This document discusses adhesive science and bonding in orthodontics. It covers the rationale of adhesive science including different attractive forces between molecules. It describes the structure of enamel, factors affecting its solubility, and morphology. It discusses advantages and disadvantages of banding versus direct bonding. The document outlines the broad rationale of adhesive science, bonding procedure including cleaning, enamel conditioning, and bonding. It discusses alternatives to acid etching for enamel pretreatment and iatrogenic factors from bonding.
Recent research findings in orthodontic bonding /certified fixed orthodontic ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Bonding in orthodontics /certified fixed orthodontic courses by Indian dental...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Bonding in orthodontics /certified fixed orthodontic courses by Indian denta...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
This document provides an overview of bonding agents and factors affecting dental adhesion. It discusses the principles of adhesion, composition and microstructure of enamel and dentin, and mechanisms of adhesion. The document outlines various classifications of bonding agents and factors that can influence bonding clinically, such as salivary/blood contamination, moisture contamination from air syringes, oil contamination, surface roughness, and presence of plaque/calculus. It also discusses physico-chemical properties of dentin that complicate adhesion.
Recent research findings in orthodontic bonding /certified fixed orthodontic ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Bonding in orthodontics /certified fixed orthodontic courses by Indian dental...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Bonding in orthodontics /certified fixed orthodontic courses by Indian denta...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
This document provides an overview of bonding agents and factors affecting dental adhesion. It discusses the principles of adhesion, composition and microstructure of enamel and dentin, and mechanisms of adhesion. The document outlines various classifications of bonding agents and factors that can influence bonding clinically, such as salivary/blood contamination, moisture contamination from air syringes, oil contamination, surface roughness, and presence of plaque/calculus. It also discusses physico-chemical properties of dentin that complicate adhesion.
Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Bonding i /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Bond strength of orthodontic brackets /certified fixed orthodontic courses b...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Bonding in orthodontics /certified fixed orthodontic courses by Indian dental...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all
aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Orthodontic adhesives have progressed through five generations, moving from unfilled acrylic resins to modern light-cured resin composites. First generation adhesives were unfilled poly(methyl methacrylate) that caused enamel damage. Second generation used UV light activation but had radiation hazards. Third generation introduced two-paste filler systems like Concise. Fourth generation were "no-mix" but had inhomogeneous curing. Current fifth generation utilize visible light curing for safer, deeper curing without diminishing over time.
Bonding in orthodontics 2 /certified fixed orthodontic courses by Indian dent...Indian dental academy
Bonding in orthodontics involves applying composite resin to brackets and bonding them directly to etched enamel. The history of bonding includes developments like acid etching to increase adhesion. Advantages include esthetics, easier placement, and reduced risk of decay. Factors like enamel composition, saliva contamination, and acid concentration affect bonding. The bonding procedure involves cleaning, etching with phosphoric acid to create a frosted appearance, drying thoroughly, applying adhesive, and curing it to bond the bracket.
Clinical factors affecting adhesion/ cosmetic dentistry trainingIndian dental academy
The document discusses dentin bonding agents and factors that affect dentin adhesion. It covers the historical background of dentin bonding, principles of adhesion, composition and microstructure of enamel and dentin. It discusses clinical factors like salivary/blood contamination, moisture contamination from air syringes, oil contamination, surface roughness, mechanical undercuts in tooth preparation, presence of plaque/calculus. It also discusses tooth related factors like the physical and chemical properties of dentin that complicate adhesion.
This document discusses dental adhesives and their evolution over several generations. It describes improvements in adhesion to dental structures and materials, including the development of self-etching adhesives and single-component adhesives. The document also covers adhesive components, properties, application techniques, advantages and disadvantages. Key adhesive types discussed include etch-and-rinse systems, self-etch adhesives, and light-cured or dual-cured formulations. Diagrams and tables supplement the text.
This document discusses various indirect bonding techniques in orthodontics. It describes the limitations of direct bonding and advantages of indirect bonding. Several pioneers of indirect bonding techniques are cited from the 1970s onwards. The document outlines the procedures for indirect bonding using silicone transfer trays and the double sealant technique. It also discusses bonding to special surfaces like porcelain, amalgam, composites and acrylic and the techniques involved.
1. Bonding involves cleaning the enamel, conditioning it using acid, and applying adhesive resin to chemically bond brackets. Proper moisture control and enamel pretreatment are important for achieving optimal bond strength.
2. Various adhesive materials like composite resins, glass ionomer cements, and self-etching primers are used. Different light curing sources help polymerize the adhesives. Trays can aid in accurate bracket placement.
3. Debonding requires carefully removing brackets and cleaning residual adhesive to minimize enamel damage. Daily fluoride and good oral hygiene help prevent decalcification during treatment. Polishing can remove superficial discoloration when remineralization is exhausted.
Liners, bases, and cements in clinical dentistry a review and updateLuis Carpio Moreno
This document provides a review and update on liners, bases, and cements used in clinical dentistry. It begins by discussing some terminology confusion regarding these materials. It then reviews the clinical applications and uses of liners, bases, and cements to reduce microleakage and subsequent sensitivity. The document categorizes and describes the characteristics and uses of various material types including varnishes, calcium hydroxide, zinc oxide, glass ionomers, and resins that can be used as liners, bases or cements.
The document discusses the role and development of dentine bonding agents. It describes the challenges of bonding to dentine due to its structure and composition compared to enamel. Various generations of bonding agents are classified, from early phosphoric acid-based systems to modern multi-step etch-and-rinse and self-etch adhesives. Conditioning of the dentine surface and the role of priming agents are explained. Factors affecting the bonding process such as smear layer removal and acid etching duration are also covered.
