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Öğe Cervical vertebral and dental maturity in Turkish subjects(Mosby-Elsevier, 2007) Basaran, Guevenc; Oezer, Toeruen; Hamamci, NihalIntroduction: The aim of this study was to investigate the relationships between the stages of calcification of teeth and the cervical vertebral maturity stages in Turkish subjects. Methods: A retrospective cross-sectional study was designed. The final study population consisted of 590 Turkish subjects. Statistical analysis of the data was performed with computer software. Spearman rank order correlation coefficients were used to assess the relationship between cervical vertebral and dental maturation. For a better understanding of the relationship between cervical vertebral maturation indexes and dental age, percentage distributions of the studied teeth were also calculated. Results: Strict correlations were found between dental and cervical vertebral maturation of Turkish subjects. For males, the sequence from lowest to the highest was third molar, central incisor, canine, first premolar, second premolar, first molar, and second molar. For females, the sequence from lowest to the highest was third molar, canine, second premolar, first premolar, central incisor, first molar, and second molar. Conclusions: Dental maturation stages can be used as a reliable indicator of facial growth.Öğe Comparison of a recently developed nanofiller self-etching primer adhesive with other self-etching primers and conventional acid etching(Oxford Univ Press, 2009) Basaran, Guevenc; Ozer, Torun; Kama, Jalan DeveciogluThe purpose of this ex vivo study was to compare the bond strengths and modes of failure of brackets bonded with three self-etching products [Adper Prompt L-Pop (3M Espe), Futurabond NR (Voco) and Transbond Plus (3M Unitek)] and a conventional 38 per cent phosphoric acid-etching system Etch-Rite (Pulpdent Corp.) at two different time points. Ninety-six defect-free premolars were randomly allocated to eight groups (n = 12). The etching procedure was carried out according to the manufacturers' instructions. The shear bond strengths (SBSs) were measured after storage in distilled water for 12 and 24 hours. The brackets were debonded using a universal testing machine with a cross-head speed of 0.5 mm/minute. Multiple comparisons of the SBSs for the different etching types were performed using analysis of variance. The chi-square test was used to evaluate differences in adhesive remnant index (CARI) scores among the groups. The differences between SBSs analysed at 12 and 24 hours were not significantly different. Although a significant difference (P < 0.01) was observed with conventional and self-etching primer (SEP) adhesive systems, SEP revealed bond strengths higher than clinically accepted limits (6-8 MPa). SEP systems can achieve successful orthodontic bond strengths. The rate of development of the bond strength must be determined to ensure sufficient maturation of orthodontic adhesives before functional loading.Öğe Comparison of sandblasting, laser irradiation, and conventional acid etching for orthodontic bonding of molar tubes(Oxford Univ Press, 2008) Berk, Nuket; Basaran, Guevenc; Oezer, ToerunThe purpose of the study was to determine if sandblasted and laser-irradiated enamel may be viable alternatives to acid etching for molar tube bonding. Seventy-seven molar teeth extracted for periodontal reasons were used. Seventy teeth underwent shear bond strength (SBS) testing and the remaining seven were examined under scanning electron microscopy (SEM). Adhesive remnant index (ARI) scores were also considered. An erbium, chromium-doped:yttrium-scandium-gallium-garnet (Er, Cr: YSGG) laser was used for enamel etching. Sandblasted and laser-irradiated enamel surfaces with different power outputs (0.5, 0.75, 1, 1.5, and 2 W) were compared with conventional phosphoric acid etching. Descriptive statistics, including mean, standard deviation, and minimum and maximum values, were calculated for each group. Multiple comparisons of the SBS of different etching types were performed by analysis of variance testing. The chi-square test was used to evaluate differences in ARI scores between groups. Acid-etched, 1-, 1.5-, and 2-W laser irradiation groups demonstrated a clinically acceptable mean SBS (7.65 +/- 1.38, 6.69 +/- 1.27, 7.13 +/- 1.67, 7.17 +/- 1.69 MPa, respectively). Irradiation with an output of 0.5 and 0.75 W and sandblasting of the enamel showed a lower SBS than the other groups (2.94 +/- 1.98, 4.16 +/- 2.87, 2.01 +/- 0.64 MPa, respectively). SEM evaluation of 1, 1.5, and 2 W laser irradiation revealed similar etching patterns to acid etching. Sandblasting and 0.5, and 0.75 W laser etching were not able to etch enamel in preferential patterns. Laser irradiation at 1.5 and 2 W was able to etch enamel. More adhesive was left on the enamel surface with low-power laser irradiation. Sandblasting and low-power laser irradiation (0.5, 0.75, and 1 W) are not capable of etching enamel suitable for orthodontic molar tube bonding, but 1.5- and 2-W laser irradiation may be an alternative to conventional acid etching.Öğe In vitro evaluation of microleakage under orthodontic brackets using two different laser etching, self etching and acid etching methods(Springer London Ltd, 2010) Hamamci, Nihal; Akkurt, Atilim; Basaran, GuevencThis study evaluated the microleakage of brackets bonded by four different enamel etching techniques. Forty freshly extracted human premolars were divided randomly into four equal groups and received the following treatment: group 1, acid etching; group 2, self-etching primer (SEP); group 3, erbium:yttrium-aluminum-garnet (Er:YAG) laser etching; and group 4, erbium, chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser etching. After photopolymerization, the teeth were kept in distilled water for 1 month and then subjected to 500 thermal cycles. Then, the specimens were sealed with nail varnish, stained with 0.5% basic fuchsin for 24 h, sectioned, and examined under a stereomicroscope. In addition, they were scored for marginal microleakage at the adhesive-enamel and bracket-adhesive interfaces from the incisal and gingival margins. Statistical analyses consisted of the Kruskal-Wallis test and the Mann-Whitney U test with Bonferroni correction. Microleakage occurred between the adhesive-enamel and bracket-adhesive interfaces in all groups. For the adhesive-enamel surface, a significant difference was observed between group 1 and groups 2 (P = 0.011), 3 (P = 0.002), and 4 (P = 0.000) on the gingival side. Overall, significant differences were observed between group 1 and groups 3 (P = 0.003) and 4 (P = 0.000). In dental bonding procedures, acid etching was found to result in the least microleakage. Since etching with a laser decreases the risk of caries and is time-saving, it may serve as an alternative to acid etching.