Abstract
Adult orthodontics is recently gaining popularity due to its importance in esthetics, oral and general health. However, none of the currently available alumina or zirconia based ceramic orthodontic brackets meet the esthetic demands of adult patients. Inherent hexagonal lattice structure and associated birefringence limits the visible light transmission in polycrystalline alumina and make them appear white and non transparent. Hence focus of the present study was to assess the feasibility of using magnesium aluminate (MgAl2O4) spinel; a member of the transparent ceramic family for esthetic orthodontic brackets. Transparent spinel specimens were developed from commercially available white spinel powder through colloidal shaping followed by pressureless sintering and hot isostatic pressing at optimum conditions of temperature and pressure. Samples were characterized for chemical composition, phases, density, hardness, flexural strength, fracture toughness and optical transmission. Biocompatibility was evaluated with in-vitro cell line experiments for cytotoxicity, apoptosis and genotoxicity. Results showed that transparent spinel samples had requisite physico-chemical, mechanical, optical and excellent biocompatibility for fabricating orthodontic brackets. Transparent spinel developed through this method demonstrated its possibility as a prospective biomaterial for developing esthetic orthodontic brackets.
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References
Pabari S, Moles DR, Cunningham SJ. Assessment of motivation and psychological characteristics of adult orthodontic patients. Am J Orthod Dentofac Orthop. 2011;140:e263–72.
Choo H, Heo HA, Yoon HJ, Chung KR, Kim SH. Treatment outcome analysis of speedy surgical orthodontics for adults with maxillary protrusion. Am J Orthod Dentofac Orthop. 2011;140:e251–62.
Bollen AM. Effects of malocclusions and orthodontics on periodontal health: evidence from a systematic review. J Dent Educ. 2008;72:912–8.
Handelman CS, Greene CS. Progressive/idiopathic condylar resorption: an orthodontic perspective. Semin Orthod. 2013;19:55–70.
Lobbezoo F, van der Zaag J, van Selms MK, Hamburger HL, Naeije M. Principles for the management of bruxism. J Oral Rehabil. 2008;35:509–23.
Ho ML, Brass SD. Obstructive sleep apnea. Neurol Int. 2011;3:e15.
Rosvall MD, Fields HW, Ziuchkovski J, Rosenstiel SF, Johnston WM. Attractiveness, acceptability, and value of orthodontic appliances. Am J Orthod Dentofac Orthop. 2009;135:276–7.
Vitral JC, Fraga MR, de Souza MA, Ferreira AP, Vitral RW. In-vitro study of cellular viability and nitric oxide production by J774 macrophages stimulated by interferon gamma with ceramic, polycarbonate, and polyoxymethylene brackets. Am J Orthod Dentofac Orthop. 2010;137:665–70.
Karamouzos A, Athanasiou AE, Papadopoulos MA. Clinical characteristics and properties of ceramic brackets: a comprehensive review. Am J Orthod Dentofac Orthop. 1997;112:34–40.
Brantly WA. Orthodontic wires. In: Brantley WA, Eliadas T, editors. Orthodontic materials: scientific and clinical aspects. Stuttgart: Thieme; 2001. p. 144–71.
Apetz R, van Bruggen MP. Transparent alumina: a light-scattering model. J Am Ceram Soc. 2003;86:480–6.
Bishara SE. Ceramic brackets and the need to develop national standards. Am J Orthod Dentofac Orthop. 2000;117:595–7.
Russell JS. Aesthetic orthodontic brackets. J Orthod. 2005;32:146–63.
Suárez MFA, Torrecillas R, Menéndez JL. Sintering to transparency of polycrystalline ceramic materials, sintering of ceramics—new emerging techniques. In: Lakshmanan A, editor. InTech 2012.
Ganesh I. A review on magnesium aluminate (MgAl2O4) spinel: synthesis, processing and applications. Int Mater Rev. 2013;58:63–112.
Villalobos GR, Sanghera JS, Aggarwal ID. Degradation of magnesium aluminum spinel by lithium fluoride sintering aid. J Am Ceram Soc. 2005;88:1321–2.
Itatani K, Tsujimoto T, Kishimoto A. Thermal and optical properties of transparent magnesium oxide ceramics fabricated by post hot-isostatic pressing. J Eur Ceram Soc. 2006;26:639–45.