This document provides an overview of composite resins, including their composition, classification, performance factors, and clinical applications and considerations. It discusses the organic resin matrix and inorganic filler particles that make up composite, how they are classified based on filler size and type, and factors that influence their performance such as polymerization shrinkage and wear resistance. The document reviews the history of composites and their development over time. It also outlines the indications and contraindications for composite use as well as the advantages and disadvantages.
The document discusses different types of dental cements used for orthodontic banding and bonding. It describes the composition, setting reaction, manipulation, and applications of various cements including: zinc phosphate, zinc silicophosphate, zinc polycarboxylate, glass ionomer, and resin cements. It provides a brief history of the development of these cements and their use in orthodontics.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Bonding i /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Bond strength of orthodontic brackets /certified fixed orthodontic courses b...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Bonding in orthodontics /certified fixed orthodontic courses by Indian dental...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all
aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Orthodontic adhesives have progressed through five generations, moving from unfilled acrylic resins to modern light-cured resin composites. First generation adhesives were unfilled poly(methyl methacrylate) that caused enamel damage. Second generation used UV light activation but had radiation hazards. Third generation introduced two-paste filler systems like Concise. Fourth generation were "no-mix" but had inhomogeneous curing. Current fifth generation utilize visible light curing for safer, deeper curing without diminishing over time.
Bonding in orthodontics 2 /certified fixed orthodontic courses by Indian dent...Indian dental academy
Bonding in orthodontics involves applying composite resin to brackets and bonding them directly to etched enamel. The history of bonding includes developments like acid etching to increase adhesion. Advantages include esthetics, easier placement, and reduced risk of decay. Factors like enamel composition, saliva contamination, and acid concentration affect bonding. The bonding procedure involves cleaning, etching with phosphoric acid to create a frosted appearance, drying thoroughly, applying adhesive, and curing it to bond the bracket.
Clinical factors affecting adhesion/ cosmetic dentistry trainingIndian dental academy
The document discusses dentin bonding agents and factors that affect dentin adhesion. It covers the historical background of dentin bonding, principles of adhesion, composition and microstructure of enamel and dentin. It discusses clinical factors like salivary/blood contamination, moisture contamination from air syringes, oil contamination, surface roughness, mechanical undercuts in tooth preparation, presence of plaque/calculus. It also discusses tooth related factors like the physical and chemical properties of dentin that complicate adhesion.
This document discusses dental adhesives and their evolution over several generations. It describes improvements in adhesion to dental structures and materials, including the development of self-etching adhesives and single-component adhesives. The document also covers adhesive components, properties, application techniques, advantages and disadvantages. Key adhesive types discussed include etch-and-rinse systems, self-etch adhesives, and light-cured or dual-cured formulations. Diagrams and tables supplement the text.
This document discusses various indirect bonding techniques in orthodontics. It describes the limitations of direct bonding and advantages of indirect bonding. Several pioneers of indirect bonding techniques are cited from the 1970s onwards. The document outlines the procedures for indirect bonding using silicone transfer trays and the double sealant technique. It also discusses bonding to special surfaces like porcelain, amalgam, composites and acrylic and the techniques involved.
1. Bonding involves cleaning the enamel, conditioning it using acid, and applying adhesive resin to chemically bond brackets. Proper moisture control and enamel pretreatment are important for achieving optimal bond strength.
2. Various adhesive materials like composite resins, glass ionomer cements, and self-etching primers are used. Different light curing sources help polymerize the adhesives. Trays can aid in accurate bracket placement.
3. Debonding requires carefully removing brackets and cleaning residual adhesive to minimize enamel damage. Daily fluoride and good oral hygiene help prevent decalcification during treatment. Polishing can remove superficial discoloration when remineralization is exhausted.
Liners, bases, and cements in clinical dentistry a review and updateLuis Carpio Moreno
This document provides a review and update on liners, bases, and cements used in clinical dentistry. It begins by discussing some terminology confusion regarding these materials. It then reviews the clinical applications and uses of liners, bases, and cements to reduce microleakage and subsequent sensitivity. The document categorizes and describes the characteristics and uses of various material types including varnishes, calcium hydroxide, zinc oxide, glass ionomers, and resins that can be used as liners, bases or cements.
The document discusses the role and development of dentine bonding agents. It describes the challenges of bonding to dentine due to its structure and composition compared to enamel. Various generations of bonding agents are classified, from early phosphoric acid-based systems to modern multi-step etch-and-rinse and self-etch adhesives. Conditioning of the dentine surface and the role of priming agents are explained. Factors affecting the bonding process such as smear layer removal and acid etching duration are also covered.
This document provides an overview of composite resins, including their composition, classification, performance factors, and clinical applications and considerations. It discusses the organic resin matrix and inorganic filler particles that make up composite, how they are classified based on filler size and type, and factors that influence their performance such as polymerization shrinkage and wear resistance. The document reviews the history of composites and their development over time. It also outlines the indications and contraindications for composite use as well as the advantages and disadvantages.
