Hemostatic agents in orthodontics: A review
Abstract
Introduction and Aims: Loss of the bracket-tooth bond is one of the most common complaints of patients during orthodontic treatment. Various factors play a role in preventing the loss of such a strong bond between the bracket and tooth, one of which is the maintenance of proper isolation and prevention of contamination of tooth surface with blood during the surgical exposure of the impacted tooth. In case of bleeding during disimpaction treatment, the use of hemostatic agents might decrease the odds of tooth surface contamination with blood, resulting in a strong bond. This study aimed to evaluate the effect of different hemostatic agents on the bond between the bracket and tooth. Materials and Methods: Science Direct, PubMed, and Google Scholar databases were searched for relevant previous studies published from 2010 to 2020. These studies’ titles and abstracts were evaluated for inclusion criteria. In vivo and in vitro studies evaluating the effect of hemostatic agents on the bracket-tooth bond were included. Results: Eight studies were included in the study based on inclusion criteria; five studies were in vitro, and two were in vivo; one study had both designs. Of in vitro studies evaluating the bond strength, five studies reported a higher bond strength in the control group than the group in which the tooth surfaces were contaminated with a hemostatic agent; besides, the bond strength in the hemostatic agent group was higher than that in the group in which the tooth surfaces were contaminated with blood. Of in vivo studies, two studies evaluated bracket failure as a criterion to evaluate bonding quality. In one of these studies, bracket failure in the control groups was more than the hemostatic agent group, and in the other study, it was more prevalent in the hemostatic agent group than the control groups. Studies comparing different hemostatic agents did not report any significant differences in bonding quality. Conclusion: It appears that the use of hemostatic agents in disimpaction treatments can prevent contamination of tooth surface with blood, increasing the bond strength between the bracket and tooth; however, care should be exercised to prevent tooth surface contamination with hemostatic agents. Keywords: Bracket; Orthodontic bonding; Hemostatic agent; Bond strength; Adhesive.
1. Finnema KJ, Özcan M, Post WJ, Ren Y, Dijkstra PUJAJoO, Orthopedics D. In-vitro orthodontic bond strength testing: a systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2010;137(5):615-22. e3.
2. van Waveren Hogervorst WL, Feilzer AJ, Prahl-Andersen BJAJoO, Orthopedics D. The air-abrasion technique versus the conventional acid-etching technique: A quantification of surface enamel loss and a comparison of shear bond strength. Am J Orthod Dentofacial Orthop. 2000;117(1):20-6.
3. Dalaie K, Mirfasihi A, Eskandarion S, Kabiri SJEjod. Effect of bracket base design on shear bond strength to feldspathic porcelain. Eur J Dent. 2016;10(03):351-5.
4. Mandall NA, Hickman J, Macfarlane TV, Mattick RC, Millett DT, Worthington HVJCDoSR. Adhesives for fixed orthodontic brackets. Cochrane Database Syst Rev. 2003(2).
5. Titley KC, Mahal R, Rossouw P, Kulkarni GJPd. Shear bond strengths of orthodontic brackets cemented to bovine enamel with composite and resin-modified glass ionomer cements. Pediatr Dent. 2003;25(3):263-9.
6. Kumar R, Kaur M, Miglani AJJoPFA. Contemporary orthodontic bonding adhesives-An in vitro Study. J Pierre Fauchard Acad. 2011;25(3):144-8.
7. Vittorio Cacciafesta D, MSc, PhD,a Maria Francesca Sfondrini, MD, DDS,b Andrea Scribante, DDS,c, Marco De Angelis D, c and Catherine Klersy, MD, MSc. Effects of blood contamination on the shear bond strengths of conventional and hydrophilic primers. Am J Orthod Dentofacial Orthop. 2004;126(2):207-12.
8. Kumar P, Shenoy A, Joshi SJJocdJ. The effect of various surface contaminants on the microleakage of two different generation bonding agents: A stereomicroscopic study. J Conserv Dent. 2012;15(3):265.
9. Güngör AY, Alkis H, Turkkahraman HJTkjoo. Effects of contamination by either blood or a hemostatic agent on the shear bond strength of orthodontic buttons. Korean J Orthod. 2013;43(2):96-100.