Öğe Laser etching of enamel for orthodontic bonding(Mosby-Elsevier, 2008) Ozer, Torun; Basaran, Guevenc; Berk, NuekhetIntroduction: The purposes of this study were to assess the shear bond strength, the surface characteristics, and the adhesive remnant index scores of teeth prepared for bonding with erbium, chromium doped: yttrium-scandium-gallium-garnet (Er, Cr: YSGG) laser etching, and to compare laser etching with phosphoricacid etching and a self-etching primer. Methods: Sixty-four premolars, extracted for orthodontic purposes, were randomly divided into 4 groups, and a different method was used to prepare the tooth enamel in each group for bonding: irradiation for 15 seconds with a 0.75-W Er, Cr: YSGG laser; irradiation for 15 seconds with a 1.5-W Er, Cr: YSGG laser; etching with 37% phosphoric acid; application of a self-etching primer. After surface preparation, standard edgewise stainless steel premolar brackets were bonded; 1 tooth in each group was not bonded and was examined under a scanning electron microscopic. The brackets were debonded 24 hours later; shear bond strengths were measured, and adhesive remnant index scores were recorded. Results: Irradiation with the 0.75-W laser produced lower shear bond strengths than the other methods. No statistically significant differences were found between 1.5-W laser irradiation, phosphoric-acid etching, and self-etching primer. Adhesive remnant scores were compared with the chi-square test, and statistically significant differences were found between all groups; when the 0.75-W laser irradiation group was excluded, no statistically significant differences were observed. Conclusions: Irradiation with a 1.50-W laser produced sufficient etching for orthodontic bonding, but irradiation with the 0.75-W laser did not.Öğe Nonsurgical orthodontic treatment of an adolescent girl with Class III malocclusion and asymmetric maxillary narrowing(Mosby-Elsevier, 2008) Hamamci, Nihal; Basaran, Guevenc; Tumen, E. Caner; Ozdemir, EylemClass III malocclusion is a difficult anomaly to understand. Because not all Class III patients are candidates for surgical correction, patient assessment and selection are especially important in diagnosis and treatment planning. In this article, we report the orthopedic treatment of a teenage girl with a severe skeletal Class III malocclusion. Her ANB angle was -4.5 degrees, and she had a 2-mm anterior crossbite, a 1-mm overbite, and a posterior asymmetric crossbite (greater on the left side). The patient refused surgery. We used a rapid palatal expansion appliance to expand the maxilla, standard edgewise brackets to align the teeth, and reverse headgear to bring the maxilla forward. We performed symmetric expansion, but, because of the asymmetric crossbite in the maxilla, we designed a modified apparatus that permitted greater relapse on 1 side. In this way, the posterior crossbite was ideally corrected by the end of treatment, and ideal overjet and overbite relationships, functional occlusion, and an esthetic facial appearance were all achieved.Öğe Surface roughness of the restored enamel after orthodontic treatment(Mosby-Elsevier, 2010) Ozer, Torun; Basaran, Guevenc; Kama, Jalen DeveciogluIntroduction: After fixed appliance treatment, one concern is to restore the enamel surface as closely to its original state as possible. A variety of cleanup processes are available, but all are time-consuming and carry some risk of enamel damage. The purpose of this study was to examine tooth surfaces restored with different cleanup protocols. Methods: Ninety-nine premolars extracted for orthodontic purposes were used. The 2 materials tested were Sof-Lex disks (3 M ESPE AG, Seefeld, Germany) and fiberglass burs (Stain Buster, Carbotech, Ganges, France). These were used alone and in combination with high-and low-speed handpieces, with which they were also compared. Eight groups were ultimately tested. All groups were compared with intact enamel, which served as the control group. From each group, 10 samples were examined with profilometry and 1 with scanning electron microscopy. Adhesive remnant index scores were recorded to ensure equal distributions for the groups. The time required for the cleanup processes and profilometry test results were also recorded. Results: The fastest procedure was performed with high-speed handpieces, followed by lowspeed handpieces. Sof-Lex disks and fiberglass burs required more time than carbide burs but did not result in significantly longer times for the cleanup procedure when combined with tungsten carbide-driven low-or high-speed handpieces or when used alone with low-speed handpieces. Although Sof-Lex disks were the most successful for restoring the enamel, it was not necessary to restore the enamel to its original surface condition. Generally, all enamel surface-roughness parameters were increased when compared with the values of intact enamel. The average roughness and maximum roughness depth measurements with Sof-Lex disks were statistically similar to measurements of intact enamel. Conclusions: No cleanup procedure used in this study restored the enamel to its original roughness. The most successful was Sof-Lex disks, which restored the enamel closer to its original roughness. (Am J Orthod Dentofacial Orthop 2010; 137:368-74)