials and Methods: Ten participants …

Immediate Postoperative Dimensional Changes Following Implant Placement, Juan Felipe Valencia Rincon

Master's Theses (2009 -)

Objective: Hard tissue outcomes after implant placement have been well documented. However, there is scarce evidence on immediate soft tissue and patient-centered outcomes. The aim of this prospective study is to quantify post-implant placement edema and to correlate it with oral health-related quality of life. Methods: Patients undergoing a standardized two-stage implant placement at a single tooth-bound site were recruited (n=26; 54.13.3 years, 14 males). Soft tissue edema was recorded by using intraoral scans immediately pre- (PS) and post-operatively (IP), at 2 (2D), 7 (7D) and 14 days (14D) and 2 months (2M). After scan registration, ridge width, maximum height, …

The Influence Of Peri-Cervical Dentin Conservation On The Propagation Of Cracks In Mandibular Molars, Hassanain Zaheer

Master's Theses (1922-2009) Access restricted to Marquette Campus

Introduction: The objective of this study was to investigate the effect of peri-cervical dentin conservation during root canal treatment on the longitudinal propagation of cracks, utilizing the finite element method. Methods: Two 3D printed mandibular molars were subjected to a simulated root canal therapy protocol. The teeth were divided into two test groups: Group 1: Instrumented with using Protaper Gold (PTG) rotary files. Group 2: Instrumented with using TruNatomy. Each access was restored with composite at the level of the CEJ to the occlusal surface. The two teeth were digitized using a high-resolution micro–computed tomographic scan to create 3-D models …

Factors Influencing The Treatment Outcome Of Intentional Replantation On Teeth With Periapical Periodontitis: A Systematic Review And Meta-Analysis, Teng Kai Ong, Daniel Lim, Maharaj Singh, Alissa V. Fial

Library Faculty Research and Publications

Objectives

The purpose of this review was to appraise the quality of evidence of the existing publications on IR, and to perform a meta-analysis on the treatment outcomes of IR.

Methods

The specific PIO questions were as follows: Population: Patients with periapical periodontitis either before or after nonsurgical endodontic therapy. Intervention: IR performed with retrograde preparation and retrograde filling. Outcomes: the healing, treatment complications, and the factors influencing these outcomes after IR. Electronic and hand searches were performed in the Web of Science, PubMed, CINAHL, and Cochrane Library databases. Two authors independently screened the titles and abstracts for eligibility. The …

Comparative Evaluation Of Artifacts Originated By Four Different Post Materials Using Different Cbct Settings, Dilek Helvacioglu-Yigit, Umut Seki, Sebnem Kursun-Cakmak, Husniye Demirturk Kocasarac, Maharaj Singh

College of Nursing Faculty Research and Publications

The aim of this study was to evaluate whether cone beam computed tomography (CBCT) images in the presence of four different post materials, obtained from different kVps with varying resolutions and varying metal artifact reduction (MAR) algorithms, differed in artifact estimation, and to compare tooth regions in terms of artifact value. Materials and Methods: Forty premolar teeth were used in this study. Root canals were treated, and teeth were randomly distributed into four subgroups (n = 10) for the preparation of post materials: titanium, gold (Nordin), quartz fiber (Bisco DT Light), and glass fiber (Rely X). The CBCT images were …

Activated Charcoal Versus A Chemical Whitening Agent: Effect On Human Enamel, Hien Thai Doan

Master's Theses (2009 -)

Objective: For many years, the conventional method to achieve a white smile has been chemical regimens such as peroxide compounds. Previous studies suggest risks associated with chemical procedures, so many are seeking out alternative options such as utilizing activated charcoal. Since this new method is rapidly trending, there have not been many scientific studies on how utilizing activated charcoal can affect the mechanical/physical properties of tooth structure. The primary objective of this study was to investigate the effect of activated charcoal on enamel’s mechanical/physical properties and compare it to a conventional tooth whitening method (carbamide peroxide). Materials and Methods: Extracted …