The document discusses different types of dental cements used for orthodontic banding and bonding. It describes the composition, setting reaction, manipulation, and applications of various cements including: zinc phosphate, zinc silicophosphate, zinc polycarboxylate, glass ionomer, and resin cements. It provides a brief history of the development of these cements and their use in orthodontics.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The document discusses different types of luting cements used in dentistry. It describes the composition, setting reaction, properties and applications of zinc phosphate cement, zinc oxide-eugenol cement, and zinc polycarboxylate cement. Zinc phosphate cement has good compressive strength but high acidity initially. Zinc oxide-eugenol cement is used mainly for temporary luting due to its solubility, though it is biocompatible. Zinc polycarboxylate cement sets via a chelation reaction between zinc oxide and polyacrylic acid.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Orthodontic adhesives/certified fixed orthodontic courses by Indian dental ac...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Dentin bonding agents are resinous materials used to bond dental composites to dentin by forming a hybrid layer. They were introduced to reduce the need for extensive tooth preparation. A dentin bonding agent consists of a conditioner/etchant, primer, and adhesive. It bonds to dentin by partially demineralizing it with acid and forming resin microtags within the dentin. Dentin bonding agents have various clinical applications including bonding composites, veneers, and orthodontic appliances to teeth.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document provides an overview of orthodontic adhesives. It discusses the benefits of bonding over banding, as well as the history of adhesive development from Buonocore's acid etch technique to modern composite resins and bonding agents. The mechanisms of adhesion and requirements for adhesive systems are explained. The document reviews the common materials used as adhesives, including glass ionomer cements, composites, and resin-modified glass ionomers. It also covers the clinical application of adhesives, including bonding to enamel and dentin using various generations of bonding agents.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Bonding agents and its application in prosthodontics / dental implant coursesIndian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document provides information on pit and fissure sealants. It discusses the legal requirements, certification requirements, and types of training needed to place sealants. It describes what sealants are, their effectiveness in preventing decay, and factors influencing retention. Different sealant materials, application techniques, and potential complications are outlined. The document highlights the importance of sealants in preventing decay, especially in pits and fissures, and their cost-effectiveness compared to other restorative treatments.
new dba-1(1).pptx DENTIN BONDING AGENTS GENERATIONS, ADVANTAGES N DISADVANTAGESaishwaryakhare5
Dentin bonding agents are used to bond resin composites to tooth structure. They were introduced to reduce microleakage and the need for extensive tooth preparation. There are several mechanisms of adhesion, including mechanical interlocking, adsorption, and diffusion. Conditioning of the tooth with acid creates an irregular surface that allows resin tags to form. For dentin bonding, acid etching is followed by rinsing, drying, and application of a primer and adhesive. The primer infiltrates demineralized dentin to form a "hybrid layer". This bonding technique reduces leakage and the need for removal of tooth structure.
The simplicity of bonding can be misleading. The technique undoubtedly can be misused, not only by an inexperienced clinician but also by more experienced orthodontists who do not perform procedures with care.
Success in bonding requires understanding of and adherence to accepted orthodontic and preventive dentistry principles.
The advantages and disadvantages of bonding versus banding of different teeth must be weighed according to each practitioner’s preferences, skill, and experience.
Bonding should be considered as part of a modern preventive package that also includes a strict oral hygiene program, fluoride supplementation, and the use of simple yet effective appliances. In other words, complicated mechanics with abundant use of coil springs and multilooped arches lends itself less well to bonding and easily can compromise the integrity of tooth enamel and gingival tissues around brackets on small bonding bases.
Porcelain laminates /certified fixed orthodontic courses by Indian dental aca...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Opportunity for Dentists (BDS/MDS )to relocate to United kingdom -Register as a DENTAL HYGIENIST/ DENTAL THERAPIST without Board exams and after approval you can register in GDC as a DH/DT and start working as a DH/DT Immediately and get paid.
You can complete the whole process in 3-4 months.Salary range for DH/DT is around 2500-3500 Pounds per month.
Eligibility / requirements-
1. An International English Language Testing System (IELTS) certificate
at the appropriate level.(Within 2 yrs of application date )
2: A recent primary dental qualification that has been taught and examined in English..(Within 2 yrs of application date )
3: A recent pass in a language test for registration with a regulatory authority in a country where the first language is English.
If you are interested Please contact us for more details.
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals
who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry,
Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
I –Aligners are made with FDA approved transparent thermoplastic materials using 3D scanning, 3D Printing and finally Trays with Pressure vacuum formers.
Dear Doctor,
Indian Dental Academy Now offers comprehensive online Orthodontics course.
Course includes:
1.whiteboard lecture presentations
2.Case Discussions
3.with hundreds of pictures.
4.Demo on Models
5.Demo on Patients
6. subtitles in your own language
12 months unlimited access and support @350 USD only.
For Demo please visit :www.idalectures.com/preview/
For more details visit: www.idalectures.com
Please contact us for any clarifications:
idalectures@gmail.com
indiandentalacademy@gmail.com
Thanks & Regards
Indian Dental Academy
--
Indian Dental Academy
Leader in continuing dental education
www.indiandentalacademy.com
skype:indiandentalacademy
+919248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Properties of Denture base materials /rotary endodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Use of modified tooth forms in complete denture occlusion / dental implant...Indian dental academy
This document discusses dental occlusion concepts and philosophies for complete dentures. It introduces key terms like physiologic occlusion and defines different occlusion schemes like balanced articulation and monoplane articulation. The document discusses advantages and disadvantages of using anatomic versus non-anatomic teeth for complete dentures. It also outlines requirements for maintaining denture stability, such as balanced occlusal contacts and control of horizontal forces. The goal of occlusion for complete dentures is to re-establish the homeostasis of the masticatory system disrupted by edentulism.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document discusses dental casting investment materials. It describes the three main types of investments - gypsum bonded, phosphate bonded, and ethyl silicate bonded investments. For gypsum bonded investments specifically, it details their classification, composition including the roles of gypsum, silica, and modifiers, setting time, normal and hygroscopic setting expansion, and thermal expansion. It provides information on how the properties of gypsum bonded investments are affected by their composition. The document serves as a comprehensive overview of dental casting investment materials.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
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Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
Temple of Asclepius in Thrace. Excavation resultsKrassimira Luka
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
2. Contents
Adhesive science
Structure of enamel
Adv/disadv of banding & bonding
Direct bonding
www.indiandentalacademy.com
3. Broad Rationale of Adhesive Science
Charect. Req.& prop. Of orthod. material
molecular structural
Why do materials cohere at all?
