Journal of Orthodontic Science最新文献

{"title":"Do treatment outcomes of clear aligners remain stable over time? A systematic review.","authors":"Dareen Khaled Aljehani, Fawaz Pullishery","doi":"10.4103/jos.jos_188_25","DOIUrl":"10.4103/jos.jos_188_25","url":null,"abstract":"<p><strong>Objective: </strong>This review systematically evaluated the evidence on clear aligner therapy, focusing on its dentoskeletal, periodontal, and patient-related advantages over traditional appliances.</p><p><strong>Materials and methods: </strong>A comprehensive literature search was conducted in PubMed, Scopus, and Web of Science for relevant studies published between January 2015 and March 2025. The two authors independently assessed the titles and abstracts of conceivably eligible papers. Disputes between the two examiners were settled by discussion, and a third party was consulted for a conclusive decision. The review question was formulated using the population, intervention, comparison, and outcome (PICO) framework. The risk of bias instrument RoB-2 was used to assess the risk of bias in randomized controlled trials (RCTs). The Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) method was used in assessing non-randomized studies.</p><p><strong>Results: </strong>The search identified 196 studies, of which 55 underwent full-text review, and 15 met the inclusion criteria. Thirteen were non-randomized studies and two randomized. Six examined long-term aligner outcomes without comparison, three compared aligners with twin block appliances, one with an untreated group, and six with fixed appliances. According to the ROBINS-I tool, three studies showed low, three moderate, and seven high risk of bias (RoB), while both RCTs had low risk according to RoB-2.</p><p><strong>Conclusion: </strong>Clear aligners enhance dental aesthetics and periodontal health relative to conventional fixed appliances, offering potential benefits in treatment length and patient comfort.</p>","PeriodicalId":16604,"journal":{"name":"Journal of Orthodontic Science","volume":"15 ","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of cervical vertebral maturation, hand wrist skeletal maturity indicators, and dental age in growing patients: A retrospective study.","authors":"Ibrahim Kassem, Paul Emile Rossouw, Basir Barmak, Dimitrios Michelogiannakis, Shaima Malik","doi":"10.4103/jos.jos_94_25","DOIUrl":"10.4103/jos.jos_94_25","url":null,"abstract":"<p><strong>Objective: </strong>To correlate McNamara's User's Guide for Cervical Vertebral Maturation, Fishman's Hand Wrist Maturation, Chronological Age, and Dental Age for the assessment of Skeletal Maturation in growing orthodontic patients of different ethnic groups.</p><p><strong>Materials and methods: </strong>A total of 253 patients (127 males and 126 females) from different ethnic groups with lateral cephalograms, orthopantomograms, and hand-wrist radiographs were analyzed. Statistical analysis was performed, including Pearson's correlation coefficient, ANOVA, and Tukey <i>post hoc</i> analysis.</p><p><strong>Results: </strong>Strong correlations were observed between CA, Demirjian's DA, CVM, and HWM (<i>r</i> = 0.732-0.872, <i>P</i> < 0.001). Significant differences among age assessment methods were identified using ANOVA, with Tukey <i>post hoc</i> analysis highlighting differences between CA and DA (<i>P</i> = 0.006) and CVM and SMI (<i>P</i> < 0.001). No significant differences were found between CA and CVM (<i>P</i> = 0.979) or DA and SMI (<i>P</i> = 0.774).</p><p><strong>Conclusion: </strong>This study demonstrated a significant correlation between CVM, HWM, CA, and DA in assessing skeletal maturation across different ethnic groups.</p>","PeriodicalId":16604,"journal":{"name":"Journal of Orthodontic Science","volume":"15 ","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of cervical vertebrae morphology in individuals with different growth patterns: An observational study.","authors":"Chelle Sanjana, Srikrishna Chalasani, Raghu Devanna, Thamer Eidhah Alzahrani, Likhitha Derangula, Mohammed Saleh Althagafi","doi":"10.4103/jos.jos_120_25","DOIUrl":"10.4103/jos.jos_120_25","url":null,"abstract":"<p><strong>Objectives: </strong>To compare cervical vertebral dimensions in individuals with different growth patterns.