Turkiye Klinikleri Journal of Dental Sciences

.: REVIEW
Braketlerin Geri Dönüşüm Yöntemleri ve Etkileri: Geleneksel Derleme
Recycling Methods of Brackets and Their Effects: Literature Review
Refia Lale TANERa , Eda ŞİRİNa
aGazi Üniversitesi Diş Hekimliği Fakültesi, Ortodonti ABD, Ankara, Türkiye
Turkiye Klinikleri J Dental Sci. 2024;30(2):332-40
doi: 10.5336/dentalsci.2023-99231
Article Language: TR
Full Text
ÖZET
Sabit ortodontik tedavinin temel parçası olan braketler tedavi sırasında çeşitli nedenlerle dişten ayrılabilmektedir. Hastaya veya ortodontiste bağlı çok sayıda faktör braket kopmasını etkileyebilir. Hastayla ilişkili faktörler olarak mine defektleri, kooperasyon, ağız hijyeni gibi nedenler sayılabilirken, ortodontiste bağlı faktörler mine pürüzlendirme yöntemi, primer, kompozit rezin türü, ışık cihazı, polimerizasyon süresi ve kullanılan braket tipi olarak sayılabilir. Ortodontist tedavi sırasında zaman kaybını önlemek veya ekonomik tasarruf sağlamak amacıyla aynı braketi tekrar kullanmayı isteyebilir. Bu amaçla çeşitli geri dönüşüm yöntemleri braketlerin kullanılmasına olanak sağlamaktadır. Ortodontik braketlerin geri dönüşümü için birçok yöntem mevcuttur; geri dönüşüm için seçenekler yakma, freze etme yöntemi, kumlama ve lazer olarak sayılabilirken, bu yöntemler kombine olarak da uygulanabilmektedir. Braketlerin geri dönüşümünün braketlerin mine yüzeyine bağlanma dayanımına ve braketlerin fiziksel özelliklerine etkisi araştırma konusu olmuştur. Braketlerin geri dönüşümüyle birlikte slot boyutlarında değişiklik olup olmaması, sürtünme ve korozyon miktarları araştırılmıştır. Geri dönüştürülerek kullanılan braketlerin fiziksel özelliklerinde oluşan değişikliğin klinik açıdan etkisi üzerinde durulmuştur. Ayrıca uygulanan geri dönüşüm yönteminin braket materyali tipine (paslanmaz çelik, seramik) bağlı olarak da etkisi değişebilmektedir. Her geri dönüşüm yöntemi kendine özgüdür ve etkileri de farklı olabilmektedir. Kullanılan geri dönüşüm yöntemlerinin birbirlerine göre avantajları ve dezavantajları olduğu için ortodontist braketleri tekrar kullanmak istediğinde braket tabanındaki artık adezivi temizlemek için kullanacağı uygun yöntemi seçmelidir. Bu derlemenin amacı ortodontik braketlerin geri dönüşüm yöntemlerini tanımlamak, bu konuda yapılmış çalışmaları incelemek ve geri dönüşüm yöntemlerinin braketler üzerine etkilerini açıklayarak klinik açıdan öngörü sağlamaktır.

Anahtar Kelimeler: Sabit ortodontik tedavi; ortodontik braketler; sıyırma bağlanma dayanımı; bakteri tutulumu; sürtünme
ABSTRACT
Brackets, which are the basic part of fixed orthodontic treatment, can be separated from the teeth for various reasons during treatment. Many factors related to the patient or the orthodontist can affect bracket failure. While patient related factors can be enamel defects, cooperation, and oral hygiene, factors related to the orthodontist can be as enamel roughening method, primer, composite resin type, light device, polymerization time, and type of bracket. The orthodontist may want to reuse the same bracket in order to prevent time loss or to save money during treatment. Thereby, various recycling methods allow the use of brackets. There are many methods for recycling orthodontic brackets; options for recycling are burning, milling method, sandblasting, laser, and combination of these methods. The effects of the recycling brackets on the bond strength of the brackets to the enamel surface and the physical properties of the brackets have been investigated. By recycling the brackets, changes in slot dimensions, the amount of friction and corrosion were assessed. The clinical effects of the change in the physical properties of the recycled brackets have beed emphasized. In addition, the effects of the recycling method may vary depending on the bracket material type (stainless steel, ceramic). Each recycling method is unique and its' effects can be different. Since the recycling methods used have advantages and disadvantages compared to each other, when the orthodontist wants to reuse the brackets, he should choose the appropriate method to clean the residual adhesive on the bracket base. The aim of this review is to describe the recycling methods of orthodontic brackets, examine the studies on this subject and provide clinical foresight by explaining the effects of recycling methods on brackets.