www.indiandentalacademy.com
4. Broad Rationale of Adhesive Science
Range of attractive forces that may
operate in & b/w molecules
Covalent bonds
Hydrogen bonds
Weak intermolecular forces
Self coherent solids
Gold & waxes
Welding & brazing
www.indiandentalacademy.com
5. Broad Rationale of Adhesive Science
Most other solids (tooth & ortho brackets)
Surface forces operate very short dist & ↓
rapidly with inverse 6th
– 7th
power of separation
Solids- micro. rough
www.indiandentalacademy.com
10. Enamel
Highly mineralized tissue
Hardest tissue in human body
Clinically visible
No regenerative capacity
www.indiandentalacademy.com
11. Morphology of Enamel
Enamel prisms (rods) – 5-12 million
Extend from DEJ to outer surface
Prismless enamel
www.indiandentalacademy.com
12. Morphology of Enamel
Longitudinal section under microscope
Wider – Prisms
Narrower – Prism tail
www.indiandentalacademy.com
13. Morphology of Enamel
Cross section under electron microscope
- Keyhole pattern or fishlike apperance.
www.indiandentalacademy.com
14. Morphology of Enamel
Keyhole pattern
Head – incisal region
Tail – cervical region
Prisms contain
hydroxyapatite crystals
www.indiandentalacademy.com
15. Morphology of Enamel
Hydroxyapatite crystals
- Run parallel to long axis
of prism and become
perpendicular as they
approach tail.
www.indiandentalacademy.com
16. Acquired pellicle
Precipitation of salivary glycoproteins
Removed by pumicing
Reform almost immediately
www.indiandentalacademy.com
17. Factors affecting enamel solubility
Pre – eruptive factors
Post – eruptive factors
www.indiandentalacademy.com
18. Factors affecting enamel solubility
Pre – eruptive factors
Affect chemical and histological characteristics
- Hypoplasia
- Hypocalcification
- Fluorosis
www.indiandentalacademy.com
20. Factors affecting bonding to ideally
etched surface
Patient Operator
- salivary contamination - oil / water via spray
- contact with lips and - rubbing /touching
tongue etched surface
- exhalation vapor
www.indiandentalacademy.com
21. Direct Bonding: Past and present
BANDING - W.E. Magill – 1871
Negative factors –
- Time and skill
- Impacted / partially erupted teeth
- Decalcification / discoloration
- Gingival irritation
- Closure of band spaces
- Unaesthetic
- Placement of separators is painful
www.indiandentalacademy.com
22. The goal was to have brackets, tubes and
other attachments directly cemented on
the tooth surface to eliminate problems
encountered with metal bands.
www.indiandentalacademy.com
23. Banding preferred to bonding
Teeth that receive heavy intermittent forces eg.
Upper 1st
molar
Teeth that need both labial and lingual
attachments
Teeth with short clinical crowns
Teeth surfaces difficult to bond eg. Amalgam
rest., Porcelain rest., Fluorosed teeth.www.indiandentalacademy.com
24. Advantages of bonding
Esthetics
Faster and simpler
Less patient discomfort
Arch length not increased
No band space closure
Partially erupted or
fractured teeth can be controlled
Lingual orthodontics
www.indiandentalacademy.com
25. Advantages of bonding
Interproximal enamel reduction and composite build
up possible
Bond artificial tooth surface
Caries risk eliminated
Bracket may be recycled
More hygienic www.indiandentalacademy.com
26. Disadvantages of bonding
Weaker than bands
Better access for cleaning
does not guarantee better
No protection against
interproximal caries
Rebonding > recementing
Debonding > debanding
www.indiandentalacademy.com
28. Cleaning
Remove organic pellicle and plaque.
Pumicing using rubber cup / polishing brush
REISNER et al
Buccal surfaces lightly abraded with TC bur at
slow speed (25000rpm) > Pumicing for 10 sec.
www.indiandentalacademy.com
30. Antisialogogues
Both tab. & injectable solns :
Banthine
pro- Banthine
Atropine sulfate
Excellent & rapid saliva flow restriction pro-
Banthine---- no longer advised
Banthine tab. – 50mg/45kg(100lb) body wt. in a
sugar free drink,15 min before bonding
www.indiandentalacademy.com
31. Enamel conditioning
2.Enamel pretreatment
Acid etching
Other alternatives to acid etching
1. Crystal growth
2. Sand blasting / Air abrasion
3. Laser etching
www.indiandentalacademy.com
32. Acid Etching
1955 Buonocore - 85% phosphoric acid for
30 sec.
37% phosphoric acid – 15 - 60 sec
Nordenvall et al - 15 sec for deciduous & young
permanent teeth
30 – 60 sec for adult teeth
Longer periods – less bond strength due to loss
of enamel structure
www.indiandentalacademy.com
33. Acid Etching
Procedure
Isolation
Gentle application of etchant
– should not be rubbed
Rinsed with water spray
Dry with moisture and oil free source ( pref with chip
blower)
Avoid salivary contamination– if it occurs, re etch the
tooth.
www.indiandentalacademy.com
34. Acid Etching
Dull frosty white appearance
Teeth that do not appear dull and frosty white
should be re - etched
www.indiandentalacademy.com
35. Acid Etching
Alternative acids for etching
- 10% Phosphoric acid
- 10% Maleic acid
- 2.5% Nitric acid
- Polyacrylic acid
Most widely used is 30 – 50% ( 37%) phosphoric
acid
www.indiandentalacademy.com
36. Rationale of etching
Gwinnet, Matsui and Buonocore & others
Primary attachment mechanism of resin is “resin
tags”.
