Search Results (47)

This systematic review evaluated the effects of functional additives on fluoride release, fluoride recharge/re-release, and selected mechanical, physical, and biological properties of orthodontic glass ionomer cements (GICs) and glass ionomer-based adhesives. The review followed PRISMA guidelines. The protocol was retrospectively registered in the Open Science Framework. PubMed, Scopus, Web of Science, Embase, and WorldCat were searched for in vitro studies investigating modified orthodontic GICs and reporting fluoride-related or clinically relevant material properties. The final literature search was conducted on 30 April 2026. After screening 87 records, 23 studies were included in the qualitative synthesis. Owing to substantial methodological and outcome heterogeneity among the included studies, no meta-analysis was performed, and the findings were synthesized narratively. Risk of bias was assessed using the QUIN Tool; 20 studies were classified as having a medium risk of bias and three as having a low risk, while none were classified as having a high risk. The effects of additives on fluoride release varied according to additive type and concentration, material composition, storage conditions, pH, and evaluation period. Increases in fluoride release were reported in studies evaluating materials containing nCaF₂, TMPnano, nanofluorapatite or nanofluorohydroxyapatite, hydroxyapatite, nanochitosan, SNP/ZnONP, and ZnSO₄. Several additives maintained or improved mechanical performance, whereas higher concentrations of some agents adversely affected bond strength, microhardness, or material stability. Antibacterial and antibiofilm activity was most evident for CHX, DMAHDM, MDPB, propolis, silibinin, nanosilver, and zinc-containing systems. Limited evidence also suggested potential benefits regarding enamel protection and cytocompatibility. Functional additives may enhance the preventive potential of orthodontic GIC-based materials, particularly through improved fluoride release and antibacterial activity. However, further standardized long-term and clinical studies are required before clinical recommendations can be made. Full article

Background: During clinical service, removable orthodontic appliances are continuously exposed to environmental challenges that may compromise material stability and contribute to potentially increasing the risk of local inflammatory responses and hypersensitivity reactions. Method: A literature search was conducted using PubMed/MEDLINE, Scopus, and Web of Science databases. Studies investigating bio-inspired and surface-engineering approaches applicable to orthodontic polymers, acrylic resins, aligner materials, and related dental biomaterials were considered. Evidence from orthodontic adhesives and non-bio-inspired barrier coatings was included when relevant as comparative or translational support. Particular attention was given to polydopamine coatings, polyphenol- and tannic acid-based coatings, chitosan systems, peptide-functionalized surfaces, titanium and titanium oxide-based modifications, nanoparticle-enriched coatings, biomimetic hydrogel-like barriers, and conventional barrier coatings used as comparators. Results: Available evidence suggests that surface modifications reduce monomer diffusion, bacterial adhesion, biofilm formation, and improve cellular responses. Bio-inspired and titanium-based coatings show particular promise by enhancing biocompatibility while providing antimicrobial, antioxidant, anti-inflammatory, and protective barrier properties. Conclusions Bio-inspired surface engineering is a promising approach to improve the biological safety of removable orthodontic appliances. However, further standardized in vitro, in situ, and clinical studies are needed to confirm their long-term stability, durability, and clinical effectiveness in reducing hypersensitivity and other adverse biological effects. Full article

This in vitro study compared the bond strength performance and adhesive remnant characteristics of two metallic orthodontic pre-coated bracket systems: APC™ Plus and APC™ Flash Free. Forty extracted human premolars were randomly allocated to two groups (n = 20). Following enamel etching with 37% phosphoric acid, brackets were bonded according to the manufacturers’ recommendations. Bond strength testing was performed using a custom-made apparatus in which failure was induced through a progressively increasing load. Because the experimental setup generated a combined loading configuration involving shear, tensile, and bending components, the measured values should be interpreted as comparative bond strength measurements rather than absolute shear bond strength values. Adhesive Remnant Index (ARI) scores were recorded after debonding to evaluate failure patterns. Median bond strength values were 17.75 MPa (IQR: 13.53–21.98) for APC™ Plus and 14.28 MPa (IQR: 9.81–18.74) for APC™ Flash Free. No statistically significant difference was found between groups (Mann–Whitney U test, p = 0.102). In contrast, ARI score distributions differed significantly (Fisher’s exact test, p = 0.001). APC™ Plus brackets predominantly exhibited ARI scores of 2–3, whereas APC™ Flash Free brackets mainly demonstrated ARI scores of 1–2, indicating less adhesive remaining on the enamel surface after debonding. Three enamel fractures were observed in the APC™ Plus group, while none occurred in the APC™ Flash Free group; however, no statistically significant association between bracket type and enamel fracture was identified. Within the limitations of this in vitro study, both bracket systems demonstrated comparable bond strength performance under the experimental conditions investigated. APC™ Flash Free brackets were associated with reduced adhesive remnants on enamel, which may facilitate post-debonding cleanup. Further studies using standardized testing methods and prospective clinical investigations are required to confirm these findings and determine their clinical relevance. Full article