</p><p><strong>Materials and methods: </strong>45 individuals were taken and equally divided into three groups. Age of participants were above 18 years. Routine lateral cephalometric radiographs were collected and subjects was divided using parameters FHP- MP, SN-MP, Tweeds FMA, Y- Axis and facial axis. To measure vertical height and length of c3 and c4 cervical vertebrae the reference points were marked on acetate paper using a soft lead pencil and measured with a digital micrometer caliper. The reference points used are Cv3sa, Cv4sa, Cv3ia, Cv4ia, Cv3sp, Cv4sp, Cv3ip, Cv4ip.</p><p><strong>Results: </strong>No significant difference observed between three growth patterns for C3 length superior (p-0.12) and C3 vertical posterior (p-0.14). A significant difference observed in C3 vertical anterior (p-0.02) and C3 length inferior (p-0.04). A significant difference observed in length superior (p-0.02) and length inferior (p-0.01) for C4.</p><p><strong>Conclusions: </strong>Individuals with average growth pattern tend to have larger inferior length for c3 and c4 and superior length for C4 than vertical growth patterns. whereas c3 vertical anterior value of horizontal is significantly higher than vertical growth patterns. Overall vertical growers presented smaller dimensions of cervical vertebrae 3 and 4.</p>","PeriodicalId":16604,"journal":{"name":"Journal of Orthodontic Science","volume":"15 ","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does piezocision induce root resorption or periodontal problems in class II patients?: A 2-year follow-up study.","authors":"Sertac Aksakalli, Seref Ezirganli, Erhan Demir","doi":"10.4103/jos.jos_155_25","DOIUrl":"10.4103/jos.jos_155_25","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the potential for root resorption and periodontal complications in patients with Class II malocclusion undergoing piezocision-assisted orthodontic treatment over a 2-year follow-up period.</p><p><strong>Materials and methods: </strong>Twenty patients (11 females, 9 males; mean age: 16.1 ± 2.8 years) requiring bilateral canine distalization and maxillary first premolar extraction were included in this split-mouth study. One quadrant was randomly assigned to undergo piezocision, while the contralateral quadrant served as the control. Panoramic radiographs were utilized to assess root resorption at baseline (T1), and 2 years post-treatment (T2). Additionally, gingival health and tooth mobility scores were evaluated. Statistical analyses were performed using the Wilcoxon signed-rank test.</p><p><strong>Results: </strong>No clinically significant root resorption was observed in either group. Mild resorption was noted on the upper canine of one patient in the piezocision group, while another patient in the control group exhibited resorption on the upper lateral incisor. Gingival health, and mobility scores decreased from T1 to T2 in both groups, with no statistically significant differences found between the piezocision and control sides. Scar formation on the attached gingiva was observed in one patient following piezocision; however, this was not associated with bone loss or increased periodontal pocket depth.</p><p><strong>Conclusion: </strong>Piezocision-assisted orthodontic treatment did not result in clinically significant root resorption or adverse periodontal outcomes in patients with Class II malocclusion over a 2-year period. These findings support the safety of piezocision as a method for accelerating tooth movement without compromising periodontal health. Further research with larger sample sizes and histological assessments is recommended to validate these results.</p>","PeriodicalId":16604,"journal":{"name":"Journal of Orthodontic Science","volume":"15 ","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the effect of platelet-rich plasma on the rate of orthodontic tooth movement : A split-mouth controlled study.","authors":"Megha R Revaneti, Riannee C Johnson, Azhar Mohammed, Numa Dhamnekar, M S Ravi","doi":"10.4103/jos.jos_1_26","DOIUrl":"10.4103/jos.jos_1_26","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effect of platelet-rich plasma (PRP) on the rate of orthodontic tooth movement during maxillary canine retraction.