Micromechanical bond
www.indiandentalacademy.com
37. Rationale of etching
Removes about 3-10 microns of enamel surface
Etching also increases the wetability and surface
area of the enamel substrate.
Resin tag penetrate upto the depth of 80 um or
more
www.indiandentalacademy.com
38. Conc. Of etchant
Most widely used concns. of phosphoric acid
from 30% - 50% with an application of 30 -60
seconds.
20 – 50% / 60 sec. Most retentive surface
( Silverstone )
> 50% phosphoric acid –
Monocalcium phosphate monohydrate
< 27% phosphoric acid
Dicalcium phosphate dihydrate
www.indiandentalacademy.com
39. Acid for etching
Maleic Phosphoric Nitric acid
10% 37% 2.5%
Bond st similar similar less effective
Morphological
pattern similar ‘’
Depth of etched
surface less
www.indiandentalacademy.com
40. Patterns of etching
According to Retief
Type 1
- Selective removal of enamel prism cores
- Peripheries intact (honey comb app.)
www.indiandentalacademy.com
41. Patterns of etching
Type 2
- Reverse process
- Peripheries removed
- Cores intact (cobble stone app.)
www.indiandentalacademy.com
42. Patterns of etching
Type 3
- surface loss w/o exposing underlying prisms
www.indiandentalacademy.com
43. Effects of enamel etching time on
morphology
Barkmeier,Gwinnett & Shaffer JCO January
1985
The morphology of enamel following etching for
15 or 60 secs. differed only in the amount of
gross enamel loss with 50% phosphoric acid
No morphological differences in the pattern or
character of the etched enamel rods.
www.indiandentalacademy.com
44. Bond strength with various etching
times
Wang et al AJO-DO July 1991
Compared the tensile bond strength at various
etching times 15, 30, 60, 90, 120 secs
37% Phosphoric acid
TBS was not statistically different for 15, 30, 60,
90 secs
TBS decreased – 120 secs
Amount of enamel fragments increased in
proportion to the length of the etching times
Optimal etching time should be 15sec
www.indiandentalacademy.com
45. SEM Study & SBS measurement with
5% & 37% phosphoric acid
AJO-DO oct,1995
Wasundhara A. Bhad, Pushpa V. Hazarey,
G.D.C.Nagpur
PURPOSE: To use an acid concn. Of H3PO4 that
yielded max. bond strength with minimal enamel
loss & to measure & compare the SBS b/w 5% &
37% H3PO4 with 60 sec acid etching time.
www.indiandentalacademy.com
46. SAMPLE: 60 Premolars
1st
grp 10 teeth, used to study etching pattern with
5% & 37% H3PO4
2nd
grp 50 teeth, used to study & compare SBS
after etching with 5% & 37% H3PO4
CONCLUSION:
5%H3PO4 can be used for etching tooth surface
before bonding instead of 37% H3PO4 concn; as with
5%H3PO4, there is minimal enamel loss & bond
strength is not affectedwww.indiandentalacademy.com
47. Variations in acid-etch patterns with
different acids and etch times
Alastair Gardner, Ross Hobson, AJO 2001
Compared the enamel etch patterns produced by
37% phosphoric acid and 2.5% Nitric acid for 15,
30 & 60 secs
Concluded
- 37% phosphoric acid > 2.5% nitric acid for all
three applications
-optimum time for applying 37% phosphoric acid is
30 sec
www.indiandentalacademy.com
48. Acid etching in pri. teeth
Outer 30um of pri. Enamel is prism less no
uniform etch
Higher organic content
Prism rods approach the surface at greater
angle
www.indiandentalacademy.com
49. Acid etching in pri. teeth
STUDIES:
SILVERSTONE:- 120 sec etch necessary to
establish proper enamel porosity
MUELLER(1977):- By increasing the etch time
an increase in tag formation was seen
NORDENVELL et al :- Compared pri. Young &
mature perm. Teeth using var. etch times b/w
15-60 sec. found that 15 sec gave greatest
surface irreg. in pri. teeth.
REDFORD:- etch time of 15 sec with 38% phos
acid was adeq for pri. teeth.
www.indiandentalacademy.com
50. Commonly asked questions
Should the etch cover the entire facial enamel or
only a small portion outside the bracket pad?
Are gels preferable to solutions?
What is the optimal etching time? Is it different for
young and old teeth?
Is sandblasting as effective as acid etching?
www.indiandentalacademy.com
51. What is the preferred procedure for deciduous
teeth?
Is prolonged etching necessary when teeth are
pretreated with fluoride?
Will incorporation of fluorides in the etching soln
increase the resistance of enamel to caries attack?
Is etching permissible on teeth with internal white
spots? www.indiandentalacademy.com
52. How much enamel is removed by etching and how
deep are the histologic alterations? Are they
reversible? Is etching harmful?