10. Arabion H, Gholami M, Dehghan H, Khalife HJJoDM, Techniques. Prevalence of impacted teeth among young adults: A retrospective radiographic study. J Dental Materials and Techniques. 2017;6(3):131-7.
11. Tausche E, Harzer WJAjoo, orthopedics d. Treatment of a patient with Class II malocclusion, impacted maxillary canine with a dilacerated root, and peg-shaped lateral incisors. Am J Orthod Dentofacial Orthop. 2008;133(5):762-70.
12. de Oliveira Bernades K, Hilgert LA, Ribeiro APD, Garcia FCP, Pereira PNRJTJotADA. The influence of hemostatic agents on dentin and enamel surfaces and dental bonding: A systematic review. J Am Dent Assoc. 2014;145(11):1120-7.
13. Felpel LPJTJopd. A review of pharmacotherapeutics for prosthetic dentistry: Part I. J Prosthet Dent. 1997;77(3):285-92.
14. ROSENSTIEL, Stephen F.; LAND, Martin F. (ed.). Contemporary fixed prosthodontics-e-book. Elsevier Health Sciences, 2015.
15. Strassler HE, Boksman LJOH. Tissue management, gingival retraction and hemostasis. Oral Health. 2011;101(7):35.
16. Tarighi P, Khoroushi MJDrj. A review on common chemical hemostatic agents in restorative dentistry. Dent Res J (Isfahan). 2014;11(4):423.
17. Karabekiroğlu S, Kök HJJoas, Technology. Do hemostatic agents affect shear bond strength and clinical bond failure rate of orthodontic brackets? J Adhes Sci Technol. 2018;32(1):103-13.
18. Oksayan R, Sokucu O, Isman N, Kayali K, Cebe MJNjocp. Effects of hemostatic agents on shear bond strength of orthodontic brackets. Niger J Clin Pract. 2015;18(2):189-93.
19. Scarano A, Carinci F, Cimorelli E, Quaranta M, Piattelli AJJoo, surgery m. Application of calcium sulfate in surgical-orthodontic treatment of impacted teeth: a new procedure to control hemostasis. J Oral Maxillofac Surg. 2010;68(5):964-8.
20. Goker H, Haznedaroglu I, Ercetin S, Kirazli S, Akman U, Ozturk Y, et al. Haemostatic actions of the folkloric medicinal plant extract Ankaferd Blood Stopper®. J Int Med Res. 2008;36(1):163-70.
21. Scarano A, Artese L, Piattelli A, Carinci F, Mancino C, Iezzi GJJoe. Hemostasis control in endodontic surgery: a comparative study of calcium sulfate versus gauzes and versus ferric sulfate. J Endod. 2012;38(1):20-3.
22. Al-Abbasi AM SZ. Hydrogen Peroxide 3%: Is it Beneficial in Tonsillectomy? Sultan Qaboos Univ Med J. 2008;8(2):201-4.
23. Altun H, Hancı D, Kumral TL, Uyar YJTaoo. The Hemostatic Efficacy of Hydrogen Peroxide Irrigation to Control Intraoperative Bleeding in Adenoidectomy. Turk Arch Otorhinolaryngol. 2018;56(4):193.
24. Karaman E, Tuncer D, Toz T, Kusdemir M, Genc GJJoAS, Technology. The influence of blood and/or hemostatic agent contamination on Micro-TBS to dentin. J Adhes Sci Technol. 2015;29(13):1295-300.
25. Akdeniz BS, Öz AA, Arıcı N, Demir O, Arıcı S. Using hemostatic agents during orthodontic bonding: An in vitro study. Turk J Orthod. 2015.
26. Trakyali G, Oztoprak MOJAO. Plant extract ankaferd blood stopper effect on bond strength. Angle Orthod. 2010;80(3):570-4.
27. Krishnan V, Kailasam V, Chitharanjan A. Effects of haemostatic agents on bond strength:An InVitro study. Indian J Dent Res. 2020;31(4):585-8.
