Evaluation of the effects of three different mouthwashes on the force decay of orthodontic chains

Abstract

Background: Elastomeric chains are commonly used in orthodontics. Force decay in these

materials poses clinical problems. The aim of this study was to evaluate the effects of three different

mouthwashes on the force decay of orthodontic chains.

Materials and Methods: In this experimental study, elastomeric chains with two different

confi gurations were divided into eight groups (two control and six test groups). After 10 s of

prestretching up to 100% of their initial length, the chains were stretched for 25 mm on jig pins

and then immersed in artifi cial saliva, persica, chlorhexidine 0.2% and sodium fl uoride 0.05%

mouthwashes. Ten cycles of thermocycling between 5°C and 55°C were conducted daily during

the test period. In order to reach a 200-g initial force, seven loop closed chains, and fi ve-loop short

chains were selected. Forces were recorded by digital force gauge (Lutron) at initial, 24 h, 1, 2, 3

and 4 weeks for all groups. The amount of force loss was compared among different mouthwashes

and times using one-way analysis of variance (post-hoc, Tukey, α = 0.05).

Results: About 20% of the force decay occurred during the fi rst 24 h, but after that and up to the

4th week the rate of force loss was gradual and steady. After 4 weeks, persica and chlorhexidine

caused the lowest and the highest percentage of force loss, respectively. These two mouthwashes

showed statistically signifi cant differences at all points of time (P < 0.05).

Conclusion: Within the limitations of this study, during the orthodontic treatment, persica is

preferred to chlorhexidine for oral health control.

Key Words: Elastomeric chain, force decay, mouthwash