Keywords: Fixed orthodontic appliances; orthodontic brackets; shear bond strength; bacterial adhesion; orthodontic friction
REFERENCES:
  1. Ahrari F, Basafa M, Fekrazad R, Mokarram M, Akbari M. The efficacy of Er,Cr:YSGG laser in reconditioning of metallic orthodontic brackets. Photomed Laser Surg. 2012;30(1):41-6. [Crossref]  [PubMed] 
  2. Yassaei S, Aghili H, KhanPayeh E, Goldani Moghadam M. Comparison of shear bond strength of rebonded brackets with four methods of adhesive removal. Lasers Med Sci. 2014;29(5):1563-8. [Crossref]  [PubMed] 
  3. Egan FR, Alexander SA, Cartwright GE. Bond strength of rebonded orthodontic brackets. Am J Orthod Dentofacial Orthop. 1996;109(1):64-70. [Crossref]  [PubMed] 
  4. Matasa CG. Pros and cons of the reuse of direct-bonded appliances. Am J Orthod Dentofacial Orthop. 1989;96(1):72-6. [Crossref]  [PubMed] 
  5. Halwai HK, Kamble RH, Hazarey PV, Gautam V. Evaluation and comparision of the shear bond strength of rebonded orthodontic brackets with air abrasion, flaming, and grinding techniques: an in vitro study. Orthodontics (Chic.). 2012;13(1):e1-9. [PubMed] 
  6. Cacciafesta V, Sfondrini MF, Melsen B, Scribante A. A 12 month clinical study of bond failures of recycled versus new stainless steel orthodontic brackets. Eur J Orthod. 2004;26(4):449-54. [Crossref]  [PubMed] 
  7. Lunardi N, Gameiro GH, de Araújo Magnani MBB, Nouer DF, de Siqueira VCV, Consani S, et al. The effect of repeated bracket recycling on the shear bond strength of different orthodontic adhesives. Braz. J. Oral Sci. 2008;7(27):1648-52. [Link] 
  8. Iluru R, Nellore C, Karnati PK, Thalapaneni AK, Myla VB, Ramyasree K, et al. The effects of in-office reconditioning on the slot dimensions and static frictional resistance of stainless steel brackets. J Clin Diagn Res. 2016;10(1):ZC74-8. [Crossref]  [PubMed]  [PMC] 
  9. Buchman DJ. Effects of recycling on metallic direct-bond orthodontic brackets. Am J Orthod. 1980;77(6):654-68. [Crossref]  [PubMed] 
  10. Buchwald A. A three-cycle in vivo evaluation of reconditioned direct-bonding brackets. Am J Orthod Dentofacial Orthop. 1989;95(4):352-4. [Crossref]  [PubMed] 
  11. Papadopoulos MA, Eliades T, Morfaki O, Athanasiou AE, Bolender CJ. Recycling of orthodontic brackets: effects on physical properties and characteristics-ethical and legal aspects. Revue D Orthopedie Dentofaciale. 2000;34(2):257-78. [Crossref] 
  12. Mascia VE, Chen SR. Shearing strengths of recycled direct-bonding brackets. Am J Orthod. 1982;82(3):211-6. [Crossref]  [PubMed] 
  13. Khanal PP, Shrestha BK, Yadav R, Prasad Gupta S. A comparative study on the effect of different methods of recycling orthodontic brackets on shear bond strength. Int J Dent. 2021;2021:8844085. [Crossref]  [PubMed]  [PMC] 
  14. Yassaei S, Aghili H, Hosseinzadeh Firouzabadi A, Meshkani H. Effect of Er:YAG Laser and Sandblasting in Recycling of Ceramic Brackets. J Lasers Med Sci. 2017;8(1):17-21. [Crossref]  [PubMed]  [PMC] 
  15. Gupta N, Kumar D, Palla A. Evaluation of the effect of three innovative recyling methods on the shear bond strength of stainless steel brackets-an in vitro study. J Clin Exp Dent. 2017;9(4):e550-e5. [PubMed]  [PMC] 
  16. Chetan GB, Reddy M. Comparative evaluation of four office reconditioning methods for orthodontic stainless steel brackets on shear bond strength an in vitro study. Ann Essences Dent. 2011;3(1):6-13. [Link] 
  17. Tavares SW, Consani S, Nouer DF, Magnani MB, Nouer PR, Martins LM. Shear bond strength of new and recycled brackets to enamel. Braz Dent J. 2006;17(1):44-8. [Crossref]  [PubMed] 
  18. Valizadeh S, Alimohammadi G, Nik TH, Etemadi A, Tanbakuchi B. In vitro evaluation of shear bond strength of orthodontic metal brackets to aged composite using a self-adhesive composite: Effect of surface conditioning and different bonding agents. Int Orthod. 2020;18(3):528-37. [Crossref]  [PubMed] 