</p><p><strong>Materials and methods: </strong>This split-mouth controlled clinical study included 15 patients aged between 18 and 30 years requiring bilateral maxillary first premolar extractions. One side of the maxillary arch was randomly assigned as the experimental side and received a single submucosal injection of autologous PRP around the distal aspect of the canine, while the contralateral side served as the control. Mini-implants were placed bilaterally between the maxillary first and second molars and loaded with NiTi closed-coil springs delivering a retractive force of 150 g for canine retraction. Orthodontic tooth movement was evaluated using intraoral scans obtained with Trios 3 scanner at baseline (T0) and at 4-week intervals up to 16 weeks (T1-T4). The rate of canine movement was calculated using Ortho Systems Orthodontics software. Intergroup comparisons were performed using an unpaired <i>t</i>-test, and within-group comparisons were analyzed using one-way analysis of variance.</p><p><strong>Results: </strong>The mean rate of canine retraction on the PRP side was 0.37 ± 0.34 mm, 0.37 ± 0.34 mm, 0.66 ± 0.46 mm, and 0.52 ± 0.44 mm across successive intervals. On the control side, the corresponding values were 0.31 ± 0.24 mm, 0.31 ± 0.24 mm, 0.23 ± 0.27 mm, and 0.38 ± 0.53 mm. A statistically significant difference was observed during the T2-T3 interval (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>A single submucosal PRP injection may enhance canine retraction during orthodontic treatment, although the effect appears transient and time dependent.</p>","PeriodicalId":16604,"journal":{"name":"Journal of Orthodontic Science","volume":"15 ","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stress distribution in miniscrews with different insertion angles: A finite element analysis study.","authors":"Rishibha Bhardwaj, Dhara Shukla, P C Ramesh Kumar, Rohit Bahri, Naveen R Reddy, Snigdha Pattanaik, Azhar Mohammed, A N Prakruti","doi":"10.4103/jos.jos_200_25","DOIUrl":"10.4103/jos.jos_200_25","url":null,"abstract":"<p><strong>Background/objectives: </strong>Orthodontic miniscrews serve as critical temporary anchorage devices (TADs), but their clinical success is often limited by biomechanical instability. This research was done to evaluate the biomechanical impact of different miniscrew insertion angles on stress distribution and micromotion using finite element analysis (FEA).</p><p><strong>Methodology: </strong>FEA was performed on a total of 225 mandibular models derived from cone beam computed tomography scans of Indian adults. Titanium alloy (Ti-6Al-4V) miniscrews with Sandblasted, Large-grit, Acidsurface modification was inserted at angles of 30°, 45°, 60°, and 90°. Each setup was subjected to vertical and oblique orthodontic loads of 2 N and 5 N. Stress, displacement, and micromotion were analyzed, and the obtained data were statistically evaluated.</p><p><strong>Results: </strong>Miniscrew insertion at 45° demonstrated the most favorable biomechanical profile, with the lowest von Mises stress (61.2 MPa), minimal micromotion (0.033 mm), and optimal stress distribution. Insertion angle had a significant effect on stress (<i>P</i> < 0.001), and regression analysis identified insertion angle and bone density as significant predictors of stress and micromotion (adjusted <i>R</i>² = 0.89). The odds of failure due to high stress and micromotion were highest at insertion angles of 90° and 30°, respectively. Multivariate regression revealed that both insertion angle and bone density significantly influenced miniscrew stress and micromotion, with optimal 45° angulation and higher bone density minimizing failure risk (adjusted <i>R</i>² = 0.89).</p><p><strong>Conclusion: </strong>A 45° insertion angle offers biomechanical superiority for miniscrew placement, reducing stress concentrations and the risk of micromotion. These findings provide evidence-based guidance for clinical orthodontic practice, particularly in Indian populations.</p>","PeriodicalId":16604,"journal":{"name":"Journal of Orthodontic Science","volume":"15 ","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three-dimensional evaluation of anterior parameters and palatal height index in obstructive sleep apnea adults using cone beam computed tomography: A Case control study.","authors":"Mélanie Chahwan, Joseph Bouserhal, Alain Tauk, Nabil Ghosn, Terry El Wak, Amine El Zoghbi","doi":"10.4103/jos.jos_80_25","DOIUrl":"10.4103/jos.jos_80_25","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study was to compare the anterior parameters and the palatal height index (PHI) in obstructive sleep apnea (OSA) patients and control subjects, using cone-beam computed tomography (CBCT).