Orthodontics and Orthodontology Commons^™

Orthodontic Open-Coil Spring Deactivation Forces Differ With Varying Activation Levels, Ryan Lubinsky

Master's Theses (2009 -)

Coil springs are used in orthodontics to deliver forces to move teeth. However, the optimal amount of activation to produce predictable, continuous deactivation forces, for the purpose of orthodontic tooth movement, is unclear. The purpose of this study was to evaluate the deactivation force characteristics of nickel-titanium open-coil springs after varying levels of activation. Methods: Four open-coil spring products were evaluated: Dentsply GAC 100 gram and 150 gram, Orthoclassic Orthodontics Medium 150 gram, and American Orthodontics nickel-titanium springs. Open-coil springs were compressed (activation) with a universal testing machine to 20, 40, 60, or 80% of original length (15 mm; n=15/product/activation …

Orthodontic Bond Strength Comparison Between Two Filled Resin Sealants, James Kolstad

Master's Theses (2009 -)

Introduction: Sealants are used in orthodontics to help prevent demineralization during treatment. The objective of this study was to determine if there is a difference in the shear bond strength (SBS) between two different resin sealants bonded to teeth. Materials and Methods: Extracted human premolars (n=20/group) were randomly divided and prepared by acid etching, followed by application of primer or sealant. Group 1, the control group, used Transbond XT Primer (3M Unitek). Groups 2 and 3 were prepared with the sealants L.E.D. Pro Seal (Reliance Orthodontic Products) and Opal Seal (Opal Orthodontics) respectively. Transbond XT Adhesive was applied to a …

Orthodontic Treatment Planning Using Direct Visual Approximation Of Arch Length Discrepancy And Cephalometric Analyses, Kathleen Rouse Vaught

Master's Theses (2009 -)

Introduction: Space analysis and radiographic analyses are crucial elements in developing an orthodontic treatment plan. It is imperative that the orthodontist makes accurate measurements in order to come up with the most effective treatment options for each patient. Some practitioners refrain from direct measurements to determine arch length discrepancies and instead determine the amount of crowding by using direct visual approximation. In addition, more orthodontists do not routinely trace all cephalograms taken. If more and more orthodontists are using direct visual approximation to determine angular cephalometric measurements, it is important to assess the accuracy and reliability of these measurements. This …

Comparison Of Immediate Vs. Delayed Recall Of Orthodontic Information Following An Electronic Reminder, Michael Lenz

Master's Theses (2009 -)

Patients and parents in dentistry often do not remember important information disclosed during the informed consent process, so improvement in the delivery of information is needed. This study explored the effect of an emailed narrated instructional PowerPoint on the immediate vs. delayed recall and comprehension of informed consent information in orthodontics. Thirty-two subjects were recruited from a university and private practice orthodontic clinic. At the initial visit, subjects were alternately assigned to one of two groups and were presented with a mock orthodontic treatment plan and informed consent presentation for a pretend patient. Immediately following the presentation, the subjects’ verbal …

Application Of Mechanical Vibration To Enhance The Stability After Orthodontic Treatment - A Micro - Ct Study, Nicolas Branshaw

Master's Theses (2009 -)

Introduction: Mechanical vibration (MV) possesses anti-resorptive properties that can possibly enhance the stability of the dentition during retention, lessening the potential for relapse of teeth to their initial positions. In this project, we established a mouse model and investigated the effects of MV on bone modeling during orthodontic retention. Materials and Methods: Thirty-two 14-week-old inbred strain C57BL/6 male mice were randomly assigned into four groups: 1) Control (N=6); 2) Mechanical Vibration (MV) (N =6); 3) Orthodontic Retention (OR) (N=9); and 4) Orthodontic Retention and Mechanical Vibration (ORMV) (N=11). All mice in OR and ORMV groups received approximately 10g of orthodontic …

Thermal Properties Of Commonly Used Clear Aligner Systems As-Received And After Clinical Use, Louis Wenger

Master's Theses (2009 -)

