Effect of different resin removal methods on enamel after metal and ceramic bracket debonding an in vitro micro-computed tomography study

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dc.authorid0000-0003-0176-8970
dc.authorid0000-0003-1091-4028
dc.contributor.authorCesur, Emre
dc.contributor.authorArslan, Can
dc.contributor.authorOrhan, Ayşe Işıl
dc.contributor.authorBilecenoğlu, Burak
dc.contributor.authorOrhan, Kaan
dc.date.accessioned2022-12-27T11:33:58Z
dc.date.available2022-12-27T11:33:58Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Diş Hekimliği Fakültesi, Ortodonti Ana Bilim Dalı
dc.description.abstractPurpose The aim of this study was to conduct an in vitro evaluation of the effects of different adhesive debonding and polishing techniques performed after metal and ceramic bracket removal on enamel using micro-computed tomography (micro-CT). Methods This study was performed on 42 extracted maxillary first premolars divided into 2 main groups and 6 subgroups as follows: metal (group 1) or ceramic (group 2) brackets were bonded to the teeth, then, after debonding, one of three different methods was used to remove the residual adhesive: tungsten carbide burs with pumice (A), fiber-reinforced composite burs and polishing paste (B), or Sof-Lex discs (C; 3M Dental, St Paul, MN, USA). The samples were evaluated by micro-CT before bracket bonding (T0) and after resin removal (T1). Demineralization area, demineralization depth, demineralization volume, mineral density, and mineral volume were measured. Results At T1, demineralization area was significantly larger in groups 1A and 2A compared to groups 1B, 1C, 2B, and 2C (P = 0.001). Group 2A (ceramic bracket/tungsten carbide-pumice) had the highest demineralization volume (P = 0.001). When the groups were compared in terms of change from T0 to T1, groups 1A and 2A showed significantly larger changes in demineralization area compared to the other 4 groups (P = 0.001). The increase in demineralization volume was larger in group 2A compared to all other groups (P = 0.001). Conclusion All resin removal methods damaged the enamel surface to varying degrees. Regardless of bracket type, the use of tungsten carbide and pumice should be avoided when cleaning the tooth surface after debonding. Use of composite burs and Sof-Lex discs in particular after the debonding of ceramic brackets will help minimize damage.
dc.identifier.citationCesur, E., Arslan, C., Orhan, A. I., Bilecenoğlu, B. ve Orhan, K. (2022). Effect of different resin removal methods on enamel after metal and ceramic bracket debonding an in vitro micro-computed tomography study. Journal of Orofacial Orthopedics, 83(3), 157-171. https://doi.org/10.1007/s00056-021-00306-1
dc.identifier.doi10.1007/s00056-021-00306-1
dc.identifier.endpage171
dc.identifier.issn1434-5293
dc.identifier.issn1615-6714
dc.identifier.issue3
dc.identifier.pmid34165586
dc.identifier.scopus2-s2.0-85108584513
dc.identifier.scopusqualityQ2
dc.identifier.startpage157
dc.identifier.urihttps://doi.org/10.1007/s00056-021-00306-1
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10195
dc.identifier.volume83
dc.identifier.wos000665756000001en_US
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorCesur, Emre
dc.institutionauthorArslan, Can
dc.language.isoen
dc.publisherUrban & Vogel
dc.relation.ispartofJournal of Orofacial Orthopedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDental Bonding
dc.subjectDental Enamel Damage
dc.subjectMicro-CT
dc.subjectOrthodontic Adhesives
dc.subjectOrthodontic Brackets
dc.titleEffect of different resin removal methods on enamel after metal and ceramic bracket debonding an in vitro micro-computed tomography study
dc.title.alternativeAuswirkung unterschiedlicher kunststoffentfernungsverfahren auf den zahnschmelz nach debonding von metall- und keramikbrackets: Eine in-vitro-mikro-computertomographie-studie
dc.typeArticle

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