Should other means than acid etching( e.g. crystal
growth ) be preferred?
www.indiandentalacademy.com
53. Alternatives to acid etching
Crystal growth
Sand blasting / Air abrasion
Laser etching
www.indiandentalacademy.com
54. Iatrogenic factors
Maijer & Smith 1986 AJO-DO
1.Loss of enamel caused by etching
10-20 um lost - acid etch
6-50 um lost - after debonding
2.Retention of resin tags – discoloration of enamel
Resin tags – 80um or more
U/V cured resin – didn’t contain u/v absorber
www.indiandentalacademy.com
55. Iatrogenic factors
Maijer & Smith 1986 AJO-DO
3.Leakage at the bracket interface Bracket
corrosion and staining
Small pores – pathway for bact., stains etc.
Ceen & gwinnett and maijer & smith – stain due
to biodgradation of the metals
www.indiandentalacademy.com
56. Iatrogenic factors
Maijer & Smith 1986 AJO-DO
4.Enamel loss fracturing of enamel at time of
debonding.
Reported by Reteif(1974) and Reteif &
Denys(1979)
5.A rougher surface with enamel cracks
2 step procedure should be used
1st
step – debonding pliers,hand instru,u/s
scalers
2nd
step – abrasive cups/discs with polishing
medium
www.indiandentalacademy.com
57. Iatrogenic factors
Maijer & Smith 1986 AJO-DO
6.A softer enamel surface with lower fluoride
content, more predisposed to decalcification
Acquired fluoride – 10um
www.indiandentalacademy.com
58. Crystal growth
1st
demonstrated by Smith & Cartz
Maijer & Smith 1979 did lot of work
Polyacrylic acid + sulfate ion long needle
shaped crystaline deposit
CALCIUM SULPHATE DIHYDRATE (Spherulitic
habit)
www.indiandentalacademy.com
59. Crystal growth
Crystalline interface produced tensile bond
strength equivalent to conventional acid etched
surface.
Debonding – fracture at crystal resin interface
Other soln – Sulphuric acid anion ( more reliable
and uniform growth )
www.indiandentalacademy.com
60. Crystal growth
MECHANISM OF RETENTION
Calcium sulphate crystals must enucleate from
bound calcium
To achieve this some etching is required
Enamel solubility ~ crystal enucleation
Mechanical attachment is created
around the crystalline interface
and superficially etched enamel.
www.indiandentalacademy.com
61. Crystal growth
Artun and Bergland 1984
Sulphuric acid – crystals not as long and needle
like as with polyacrylic acid but were rounder and
flatter.
Hence debonding was easier.
www.indiandentalacademy.com
62. Advantages of Crystal growth
Debonding quicker and easier
No damage to enamel
Minimal effect on outer fluoride containing enamel
No resin tags left behind
Possibility of incorporating fluoride in crystal interface
– anticariogenic action.
www.indiandentalacademy.com
63. Crystal growth – Procedure
One drop of viscous liquid placed on tooth surface
Left undisturbed for 30 sec
No mechanical agitation
Rinsed for 20 sec
Forceful water spray to be avoided as it will break
crystals
Dull whitish deposit
Bracket bonded in usual way.
www.indiandentalacademy.com
64. Alternatives to acid etching
Crystal growth
Sand blasting / Air abrasion
Laser etching
www.indiandentalacademy.com
65. Sand blasting / Air abrasion
Makes use of high speed stream of aluminium
oxide particles ( 50-90 um) propelled by air
pressure
Produces rough surface
Used for cavity preparation
Remove old composite resin
Improve the retentive surface of loose bracket
www.indiandentalacademy.com
66. Sand blasting / Air abrasion
Could contribute to better bond strength with
less enamel loss
Factors affecting bond strength
Particle size
Air pressure
Exposure time
Microstructure of enamel surface
www.indiandentalacademy.com
67. Sand blasting
Albert Feilzer,AJO Jan 2000
Compared bond strength and enamel loss b/w
sand blasting and conventional acid etching at
varying exposure times and air pressure
Enamel loss – equal or less depend on time of
exposure and pressure
Bond strength –
Sand blasting < Acid etching
www.indiandentalacademy.com
68. Conclusion
Sandblasting Acid etching Crystal growth
Enamel loss
controlled by operator remineralized less
Bond strength
low than A E Optimum low than A E
www.indiandentalacademy.com
69. Alternatives to acid etching
Crystal growth
Sand blasting / Air abrasion
Laser etching
www.indiandentalacademy.com
70. Laser etching
LASER – Light Amplification by Stimulated
Emission of Radiation
Maiman 1960 – developed first laser
Generation of monochromatic, coherent &
collimated radiation by a suitable laser medium in a
optical resonator
www.indiandentalacademy.com
71. Laser etching
Laser unit – 3 elements
1.Lasing medium - liquid/solid/gas
2.Energy source - xenon flash lamp/electrical
discharge
3.Optical resonator- 3prop.
coherence
collimation
monochromacity
www.indiandentalacademy.com
75. Laser etching of enamel for direct
bonding Von Fraunhofer 1993, No.1 AO
Phosphoric acid – 30 sec.
4 power settings on the laser etching unit were used:
80mJ, 1W, 2W and 3W.
Melting and ablation of enamel surface (roughness)
Result
Acceptable shear bond strength,(0.6kg/mm), could
achieved at laser power settings of 1 to 3W but not at
the lowest setting (80 mJ).
Shear bond strengths lower than acid etching.
www.indiandentalacademy.com
76. Laser etching
Dr. Francis 2001
Aim – to compare tensile & shear bond strength
obtained by acid etching & krypton flouride excimer
laser.