A Tool For Differential Diagnosis Of Childhood Apraxia Of Speech And Dysarthria In Children: A Tutorial, Jenya Iuzzini-Seigel, Kristen M. Allison, Ruth Stoeckel

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

While there has been mounting research centered on the diagnosis of childhood apraxia of speech (CAS), little has focused on differentiating CAS from pediatric dysarthria. Because CAS and dysarthria share overlapping speech symptoms and some children have both motor speech disorders, differential diagnosis can be challenging. There is a need for clinical tools that facilitate assessment of both CAS and dysarthria symptoms in children. The goals of this tutorial are to (a) determine confidence levels of clinicians in differentially diagnosing dysarthria and CAS and (b) provide a systematic procedure for differentiating CAS and pediatric dysarthria in children.

Method:

Evidence …

Color Characterization Of Color Changing Orthodontic Adhesives, Megan Fried

Master's Theses (2009 -)

Objective:A popular product to facilitate removal of excess adhesive during bonding of orthodontic appliances is a color changing adhesive. Before polymerization, these materials are a bright color but upon curing, manufacturers claim they become translucent. After debonding, there is often resin embedded within the enamel, so the appearance of these materials after polymerization can affect the esthetics of a patient’s dentition. The purpose of this study was to analyze the color characteristics of various orthodontic color changing adhesives and determine if there is a significant difference in color changing capabilities and in translucency after polymerization between products. Methods:Grengloo and Blugloo …

The Accuracy And Sensitivity Of Abo Electronic Cast Radiographic Program Orthoshare 360 Compared To Manual Measurements, Lisa Nguyen

Master's Theses (2009 -)

Objective: The objective of this study was to assess the accuracy, validity, and reliability of measurements obtained by MotionView's Ortho Share 360 program compared to traditional manual measurements of 3D printed models using a standardized ABO measuring gauge. In detail, the study aimed to evaluate the difference in total ABO Cast Radiographic-Evaluation (CRE) score and individual differences among six ABO CRE parameters. The null hypothesis is that there are no statistically different scores between digital and manual measurements. Methods: 33 samples were measured based on standardized parameters determined by the ABO. The first measurements were obtained manually using ABO measuring …

Mechanism Of Mechanical Vibration In Enhancing Orthodontic Retention- Analysis Of Global Gene Expression, Shuwei Wang

Master's Theses (2009 -)

Introduction: Low-magnitude, high-frequency (LMHF) mechanical vibration has been proposed as a possible adjunctive retention method after orthodontic treatment. In this study, we explored the mechanism of using LMHF vibration to improve bone formation during retention phase. We aimed to provide insight of global gene expression and cellular activities of PDL cells under tension, as well as identify novel biomarkers for induced osteogenesis by using LMHF mechanical vibration as adjunct tool in retention phase. Materials and Methods: Human PDL cells (hPDLCs) were seeded in 6-well FLEXCELL culture plates. The wells were assigned to four experimental groups as control, stretching (ST), vibration …

The Effect Of Tray Design And Impression Material Consistencies On Accuracy Of Complete Arch Implant Supported Fixed Dental Prostheses Master Casts, Lujain Kurdi

Master's Theses (2009 -)

Purpose of this Study: The purpose of this study is to determine the accuracy and precision of complete arch implant supported fixed dental prosthesis impressions made with a low viscosity PVS while supporting the splinted impression copings with heavy viscosity PVS on a reference model simulating an all-on-4 prosthesis using both stock and custom trays. Material and Methods: A model was scanned to act as the reference model. The splinting device and custom tray were printed using FormLAb printer and custom resin tray material. Four group were included in the study. Stock tray with and without support and custom tray …

Evaluation Of Damon Psl And Conventional Mbt Brackets In Leveling And Alignment Efficiency, Jacob Beckstrand

Master's Theses (2009 -)