Background/Objectives: The purpose of this study was to investigate the thermal properties, particularly glass transition temperature, of the polymers that are used to fabricate three different types of modern orthodontic aligners. Invisalign, (Align Technology, Inc, Santa Clara, CA, USA), Simpli5 (Allesee Orthodontic Appliances, Sturtevant, WI, USA), and ClearCorrect (ClearCorrect, Round Rock, TX, USA) were examined both as-received and after clinical use to determine if any differences were present both between and within aligners. Materials/Methods: Orthodontic aligners were collected from three different patients using the systems under investigation after two weeks of intraoral use. Duplicate, un-used samples were obtained from the …

Direct Visual Approximation Of Arch Length Discrepancy And Cephalometric Measurements, Bradley J. Wurm

Master's Theses (2009 -)

Introduction: Arch length discrepancy and cephalometric analysis are critical components of orthodontic treatment planning. Both have direct effects on the decision to extract teeth or not and treatment mechanics as well. Visual approximation is the most common method used to analyze arch length discrepancy among practitioners. Current trends show a decrease in the amount of orthodontists completing a cephalometric analysis. Previous studies have shown a tendency for orthodontists to overestimate the degree of crowding when visually approximating on dental casts. No previous study has assessed the ability to visually approximate cephalometric angle measurements. The purpose of this survey was to …

Effects Of Palatal Expansion On Speech Production, Jason Milton Meinhardt

Master's Theses (2009 -)

Introduction: Rapid palatal expanders (RPEs) are a commonly used orthodontic adjunct for the treatment of posterior crossbites. RPEs are cemented to bilateral posterior teeth across the palate and thus may interfere with proper tongue movement and linguopalatal contact. The purpose of this study was to identify what specific role RPEs have on speech sound production for the child and early adolescent orthodontic patient. Materials and Methods: RPEs were treatment planned for patients seeking orthodontics at Marquette University. Speech recordings were made using a phonetically balanced reading passage (“The Caterpillar”) at 3 time points: 1) before RPE placement; 2) immediately after …

The Effect Of Heat Treatment On The Bending Properties Of A Cobalt-Chromium Orthodontic Wire, Alex Schwab

Master's Theses (2009 -)

Introduction: Elgiloy, a brand name of the original cobalt-chromium orthodontic wire, has been around for more than 50 years; yet despite this, little literature is available. Most of the literature on Elgiloy wires tends to evaluate the wires in tension. For these reasons, this study aimed to determine the bending properties of the four available tempers of Elgiloy wires and how heat treatment affects the wires’ bending properties. Materials and Methods: All four tempers of Elgiloy (red, yellow, green, and blue) were ordered in straight lengths containing 20 wires per pack that are each 0.018 inches in diameter and 14 …

Reliability Of Digital Dental Cast Measures As Compared To Cone-Beam Computed Tomography For Analyzing The Transverse Dimension, Brian Michel

Master's Theses (2009 -)

The purpose of this study was to assess the consistency in diagnosing the transverse dimension on cone-beam computed tomography (CBCT) images as compared to digital dental models. The study consisted of 11 patients with posterior crossbite at the level of the first molar and 17 patients with no crossbite at the level of the first molar. 13 patients were male and 15 patients were female with an overall mean age of 13.6 years. Eight linear measurements and two angular measurements were made on CBCT images of the patients and six linear measurements were made on the corresponding digital dental casts. …

Mechanical Properties Of Copper-Nickel-Titanium Archwires, Margaret Amelia Rosen

Master's Theses (2009 -)

Introduction: The initial phase of orthodontic therapy relies on flexible wires, usually composed of a nickel-titanium alloy, to apply a substantially constant load during tooth movement. Copper has been added to nickel-titanium archwires, resulting in an alloy with potential clinical advantages such as a lower stress hysteresis. Many orthodontic companies claim that their copper-nickel-titanium manufacturing process allows for the production of more consistent transition temperatures in the wires, allowing the orthodontist to customize treatment to various patients based on the force level needed. There are currently many manufacturers of these wires, creating a wide range of copper-nickel-titanium archwires from which …

Thermal Properties Of Copper Nickel-Titanium Orthodontic Archwires, Joshua Gilbert

Master's Theses (2009 -)