28. ADiLOĞLU S, AKTAŞ A, ÖZ AZ, El HJTjoms. Hemostatic effects of adrenaline and Ankaferd (blood stopper) during orthodontic attachment bonding. Turk J Med Sci. 2018;48(6):1234-8.
29. Bandi M, Mallineni SK, Nuvvula SJJocdJ. Clinical applications of ferric sulfate in dentistry: A narrative review. J Conserv Dent. 2017;20(4):278.
30. De Munck Jd, Van Landuyt K, Peumans M, Poitevin A, Lambrechts P, Braem M, et al. A critical review of the durability of adhesion to tooth tissue: methods and results. J Dent Res. 2005;84(2):118-32.
31. Sayinsu K, Isik F, Sezen S, Aydemir BJAJoO, Orthopedics D. Effect of blood and saliva contamination on bond strength of brackets bonded with a protective liquid polish and a light-cured adhesive. Am J Orthod Dentofacial Orthop. 2007;131(3):391-4.
2. van Waveren Hogervorst WL, Feilzer AJ, Prahl-Andersen BJAJoO, Orthopedics D. The air-abrasion technique versus the conventional acid-etching technique: A quantification of surface enamel loss and a comparison of shear bond strength. Am J Orthod Dentofacial Orthop. 2000;117(1):20-6.
3. Dalaie K, Mirfasihi A, Eskandarion S, Kabiri SJEjod. Effect of bracket base design on shear bond strength to feldspathic porcelain. Eur J Dent. 2016;10(03):351-5.
4. Mandall NA, Hickman J, Macfarlane TV, Mattick RC, Millett DT, Worthington HVJCDoSR. Adhesives for fixed orthodontic brackets. Cochrane Database Syst Rev. 2003(2).
5. Titley KC, Mahal R, Rossouw P, Kulkarni GJPd. Shear bond strengths of orthodontic brackets cemented to bovine enamel with composite and resin-modified glass ionomer cements. Pediatr Dent. 2003;25(3):263-9.
6. Kumar R, Kaur M, Miglani AJJoPFA. Contemporary orthodontic bonding adhesives-An in vitro Study. J Pierre Fauchard Acad. 2011;25(3):144-8.
7. Vittorio Cacciafesta D, MSc, PhD,a Maria Francesca Sfondrini, MD, DDS,b Andrea Scribante, DDS,c, Marco De Angelis D, c and Catherine Klersy, MD, MSc. Effects of blood contamination on the shear bond strengths of conventional and hydrophilic primers. Am J Orthod Dentofacial Orthop. 2004;126(2):207-12.
8. Kumar P, Shenoy A, Joshi SJJocdJ. The effect of various surface contaminants on the microleakage of two different generation bonding agents: A stereomicroscopic study. J Conserv Dent. 2012;15(3):265.
9. Güngör AY, Alkis H, Turkkahraman HJTkjoo. Effects of contamination by either blood or a hemostatic agent on the shear bond strength of orthodontic buttons. Korean J Orthod. 2013;43(2):96-100.
10. Arabion H, Gholami M, Dehghan H, Khalife HJJoDM, Techniques. Prevalence of impacted teeth among young adults: A retrospective radiographic study. J Dental Materials and Techniques. 2017;6(3):131-7.
11. Tausche E, Harzer WJAjoo, orthopedics d. Treatment of a patient with Class II malocclusion, impacted maxillary canine with a dilacerated root, and peg-shaped lateral incisors. Am J Orthod Dentofacial Orthop. 2008;133(5):762-70.
12. de Oliveira Bernades K, Hilgert LA, Ribeiro APD, Garcia FCP, Pereira PNRJTJotADA. The influence of hemostatic agents on dentin and enamel surfaces and dental bonding: A systematic review. J Am Dent Assoc. 2014;145(11):1120-7.
13. Felpel LPJTJopd. A review of pharmacotherapeutics for prosthetic dentistry: Part I. J Prosthet Dent. 1997;77(3):285-92.
14. ROSENSTIEL, Stephen F.; LAND, Martin F. (ed.). Contemporary fixed prosthodontics-e-book. Elsevier Health Sciences, 2015.