  19. Chacko PK, Kodoth J, John J, Kumar K. Recycling stainless steel orthodontic brackets with Er:YAG laser - An environmental scanning electron microscope and shear bond strength study. J Orthod Sci. 2013;2(3):87-94. [Crossref]  [PubMed]  [PMC] 
  20. Tortamano A, Lenzi DC, Haddad AC, Bottino MC, Dominguez GC, Vigorito JW. Low-level laser therapy for pain caused by placement of the first orthodontic archwire: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2009;136(5):662-7. [Crossref]  [PubMed] 
  21. Yoshida T, Yamaguchi M, Utsunomiya T, Kato M, Arai Y, Kaneda T, et al. Low-energy laser irradiation accelerates the velocity of tooth movement via stimulation of the alveolar bone remodeling. Orthod Craniofac Res. 2009;12(4):289-98. Erratum in: Orthod Craniofac Res. 2010;13(1):68. [Crossref]  [PubMed] 
  22. Ishida K, Endo T, Shinkai K, Katoh Y. Shear bond strength of rebonded brackets after removal of adhesives with Er,Cr:YSGG laser. Odontology. 2011;99(2):129-34. [Crossref]  [PubMed] 
  23. Fuhrmann R, Gutknecht N, Magunski A, Lampert F, Diedrich P. Conditioning of enamel with Nd:YAG and CO2 dental laser systems and with phosphoric acid. An in-vitro comparison of the tensile bond strength and the morphology of the enamel surface. J Orofac Orthop. 2001;62(5):375-86. English, German. [Crossref]  [PubMed] 
  24. Shi L, Yang K, Ji L, Ling C. Shear bond strength and morphological analysis of KrF laser-recycled metal brackets. Photomed Laser Surg. 2014;32(3):168-74. [Crossref]  [PubMed] 
  25. Canay S, Kocadereli I, Ak"ca E. The effect of enamel air abrasion on the retention of bonded metallic orthodontic brackets. Am J Orthod Dentofacial Orthop. 2000;117(1):15-9. [Crossref]  [PubMed] 
  26. Montero MM, Vicente A, Alfonso-Hernández N, Jiménez-López M, Bravo-González LA. Comparison of shear bond strength of brackets recycled using micro sandblasting and industrial methods. Angle Orthod. 2015;85(3):461-7. [Crossref]  [PubMed]  [PMC] 
  27. Anita P, Kailasam V. Effect of sandblasting on the shear bond strength of recycled metal brackets: A systematic review and meta-analysis of in-vitro studies. Int Orthod. 2021;19(3):377-88. [Crossref]  [PubMed] 
  28. Lunardi N, Gameiro GH, de Araújo Magnani MBB, Nouer DF, de Siqueira VCV, Consani S, et al. The effect of repeated bracket recycling on the shear bond strength of different orthodontic adhesives. Braz J Oral Sci. 2008;7(27):1648-52. [Link] 
  29. Kamisetty SK, Verma JK, Arun, Sundari S, Chandrasekhar S, Kumar A. SBS vs Inhouse Recycling Methods-An Invitro Evaluation. J Clin Diagn Res. 2015;9(9):ZC04-8. [PubMed]  [PMC] 
  30. Venugopal A, Tejani H, Manzano P, Vergara RG. Comparison of two different orthodontic bracket recycling techniques. Orthod J Nepal. 2016;6(2):28-32. [Crossref] 
  31. Kumar M, Maheshwari A, Lall R, Navit P, Singh R, Navit S. Comparative evaluation of shear bond strength of recycled brackets using different methods: an in vitro study. J Int Oral Health. 2014;6(5):5-11. [PubMed]  [PMC] 
  32. Han RQ, Yang K, Ji LF, Ling C. Analysis of shear bond strength and morphology of Er:YAG laser-recycled ceramic orthodontic brackets. Biomed Res Int. 2016;2016:7276287. [Crossref]  [PubMed]  [PMC] 
  33. Grazioli G, Hardan L, Bourgi R, Nakanishi L, Amm E, Zarow M, et al. Residual adhesive removal methods for rebonding of debonded orthodontic metal brackets: systematic review and meta-analysis. Materials (Basel). 2021;14(20):6120. [Crossref]  [PubMed]  [PMC] 
  34. Kachoei M, Mohammadi A, Esmaili Moghaddam M, Rikhtegaran S, Pourghaznein M, Shirazi S. Comparison of multiple rebond shear strengths of debonded brackets after preparation with sandblasting and CO2 laser. J Dent Res Dent Clin Dent Prospects. 2016;10(3):148-54. [Crossref]  [PubMed]  [PMC] 
  35. Bahnasi FI, Abd-Rahman AN, Abu-Hassan MI. Effects of recycling and bonding agent application on bond strength of stainless steel orthodontic brackets. J Clin Exp Dent. 2013;5(4):e197-202. [Crossref]  [PubMed]  [PMC] 
