Comparing the mechanical properties of the polymer orthodontic bracket materials with the conventional orthodontic bracket materials: A systematic review

Background: The aim of this study was to compare the mechanical properties of the polymer brackets with metal and ceramic brackets and verify if the polymer brackets could be used clinically. Materials and Methods: A thorough search was conducted in four electronic databases, including Scopus, PubMe...

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Main Authors: Srinidhi Ramasundaram, Dilip Srinivasan, K. Ravi, Davis Devasahayam
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-11-01
Series:Dental Research Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/drj.drj_196_24
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author Srinidhi Ramasundaram
Dilip Srinivasan
K. Ravi
Davis Devasahayam
author_facet Srinidhi Ramasundaram
Dilip Srinivasan
K. Ravi
Davis Devasahayam
author_sort Srinidhi Ramasundaram
collection DOAJ
description Background: The aim of this study was to compare the mechanical properties of the polymer brackets with metal and ceramic brackets and verify if the polymer brackets could be used clinically. Materials and Methods: A thorough search was conducted in four electronic databases, including Scopus, PubMed, Cochrane, Ovid, and Lilacs, with article selection based on Preferred Reporting Items for Systematic Reviews and Meta-Analysis standards. A computerized search of the database was done from January 1990 to June 2024. Two independent reviewers were involved in study selection, data extraction, and synthesis. Disagreements were resolved by discussion with a third reviewer. The risk of bias was assessed by the quality assessment tool for in vitro studies (QUIN tool). The outcomes measured included permanent deformation, hardness, and torquing capacity. Results: Ten studies were selected after excluding duplicates, screening, and complete text reading to identify the articles that met the eligibility criteria. All ten studies showed medium risk based on the quality assessment tool for in vitro studies (QUIN Tool). Conclusion: The following findings were obtained: Polymer brackets have lower mechanical properties in terms of torque loss, fracture resistance, hardness, and torsional creep compared to metal brackets. Among the polymers listed in the studies, it was found that polyamide exhibited low hardness and polyoxymethylene exhibited the highest torque loss. Torque deformation was highest with a ceramic-reinforced polymer bracket, followed by pure polymer. Torque deformation was minimal with metal slot- and ceramic-reinforced polymers, followed by metal slot-reinforced polymers.
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publishDate 2024-11-01
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spelling doaj-art-d872742de61b451f86b6c8eaad05e1682024-12-06T06:13:56ZengWolters Kluwer Medknow PublicationsDental Research Journal1735-33272008-02552024-11-01211595910.4103/drj.drj_196_24Comparing the mechanical properties of the polymer orthodontic bracket materials with the conventional orthodontic bracket materials: A systematic reviewSrinidhi RamasundaramDilip SrinivasanK. RaviDavis DevasahayamBackground: The aim of this study was to compare the mechanical properties of the polymer brackets with metal and ceramic brackets and verify if the polymer brackets could be used clinically. Materials and Methods: A thorough search was conducted in four electronic databases, including Scopus, PubMed, Cochrane, Ovid, and Lilacs, with article selection based on Preferred Reporting Items for Systematic Reviews and Meta-Analysis standards. A computerized search of the database was done from January 1990 to June 2024. Two independent reviewers were involved in study selection, data extraction, and synthesis. Disagreements were resolved by discussion with a third reviewer. The risk of bias was assessed by the quality assessment tool for in vitro studies (QUIN tool). The outcomes measured included permanent deformation, hardness, and torquing capacity. Results: Ten studies were selected after excluding duplicates, screening, and complete text reading to identify the articles that met the eligibility criteria. All ten studies showed medium risk based on the quality assessment tool for in vitro studies (QUIN Tool). Conclusion: The following findings were obtained: Polymer brackets have lower mechanical properties in terms of torque loss, fracture resistance, hardness, and torsional creep compared to metal brackets. Among the polymers listed in the studies, it was found that polyamide exhibited low hardness and polyoxymethylene exhibited the highest torque loss. Torque deformation was highest with a ceramic-reinforced polymer bracket, followed by pure polymer. Torque deformation was minimal with metal slot- and ceramic-reinforced polymers, followed by metal slot-reinforced polymers.https://journals.lww.com/10.4103/drj.drj_196_24dental materialshardnessorthodontic appliancesorthodontic bracketstorque
spellingShingle Srinidhi Ramasundaram
Dilip Srinivasan
K. Ravi
Davis Devasahayam
Comparing the mechanical properties of the polymer orthodontic bracket materials with the conventional orthodontic bracket materials: A systematic review
Dental Research Journal
dental materials
hardness
orthodontic appliances
orthodontic brackets
torque
title Comparing the mechanical properties of the polymer orthodontic bracket materials with the conventional orthodontic bracket materials: A systematic review
title_full Comparing the mechanical properties of the polymer orthodontic bracket materials with the conventional orthodontic bracket materials: A systematic review
title_fullStr Comparing the mechanical properties of the polymer orthodontic bracket materials with the conventional orthodontic bracket materials: A systematic review
title_full_unstemmed Comparing the mechanical properties of the polymer orthodontic bracket materials with the conventional orthodontic bracket materials: A systematic review
title_short Comparing the mechanical properties of the polymer orthodontic bracket materials with the conventional orthodontic bracket materials: A systematic review
title_sort comparing the mechanical properties of the polymer orthodontic bracket materials with the conventional orthodontic bracket materials a systematic review
topic dental materials
hardness
orthodontic appliances
orthodontic brackets
torque
url https://journals.lww.com/10.4103/drj.drj_196_24
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AT dilipsrinivasan comparingthemechanicalpropertiesofthepolymerorthodonticbracketmaterialswiththeconventionalorthodonticbracketmaterialsasystematicreview
AT kravi comparingthemechanicalpropertiesofthepolymerorthodonticbracketmaterialswiththeconventionalorthodonticbracketmaterialsasystematicreview
AT davisdevasahayam comparingthemechanicalpropertiesofthepolymerorthodonticbracketmaterialswiththeconventionalorthodonticbracketmaterialsasystematicreview