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      The antibacterial activity and release of quaternary ammonium compounds in an orthodontic primer

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          Abstract

          The aim of this study was to evaluate the impact of 10 wt% benzalkonium chloride (TB-BAC) or 10 wt% cetylpyridinium chloride (TB-CPC) on the antimicrobial properties of the orthodontic adhesive primer, Transbond XTT (TB). Antimicrobial activity was assessed using a zone of inhibition diffusion test and the release of the antimicrobial compounds was monitored by high performance liquid chromatography (HPLC). Shear bond strength (SBS) was tested using bovine enamel. Control, TB, specimens failed to demonstrate intrinsic antibacterial activity at 1, 7 and 14 days; whereas, TB-BAC and TB-CPC showed antibacterial effects at all times. HPLC analysis indicated no significant differences in the release behaviour of TB-BAC and TB-CPC (t-test, p > 0.05), except for the 7-day release which was higher for TB-BAC (p < 0.05). By 14 days the extents of release were 27 ± 2% and 25 ± 5% of the total initial loading for TB-BAC and TB-CPC, respectively. The incorporation of 10 wt% BAC or CPC in Transbond XTT adhesive primer also resulted in superior shear bond strength at 7 and 14 days (Fisher s LSD, p < 0.05) with no significant change in the mode ofbracket failure under shear stress (Pearson's chi-squared, p > 0.05).

          Translated abstract

          El objetivo de este estudio fue evaluar el impacto del cloruro de benzalconio al 10% en peso del peso (TB-BAC) o de cloruro de cetilpiridinio al 10% del peso (TB-CPC) con propiedades antimicrobianas presentes en el adhesivo acondicionador ortodóncico, Transbond XT T (TB). La actividad antimicrobiana se evaluó usando una zona de prueba de difusión de inhibición y la liberación de los compuestos antimicrobianos se controló mediante cromatografía líquida de alta resolución (HPLC). La resistencia de adhesión al corte (SBS) se probó usando esmalte bovino. Las muestras control, TB no lograron demostrar actividad antibacteriana intrínseca a 1, 7 y 14 días; mientras que TB-BAC y TB-CPC mostraron efectos antibacterianos en todo momento. El análisis por HPLC no indicó diferencias significativas en el comportamiento de liberación de TB-BAC y TB-CPC (prueba t, p> 0,05), excepto en la liberación a los 7 días que fue más alta para TB-BAC (p <0,05). A los 14 días, los grados de liberación fueron de 27 ± 2% y de 25 ± 5% de la carga inicial total para TB-BAC y TB-CPC, respectivamente. La incorporación de 10% en peso de BAC o CPC en el imprimador adhesivo Transbond XT T también dio como resultado una resistencia superior corte a los 7 y 14 días (Fisher's LSD, p <0.05) sin cambios significativos en el modo de falla del bracket bajo tensión de corte (Pearson's chi-cuadrado, p> 0.05).

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          Clinical trials with crystal growth conditioning as an alternative to acid-etch enamel pretreatment.

          It has been claimed that different ion solutions containing sulfate induce crystal growth and might be a better alternative than conventional acid etching for enamel pretreatment in bracket bonding. It should thus combine optimal bond strength with easy and quick debonding. Two clinical experiments were performed to test this hypothesis. The first experiment dealt with the debonding procedure. Following conditioning with dilute sulfuric acid which contained sodium sulfate (to be termed solution A) on one side of the mouth and etching with 37% phosphoric acid on the other, brackets were bonded on the maxillary and mandibular incisors of twenty dental nurse students. Debracketing and a subsequent cleanup procedure were performed after 2 days. The mode of loosening was mainly between the enamel surface and adhesive on the crystal-growth-conditioned teeth and between the bracket mesh and adhesive on the teeth etched with phosphoric acid. This difference in mode of loosening was statistically significant (P less than 0.001). In the second experiment, which dealt with the clinical bond strength, 250 brackets were bonded in forty patients. One side served as a control and was conventionally acid etched. On the experimental side conditioning was done with solution A in thirty patients. In ten patients, 10% phosphoric acid was added to the dilute sulfuric acid used (to be termed solution B). Failure rates and modes of failure were recorded for a 6-month period.(ABSTRACT TRUNCATED AT 250 WORDS)
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            Relationship between bond-strength tests and clinical outcomes.

            One often alleges that laboratory bond-strength testing cannot predict clinical effectiveness of adhesives. Major argument to sustain this claim is the wide variation in bond-strength values recorded for one specific adhesive among different research institutes worldwide. The main reason for these inconsistent bond-strength measurements is supposedly the current lack of a standard bond-strength testing protocol. This paper (and presentation) aimed to report on an extensive literature review with regard to the different laboratory bond-strength test methods and their data provided, along with a second extensive literature review on clinical effectiveness data of adhesives in terms of retention rates of adhesive Class-V restorations. Combining both systematic reviews, we have subsequently searched for a potential relationship between bond-strength data and clinical outcomes. Copyright 2009 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
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              Risk factors for incidence and severity of white spot lesions during treatment with fixed orthodontic appliances.

              The development of incipient caries, or white spot lesions (WSLs), is a significant clinical problem in orthodontics. The purpose of this study was to retrospectively determine the incidence and severity of WSLs by examining pretreatment and posttreatment digital photographs. A total of 332 consecutive finished patients from a university graduate orthodontic clinic were evaluated. Initial and final digital images were compared to assess WSLs. The facial surfaces of the anterior 8 maxillary teeth were analyzed. The percentage area of WSL per total facial tooth surface was calculated to control for magnification differences. Reliability of the method was assessed by comparison with direct clinical examination data. Patient and operator factors, and treatment complexity and outcomes were evaluated as predictors of WSL incidence and severity. Agreement between direct clinical examination and digital photo data was excellent, with an intraclass correlation coefficient 0.88 and a 0.3% average difference between methods. The incidence of at least 1 WSL on the labial surface of the anterior 8 maxillary teeth was 36%. The order of incidence was lateral incisor (34%), canine (31%), premolar (28%), and central incisor (17%). Risk factors for the development of incipient caries during orthodontic treatment were young age (preadolescent) at the start of treatment, number of poor hygiene citations during treatment, unfavorable clinical outcome score, white ethnic group, and inadequate oral hygiene at the initial pretreatment examination. The use of computer software to evaluate digital photos retrospectively is a valid method for assessing the incidence and severity of WSLs on the maxillary anterior incisors, canines, and premolars. Copyright (c) 2010 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                aol
                Acta Odontológica Latinoamericana
                Acta odontol. latinoam.
                Sociedad Argentina de Investigación Odontológica (Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina )
                1852-4834
                December 2017
                : 30
                : 3
                : 141-148
                Affiliations
                [02] Kayseri orgnameErciyes University orgdiv1Faculty of Paediatric Dentistry Turkey
                [04] Trabzon orgnameTechnical University orgdiv1Faculty of Medicine Turkey
                [03] Chatham Maritime orgnameUniversity of Greenwich orgdiv1Faculty of Engineering and Science United Kingdom
                [01] Trabzon orgnameKaradeniz Technical University orgdiv1Faculty of Dentistry Turkey
                Article
                S1852-48342017000300008
                29750238
                65ad34b5-5c74-454a-9d54-7a8c7ea801c2

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 29, Pages: 8
                Product

                SciELO Argentina


                Acondicionador autoadhesivo,Cloruro de banzalconio-Cloruro de Cetilpiridinio,Cetylpyridinium chloride,Benzalkonium chloride,Transbond self-etching primer,Agentes antibacterianos,Antibacterial agents

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