Introduction: Copper Nickel-Titanium (CuNiTi) is a relatively new composition of Nickel-Titanium (NiTi) archwires that was originally patented in 1991 as part of the Ormco line of wires. The patent has now recently expired and many other orthodontic companies are making their own CuNiTi wires. Advertisement claims have focused on the laboratory benefits of adding Copper (Cu) to the NiTi, however few independent laboratory testings have been conducted on these new wires to verify claims. The purpose of this study was to conduct thermal analysis of CuNiTi for all currently available wires in two Austenite Finish (Af) variants and two commonly …

The Effect Of Orthodontic Appliances On The Evaluation Of The Professionalism And Esthetics Of An Adult Employee, Laura Hanson Vaccariello

Master's Theses (2009 -)

This study explored the influence of fixed and removable orthodontic appliances on participants’ ratings of the job performance, intelligence, and attractiveness of an adult female. Ninety-four adult subjects were recruited from the Graduate School of Management at Marquette University. Each subject received an identical employee performance review with an attached photograph of a female employee. The smile of the photo was manipulated to represent one of four conditions: no orthodontic appliance, a metal orthodontic appliance, a ceramic orthodontic appliance, or a clear aligner. Subjects then rated the employee on three continuous Likert scales. Ratings of job performance, intelligence, and attractiveness …

The Effects Of Mechanical Vibration On Human Chondrocytes In Vitro, Bradley J. Gauthier

Master's Theses (2009 -)

Introduction: Inflammation is the biological basis of temporomandibular joint disorders (TMD), when severe it can lead to osteoarthritis. One of the physical therapies used to manage this condition is mechanical vibration, as has been used in medicine for many years as a non-pharmacological therapy. Recently an FDA approved dental device called AcceleDent has been introduced to increase the rate of tooth movement and decrease pain. As the device-generated vibration transmits to the TMJ, it is important for us to investigate whether mechanical vibration influences TMJ on its biologic basis – chondrocytes under normal and inflammatory conditions. Materials and Methods: Human …

The Effect Of Mechanical Vibration On Human Pdl Cell Differentiation And Response To Inflammation, Megan Desroches

Master's Theses (2009 -)

Low magnitude mechanical vibration is a therapeutic adjunct being investigated to alter bone remodeling and inflammation in areas such as osteoporosis, bone fracture healing, and muscle soreness after exercise. In orthodontics a device named AcceleDent has been marketed that claims to increase the rate of tooth movement and decrease pain. However evidence for these claims is lacking. In this study we looked at two potential cellular mechanisms for these claims: periodontal ligament (PDL) cell differentiation and inflammation under an orthodontic model of strain (IL-1β). Increased PDL cell differentiation into osteogenic cells could be an avenue of increasing orthodontic tooth movement. …

Thermomechanical Characterization Of Variable Force Niti Orthodontic Archwires, Anjali Sudershan Krishan Mehta

Master's Theses (2009 -)

ABSTRACT THERMOMECHANICAL CHARACTERIZATION OF VARIABLE FORCE NITI ORTHODONTIC ARCHWIRES Anjali Mehta, BDS MDS Marquette University, 2015 Introduction: Nickel-Titanium (NiTi) archwires, due to their properties of superelasticity and shape memory, have been extensively used in orthodontic mechanotherapy. However, one of the shortcomings of these wires is that they deliver constant forces across the entire arch. The amount of force needed to move a tooth is a function of the surface area of the tooth and its supporting bone; and is lesser for single rooted anterior teeth compared to larger molars. The introduction of heat treatment of NiTi wires and the influence …

Influence Of Fluoride And Stress On The Mechanical Properties Of Nickel-Titanium Coils, Jennifer Ann Fehrman Roloff

Master's Theses (2009 -)

Objective: The objective of this study was to determine the influence of fluoride and stress on the mechanical properties of nickel-titanium open coil springs. Materials and Methods: Sentalloy nickel-titanium open coil springs (15 mm length) were divided into five groups. A control group was tested mechanically in as-received condition. The other four experimental groups were exposed to artificial saliva (Fusayama-Meyer solution) at 37oC for 12 weeks in a 2x2 factorial design with fluoride exposure and stress (compression) as the two factors. Those springs which were under compression were held at 5 mm in length for the entirety of the testing …