  36. Lew KK, Chew CL, Lee KW. A comparison of shear bond strengths between new and recycled ceramic brackets. Eur J Orthod. 1991;13(4):306-10. [Crossref]  [PubMed] 
  37. Urichianu M, Makowka S, Covell D Jr, Warunek S, Al-Jewair T. Shear bond strength and bracket base morphology of new and rebonded orthodontic ceramic brackets. Materials (Basel). 2022;15(5):1865. [Crossref]  [PubMed]  [PMC] 
  38. Khan Z, Kontham R. The best method of reconditioning ceramic brackets to get an optimum shear bond strength compared with new ceramic brackets - Systematic review and meta-analysis of in vitro studies. Int Orthod. 2023;21(3):100788. [Crossref]  [PubMed] 
  39. Mirhashemi AH, Hosseini MH, Chiniforoush N, Soudi A, Moradi M. Shear bond strength of rebonded ceramic brackets using four different methods of adhesive removal. J Dent (Tehran). 2018;15(1):54-62. [PubMed]  [PMC] 
  40. Gürsoy S, Acar AG, Seşen C. Comparison of metal release from new and recycled bracket-archwire combinations. Angle Orthod. 2005;75(1):92-4. [PubMed] 
  41. Bishara SE, Barrett RD, Selim MI. Biodegradation of orthodontic appliances. Part II. Changes in the blood level of nickel. Am J Orthod Dentofacial Orthop. 1993;103(2):115-9. [Crossref]  [PubMed] 
  42. Faccioni F, Franceschetti P, Cerpelloni M, Fracasso ME. In vivo study on metal release from fixed orthodontic appliances and DNA damage in oral mucosa cells. Am J Orthod Dentofacial Orthop. 2003;124(6):687-93; discussion 693-4. [Crossref]  [PubMed] 
  43. Maijer R, Smith DC. Biodegradation of the orthodontic bracket system. Am J Orthod Dentofacial Orthop. 1986;90(3):195-8. Erratum in: Am J Orthod Dentofacial Orthop 1987;91(4):352. [Crossref]  [PubMed] 
  44. Reimann S, Rewari A, Keilig L, Widu F, Jäger A, Bourauel C. Material testing of reconditioned orthodontic brackets. J Orofac Orthop. 2012;73(6):454-66. [Crossref]  [PubMed] 
  45. Huang TH, Yen CC, Kao CT. Comparison of ion release from new and recycled orthodontic brackets. Am J Orthod Dentofacial Orthop. 2001;120(1):68-75. [Crossref]  [PubMed] 
  46. Sfondrini MF, Cacciafesta V, Maffia E, Massironi S, Scribante A, Alberti G, et al. Chromium release from new stainless steel, recycled and nickel-free orthodontic brackets. Angle Orthod. 2009;79(2):361-7. [Crossref]  [PubMed] 
  47. Sfondrini MF, Cacciafesta V, Maffia E, Scribante A, Alberti G, Biesuz R, et al. Nickel release from new conventional stainless steel, recycled, and nickel-free orthodontic brackets: An in vitro study. Am J Orthod Dentofacial Orthop. 2010;137(6):809-15. [Crossref]  [PubMed] 
  48. Huang TH, Ding SJ, Min Y, Kao CT. Metal ion release from new and recycled stainless steel brackets. Eur J Orthod. 2004;26(2):171-7. [Crossref]  [PubMed] 
  49. Jithesh C, Venkataramana V, Penumatsa N, Reddy SN, Poornima KY, Rajasigamani K. Comparative evaluation of nickel discharge from brackets in artificial saliva at different time intervals. J Pharm Bioallied Sci. 2015;7(Suppl 2):S587-93. [Crossref]  [PubMed]  [PMC] 
  50. Thiruvengadam V, Chitharanjan AB, Kumar K, Singaram V. Comparison of Streptococcus mutans Adhesion on New and Recycled Metal Brackets: An In Vitro Study. Cureus. 2022;14(3):e23574. [Crossref]  [PubMed]  [PMC] 
  51. Hixson ME, Brantley WA, Pincsak JJ, Conover JP. Changes in bracket slot tolerance following recycling of direct-bond metallic orthodontic appliances. Am J Orthod. 1982;81(6):447-54. [Crossref]  [PubMed] 
  52. Martina R, Laino A, Cacciafesta V, Cantiello P. Recycling effects on ceramic brackets: a dimensional, weight and shear bond strength analysis. Eur J Orthod. 1997;19(6):629-36. [Crossref]  [PubMed] 
  53. Chapman PL. Recycling the orthodontic bonded bracket [PhD thesis]. Indiana: Indiana University; 1979. [28/08/2023] [Link] 

.: Up To Date

Login



Contact


Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com