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Öğe Can Previously Bleached Teeth Be Bonded Safely?(Mosby-Elsevier , 2003) Uysal, Tancan; Başçiftci, Faruk Ayhan; Üşümez, Serdar; Sarı, Zafer; Büyükerkmen, AhmetThe purpose of our study was to determine the effect of a 35% hydrogen peroxide bleaching agent on the shear bond strength of metallic orthodontic brackets. Sixty premolars were randomly divided into 3 groups of 20 each. Teeth in group A were etched with 37% phosphoric acid before bonding metallic premolar brackets. Teeth in the other 2 groups were bleached with a 35% hydrogen peroxide in-off ice bleaching agent according to the manufacturer's recommendations. Twenty bleached teeth (group B) were bonded immediately, and the other 20 (group C) were stored in artificial saliva for 30 days before bonding. Shear bond strength of these brackets was measured on a universal testing machine and recorded in MPa. Adhesive remnant index (ARI) scores were determined after the brackets failed. Data were analyzed with analysis of variance (ANOVA) and chi-square tests. The shear bond strength values of groups A, B, and C were 12.9 +/- 3.4, 12.0 +/- 4.6, and 14.8 +/- 4.0 MPa, respectively. Results of ANOVA showed no statistically significant differences in shear bond strengths between groups (P > .05). ARI scores were significantly different in all groups. The unbleached group's failures were primarily at the bracket/adhesive interface, whereas the bleached groups either showed cohesive failures within the adhesive or failed at the adhesive/enamel interface. The results of this study suggest that office bleaching with hydrogen peroxide does not adversely affect the bond strengths of brackets bonded immediately after bleaching or 30 days after bleaching, even though bleaching can result in differences in the failure site.Öğe The effect of tooth bleaching on the shear bond strength of orthodontic brackets using self-etching primer systems(2013) Akın, Mehmet; Aksakallı, Sertaç; Başçiftci, Faruk Ayhan; Demir, AbdullahObjective: The purpose of this study was to determine the effect of 10% carbamide peroxide and 38% hydrogen peroxide bleaching agents on the shear bond strength of orthodontic brackets using self-etching primer systems. Methods: Forty five freshly extracted human premolar teeth were randomly divided into 3 groups of 15 teeth each: control (group 1), 10% carbamide peroxide at-home bleached (group 2), and 38% hydrogen peroxide in-office bleached (group 3). Three weeks later, all brackets were bonded using a self-etching primer system. The shear bond strength of these brackets was measured and recorded in MPa. Adhesive remnant index (ARI) scores were determined after the brackets failed. Data were analyzed using Kruskal- Wallis test, pairwise comparisons were made using the Mann-Whitney U test and ARI scores were analyzed using a chi-square test at a significance level of P<.05. Results: The shear bond strengths of group 1 (mean: 17.7 ± 9.7 MPa) were significantly higher (P<.05) than those of group 3 (mean: 9.9 ± 5.4 MPa). No significant differences were found between group 2 (mean: 12.3 ± 4.7) and either group 1 or group 3 (P>.05). ARI scores did not differ significantly among the 3 groups. Conclusions: The use of 10% carbamide peroxide bleaching does not significantly reduce shear bond strength values. In contrast, use of 38% hydrogen peroxide bleaching significantly reduces these values.Öğe Effects of different rapid maxillary expansion appliances on facial soft tissues using three-dimensional imaging(E H ANGLE EDUCATION RESEARCH FOUNDATION, INC, 2016) Altındiş, Sedat; Toy, Ebubekir; Başçiftci, Faruk AyhanObjective: To determine three-dimensional (3D) effects of three different rapid maxillary expansion (RME) appliances on facial soft tissues. Materials and Methods: Forty-two children (18 boys, 24 girls) who required RME treatment were included in this study. Patients were randomly divided into three equal groups: banded RME, acrylic splint RME, and modified acrylic splint RME. For each patient, 3D images were obtained before treatment (T1) and at the end of the 3-month retention (T2) with the 3dMD system. Results: When three RME appliances were compared in terms of the effects on the facial soft tissues, there were no significant differences among them. The mouth and nasal width showed a significant increase in all groups. Although the effect of the acrylic splint RME appliances on total face height was less than that of the banded RME, there was no significant difference between the appliances. The effect of the modified acrylic splint appliance on the upper lip was significant according to the volumetric measurements (P < .01). Conclusions: There were no significant differences among three RME appliances on the facial soft tissues. The modified acrylic splint RME produced a more protrusive effect on the upper lip.Öğe Three-dimensional evaluation of hybrid expander appliances: A pilot study(E H ANGLE EDUCATION RESEARCH FOUNDATION, INC, 2016) Akın, Mehmet; Akgül, Yasin Erdem; İleri, Zehra; Başçiftci, Faruk AyhanObjective: To evaluate transverse dimensional changes in dentoalveolar and skeletal structures caused by hybrid expander, using cone-beam computed tomography (CBCT). Materials and Methods: The CBCT records of nine patients (five boys and four girls) (mean age 13.61 +/- 0.72 years) treated with hybrid expander were examined. CBCT images were taken at pretreatment and after the expansion. ELSA (point equidistant to both foramina spinosa) was determined as a reference point to compare the distances in all three dimensions. Nineteen transversal dimensions and four angles were measured for both right and left sides. Wilcoxon signed rank test was used for statistical comparison at P <.05 levels. Results: A V-shaped expansion of suture was successfully achieved in all patients without teeth support. The amount of opening was greater in anterior than posterior and in inferior than superior. An 8.75-mm screw expansion was achieved for all patients. Expansion effects reverberated to maxillary central incisor, canine, first premolar, and first molar at 70%, 75%, 92%, and 89%, respectively. The molar teeth tipped buccally (right 3.06 and left 3.24) as did premolars (right 2.88 and left 3.02). Conclusion: The hybrid expander, minimally invasive expansion appliance that protects teeth by including bone support, can be used easily for rapid maxillary expansion treatment.