Changes In Composite Toxicity Following Exposure To Pulp Capping Materials, Audra Long

Master's Theses (2009 -)

Introduction: Direct pulp capping involves placing a material over the exposed pulp in order to maintain its vitality. For decades, calcium hydroxide (CH) has served as the gold standard for this purpose, but its toxicity to the pulp may negatively impact treatment outcomes. Mineral Trioxide Aggregate (MTA) has become a popular alternative based partly on its excellent biocompatibility. Pulp-capped teeth are often restored with highly toxic composite materials, but the pulp capping material’s ability to alter these toxic effects has never been investigated. The purpose of this in vitro study is to determine the effects of Dycal, a CH-based cement, …

The Direct Effect Of Low-Magnitude High-Frequency Mechanical Vibration On Osteoclast Formation From Raw267.4 Monocytes, Maxwell Antonio Abraham

Master's Theses (2009 -)

Low-magnitude high-frequency (LMHF) mechanical vibration has been demonstrated to enhance bone formation possibly through inhibition of osteoclastogenesis of bone. Earlier research has demonstrated osteoclast formation from RAW264.7 monocytes was inhibited by a chewing cycle mimicking vibration through inhibition of dendritic cell-specific transmembrane protein (DC-STAMP). We hypothesize that application of LMHF mechanical vibration directly inhibits osteoclast formation from RAW264.7 monocytes in a frequency dependent manner. RAW264.7 monocytes (ATCC) were cultured in alpha minimal essential medium (MEM) with 10% fetal bovine serum (FBS ) and 1% Pen/Strep at 37°C and 5% CO2. The cells were seeded at a density of 2000 cells/well …

Influence Of Fluoride And Stress On The Electrochemical Properties Of Nickel-Titanium Coils, Ashley Barnes

Master's Theses (2009 -)

The aim of this study was to examine the effects of fluoride and stress on the electrochemical properties of nickel-titanium coils. Forty Dentsply GAC NiTi coils were divided into four groups of ten and individually tested. Twenty coils were placed in a solution of artificial saliva, where ten of the twenty were compressed and the other ten were not stressed. The other twenty coils were placed in a 1500 ppm NaF solution, where ten were compressed and ten were not. The coils were connected to a computer driven potentiostat and three tests were conducted: open circuit potential monitoring for 2 …

Mechanical Properties And Patient Perceptions Of Commonly Used Clear Aligner Systems As-Received And After Clinical Use, Lauren Evan Montoure Teske

Master's Theses (2009 -)

Background/Objectives: This study aimed to investigate the viscoelastic properties of two clear aligner systems, Invisalign (Align Technology, Inc, Santa Clara, CA, USA) and Simpli5 (Allesee Orthodontic Appliances, Sturtevant, WI, USA), and determine if there was a difference after use. A survey assessed patients’ perceptions of the aligner material and post-treatment satisfaction. Materials/Methods: Mandibular aligners were collected from two patients after 2-3 weeks of use (n=6). Duplicate, unused aligners were obtained for each patient (n=6). Dynamic mechanical analysis (DMA) characterized the viscoelastic properties of the materials. Three tests were done on separate specimens: frequency scan (0.1-10 Hz under 25 μm displacement …

Microstructure And Mechanical Properties Of Nickel-Free And Nickel-Containing Stainless Steel Orthodontic Wires, Amanda Olejniczak

Master's Theses (2009 -)

Introduction: In orthodontics, contact dermatitis caused by nickel allergy should be of concern with the number of nickel-containing appliances and wires used. Stainless steel archwires are commonly used throughout orthodontic treatment. With the release of nickel from these wires, some manufacturers have turned to nickel-free stainless steel alternatives. The goal of this research was to compare nickel-free stainless steel with traditional stainless steel archwires with regard to mechanical properties and microstructure. Materials and Methods: Nickel-free stainless steel and regular stainless steel archwires from four companies were included. Five random samples of each wire, vertically mounted in fast-set acrylic, were indented …

Composition, Phase Structure, And Corrosion Of Nickel-Free And Nickel-Containing Stainless Steel Orthodontic Wires, Amrita Rakalla

Master's Theses (2009 -)