Wang CT, Lin LS, Yang SJ. Preparation of MgAl2O4 spinel powders via freeze-drying of alkoxide precursors. J Am Ceram Soc. 1992;75:2240–3.
Li JG, Ikegami T, Lee JH, Mori T. Low-temperature fabrication of transparent yttrium aluminum garnet (YAG) ceramics without additives. J Am Ceram Soc. 2000;83:961–3.
Bodhak S, Balla VK, Bose S, Bandyopadhyay A, Kashalikar U, Jha SK, et al. In vitro biological and tribological properties of transparent magnesium aluminate (Spinel) and aluminum oxynitride (ALON(R)). J Mater Sci Mater Med. 2011;22:1511–9.
Krell A, Klimke J, Hutzler T. Advanced spinel and sub-μm Al2O3 for transparent armour applications. J Eur Ceram Soc. 2009;29:275–81.
Plumb JA. Cell sensitivity assays : the MTT assay. Methods Mol Med. 1999;28:25–30.
Kasibhatla S, Amarante-Mendes GP, Finucane D, Brunner T, Bossy-Wetzel E, Green DR. Propidium iodide (PI) uptake assay to detect apoptosis. Cold Spring Harb Protoc. 2006;2006:pdb.prot4495.
Kirsch-Volders M, Decordier I, Elhajouji A, Plas G, Aardema MJ, Fenech M. In vitro genotoxicity testing using the micronucleus assay in cell lines, human lymphocytes and 3D human skin models. Mutagenesis. 2011;26:177–84.
Sickafus KE, Wills JM, Grimes NW. Structure of spinel. J Am Ceram Soc. 1999;82:3279–92.
Hallstedt B. Thermodynamic assessment of the system MgO–Al2O3. J Am Ceram Soc. 1992;75:1497–507.
Swartz ML. Ceramic brackets. J Clin Orthod. 1988;22:82–8.
Scott GE Jr. Fracture toughness and surface cracks-the key to understanding ceramic brackets. Angle Orthod. 1988;58:5–8.
Goldstein A, Goldenberg A, Yeshurun Y, Hefetz M. Transparent MgAl2O4 spinel from a powder prepared by flame spray pyrolysis. J Am Ceram Soc. 2008;91:4141–4.
Cheng J, Agrawal D, Zhang Y, Roy R. Microwave sintering of transparent alumina. Mater Lett. 2002;56:587–92.
Morita K, Kim BN, Hiraga K, Yoshida H. Fabrication of high-strength transparent MgAl2O4 spinel polycrystals by optimizing spark-plasma-sintering conditions. J Mater Res. 2009;24:2863–72.
Williams DF. On the mechanisms of biocompatibility. Biomaterials. 2008;29:2941–53.
Hanks CT, Wataha JC, Sun Z. In vitro models of biocompatibility: a review. Dent Mater. 1996;12:186–93.
Orrenius S, Nicotera P, Zhivotovsky B. Cell death mechanisms and their implications in toxicology. Toxicol Sci. 2011;119:3–19.
Cho MH, Niles A, Huang R, Inglese J, Austin CP, Riss T, et al. A bioluminescent cytotoxicity assay for assessment of membrane integrity using a proteolytic biomarker. Toxicol In Vitro. 2008;22:1099–106.
Negroiu G, Piticescu RM, Chitanu GC, Mihailescu IN, Zdrentu L, Miroiu M. Biocompatibility evaluation of a novel hydroxyapatite-polymer coating for medical implants (in vitro tests). J Mater Sci Mater Med. 2008;19:1537–44.
Acknowledgments
We would like to thank Dr. G. Sundararajan, (Director), International Advanced Research Centre for Powder Metallurgy and New Materials (ARCI), Hyderabad, India and Dr. B. S. Dwarakanath, (Additional Director), Division of Radiation Biosciences, Institute of Nuclear Medicine and Allied Sciences (INMAS), Defence Research and Development Organization (DRDO), Delhi, India.
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Krishnan, M., Tiwari, B., Seema, S. et al. Transparent magnesium aluminate spinel: a prospective biomaterial for esthetic orthodontic brackets. J Mater Sci: Mater Med 25, 2591–2599 (2014). https://doi.org/10.1007/s10856-014-5268-3
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DOI: https://doi.org/10.1007/s10856-014-5268-3