Matrix metalloproteinases (MMPs) are zinc-dependent proteolytic enzymes involved in extracellular matrix remodelling in oral and dental tissues, including the periodontal ligament, alveolar bone, dentin, dental pulp, and periapical tissues. This narrative review summarises selected evidence on the role of MMPs and tissue inhibitors of metalloproteinases (TIMPs) in orthodontic tooth movement, dental trauma and root resorption, restorative adhesive dentistry, and pulp/periapical disease. Particular attention is given to signalling pathways that regulate MMP/TIMP activity, including nuclear factor kappa B (NF-κB), mitogen-activated protein kinase (MAPK), Wnt/β-catenin, and transforming growth factor beta (TGF-β)/Smad-related mechanisms. The review also discusses the biomarker potential and translational status of MMP-targeted strategies. Across clinical contexts, MMP activity contributes to both matrix degradation and tissue repair, and its biological effect depends on local stimuli, TIMP-mediated regulation, pathway crosstalk, and the stage of disease or treatment. Full article

Background: Durable adhesion between orthodontic brackets and enamel is essential for successful fixed orthodontic therapy. Despite simplified adhesive systems being available, conventional etch-and-rinse adhesives remain widely used due to their reliable enamel bonding. Methods: This in vitro study evaluated the bonding performance of three orthodontic adhesive strategies in combination with Transbond XT composite resin for metal bracket fixation. Thirty extracted human premolars were randomly allocated to three groups according to the adhesive system applied: OptiBond Solo Plus (etch-and-rinse method), SafeBond Universal DC (selective enamel etching method) and Transbond XT primer (control method). Shear adhesion resistance, maximum force and breakout force were measured and statistically analysed. Results: No statistically significant differences were observed between the OptiBond and SafeBond groups for any of the evaluated mechanical parameters (p > 0.05), although the OptiBond group exhibited higher mean values. The Transbond XT primer group showed significantly lower adhesion resistance and debonding forces than both of the other groups (p < 0.05). SafeBond demonstrated lower variability of results compared with OptiBond. Conclusions: When used with Transbond XT composite resin, both OptiBond Solo Plus and SafeBond Universal DC provided comparable mechanical performance for metal bracket bonding. While OptiBond yielded higher mean bond strength values, SafeBond exhibited more consistent behaviour. The Transbond XT primer alone resulted in inferior bonding performance. Full article

This study aimed to assess how various remineralizing agents affect the demineralized enamel calcium/phosphorus ions (Ca/P) ratio and micro-tensile bond strength (μTBS) of orthodontic adhesive modified by Sepiolite nanoparticles (Sep-NPs). In addition, rheological properties and degree of conversion (DC) of the adhesive were investigated. One hundred and forty-four human premolars underwent a cariogenic challenge to induce artificial demineralization. Based on the remineralizing agents used, the samples were divided into four categories: silver diamine fluoride (SDF), rosmarinic acid (RMA), ROCS Medical Mineral Gel System (ROCS MMG), and control. The Ca/P ratio was evaluated using energy-dispersive X-rays. Thirty samples were divided into two subgroups: unmodified adhesive and 1% Sep-infiltrated adhesive. Brackets were bonded, and the μTBS was evaluated. Scanning electron microscopy was used to evaluate the resin–bracket interface. The modified and unmodified adhesives were subjected to DC and rheological testing. The Ca/P ion ratio was highest in the ROCS-MMG group and lowest in the no-remineralization group. Group 3B (ROCS MMG + SepNPs-Orthodontic adhesive) samples displayed the highest bond strength. The lowest μTBS was observed in Group 4A (no remineralization + orthodontic adhesive). ROCS MMG conferred the greatest improvement in µTBS and Ca/P ratio before bracket bonding, followed by SDF, whereas RMA did not enhance bonding outcomes. Sep-NP incorporation at 1% improved µTBS but compromised DC and rheological properties, necessitating concentration optimization before clinical application. Full article

