An in–vivo comparison of the effects of metal and ceramic brackets on the epithelial cells of buccal mucosa in patients undergoing fixed orthodontic treatment

Dr. Nibedita Biswas; Dr. Kuldeep Dmello; Dr. Omkar Singh Yadav; Dr. Saptarshi Roy; Dr. Debarshi Jana

Volume : IX, Issue : III, March - 2020

An in–vivo comparison of the effects of metal and ceramic brackets on the epithelial cells of buccal mucosa in patients undergoing fixed orthodontic treatment

Dr. Nibedita Biswas, Dr. Kuldeep Dmello, Dr. Omkar Singh Yadav, Dr. Saptarshi Roy, Dr. Debarshi Jana

Abstract :

The aim of the study is to compare the epithelial cells of the buccal mucosa adjacent to metal and ceramic ackets at three time points: baseline, 30 days after placement and 30 days after the removal of ackets. • A sample of 40 (20 metal and 20 ceramic) individuals of Indian population of mean age 14 years who came for orthodontic treatment in K.D. Dental College and Hospital, Mathura were selected. Placement of metal and ceramic ackets induces cellular alterations in the buccal mucosa. These alterations do not suggest malignancy. Buccal mucosa cells adjacent to the metal ackets show greater changes than seen in those adjacent to the ceramic ackets and buccal mucosa cells adjacent to metal and ceramic ackrts tend to return to the initial morphology after removal of the ackets with more tendency towards normalcy seen with ceramic ackets than with metal ackets. Exfoliative cytology can be an effective tool in diagnosis to detect and evaluate the cellular alteration,assuming that its limitations are well interpreted and applied.