Title KOROZIJA NIKAL-TITANIJSKIH SLITINA TIJEKOM
ORTODONTSKE TERAPIJE: UTJECAJ
INTRAORALNOG OKOLIŠA NA DENTALNI
BIOFILM I ORTODONTSKU BIOMEHANIKU
Title (english) CORROSION OF NICKEL-TITANIUM ALLOYS
DURING ORTHODONTIC TREATMENT: THE
IMPACT OF THE INTRAORAL ENVIRONMENT
ON DENTAL BIOFILM AND ORTHODONTIC
BIOMECHANICS
Author Tihana Zibar Belašić
Mentor Stjepan Špalj (mentor)
Mentor Elitza Petkova Markova-Car (komentor)
Committee member Magda Trinajstić Zrinski (predsjednik povjerenstva)
Committee member Marina Lapter-Varga (član povjerenstva)
Committee member Ivana Gobin (član povjerenstva)
Granter University of Rijeka Faculty of Medicine (Department of Orthodontics) Rijeka
Defense date and country 2023-11-17, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Dental Medicine Orthodontics
Universal decimal classification (UDC ) 616.31 - Stomatology
Abstract Cilj istraživanja bio je analizirati utjecaj intraoralnog okoliša na dentalni biofilm, koroziju
nikal-titanijske (NiTi) legure i efekt promjene njezinih mehaničkih svojstava na pomak zubi. U
randomiziranom kontroliranom pokusu sudjelovalo je 64 ispitanika dobi 12 – 22 godine (57 %
žena) u trima skupinama: (I) ispitanici koji su tijekom perioda od mjesec dana svakodnevno
koristili antiseptik klorheksidin diglukonat (CHX), (II) ispitanici koji su koristili gel s visokom
koncentracijom fluorida svakodnevno tijekom mjesec dana i (III) kontrolna skupina koja je
provodila standardnu oralnu higijenu. NiTi lukovi (dimenzije 0,508 × 0,508 mm) analizirani su
nakon tri mjeseca intraoralne izloženosti i u usporedbi s neizloženim NiTi (korozijsko
ponašanje, tvrdoća, karakteristike površine, trenje i elastična svojstva). Mjerena je promjena
oblika zubnih lukova. Procijenjena je djelotvornost kontrole dentalnog biofilma. Provela se
analiza promjena odnosa ciljanih bakterija u biofilmu lančanom reakcijom polimeraze.
Izloženost intraoralnim uvjetima značajno je smanjila krutost, fleksibilnost, rezilijenciju i
tvrdoću NiTi (p ≤ 0,015). CHX i fluoridi nisu promijenili ta svojstva više od sline uz standardnu
higijenu. Na hrapavost i trenje nije značajno utjecalo oralno izlaganje. Intraoralno izlaganje
pretežno je izazvalo opću koroziju neovisno o dodatnom profilaktičkom sredstvu. Iznos
promjene oblika zubnog luka u maksili i mandibuli nije se značajno razlikovao između
eksperimentalnih skupina. Fiksna metalna ortodontska naprava, uz standardnu oralnu higijenu,
povećala je akumulaciju biofilma i njegov pH te broj zubi s mrljastim lezijama cakline, ali nije
povećala opseg gingivitisa. Fluoridi i CHX tijekom mjesec dana korištenja nisu značajno
utjecali na navedeno. Metalna naprava uz standardnu higijenu povećala je brojnost ispitivanih
bakterija biofilma, najviše Streptococcus mutans (14,2x) i S. salivarius (3,3x), umjereno
Veillonella parvula (3x) dok najmanje S. sobrinus (2,3x) i Aggregatibacter
actinomycetemcomitans (1,9x). Korištenje CHX-a reduciralo je S. sobrinus (2,2x) i A.
actinomycetemcomitans (1.9x). Fluorid je reducirao A. actinomycetemcomitans (1,3x) i S.
sobrinus (1,2x). S. mutans bio je bolje kontroliran fluoridom nego CHX-om.
Korištenje fluorida i antiseptika CHX-a tijekom mjesec dana ne povećava koroziju više od same
sline uz standardnu oralnu higijenu niti dodatno modificira mehanička svojstva NiTi te ne bi
bilo kliničke implikacije u promjeni ortodontske biomehanike. Metalna ortodontska naprava
povećava brojnost bakterija dentalnog biofilma, više kariogenih nego parodontopatogena.
Fluorid najbolje kontrolira S. mutans, a CHX S. sobrinus i A. actinomycetemcomitans.
Abstract (english) The aim was to analyze the impact of the intraoral environment on dental biofilm, corrosion of
nickel-titanium (NiTi) alloy and the effect of its changed mechanical properties on tooth
movement. A randomized controlled trial included 64 subjects aged 12-22 years (57% women)
in three groups: (I) group that used the antiseptic chlorhexidine digluconate (CHX) for a period
of one month, (II) group that used a gel with a high concentration of fluoride over period of one
month, and (III) the control group performing standard oral hygiene. NiTi archwires
(dimensions 0.508×0.508mm) were analyzed after three months intraoral exposure and
compared to the unexposed NiTi (corrosion behavior, hardness, surface characteristics, friction
and elastic properties). The change in the shape of dental arches were measured. The
effectiveness of dental biofilm control was assessed. An analysis of changes in the ratio of target
bacteria in the dental biofilm was performed by polymerase chain reaction.
Exposure to intraoral conditions reduced stifness, flexibility, resilience and hardness of NiTi
(p≤0.015). CHX and fluoride did not change these properties more than saliva with regular
hygiene. Roughness and friction were not significantly influenced by oral exposure. General
corrosion was predominant finding regardless of the additional prophylactic agent. The amount
of change in the shape of the dental arch in the maxilla and mandible did not differ significantly
between the experimental groups. The fixed metal orthodontic appliance with standard hygiene
increased the accumulation and pH of biofilm and the number of white spot lesions of enamel,
but it did not increase the extent of gingivitis. Fluorides and CHX during one-month of use did
not significantly affect the aforementioned. Metal appliance with standard hygiene increased
the number of biofilm bacteria, most Streptoccocus mutans (14.2x) and S. salivarius (3.3x),
moderately Veillonella parvula (3x) while least S. sobrinus (2.3x) and Agregatibacter
actinomycetemcomitans (1.9x). The use of CHX reduced S. sobrinus (2.2x) and A.
actinomycetemcomitans (1.9x). Fluoride reduced A. actinomycetemcomitans (1.3x) and S.
sobrinus (1.2x). S. mutans was better controlled by fluorides than with CHX.
One-month use of fluorides and CHX does not increase corrosion more than saliva with
standard oral hygiene, does not modify the mechanical properties of NiTi and would have no
clinical implications in changing orthodontic biomechanics. The metal orthodontic appliance
increases the number of dental biofilm bacteria, more cariogenic than periopathogens. Fluoride
was best at controlling S. mutans, while CHX was better at controlling S. sobrinus and A.
actinomycetemcomitans.
Keywords
Antiseptici
Biofilm
Fluoridi
Korozija
Nitinol
Keywords (english)
antiseptics
biofilm
corrosion
fluorides
nitinol
Language croatian
URN:NBN urn:nbn:hr:184:162545
Promotion 2024
Study programme Title: Biomedicine Postgraduate (doctoral) study programme Study programme type: university Study level: postgraduate Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstvo (doktor/doktorica znanosti, područje biomedicine i zdravstvo)
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Created on 2024-02-16 08:35:39