Background/Objectives: The performance of the adhesive system used for bonding fundamentally influences the success of fixed orthodontic treatment. To withstand masticatory forces and prevent bracket debonding, it is critical to achieve optimal shear bond strength (SBS), improving treatment time. The aim of this study was to compare the shear bond strength and adhesive remnant index (ARI) of orthodontic brackets bonded using LED light-curing units with intensities of 3200 mW/cm² at two different exposure times, evaluated after 24 h and 14 days. Methods: Eighty extracted permanent premolars were randomly divided into four experimental groups. Brackets were bonded using Transbond XT adhesive and cured with a VALO™ Ortho Cordless unit (3200 mW/cm²) for 3 or 6 s. SBS was measured using a universal testing machine, and the ARI was assessed under a stereomicroscope at 40× magnification. Results: Increased light intensity and longer curing time significantly improved SBS values. The highest bond strengths were observed in groups cured with 3200 mW/cm² for 6 s, after 14 days. ARI scores showed that longer curing reduced adhesive remnants on the enamel. Statistical analysis confirmed significant differences among groups. Conclusions: Therefore, clinicians may achieve better bonding performance and easier enamel clean-up by using high-intensity lights with adequate curing duration. Full article

The success of orthodontic therapy depends on the effective, continuous application of forces to teeth. Therefore, an essential element of the treatment is the adhesion between the bracket and enamel. The purpose of this study was to evaluate the influence of bracket base design and bonding system on shear bond strength. The study was conducted on eighty extracted premolars which were randomly divided into four groups of twenty teeth each, using two types of metal brackets (80-gauge mesh and anchor pylons base design) and two types of bonding systems (conventional and self-etching). The combination of bracket and bonding system resulted in four distinct configurations of bracket bonding, with each configuration tested on twenty teeth. Shear bond strength testing was performed using a Laryee Universal Testing Machine. The obtained values were statistically analyzed. Slightly higher shear bond strength values were recorded for brackets with anchor pylons bonded using the conventional bonding system (13.32 ± 4.20 N/mm²), whereas the lowest values were recorded for the same bracket base design bonded with the self-etching system (11.10 ± 4.50 N/mm²). Nevertheless, ANOVA test did not reveal statistically significant differences between the two bracket types or between the two bonding techniques in terms of shear bond strength and force values and no significant interaction effects were observed. Considering the obtained results, several additional factors must be taken into account when evaluating the shear bond strength of orthodontic brackets. Full article

Orthodontic treatment with fixed appliances increases the risk of enamel demineralization and biofilm accumulation around brackets and other devices. Conventional orthodontic bonding materials provide adequate mechanical retention but limited bioactive protection. This narrative review summarizes current in vitro, in vivo, and clinical evidence on nanoparticles (NPs) incorporated into orthodontic adhesives and cements, focusing on antimicrobial and remineralizing effects, mechanical performance, potential clinical relevance, and safety. Electronic searches of PubMed, Science Direct and Google Scholar identified laboratory, animal, and human studies evaluating NP-modified orthodontic bonding systems. Most available data derive from in vitro experiments, which consistently show that silver, zinc oxide, titanium dioxide, calcium phosphate-based particles, and related nanoparticles can inhibit cariogenic biofilms, reduce enamel demineralization surrogates, and, in many formulations, maintain clinically acceptable shear bond strength while enabling fluoride or calcium/phosphate ion release. A smaller number of in vivo and short-term clinical studies suggest reduced plaque accumulation and fewer or less severe white-spot lesions when nanoparticle-containing materials are used, although study designs and outcome measures are heterogeneous. Overall, NP-enhanced orthodontic bonding materials appear promising for combining mechanical durability with biological protection. However, the current level of evidence is limited by the predominance of in vitro data, small sample sizes, and short follow-up in clinical studies. Well-designed, long-term clinical trials with standardized outcomes are required before routine clinical adoption can be recommended. Full article