Objective: Ormco has proposed that the low-friction design of their self-ligation brackets allows for more efficient alignment of crowded teeth with less incisor proclination and faster treatment times compared to conventional MBT bracket systems. The purpose of this study is to examine the hypothesis that there is no difference between Damon PSL and conventional MBT brackets in factors related to leveling and alignment in-vitro. Methods:Damon Q2 .022” slot brackets and 3M Unitek .022” slot MBT brackets were bonded to 2 sets of typodont teeth. Typodont teeth were placed into 8 upper and lower Class I crowding wax forms (Kilgore, USA) …

Post-Surgical Emergency After-Hours Calls: Prevalence, Concerns, And Management, Vrisiis Kofina, Drake Lindholm, Abdulkareem Harunani, Andrew R. Dentino, Maharaj Singh, Dimitris N. Tatakis

College of Nursing Faculty Research and Publications

Objective

The purpose of this study was to investigate the prevalence, nature, and management of post-surgical emergency after-hours calls in a dental school setting with predoctoral students, graduate students/residents, and faculty providers.

Methods

A patient chart review (March 2018–February 2020) for post-surgical calls through the emergency after-hours pager system was conducted at the Marquette University School of Dentistry. The total number of surgical procedures, procedure type, the timing of call, operator experience, concern, and recommendation given during the call were documented.

Results

During the review period, 83 calls (from 75 patients) were recorded after 8,487 surgical procedures (1% of procedures). …

Edge Chipping Of Translucent Zirconia, Joseph D. Flask, Geoffrey A. Thompson, Maharaj Singh, David W. Berzins

School of Dentistry Faculty Research and Publications

Statement of problem

More translucent dental zirconias have been developed by incorporating the cubic phase and reducing the tetragonal phase content that undergoes transformation toughening, leading to reduced mechanical properties. Whether the clinically relevant mechanical property of the edge chipping toughness of the material is also reduced is unclear.

Purpose

The purpose of this in vitro study was to evaluate the edge chipping toughness and translucency of translucent zirconia, 3mol% yttria-stabilized tetragonal zirconia polycrystal (3Y-TZP), and lithium disilicate.

Material and methods

Two translucent zirconia products, Katana and Lava Esthetic; one 3Y-TZP, Lava Plus; and one lithium disilicate, IPS e.max Press …

Influence Of Free-End Distal Extension On The Accuracy Of Guided Implant Placement: An In Vitro Study, Geoffrey Ganzman

Master's Theses (2009 -)

Purpose: The aim of this study was to evaluate the influence of type of tooth-support (bounded edentulous space versus unbounded edentulous spaces) on the accuracy of fully-guided implant placement using static computer-assisted implant surgery (sCAIS) in partially-dentate patients. Methods: Four different clinical scenarios were simulated; (a) bounded single-tooth edentulous space (BES), and three different free-end distal extensions with (b) unbounded single-tooth edentulous space (UBES1), (c) unbounded two-teeth edentulous space (UBES2), and (d) unbounded three-teeth edentulous space (UBES3). An implant planning software was used to design 3D-printed stereolithographic surgical guides for the respective clinical scenarios. In total n=140 implants with dimensions …

Edge-Chipping And Translucency Comparison Among Lithium Silicate-Based Ceramics, Essa Abdullah Alghamdi

Master's Theses (2009 -)

Purpose: The purpose of this in vitro study was to determine the edge-chipping toughness and the translucency of lithium silicate-based glass ceramics. Materials and Methods: Four lithium silicate/disilicate glass-ceramic materials, IPS e.max CAD and GC Initial LiSi blocks, and two zirconia-lithium silicate glass-ceramic materials, Vita Suprinity and Celtra Duo, were prepared and tested (n=20 specimens/group). Specimens (14 x 12 x 1.5 mm) were sectioned from commercially available chairside computer-aided design/computer-aided manufacturing (CAD-CAM) blocks, fired (if indicated), ground, and polished. Translucency was assessed via a spectrophotometer for each group. For edge chipping, specimens were adhered to a resin bed created in …