</p><p><strong>Materials and methods: </strong>The CBCT data of 30 male OSA patient diagnosed with polysomnography and 30 male control subjects with no sleeping disorders were analyzed using the software 3D Slicer. The head position during the scan was similar in both groups. The anterior parameters (overjet and overbite) and the PHI were calculated. Independent samples T-test was used to identify statistically significant differences between the means of two independent groups. Chi-square test was used to assess relationship between categorical variables. A <i>P</i> value of less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The mean value of PHI was lower in the OSA group (<i>P</i> = 0.010). No statistically significant difference between the means of overbite and overjet was found between the two groups.</p><p><strong>Conclusion: </strong>The anterior parameters did not show significant differences between the groups. However, the OSA group have a significantly lower mean PHI than the control group.</p>","PeriodicalId":16604,"journal":{"name":"Journal of Orthodontic Science","volume":"15 ","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A validation study of the Malocclusion Impact Questionnaire to measure oral health-related quality of life in young adolescents with malocclusion from four Arabic countries.","authors":"Mohamed Hasab Elrasoul, Tariq M Al Awadhi, Miltiadis A Makrygiannakis, Zaid Bakri Al-Bitar, Ahmad M Hamdan, Adil Osman Mageet, Abbas Rafik Zaher, Athanasios E Athanasiou, Eleftherios G Kaklamanos","doi":"10.4103/jos.jos_15_26","DOIUrl":"10.4103/jos.jos_15_26","url":null,"abstract":"<p><strong>Background: </strong>The Malocclusion Impact Questionnaire (MIQ) is a validated tool used to assess how malocclusion affects oral health-related quality of life (OHRQoL). This research focused on translating and culturally adapting the MIQ, then validating it in a group of Arab adolescents with malocclusion.</p><p><strong>Materials and methods: </strong>Following translation per current guidelines, a pilot study with 20 adolescent native Arabic-speakers confirmed the comprehensiveness of the Arabic MIQ (MIQ-AR). The main study included 233 native Arabic-speaking children aged 10-16, who sought initial orthodontic advice. Construct validity was assessed by correlating the total MIQ-AR scale score with responses to global questions. Convergent validity was measured using the Child Perceptions Questionnaire (CPQ_11-14 - ISF: 16). Internal consistency and reliability were evaluated using Cronbach's alpha. Forty adolescents completed both questionnaires again after 3 weeks to assess measurement stability, using Spearman's correlation coefficient and the intraclass correlation coefficient. Additionally, principal component analysis (PCA) was conducted.</p><p><strong>Results: </strong>The MIQ-AR demonstrated high internal consistency with Cronbach's α above 0.90 and exhibited a strong Discrimination Index. A positive, strong, significant correlation between the global questions and the total MIQ-AR score supported the construct validity of the MIQ-AR. Convergent validity was confirmed through positive, strong, and statistically significant correlation between the MIQ-AR total scores and the CPQ_11-14 scale. The test-retest reliability assessment confirmed the measure's stability over time, and the PCA yielded a two-component solution that accounted for 52.3% of the total variance.</p><p><strong>Conclusion: </strong>The current version of MIQ-AR demonstrates strong psychometric properties in terms of validity and reliability, and appears to be a reliable instrument for assessing the impact of malocclusion on OHRQoL among Arab adolescents. However, these findings should be interpreted with caution, as they may be limited to populations like the study sample. Further testing of the measure is required across a variety of settings and further work should evaluate measurement invariance and responsiveness across countries and more representative community samples.