Evaluation of different mouthwashes through their effect on their influence on the force loss of orthodontic elastic ligatures
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Background: In several orthodontic treatments, elastomeric chains are utilised to produce force, however, this force degrades over time, which may impact tooth mobility. This study aims to investigate how different mouthwashes (Chlorhexidine 0.2%, Sensodyne, and Listerine) may affect the force degradation of two different types of elastic ligatures (Ortho Matrix and 3M Unitek) through the amount of force remaining.
Materials and methods: Two control groups and six experimental groups each included 600 pieces of the elastomeric chains Ortho matrix (OM) and 3M Unitek (3M). Pieces were stretched to a 25mm thickness, placed on pins set into an acrylic block, and kept at 37°C in artificial saliva. For the duration of the study, each of the test groups spent one minute immersed in one of three distinct kinds of mouthwash. Ten continuous thermocyclers with temperatures ranging from 5 to 55 degrees Celsius were performed each day, alternating between cold and hot water baths. While calculating the forces, we considered six different time intervals: the beginning, 24 hours, 1, 2, 4, and 6 weeks. The one-way analysis of variance (ANOVA) test and the t-test were used to compare the mean force of a number of different mouthwashes, elastomeric chains, and times. A value of 0.05 was chosen as the cutoff for statistical significance.
Results: Over time, both types of elastomeric chains significantly lost force at 6 weeks (p<0.05). At all times, the 3M Unitek (3M) created more force than the Ortho matrix (OM) elastomeric chain. Compared to other mouthwashes, chlorhexidine mouthwash had a substantially less impact on force degradation, with discernible very simple change when compared to control groups (Artificial saliva).
Conclusion: According to findings, the 3M Unitek offered a higher force level than the other sort of elastomeric chains, and there is a difference that is clinically significant between the two types of elastomeric chains. It is possible that the pH of the mouthwashes, as opposed to other substances, contributes to the gradual loss of power over time. Mouthwashes containing chlorhexidine had the third-smallest influence on the force degradation of elastomeric chains, after Sensodyne and Listerine..
Lanteri, V., Poggi, S., Blasi, S., De Angelis, D., Gangale, S., Farronato, M., ... & Butera, A. (2020). Periodontal aspects of orthodontic treatment with Invisalign® versus fixed appliances in the same patients: A pilot study. International Journal of Clinical Dentistry, 13(4), 419-447.
Lucchese, A., & Bondemark, L. (2021). The Influence of Orthodontic Treatment on Oral Microbiology. Biological Mechanisms of Tooth Movement, 139-158.
Mendes, D. F., Nascimento, J. E., Facholli, A. F. D. L., Casa, M. D. A., Carvalho, L. D. S., & Sato, K. (2012). Evaluation of plasticity and radiopacity of elastic separators by means of traction tests and radiography. Dental Press Journal of Orthodontics, 17, 23e1-23e10.
Viwattanatipa, N., Thanakitcharu, S., Uttraravichien, A., & Pitiphat, W. (2009). Survival analyses of surgical miniscrews as orthodontic anchorage. American journal of orthodontics and dentofacial orthopedics, 136(1), 29-36.
Babcock, W. W. (1947). Metallic sutures and ligatures. Surgical Clinics of North America, 27(6), 1435-1460.
Aghili, H., Nadoushan, A. A. J., & Herandi, V. (2015). Antimicrobial effect of zataria multiflora extract in comparison with chlorhexidine mouthwash on experimentally contaminated orthodontic elastomeric ligatures. Journal of dentistry (Tehran, Iran), 12(1), 1.
Pellegrini, P., Sauerwein, R., Finlayson, T., McLeod, J., Covell Jr, D. A., Maier, T., & Machida, C. A. (2009). Plaque retention by self-ligating vs elastomeric orthodontic brackets: quantitative comparison of oral bacteria and detection with adenosine triphosphate-driven bioluminescence. American Journal of Orthodontics and Dentofacial Orthopedics, 135(4), 426-e1.
Meeran, N. A. (2013). Iatrogenic possibilities of orthodontic treatment and modalities of prevention. Journal of Orthodontic Science, 2(3), 73.