15. Strassler HE, Boksman LJOH. Tissue management, gingival retraction and hemostasis. Oral Health. 2011;101(7):35.
16. Tarighi P, Khoroushi MJDrj. A review on common chemical hemostatic agents in restorative dentistry. Dent Res J (Isfahan). 2014;11(4):423.
17. Karabekiroğlu S, Kök HJJoas, Technology. Do hemostatic agents affect shear bond strength and clinical bond failure rate of orthodontic brackets? J Adhes Sci Technol. 2018;32(1):103-13.
18. Oksayan R, Sokucu O, Isman N, Kayali K, Cebe MJNjocp. Effects of hemostatic agents on shear bond strength of orthodontic brackets. Niger J Clin Pract. 2015;18(2):189-93.
19. Scarano A, Carinci F, Cimorelli E, Quaranta M, Piattelli AJJoo, surgery m. Application of calcium sulfate in surgical-orthodontic treatment of impacted teeth: a new procedure to control hemostasis. J Oral Maxillofac Surg. 2010;68(5):964-8.
20. Goker H, Haznedaroglu I, Ercetin S, Kirazli S, Akman U, Ozturk Y, et al. Haemostatic actions of the folkloric medicinal plant extract Ankaferd Blood Stopper®. J Int Med Res. 2008;36(1):163-70.
21. Scarano A, Artese L, Piattelli A, Carinci F, Mancino C, Iezzi GJJoe. Hemostasis control in endodontic surgery: a comparative study of calcium sulfate versus gauzes and versus ferric sulfate. J Endod. 2012;38(1):20-3.
22. Al-Abbasi AM SZ. Hydrogen Peroxide 3%: Is it Beneficial in Tonsillectomy? Sultan Qaboos Univ Med J. 2008;8(2):201-4.
23. Altun H, Hancı D, Kumral TL, Uyar YJTaoo. The Hemostatic Efficacy of Hydrogen Peroxide Irrigation to Control Intraoperative Bleeding in Adenoidectomy. Turk Arch Otorhinolaryngol. 2018;56(4):193.
24. Karaman E, Tuncer D, Toz T, Kusdemir M, Genc GJJoAS, Technology. The influence of blood and/or hemostatic agent contamination on Micro-TBS to dentin. J Adhes Sci Technol. 2015;29(13):1295-300.
25. Akdeniz BS, Öz AA, Arıcı N, Demir O, Arıcı S. Using hemostatic agents during orthodontic bonding: An in vitro study. Turk J Orthod. 2015.
26. Trakyali G, Oztoprak MOJAO. Plant extract ankaferd blood stopper effect on bond strength. Angle Orthod. 2010;80(3):570-4.
27. Krishnan V, Kailasam V, Chitharanjan A. Effects of haemostatic agents on bond strength:An InVitro study. Indian J Dent Res. 2020;31(4):585-8.
28. ADiLOĞLU S, AKTAŞ A, ÖZ AZ, El HJTjoms. Hemostatic effects of adrenaline and Ankaferd (blood stopper) during orthodontic attachment bonding. Turk J Med Sci. 2018;48(6):1234-8.
29. Bandi M, Mallineni SK, Nuvvula SJJocdJ. Clinical applications of ferric sulfate in dentistry: A narrative review. J Conserv Dent. 2017;20(4):278.
30. De Munck Jd, Van Landuyt K, Peumans M, Poitevin A, Lambrechts P, Braem M, et al. A critical review of the durability of adhesion to tooth tissue: methods and results. J Dent Res. 2005;84(2):118-32.
31. Sayinsu K, Isik F, Sezen S, Aydemir BJAJoO, Orthopedics D. Effect of blood and saliva contamination on bond strength of brackets bonded with a protective liquid polish and a light-cured adhesive. Am J Orthod Dentofacial Orthop. 2007;131(3):391-4.
| Files | ||
| Issue | Vol 8, No 3 (Summer 2021) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v8i3.8835 | |
| Keywords | ||
| Orthodontic bonding Bracket Hemostatic agent Bond strength Adhesive | ||
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How to Cite
1.
Samaei Rahni M, Hesam Arefi A. Hemostatic agents in orthodontics: A review. J Craniomaxillofac Res. 2022;8(3):91-100.
