Plaque retention on elastomeric ligatures. An in vivo study

Condò, Roberta and Casaglia, A. and Condò, Saverio Giovanni and Cerroni, Loredana (2012) Plaque retention on elastomeric ligatures. An in vivo study. Oral & implantology, 5 (4). pp. 92-99. ISSN 2035-2468

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Abstract

Fixed orthodontic appliances make it difficult to maintain the oral hygiene, resulting in plaque accumulation. Retention of bacterial plaque, represents a risk for white spot lesions and development of periodontal disease. Aim. Purpose of this study was to determine in vivothe retention of plaque on three different elastic ligatures, in comparisonwith stainless steel ligature, to determine a possible association between type of ligatures and accumulation of microor-ganisms. Material and Methods:three elastic ligation systems were analyzed for plaque retention: ring-shape, clear, latex ligatures (Leone® Spa), ring-shape, grey, polyurethane ligatures (Micerium® Spa) and grey, polyurethane, Slide low-friction liga-tures (Leone® Spa), compared with stainless steel ligatures (Leone® Spa) used as control. Forthy orthodontic patientsundergoing fixed orthodontic therapy were selected. A sample for each type of ligature were applied inside the oral cavity of each subject. Samples were kept in theoral cavity for 28 days, ligating 0.16 X 0.22 stainless steel archwire to stainless steel orthodontic premolars brackets. The presence of bacterical slime was quantified by spectrophotometric method (crystal violet-Bouin’s fixative) and morphologicalobservations was evaluated by Scanning Electron Microscopy (SEM). Results. From analysis of bacterical slime emerges that all the elastics showed a low plaque retention, especially if compared to the group of steinless steel ligatures, that presented a greater plaque adhesion, statistically significant comparedto the Slide group (r<0.0002) and the two elastic groups (r<0.0001). This study reported no significant difference betweenthe Slide ligatures and the traditional elastic ligatures as regards the retention of plaque. SEM images showed presenceof cocci, rods and few filamentous organisms and an interbacterial matrix in all observed samples. Conclusion. Elastomeric ligatures showed a significant lower susceptibility to plaque adhesion, in comparison to the stain-less steel of the metallic ligatures. No statistically significant difference was observed among the elastic devices.

Item Type:	Article
Uncontrolled Keywords:	Orthodontic ligature, plaque adhesion, SEM
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.6 Odontoiatria
Depositing User:	Nadia Del Gobbo
Date Deposited:	16 Apr 2013 15:52
Last Modified:	16 May 2013 10:43
URI:	http://eprints.bice.rm.cnr.it/id/eprint/4977

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