Wilder, R. S., & Bray, K. S. (2016). Improving periodontal outcomes: merging clinical and behavioral science. Periodontology 2000, 71(1), 65-81.
Chadwick, B. L., Roy, J., Knox, J., & Treasure, E. T. (2005). The effect of topical fluorides on decalcification in patients with fixed orthodontic appliances: a systematic review. American journal of orthodontics and dentofacial orthopedics, 128(5), 601-606.
Preoteasa, C. T., Ionescu, E., & Preoteasa, E. (2012). Risks and complications associated with orthodontic treatment. Orthodontics-basic aspects and clinical considerations, 2012, 403-428.
Prasanth, M. (2011). Antimicrobial efficacy of different toothpastes and mouthrinses: an in vitro study. Dental research journal, 8(2), 85.
Vyas, T., Bhatt, G., Gaur, A., Sharma, C., Sharma, A., & Nagi, R. (2021). Chemical plaque control-A brief review. Journal of Family Medicine and Primary Care, 10(4), 1562.
Alsarhan, M., Alnofaie, H., Ateeq, R., & Almahdy, A. (2018). The effect of chlorhexidine and Listerine® mouthwashes on the tensile strength of selected absorbable sutures: an in vitro study. BioMed research international, 2018.
Burgess, J. O., & Gallo, J. R. (2002). Treating root-surface caries. Dental Clinics, 46(2), 385-404.
Alshehri F. A. (2018). The use of mouthwash containing essential oils (LISTERINE®) to improve oral health: A systematic review. The Saudi dental journal, 30(1), 2–6.
Mandel, I. D. (1994). Antimicrobial mouthrinses: overview and update. The Journal of the American Dental Association, 125(8), 2S-10S.
Almas, K., Skaug, N., & Ahmad, I. (2005). An in vitro antimicrobial comparison of miswak extract with commercially available non‐alcohol mouthrinses. International journal of dental hygiene, 3(1), 18-24.
Mantzourani, M., & Sharma, D. (2013). Dentine sensitivity: past, present and future. Journal of dentistry, 41, S3-S17.
Omidkhoda, M., Rashed, R., & Khodarahmi, N. (2015). Evaluation of the effects of three different mouthwashes on the force decay of orthodontic chains. Dental Research Journal, 12(4), 348.
Kim, K. H., Chung, C. H., Choy, K., Lee, J. S., & Vanarsdall, R. L. (2005). Effects of prestretching on force degradation of synthetic elastomeric chains. American journal of orthodontics and dentofacial orthopedics, 128(4), 477-482.
Javanmardi, Z., & Salehi, P. (2016). Effects of Orthokin, Sensikin and Persica mouth rinses on the force degradation of elastic chains and NiTi coil springs. Journal of Dental Research, Dental Clinics, Dental Prospects, 10(2), 99.
Kanchana, P., & Godfrey, K. (2000). Calibration of force extension and force degradation characteristics of orthodontic latex elastics. American Journal of Orthodontics and Dentofacial Orthopedics, 118(3), 280-287
Hwang, C. J., & Cha, J. Y. (2003). Mechanical and biological comparison of latex and silicone rubber bands. American journal of orthodontics and dentofacial orthopedics, 124(4), 379-386.
Wenger, L. (2017). Thermal properties of commonly used clear aligner systems as-received and after clinical use (Doctoral dissertation, Marquette University).
Grassi, V., Merlati, G., & Menghini, P. (2001). Elastomeric chains in orthodontics. An in vitro evaluation of ten different types. Minerva Stomatologica, 50(11-12), 381-389.
Proffit, W. R., Fields, H. W., Msd, D. M., Larson, B., & Sarver, D. M. (2019). Contemporary Orthodontics, 6e: South Asia Edition-E-Book. Elsevier India.
Addy, M. (2008). Oral hygiene products: potential for harm to oral and systemic health?. Periodontology 2000, 48(1), 54-65.
Lotzof, L. P., Fine, H. A., & Cisneros, G. J. (1996). Canine retraction: a comparison of two preadjusted bracket systems. American journal of orthodontics and dentofacial orthopedics, 110(2), 191-196.