</p>","PeriodicalId":16604,"journal":{"name":"Journal of Orthodontic Science","volume":"15 ","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiographic evaluation of increased overjet in skeletal Class II and other malocclusion classifications.","authors":"Akram S Alyessary, Rawof R Al Toma, Athraa A Abass, Dhuha A Alsattar, Qabas A Abdalhassan","doi":"10.4103/jos.jos_179_25","DOIUrl":"10.4103/jos.jos_179_25","url":null,"abstract":"<p><strong>Objectives: </strong>The study's aim was determining incidence of the overjet that increased, as well as evaluating the connection between it and other measurements sagittal in patients with malocclusion and not receiving treatment.</p><p><strong>Materials and methods: </strong>A conduction of a cross-sectional study was conducted on 585 orthodontic patients whose Cephalometric X-rays were obtained from orthodontic centers in Karbala city, Iraq. The iRYS software was used in cephalometric analysis to detect the anatomical landmarks and angles and to measure the overjet and determine the skeletal classes according to the amount of Sella-Nasion-A point (SNA), Sella-Nasion-B point (SNB), and A point-Nasion-B point (ANB) angles. Statistical analyses included Chi-square tests and binary logistic regression to assess associations.</p><p><strong>Results: </strong>Increased overjet was observed in 56.4% of the subjects, decreased overjet in 21.7%, and normal overjet in 21.9%. Chi-square analysis revealed that 74.8% of the increased overjet cases were associated with Class II skeletal pattern (<i>P</i> < 0.001), while only 13.6% were associated with Class III, showing no significant correlation. Logistic regression confirmed that Class II malocclusion significantly increased the likelihood of the increased overjet (<i>B</i> = 0.867, OR = 2.379, 95% CI: 1.58-3.56, <i>P</i> < 0.001), whereas Class III malocclusion decreased this likelihood (<i>B</i> = -2.072, OR = 0.126, 95% CI: 0.069-0.229, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>The increased overjet was the most prevalent condition in the study population. The increased overjet is highly prevalent and strongly associated with Class II skeletal pattern, whereas Class III is protective. Early skeletal assessment is essential for diagnosis and treatment planning.</p>","PeriodicalId":16604,"journal":{"name":"Journal of Orthodontic Science","volume":"15 ","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of force decay in orthodontic elastomeric chains exposed to alcohol-free and herbal mouthrinses: An <i>In Vitro</i> study.","authors":"Aulya Maysita Syahputri Arif, Eddy Heriyanto Habar, Zilal Islamy Paramma, Ardiansyah S Pawinru, Eka Erwansyah, Baharuddin M Ranggang","doi":"10.4103/jos.jos_125_25","DOIUrl":"10.4103/jos.jos_125_25","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate and compare the effects of two alcohol-free mouthrinses, Listerine^® Zero, and Pepsodent Daun Sirih^®, on the force decay of orthodontic elastomeric chains commonly used in orthodontic treatment.</p><p><strong>Materials and methods: </strong>Sixty elastomeric chain segments were randomly allocated into three groups (<i>n</i> = 20 per group): control (artificial saliva), Listerine^® Zero, and Pepsodent Daun Sirih^®. Samples were immersed twice daily for 30 sec in their respective solutions and stored in artificial saliva at 37°C between immersions for 21 days. Force measurements were recorded at baseline (Day 0) and on Days 1, 7, 14, and 21 using a digital force gauge. Data normality was assessed using the Shapiro-Wilk test. As the data were not normally distributed, the Kruskal-Wallis test followed by the Mann-Whitney U test was applied, with statistical significance set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>Both mouthrinses produced a progressive reduction in force over time, with the greatest force decay occurring within the first 24 hours, followed by a more gradual decline up to 21 days. However, elastomeric chains immersed in Pepsodent Daun Sirih^® consistently retained higher residual force than those immersed in Listerine^® Zero at all observation periods, indicating a slower rate of force degradation.</p><p><strong>Conclusion: </strong>Pepsodent Daun Sirih^® demonstrated a lower degree of force decay and maintained significantly higher residual force compared with Listerine^® Zero throughout the observation period. These findings suggest that Pepsodent Daun Sirih^® may be a more suitable alcohol-free mouthrinse for preserving orthodontic force during treatment.</p>","PeriodicalId":16604,"journal":{"name":"Journal of Orthodontic Science","volume":"15 ","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}