MODIFIKOVANA METODA DIREKTNOG POSTAVLJANJA BRAVICA ZA ZUBE - EFIKASNIJI PRISTUP ORTODONTSKE TERAPIJE: RETROSPEKTIVNA KLINIČKA STUDIJA. (Bosnian)

Background: The aim of the study was to determine the percentage of bond failures of placed brackets with a modified direct method in patients of both genders, different ages and malocclusion types during 12 months of initial bonding. Material and Methods: The retrospective clinical study covered the period from November 2019 to December 2022 and included thirty patients with an average age of 17.07±5.35 8 males, (average age 18.77±7.87), and 22 females, (average age 16.45±4.17) who met the criteria. A total of 600 brackets with a 0.022" slot size (Mini Sprint ®, Forestadent, Germany) were placed by a modified direct method using thin paste adhesive (Reliance Light Bond™, Itasca, USA) by one operator. The observation of bond failures lasted 12 months. Results: The total number of bond failures was 10 (1.67%), where eight patients (26,7%) experienced unwanted debonding. The number of failed brackets in relation to age and malocclusion did not show statistical significance. There was a clinical difference between the genders, in 18.2% of women and in 50% of men. Statistical significance in number of failed brackets was not significant (HR=0.343; 95% CI: 0.084-1.394; p=0.135). Conclusion: The modified direct bonding method did not show differences at the level of age, gender and type of malocclusion, but it can be one of the methods of choice during direct bonding. [ABSTRACT FROM AUTHOR]

Uvod: Cilj studije bio je da se utvrde procenat neželjenih debondiranja postavljenih bravica modifikovanom direktnom metodom bondiranja kod pacijenata oba pola, različitog životnog doba i malokluzija u toku 12 mesesci ortodontske terapije fiksnim aparatima. Materijali i metode: Retrospektivnom kliničkom studijom obuhvaćen je period od novembra 2019. do decembra 2022. godine i obuhvaćeno je trideset pacijenata (prosečne starosti 17,07 ± 5,35 godina) 8 muških osoba, (prosečne starosti 18,77 ± 7,87 godina) i 22 ženske osobe, (prosečne starosti 16,45 ± 4,17 godina), koji su ispunjavali kriterijume studije. Postavljeno je ukupno 600 bravica 0.022" (Mini Sprint®, Forestadent, Germany) modifikovanom direktnom metodom pomoću adhezivnog materijala (Resiliance Light Bond™, Itasca, USA) od strane jednog operatera. Opservacija otpalih bravica praćena je 12 meseci od bondiranja. Rezultati: Ukupan broj otpalih bravica bio je 10 (1,67%), a 8 pacijenata (26,7%) doživelo je neželjena debondiranja. Broj otpalih bravica u odnosu na godine i malokluzije nije dao statističke značajnosti. Postoji klinička razlika među polovima = 18,2% kod žena i 50% kod osoba muškog pola, a statistička značajnost u broju neželjenih debondiranja nije značajna (HR = 0,343; 95% CI: 0,084-1,394; p = 0,135). Zaključak: Modifikovana direktna metoda bondiranja nije dala razlike na nivou godina, pola i vrste malokluzija, ali može biti jedna od metoda izbora prilikom direktnog bondiranja. [ABSTRACT FROM AUTHOR]

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