This narrative review examines contemporary applications of polymeric materials in dentistry from 2020 to 2025, spanning prosthodontics, restorative dentistry, orthodontics, endodontics, implantology, diagnostics, and emerging technologies. We searched PubMed, Scopus, Web of Science, and Embase for peer reviewed English language articles and synthesized evidence on polymer classes, processing routes, mechanical and chemical behavior, and clinical performance. Approximately 116 articles were included. Polymers remain central to clinical practice: poly methyl methacrylate (PMMA) is still widely used for dentures, high performance systems such as polyether ether ketone (PEEK) are expanding framework and implant-related indications, and resin composites and adhesives continue to evolve through nanofillers and bioactive formulations aimed at improved durability and reduced secondary caries. Thermoplastic polyurethane and copolyester systems drive clear aligner therapy, while polymer-based obturation materials and fiber-reinforced posts support endodontic rehabilitation. Additive manufacturing and computer aided design computer aided manufacturing (CAD CAM) enable customized prostheses and surgical guides, and sustainability trends are accelerating interest in biodegradable or recyclable dental polymers. Across domains, evidence remains heterogeneous and clinical translation depends on balancing strength, esthetics, biocompatibility, aging behavior, and workflow constraints. Full article

Removing orthodontic brackets often presents clinical challenges, as it may cause patient discomfort, bracket fracture, or enamel damage resulting from strong adhesive bonds. Various techniques have been proposed to facilitate safer and more efficient debonding. Among them, laser-assisted methods have gained attention for their potential to minimize mechanical stress and improve patient comfort. The main objective of this study was to evaluate the effect of an erbium-doped yttrium–aluminum–garnet (Er:YAG) laser as an alternative to traditional mechanical methods for removing metal and ceramic orthodontic brackets. Materials and Methods: Thirty-six extracted premolars were prepared for bonding metal or ceramic brackets using a light-cure adhesive system. The control group consisted of six ceramic and six metal brackets removed with conventional orthodontic pliers. In the experimental groups, brackets were debonded using the Er:YAG laser (2940 nm, 0.6 mm spot size, 150 mJ; 15 Hz; (2.25 W) with an H14 handpiece. Irradiation time was recorded for each method, and teeth were rescanned to measure the surface area and volume of the crowns before and after bracket removal. Data were analyzed using one-way ANOVA and Tukey’s HSD test (p < 0.05). Scanning electron microscopy (SEM) was used for surface analysis. Results: A significant difference in debonding time (p = 0.001) was observed between the laser and traditional methods. The laser group took 52.5 s for metal and 56.25 s for ceramic brackets, compared to 1.05 s (metal) and 0.64 s (ceramic) in the traditional group. A significant difference in remaining cement volume was noted (p = 0.0002), but no differences were found between metal and ceramic brackets with laser removal. Conclusions: Er:YAG laser-assisted debonding is safe and minimally invasive but more time-consuming and costly than conventional methods, showing no improvement in clinical efficiency under current parameters. Full article

This study concerns the evaluation of adhesive and wettability energetic signatures of a model orthodontic wire exposed to commercial mouthrinses. The surface wetting properties were evaluated from the contact angle hysteresis (CAH) approach applied to dynamic contact angle data derived from the original drop on a vertical filament method. Young, advancing, receding CA apart from adhesive film pressure, surface energy, work of adhesion, etc. were chosen as interfacial interaction indicators, allowing for the optimal concentration and placement of the key component(s) accumulation to be predicted for effective antibacterial activity to eliminate plaque formation on the prosthetic materials. Surfactant compounds when adsorb at interfaces confer rheological properties to the surfaces, leading to surface relaxation, which depends on the timescale of the deformation. The surface dilatational complex modulus E, with compression elasticity E_d and viscosity E_i parts, determined in the stress–relaxation Langmuir trough measurements, exhibited the viscoelastic surface film behavior with the relaxation times (0.41–3.13 s), pointing to the vertically segregated film structure as distinct, stratified layers with the most insoluble compound on the system top (as indicated with the 2D polymer film scaling theory exponent y = 12.9–15.5). Kinetic rheology parameters could affect the wettability, adhesion, and spreading characteristics of mouthrinse liquids. Full article