KrF(440MJ/cms, 460 and 480)
Optimum bond strength achieved with 460 & 480
TBS - highest with 460 then480 & acid etching
SBS- highest with 480
both Least with 440
Adhesive more on E with acid etching
www.indiandentalacademy.com
78. Sealing
Sealer / Primer / Intermediate resin
Low viscosity resin which is applied prior to bonding
VARIOUS CONCEPTS
Necessary to achieve proper bond strength
Resist. to microleakage
Both reasons
Not needed at all
www.indiandentalacademy.com
79. Sealing
Sealants 2 types
light cured
chemically cured
CEEN & GWINNETT
Light cured sealant protect the enamel adjacent to
the brackets from dissolution & subsurface
lesions
Chemically cured polymerize poorly & have low
resist. to abrasion
www.indiandentalacademy.com
80. Evaluation of sealant in Orthodontic
bonding
Wei Nan Wang et al AJO 1991
Evaluated the TBS with & w/o use of sealant
No statistically significant difference in the bond
strength of the two evaluated groups
The distributions of debonding interface between
groups were similar and also had no statistical
difference.
Sealant in the two-paste self polymerize bonding
system for enhanced strength is unnecessary.www.indiandentalacademy.com
81. Sealing
However the use of sealant
May offer extra protection to enamel during
debonding
As chances of enamel surface detachment
without use of sealant was greater.
www.indiandentalacademy.com
82. Self Etch Primer
Traditional orthodontic bonding systems
Fourth-generation bonding systems such as(All-
Bond 2)
Fifth-generation bonding (Prime & Bond NT)
Etchant & Primer + Adhesive into one step.
Sixth-generation adhesive (Prompt L-Pop,
Transbond Plus Self Etching Primer)
www.indiandentalacademy.com
83. Self Etch Primer
Prompt L Pop
Transbond self etch primer
Liquid begins to etch as soon as it is applied
Saves time www.indiandentalacademy.com
84. Self Etch Primer
Composition of Prompt L-Pop –
Methacrylate phosphoric acid ester
Phosphine oxide
Parabenes
Stabilizer
A fluoride complex
Water
www.indiandentalacademy.com
85. Procedure For Self Etch
Teeth are pumiced
Self etch primer gently swirled on to each enamel
surface for 2 to 5 secs
As pH rises , etchant is converted to primer
Primer is thinned with burst of air
No rinsing with water
Bracket then bonded in usual way.www.indiandentalacademy.com
87. Self Etch Primer - studies
Rueggeberg et al (2000) - promt L-Pop w/o acid
etch produce = bond strength as conventional
bracket placement
Hitmi (2000)- no signi. diff b/w promt L-Pop &
37% phosphoric acid
Bergeron et al (2000)- resin enamel bond
strength of diff self etching primer including
promt L-Pop, was similar to or better than
multistep
www.indiandentalacademy.com
88. Self Etch Primer - studies
Fritz et al(2001)- bonding with 3 self etching
primer(Clearfil SE Bond,Clearfil Liner Bond 2V&
Novabond)was = phos acid
Bishara et al(2001)- self etching primer prod a
signi lower, but clinic acceptable, SBS compared
to acid etch when Transbond XT composite
used
www.indiandentalacademy.com
89. Self Etch Primer - studies
SHADOW ET AL (2002 JCO)
clinical eval. bond failure rates with a new self
ething primer- Transbond Plus
Conclusion
Traditional AE 15 sec = etch & 15-20 sec =
rinsing.10 sec= primer + curing
Transbond Plus =3 sec
Bracket retention > traditional
www.indiandentalacademy.com
90. Hydrophilic Primer ( MIP )
Bond failure – moisture contamination
Hormati et al – 50% decreased shear bond st
Hydrophilic primer ( HEMA & Maleic acid )dissolved
in acetone – 3M Unitek.
www.indiandentalacademy.com
91. Hydrophilic Primer ( MIP )
S.J. Little Wood et al JO 2000
Compared the bond strength of bracket bonded with
hydrophilic primer with conventional primer
Bond strength (6.43) was lower than conventional
primer (8.71)
Bracket bonded with hydrophilic primer were 3.96
times more at risk of failure.
www.indiandentalacademy.com
92. Pre primed brackets
ADVANTAGES:
Consistent quality of adhesive
Reduced flash
Adequate bond strength
Less chances of contamination
Can be used in both direct & indirect tech.
Both metal & ceramic brackets are available
www.indiandentalacademy.com
95. Bonding
TRANSFER
Adhesive put on
bracket base
Bracket placed on the
tooth closed to the
correct position
www.indiandentalacademy.com
96. Bonding
POSITIONING
Proper vertical and
horizontal
positioning
( eg Using
placement scaler
with parallel edges)
www.indiandentalacademy.com
97. Bonding
FITTING
Bracket firmly
pushed towards
the tooth surface
with one point
contact
www.indiandentalacademy.com
98. Bonding
REMOVAL OF EXCESS
Gingival irritation
Plaque build up
Better esthetics
Prevents staining and
discoloration
www.indiandentalacademy.com
99. Bonding to Fluorosed teeth
Dr.Veeresh
Bonding to the fluorosed teeth is difficult with
conventional acid etching.