Stainless steel wires have long been used in orthodontics. The austenitic stainless steel used in orthodontics contains approximately 18 wt% chromium and 8 wt% nickel. Nickel improves the corrosion resistance and helps maintain the austenite structure of stainless steel. Nickel is the most allergenic metal and is the most common metal associated with contact dermatitis in orthodontics. Nickel-free wires have been developed, and it was the goal of this study to compare nickel-free and nickel-containing stainless steel orthodontic wires to determine and compare their composition, phase structure, and corrosion properties. For each test, nickel-free and conventional stainless steel wires were …

Dimensional Changes Of Facial Soft Tissue Associated With Rapid Palatal Expansion, Peter Charles Longo

Master's Theses (2009 -)

Introduction: Orthodontic treatment demands excellent outcomes in both function and esthetics. Despite the popularity of rapid palatal expansion in orthodontic treatment, few studies have examined its consequences on facial soft tissue using direct anthropometric measurements. The primary goal of this study was to determine facial soft tissue changes immediately following rapid palatal expansion. Materials and Methods: Twenty-eight patients (age range, 8-17 years) attending Marquette Dental School Orthodontic Post-Graduate Clinic were enrolled in the study. Facial soft tissue measurements were taken with digital calipers at two separate time points (T0: initial exam and T1: thirty days following expansion); measurements were recorded …

Effect Of Mechanical Vibration On Resistance To Sliding In The Fixed Orthodontic Appliance, David Robert Kennedy

Master's Theses (2009 -)

Objective: To determine the effects of mechanical vibrations produced from electric tooth brushes and a commercially available device called AcceleDent, on the resistance to sliding at the bracket-arch wire interface. Materials and Methods: All as-received wires and brackets were cleaned with 95% ethanol prior to testing. An individual metal bracket was mounted on a custom metal fixture. The custom metal fixture had a polyurethane material that resembled the mechanical feature of the human periodontal ligament. The test metal bracket was aligned and bonded passively with 4 other non-movable brackets using a straight piece of .0215" X .025" SS wire. Another …

An Investigation Into The Bonding Properties Of New Generation Ceramic Brackets As Compared To A Stainless Steel Bracket, Ami Inoue

Master's Theses (2009 -)

Introduction: More patients are seeking esthetic alternatives for their orthodontic treatment options, which has led to increased use of ceramic brackets in recent years. These brackets were marketed before independent scientific research was completed. Many of the early ceramic brackets used a silane coupling agent to allow for a chemical bond between the bracket and the adhesive resin. Early reports from clinicians of increased bond strengths and iatrogenic tooth damage after bracket removal were common. Manufacturers have made changes to their base designs, relying more on mechanical retention for bond strength. The goal of this study was to test the …

Comparison Of The Efficacy Of Various Ibuprofen And Acetaminophen Regimens On The Treatment Of Post-Endodontic Pain, Erik Deyoung

Master's Theses (2009 -)

The purpose of this study was to determine the efficacy of taking ibuprofen and acetaminophen at the same time versus alternating the same medications in patients with a diagnosis of symptomatic irreversible pulpitis.

Materials and Methods: Ten patients who presented for root canal therapy with a diagnosis of symptomatic irreversible pulpitis were included in this study. The patients were randomly assigned to 2 groups. Following root canal therapy, the patients in group A were instructed to take ibuprofen 600 mg and acetaminophen 1000 mg every six hours. Patients in group B were instructed to take ibuprofen 600 mg, wait three …

Friction Testing Of A New Ligature, Alison Mantel

Master's Theses (2009 -)

Objective: To determine if American Orthodontics' (AO) new, experimental ligature demonstrates less friction in vitro when compared to four other ligatures on the market.

Methods: Four brackets were mounted on a custom metal fixture allowing an 0.018-in stainless steel wire attached to an opposite fixture with one bracket to be passively centered in the bracket slot. The wire was ligated to the bracket using one of five types of ligatures including the low friction test ligatures (AO), conventional ligatures (AO), Sili–TiesTM, Silicone Infused Ties (GAC), Synergy® Low-Friction Ligatures (RMO), and SuperSlick ligatures (TP Orthodontics). Resistance to sliding was measured over …