Al-Shahrani, I., Nachan, R. A., & Kalia, A. (2016). Force degradation of orthodontic elastomeric chain due to commonly consumed liquids: An in vitro study. World Journal of Dentistry, 6, 31-38.
Patel, A., & Thomas, B. (2018). In vivo evaluation of the force degradation characteristics of four contemporarily used elastomeric chains over a period of 6 weeks. Journal of the World Federation of Orthodontists, 7(4), 141-145.
Bales, T. R., Chaconas, S. J., & Caputo, A. A. (1977). Force-extension characteristics of orthodontic elastics. American Journal of Orthodontics, 72(3), 296-302.
Singh, V. P., Pokharel, P. R., Pariekh, K., Roy, D. K., Singla, A., & Biswas, K. P. (2012). Elastics in orthodontics: a review. Health Renaissance, 10(1), 49-56.
Leao Filho, J. C. B., Gallo, D. B., Santana, R. M., Guariza-Filho, O., Camargo, E. S., & Tanaka, O. M. (2013). Influence of different beverages on the force degradation of intermaxillary elastics: an in vitro study. Journal of Applied Oral Science, 21, 145-149.
Evangelista, M. B., Berzins, D. W., & Monaghan, P. (2007). Effect of disinfecting solutions on the mechanical properties of orthodontic elastomeric ligatures. The Angle Orthodontist, 77(4), 681-687.
Santos, A. C. S., Tortamano, A., Naccarato, S. R. F., Dominguez-Rodriguez, G. C., & Vigorito, J. W. (2007). An in vitro comparison of the force decay generated by different commercially available elastomeric chains and NiTi closed coil springs. Brazilian oral research, 21, 51-57.
Pelrine, R., Kornbluh, R., Joseph, J., Heydt, R., Pei, Q., & Chiba, S. (2000). High-field deformation of elastomeric dielectrics for actuators. Materials Science and Engineering: C, 11(2), 89-100.
Shaddud, A. N., & Kosyreva, T. F. (2017). The effect of environmental factors on elastomeric chains and nickel titanium coil springs. RUDN Journal of Medicine, 21(3), 339-346.
Losito, K. A. B., Lucato, A. S., Tubel, C. A. M., Correa, C. A., & Santos, J. C. B. D. (2014). Force decay in orthodontic elastomeric chains after immersion in disinfection solutions. Brazilian Journal of Oral Sciences, 13, 266-269.
Javanmardi, Z., & Salehi, P. (2016). Effects of Orthokin, Sensikin and Persica mouth rinses on the force degradation of elastic chains and NiTi coil springs. Journal of Dental Research, Dental Clinics, Dental Prospects, 10(2), 99.
Oliveira, P. L. E., Matsumoto, M. A. N., Faria, G., & Romano, F. L. (2017). Degradation and deformation of latex and non-latex orthodontic elastics. Australasian Orthodontic Journal, 33(1), 64-72.
Mirhashemi, A. H., Saffarshahroudi, A., Sodagar, A., & Atai, M. (2012). Force-degradation pattern of six different orthodontic elastomeric chains. Journal of dentistry (Tehran, Iran), 9(4), 204.
Al-Faham, A.M. (2002). Force decay of elastomeric ligature (In vitro study). A master thesis, department of orthodontic, university of Baghdad,24-101.
David, C., McInnes-Ledoux, P., Weinberg, R., & Shaye, R. (1985). Force degradation of orthodontic elastomeric chains—a product comparison study. American Journal of Orthodontics, 87(5), 377-384.
Renick, M. R., Brantley, W. A., Beck, F. M., Vig, K. W., & Webb, C. S. (2004). Studies of orthodontic elastomeric modules. Part 1: glass transition temperatures for representative pigmented products in the as-received condition and after orthodontic use. American journal of orthodontics and dentofacial orthopedics, 126(3), 337-343.
Patel, A., & Thomas, B. (2018). In vivo evaluation of the force degradation characteristics of four contemporarily used elastomeric chains over a period of 6 weeks. Journal of the World Federation of Orthodontists, 7(4), 141-145.
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