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Updated: Mar 19, 2026

Oral Biofilm Analysis of Palatal Expanders by Fluorescence In-Situ Hybridization and Confocal Laser Scanning Microscopy
Published on: October 20, 2011
Microbial complexes levels in conventional and self-ligating brackets.
Ana Zilda Nazar Bergamo1, Paulo Nelson-Filho2, Marcela Cristina Damião Andrucioli2
1Department of Pediatric Clinic, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, S/N, Monte Alegre, Ribeirão Preto, SP, CEP: 14040-904, Brazil. anaznbergamo@gmail.com.
Orthodontic bracket design impacts oral bacteria levels, potentially increasing periodontal disease risk. Further research is needed to develop preventive strategies for orthodontic patients.
Area of Science:
- Oral microbiology
- Periodontal disease research
- Orthodontic material science
Background:
- Orthodontic treatment involves bracket placement, which can alter the oral environment.
- Understanding the relationship between bracket design and bacterial colonization is crucial for preventing periodontal disease.
Purpose of the Study:
- To evaluate bacterial levels in saliva and in situ.
- To determine if bracket design influences the risk of periodontal disease.
Main Methods:
- Twenty patients received self-ligating and conventional brackets.
- Saliva and bracket samples were analyzed using checkerboard DNA-DNA hybridization.
- Data was statistically evaluated using non-parametric tests.
Main Results:
- A significant increase in 15 of 22 bacterial species was observed in saliva.
- Self-ligating brackets showed higher incidence of orange and red complex bacteria.
- Campylobacter rectus levels differed significantly among bracket types, with In-Ovation®R showing the highest values.
Conclusions:
- Bracket design appears to influence bacterial species linked to periodontal disease.
- Different bracket types affect bacterial adherence.
- Consideration of bracket design is recommended for orthodontic treatment planning to mitigate periodontal risks.
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