Aim – to evaluate the shear bond strength of the
bracket to the fluorosed teeth by using a comb. of
sandblasting & acid etching
www.indiandentalacademy.com
100. Bonding to Fluorosed teeth
Group 1 – acid etching
Group 2 – sandblasting
Group 3 - acid etching followed by sandblasting
Group 4 – sandblasting then acid etching
Results
Only group 4 – Bond strength slightly higher than
optimum (8.1Mpa)
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102. Halogen Tungsten Quartz Curing
Light
Bulb quartz
Filament Tungsten
Gas Halogen
Selective filters – blue light ( 400-500 micron)
40 seconds per bracket
15 minutes – both arches
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103. Halogen Tungsten Quartz Curing
Light
Disadvantages
Curing is time consuming
Light output < 1% of consumed electricity
Lifetime – 100hrs
High heat - degrades components of bulb
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104. Argon laser
Introduced in the late 80’s &early 90’s
Promised to reduce the curing time dramatically
480 microns wavelength
Curing time
3 secs – per bracket
1 min – both arches
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105. Argon laser
KELSEY ,POWELL
To equal bond strength of 40 sec exposure by
conventional curing light, argon laser must cure
for 10 seconds
Disadvantages
Laser unit large
expensive www.indiandentalacademy.com
106. Xenon plasma arc light
Introduced in late 1990’s
Short exposure time at lower cost
Curing time – 3-5 sec per bracket
Higher intensity than conventional
Expensive – argon laser > xenon plasma >
conventional light.www.indiandentalacademy.com
107. Comparison of efficiency of xenon
plasma light and conventional light
Sheldon Newman et al AJO 2001
Exposure time
40 secs – conventional curing light
3,6 & 9 secs – xenon plasma light
Bond strength
Xenon light > with longer exposure time
To equal bond strength of conventional curing
light the exposure time with xenon had to be 6 –
9 secs www.indiandentalacademy.com
108. Light emitting diode curing units
Mills –1995
Instead of hot filament – Halogen bulb.
LED – junction of doped semi conductors.
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109. Light emitting diode curing units
Advantages:
Lifetime 10, 000 hrs
Requires no filters
Resist shock and vibration
Little power to operate
Newer – GALLIUM NITRIDE ( LED ) 400-
500microns www.indiandentalacademy.com
110. Light emitting diode curing units
Mills et al ( BJO 1997 )
Compared light source containing LED to
Halogen units
Concluded – LED curing units cured
composites to significantly greater depths
when tested at 40 & 60 sec
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111. Light emitting diode curing units
Disadvantages
Their technology is new to orthodontics,
and the concept still is evolving.
Their curing time is slower than plasma
arc curing lights and some enhanced
halogen lights. www.indiandentalacademy.com
112. Light emitting diode curing units
Disadvantages
Their batteries must be recharged.
They cost more than do conventional
halogen lights.
They offer a relatively low intensity.
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113. Polymerization of resin cement with
LED curing unit
William Dunn & Louis Taloumis
AJO sep 2002
Compared the shear bond strength of
orthodontic brackets bonded to teeth with
conventional halogen light and LED curing
units .
No diff in bond strength of orthodontic
brackets bonded to teeth with conventional
halogen light and LED curing units .
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114. Light Emitting Diode Units
Dr.Ravitej
Aim - Shear Bond Strength Evaluation of three
commercially Available Light Emitting Diode
Units
The 3 different LED sources used in the study
1. Elipar Freelight (3M/ESPE)
2. Bee Cool (Confident dental equipments,
Bangalore)
3. Apoza (Meghna and Co., Bangalore)
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115. 3 different LED sources used in the study
1. Elipar Freelight (3M/ESPE)
2. Bee Cool (Confident dental equipments,
Bangalore)
3. Apoza (Meghna and Co., Bangalore)
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116. Study sample -- 70 non-carious extracted
upper premolar teeth
Divided into 7 groups of 10 each
Group I Group II-IV Group V-VII
Elipar Freelight Bee Cool (Confident) Apoza
Results
Bond strength of G I and G IV samples fall in the
optimal range.
Bond strength values of other groups were
suboptimal.
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117. Group I sample (Elipar Freelight-10s,
3M/ESPE) can be considered most suitable
Group IV sample (Bee Cool-20s, Confident
dental equipments, Bangalore) can also be
considered appropriate
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118. References
Orthodontics current principles & techniques: Graber
& Vanarsdall, 3rd
Ed
Philip’s science of dental materials 11th
Ed
Contemporary orthodontics: Proffit 3rd
Ed
Orthodontic Materials Scientific & Clinical Aspects:
William A. Brantley,Theodore Eliades
SEM Study & SBS measurement with 5% & 37%
phosphoric acid - AJO-DO oct,1995
Wasundhara A. Bhad, Pushpa V. Hazarey,
G.D.C.Nagpur
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119. References
Air abrasion tech vs conventional acid etching
tech.- AJO-DO Jan 2000- Wandela L. et al
Laser etching of enamel for direct bonding-
AO,1993 no.1- Von Fraunhofer et al
Clinical trials with crystal growth- AJO-DO Apr
1984 – Artun and Bergland
crystal growth on outer enamel surface- AJO-DO
March 1986- Maijer & Smith
Thesis on Laser etching - Dr. Francis
Thesis on Bonding to Fluorosed teeth -
Dr.Veeresh www.indiandentalacademy.com
120. References
Bond strength with various etching times on
young perm teeth- AJO-DO Jul 1991- Wang &
Chau Lu
Effect of enamel etching time on bond strength
& morphology- JCO Jan 1985- Wayne et al
Lab.& clinical evaluation of self etching primer
JCO Jan 2001- Robert A. Miller
Variation in acid etch patterns with diff acids &
etch time AJO-DO Jul 2001- Alastair Gardner et
al
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121. References
Clinical evaluation of bond failure rates with a
new self etching primer- JCO Dec 2002-
Shadow Asgari et al
Rapid curing of bonding with xenon plasma arc
light - AJO-DO Jun 2001- Oesterle, Sheldon,
Newman et al
Evaluation of sealant in ortho bonding- AJO-DO
Sep 1991- Wei Nan Wang
Bond strength comparison of MIP- AJO-DO Sep
2002- Shane & Timothy
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