Kazan medical journalKazan medical journal0368-48142587-9359Eco-Vector650310.17750/KMJ2017-452Research ArticleAcoustic microscopy in orthodontologyGasymovaZ Vnauchnayastatya@yandex.ruAzerbaijan State Medical University0506201798345245605062017Copyright © 2017, Gasymova Z.V.2017<p><strong>Aim.</strong> Assessment of the possibility to use the method of ultrasound acoustic microscopy to control the state of microstructure of hard tooth tissues under the brackets. </p>
<p><strong>Methods.</strong> The study was conducted with the use of scanning acoustic microscope ELSAM (Leitz, Germany) in Emanuel Institute of biochemical physics, Moscow. The studied material for acoustic microscopy corresponds to 34 teeth (premolars) with brackets fixed to them, which were removed due to orthodontic indications at different time points after brackets placement. </p>
<p><strong>Results.</strong> In most cases on acoustic images of the removed teeth there were no revealed changes of physical and mechanical enamel properties, fissures or excess porosity both directly under the brackets and in the areas adjacent to the sealer margin. But in some cases along with good enamel state after long-term brackets placement minor changes in the structure of hard tooth tissues were revealed. In particular, the method of acoustic microscopy allowed to detect in the tooth enamel such minor defects as fissures and areas of reduced mineralization and increased porosity. </p>
<p><strong>Conclusion.</strong> Acoustic microscopy as a novel method to obtain clear structural images of hard tooth tissue state allows detecting minimal changes of the structure of hard tissues and performing medical interventions based on them.</p>dentoalveolar anomaliesbracket systemacoustic microscopyзубочелюстные аномалиибрекет-системаакустическая микроскопия[Пеpсин Л.С., Елизарова В.М., Дьякова С.В. Стоматология детского возраста. Учебник в 3 ч. Ч. 3. Ортодонтия. М.: ГЭОТАР-Медиа. 2016; 240 с.][Хорошилкина Ф.Я. Ортодонтия. Дефекты зубов, зубных рядов, аномалии прикуса, функциональные нарушения в челюстно-лицевой области и их комплексное лечение. М.: МИА. 2006; 541 с.][John C.B., McLaughlin R.P. Fundamentals of orthodontic treatment mechanics. Le Grande Publishing, London, UK and Dubai. 2014; 289 p.][Berlin-Broner Y., Levin L., Ashkenazi M. Awareness of orthodontists regarding oral hygiene performance during active orthodontic treatme. Eur. J. Paediatr. Dent. 2012; 13 (3): 187-191.][Ballard R.W., Hagan J.L., Phaup A.N. et al. Evaluation of 3 commercially available materials for resolution of white spot lesions. Am. J. Orthod. Dentofacial. Orthop. 2013; 143 (4): S78-S84. DOI: 10.1016/j.ajodo.2012.08.020.][Richter A.E., Arruda A.O., Peters M.C., Sohn W. Incidence of caries lesions among patients treated with comprehensive orthodontics. Am. J. Orthod. Dentofacial. Orthop. 2011; 139 (5): 657-664. DOI: 10.1016/j.ajodo.2009.06.037.][Bonetti A.G., Zanarini M., Parenti I.S. et al. Evaluation of enamel surfaces after bracket debonding: an in vivo study with scanning electron microscopy. Am. J. Orthod. Dentofacial. Orthop. 2011; 140 (5): 696-702. DOI: 10.1016/j.ajodo.2011.02.027.][Ciocan D.I., Stanciu D., Popescu M.A. et al. Electron microscopy analysis of different orthodontic brackets and their adhesion to the tooth enamel. Rom. J. Morphol. Embryol. 2014; 55 (2): 591-596.][Маев Р.Г., Максимовский Ю.М., Денисова Л.А. и др. Акустическая микроскопия - новый метод исследования тканей зубов. Стоматология. 2000; (5): 14-19.][Denisova L.A., Maev R.Gr., Rusanov F.S. et al. Fundamental potential for acoustic microscopy evaluation of dental tissues. Acoustical Imaging. 2007; 28: 81-88. DOI: 10.1007/1-4020-5721-0_10.][Zheng Y.P., Maeva E.Yu., Denisov A.A., Maev R.G. Ultrasound imaging of human teeth using a desktop scanning acoustic microscope. Acoustical Imaging. 2000; 24: 165-171. DOI: 10.1007/0-306-47108-6_24.]