Identifying Optimal Composite Resin Depth To Maximize Fracture Resistance When Restoring Immature Endodontically Treated Teeth, David Poe

Master's Theses (2009 -)

Introduction: This study compared stress distribution of an immature central incisor restored with intracanal composite resin placed at different depths. Methods: Five pre-accessed models were prepared, to simulate immature central incisors, and endodontically treated using a mineral trioxide aggregate plug and different amounts of composite resin with gutta-percha in between the composite resin and mineral trioxide aggregate. (Group 1) Composite resin restored from the cemento-enamel junction, (group 2) composite resin restored from 2 mm apical to the cemento-enamel junction, (group 3) composite resin restored from 4 mm apical to the cemento-enamel junction, (group 4) composite resin restored from the mineral …

Associations Between The Movement Of Hard And Soft Tissues After Orthodontic Proclination Of Incisors, Scott Beard

Master's Theses (2009 -)

Objective: As orthodontic treatment planning has evolved throughout its history, there has been an increased emphasis on the facial soft tissues. Little has been done to study the effects that proclination of the incisors has on the soft tissue profile. The purpose of this study was to 1) determine if there are significant changes of lip projection and shape with proclination of incisors, and 2) determine if there are significant associations between the movement of the hard and soft tissues after proclination of the incisors. The null hypothesis is that there is no statistically different changes and associations between hard …

Complementary And Alternative Medicine Mind-Body Approaches Used Among Racially And Ethnically Diverse Adolescents, Dora L. Clayton-Jones, Lee Za Ong, Mauricio Garnier-Villarreal, Lori Vick, Rachel Sawdy, Safiya George, Kristin Haglund

College of Nursing Faculty Research and Publications

Purpose

The aim of this paper is to examine complementary and alternative medicine (CAM) use among racially and ethnically diverse adolescents. Greater understanding of CAM use among this group is warranted to better inform health care providers in delivering a culturally relevant health promotion approach.

Design and methods

A secondary data analysis was conducted using the 2012 Child Complementary and Alternative Medicine Supplement of the National Health Interview Survey (CAM-NHIS) data, which was collected from a national sample of adolescents aged 12–17 years. A logistic regression test was employed to investigate the predictors associated with CAM use among racially and …

Iatrogenic Acid-Induced Gingival Recession During Crown Cementation: A Case Report, Vrisiis Kofina, H. An, Swati Y. Rawal

School of Dentistry Faculty Research and Publications

Accidental contact of various chemicals in dentistry may cause damage to the gingiva. A male patient presented for a full mouth rehabilitation with ceramic crowns. The patient underwent the steps of ceramic crown preparation uneventfully. At the time of crown delivery, cotton rolls were placed in several vestibular areas for isolation. They were regularly changed during different steps of etching and cementation process, which included the use of Multilink Primer B (Ivoclar Vivadent™). On removal of the cotton roll in the area of upper right canine, the gingival tissues appeared blanched and grayish white. The cotton roll was found to …

Precision And Trueness Of Implant Placement With And Without Static Surgical Guides: An In Vitro Study, Arndt Guentsch, Laxmi Sukhtankar, Hongseok An, Paul Luepke

School of Dentistry Faculty Research and Publications

Statement of problem

Malpositioning of implants is one of the main factors leading to hard- and soft-tissue deficiencies. Whether static computer-guided implant placement increases accuracy and prevents malpositioning is unclear.

Purpose

The purpose of this in vitro study was to determine accuracy defined by trueness and precision (according to International Organization for Standardization 5725) of computer-assisted implant surgery (fully guided and partially guided) in comparison with freehand single implant placement.