This study evaluated a light-cure orthodontic adhesive with the incorporation of bioactive glass particles and its effects on shear bond strength (SBS), adhesive remnant index (ARI), degree of conversion (DC), calcium release, and particle size distribution. Bioactive glass was added to the Transbond XT Adhesive (3M ESPE), resulting in five groups: TXT (0% wt of bioactive glass-incorporated—negative control); TXT20 (20% wt of bioactive glass-incorporated); TXT30 (30% wt of bioactive glass-incorporated), TXT50 (50% wt of bioactive glass-incorporated), and FLB (positive control—FL BOND II adhesive system with S-PRG particles, SHOFU Inc.). Data were analyzed with one-way ANOVA followed by Tukey’s test (α = 0.05). Quantitative SEM analysis confirmed submicron particle agglomerates (median equivalent circular diameter 0.020–0.108 µm). The TXT20 exhibited the highest values of degree of conversion (p < 0.05) (73.02 ± 3.33A). For SBS (in MPa): Control Group TXT—19.50 ± 1.40A, Group TXT20 18.22 ± 1.04AB, Group FLB 17.62 ± 1.45B, Group TXT30 14.48 ± 1.46C and Group TXT50 14.13 ± 1.02C (p < 0.05). For calcium release the group TXT50 2.23 ± 0.11D showed higher values (p < 0.05). The incorporation of distinct bioactive glass particle concentrations influenced the shear bond strength, degree of conversion, and calcium release. While the 50 wt% bioactive glass group exhibited the highest calcium release, both 20 wt% of bioactive glass group and the positive control group exhibited the highest degree of conversion without compromising the bonding strength. Full article

This study evaluated the physicochemical and morphological properties of tooth enamel in patients with caries-predisposing SNPs (rs4694075 in AMBN and rs2337359 in TUFT1 genes), based on the DMFT index. We included 40 of 120 individuals (aged 19–43), collecting stimulated saliva and 58 healthy teeth extracted for orthodontic/surgical reasons. Saliva DNA was genotyped. Enamel properties were assessed using Vickers microhardness, deposition thickness, and calcium content. Genotype and allele frequencies aligned with the literature. The TUFT1C/C genotype subgroup showed a significantly higher DMFT index (p = 0.03) compared to the T/T genotype, while AMBN showed no such correlation. Calcium content, microhardness, and enamel thickness were similar across all polymorphic variants of both genes. A statistically significant correlation (p = 0.003) was found between reduced enamel calcium content and a higher DMFT index. Despite existing literature on the subject, the studied SNPs did not reflect any correlation with morphological or physicochemical changes in enamel. The above results suggest that genetic variability identifies patients classified by dentists as being at higher risk of caries, even though these patients follow a non-cariogenic diet and adhere to a hygiene regime. As no structural or physicochemical changes in the enamel of this group were observed, the potential cause may be disturbances in the remineralisation mechanisms or enamel surface properties that promote biofilm adhesion in polymorphic patients. Intensive tooth calcification control algorithms using LIF and RVG, as well as remineralisation cycles to increase hydroxyapatite saturation with calcium phosphates and bioadhesive fluoride delivery systems for long-term biofilm control, are used to more effectively prevent or slow down the progression of caries. Full article

Background/Objectives: Periodontitis is a chronic infectious inflammatory disorder that affects the supporting structures of the teeth. The gingival epithelium plays a crucial role as a physical and immunological barrier, producing pro-inflammatory cytokines in response to microbial pathogens. Modulation of gingival epithelial function has been proposed as a therapeutic strategy to prevent the progression of periodontal disease. Houttuynia cordata, a perennial herb traditionally used in Asian medicine, is recognized for its anti-inflammatory properties, with documented benefits in the cardiovascular, respiratory, and gastrointestinal systems. However, its potential therapeutic role in oral pathologies, such as periodontitis, remains underexplored. This study aimed to investigate the anti-inflammatory effects of H. cordata extract on interleukin (IL)-1β-stimulated primary gingival keratinocytes (PGKs) subjected to IL-1β-induced inflammatory stress, simulating the conditions encountered during orthodontic treatment. Methods: Inflammation was induced in PGKs using IL-1β, and the impact of H. cordata extract pretreatment was assessed using quantitative real-time reverse transcription polymerase chain reaction, enzyme-linked immunosorbent assay, and immunoblotting. Results: H. cordata extract significantly downregulated the mRNA and protein expression levels of tumor necrosis factor-alpha, IL-8, and intercellular adhesion molecule-1 in IL-1β-stimulated PGKs without inducing cytotoxicity. Conclusions: These findings suggest that H. cordata holds promise as a preventive agent against periodontitis by attenuating inflammatory responses in gingival epithelial tissues. We believe that our findings will inform the development of prophylactic interventions to reduce periodontitis risk in patients undergoing orthodontic therapy. Full article