Material and methods

Implants (n=20) were placed fully guided (sleeve-bone distance of 2, 4, or 6 mm), partially guided (guide used for pilot drill), or free hand in identical replicas …

Oral Manifestations Of Syphilis: A Review Of The Clinical And Histopathologic Characteristics Of A Reemerging Entity With Report Of 19 New Cases, Molly Housley Smith, Richard J. Vargo, Elizabeth Ann Bilodeau, K. Mark Anderson, Anna Trzcinska, Carleigh R. Canterbury, John E. Fantasia, Yeshwant B. Rawal

School of Dentistry Faculty Research and Publications

Background

Syphilis is a sexually-transmitted infectious disease caused by Treponema pallidum. Cases of primary and secondary syphilis are on the rise in the United States, with a 14.4% increase in new cases noted from 2017 to 2018 and an escalation of 71% between the years 2014 and 2018. Fulfilling its nickname of “the great imitator,” oral manifestations of syphilis may mimic a variety of infectious, neoplastic, or immune-mediated processes, both clinically and histopathologically. This large spectrum of appearances can create a diagnostic challenge to the clinician and/or pathologist, leading to delay in diagnosis or misdiagnosis.

Methods

A database of …

Effects Of Fluoride On Corrosion Properties Of Orthodontic Retention Wires, John J. Simindinger

Master's Theses (2009 -)

Objective: Alloys used in retention wires corrode in the oral environment. Previous studies have examined the effects of fluoride on archwires used in active treatment, but not on retention wires. The goal of this study was to determine what effect fluoride exposure has on corrosion of various lingual bonded retainer wires in the mouth. Methods: Twenty samples from six different wire types were tested in two solutions. Half were tested in Fusayama-Meyer artificial saliva, while the other half were tested in Fusayama-Meyer plus fluoride correlated to the concentration of toothpaste. A potentiostat was used to measure open circuit potential (OCP) …

Effects Of Cleaning Agents On The Properties Of Two Different Thermoplastic Retainer Materials, Jennifer Brehove

Master's Theses (2009 -)

Objective: There are several different thermoplastic retainer materials and cleaning methods available to fabricate and clean clear retainers. Some studies have investigated the changes in properties of clear retainers after being exposed to different staining agents, varying levels of mechanical strain, and different cleaning agents. However, there are few studies that compare different thermoplastic materials to each other when being subjected to these different types of stresses. The aim of this study is to evaluate the changes in properties of two commonly used thermoplastic retainer materials, polyethylene terephthalate (PETG) and ethylene/propylene (EP), after exposure to different retainer cleaning agents over …

Comparing Orthodontic Debonding Aerosol Production With Various High-Volume Evacuation Systems, Eric Moe

Master's Theses (2009 -)

Objective: The COVID-19 pandemic has placed a new emphasis on defining aerosol generating procedures and evaluating ways to reduce those aerosols. Both biocontaminants and particulate matter can potentially be transmitted with dental aerosols with negative health effects associated with each, especially aerosols with particulate matter of 2.5 micrometers or less (PM2.5). This study aims to evaluate the PM2.5 aerosol production from orthodontic debonding with a high-speed, air-driven handpiece without water coolant and assess the effectiveness of traditional four-handed high-volume evacuation (HVE) and two commercially available hands-free high-volume evacuation (HFHVE) systems. Methods: Orthodontic debonding was simulated using a dental manikin and …

Mechanism Of Mechanical Vibration In Enhancing Orthodontic Retention, Brent A. Ito

Master's Theses (2009 -)

Introduction: Low-magnitude, high-frequency (LMHF) mechanical vibration is proven to be anabolic and can increase alveolar bone mass. The objectives of this study were to generate an orthodontic retention cell culture model and investigate the effects of LMHF mechanical vibration on human periodontal ligament fibroblast (HPLF) cells after orthodontic loading (retention) in vitro. Materials and Methods: HPLF cells were seeded at a density of 4x105/well in 6-well Flexcell culture plates (Day 0). On day 3, the cells were mechanically stretched (15% surface extension) for 1 hour to mimic orthodontic loading/tension in vitro. On day 5, the cells were randomly assigned to …