In Vitro Study on the Influence of the Buccal Surface Convexity of the Tooth upon Enamel Loss after Bracket Removal

Polishing after the removal of brackets is the final step in orthodontic treatment. It is simple to perform, though some studies have reported that polishing causes damage to the enamel surface. An in vitro study was made of the influence of the buccal surface convexity of the tooth upon possible en...

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Main Authors: Sandra Pallarés-Serrano, Alba Pallarés-Serrano, Antonio Pallarés-Serrano, Antonio Pallarés-Sabater
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/17/7/1519
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author Sandra Pallarés-Serrano
Alba Pallarés-Serrano
Antonio Pallarés-Serrano
Antonio Pallarés-Sabater
author_facet Sandra Pallarés-Serrano
Alba Pallarés-Serrano
Antonio Pallarés-Serrano
Antonio Pallarés-Sabater
author_sort Sandra Pallarés-Serrano
collection DOAJ
description Polishing after the removal of brackets is the final step in orthodontic treatment. It is simple to perform, though some studies have reported that polishing causes damage to the enamel surface. An in vitro study was made of the influence of the buccal surface convexity of the tooth upon possible enamel loss when the remaining resin and adhesive are removed after bracket decementing using two different polishing modes: a tungsten carbide bur at low and high speeds. The convexity of the buccal surface was quantified in 30 incisors and 30 premolars. A stereoscopic microscope was used to obtain photographs of the profile of the crown, and Image J software was used to calculate convexity by dividing the length of a line from the cementoenamel junction to the incisal margin by another line from the mentioned junction to the maximum convexity of the buccal surface. Brackets were cemented on all the teeth and were decemented 24 h later. In both groups, the residual composite was removed with a tungsten carbide bur at a low speed in one-half of the teeth and at a high speed in the other half. The buccal surface of each tooth was then photographed again, and the convexity was calculated and compared against the baseline value. The difference between the two values were taken to represent the enamel loss. The convexity of the premolars was significantly greater than that of the incisors, but this did not result in greater enamel loss when the same polishing mode was used. However, the tungsten carbide bur at a high speed proved more aggressive, causing significantly greater enamel loss than when used at a low speed.
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spelling doaj.art-7861644c81e946b28a32a1d3a57db36d2024-04-12T13:21:53ZengMDPI AGMaterials1996-19442024-03-01177151910.3390/ma17071519In Vitro Study on the Influence of the Buccal Surface Convexity of the Tooth upon Enamel Loss after Bracket RemovalSandra Pallarés-Serrano0Alba Pallarés-Serrano1Antonio Pallarés-Serrano2Antonio Pallarés-Sabater3Doctoral School, Catholic University of Valencia, 46001 Valencia, SpainDepartment of Orthodontics, School of Medicine and Dentistry, Catholic University of Valencia, Quevedo 2, 46001 Valencia, SpainDepartment of Orthodontics, School of Medicine and Dentistry, Catholic University of Valencia, Quevedo 2, 46001 Valencia, SpainDoctoral School, Catholic University of Valencia, 46001 Valencia, SpainPolishing after the removal of brackets is the final step in orthodontic treatment. It is simple to perform, though some studies have reported that polishing causes damage to the enamel surface. An in vitro study was made of the influence of the buccal surface convexity of the tooth upon possible enamel loss when the remaining resin and adhesive are removed after bracket decementing using two different polishing modes: a tungsten carbide bur at low and high speeds. The convexity of the buccal surface was quantified in 30 incisors and 30 premolars. A stereoscopic microscope was used to obtain photographs of the profile of the crown, and Image J software was used to calculate convexity by dividing the length of a line from the cementoenamel junction to the incisal margin by another line from the mentioned junction to the maximum convexity of the buccal surface. Brackets were cemented on all the teeth and were decemented 24 h later. In both groups, the residual composite was removed with a tungsten carbide bur at a low speed in one-half of the teeth and at a high speed in the other half. The buccal surface of each tooth was then photographed again, and the convexity was calculated and compared against the baseline value. The difference between the two values were taken to represent the enamel loss. The convexity of the premolars was significantly greater than that of the incisors, but this did not result in greater enamel loss when the same polishing mode was used. However, the tungsten carbide bur at a high speed proved more aggressive, causing significantly greater enamel loss than when used at a low speed.https://www.mdpi.com/1996-1944/17/7/1519orthodonticsdental convexitydental debondingdental polishing
spellingShingle Sandra Pallarés-Serrano
Alba Pallarés-Serrano
Antonio Pallarés-Serrano
Antonio Pallarés-Sabater
In Vitro Study on the Influence of the Buccal Surface Convexity of the Tooth upon Enamel Loss after Bracket Removal
Materials
orthodontics
dental convexity
dental debonding
dental polishing
title In Vitro Study on the Influence of the Buccal Surface Convexity of the Tooth upon Enamel Loss after Bracket Removal
title_full In Vitro Study on the Influence of the Buccal Surface Convexity of the Tooth upon Enamel Loss after Bracket Removal
title_fullStr In Vitro Study on the Influence of the Buccal Surface Convexity of the Tooth upon Enamel Loss after Bracket Removal
title_full_unstemmed In Vitro Study on the Influence of the Buccal Surface Convexity of the Tooth upon Enamel Loss after Bracket Removal
title_short In Vitro Study on the Influence of the Buccal Surface Convexity of the Tooth upon Enamel Loss after Bracket Removal
title_sort in vitro study on the influence of the buccal surface convexity of the tooth upon enamel loss after bracket removal
topic orthodontics
dental convexity
dental debonding
dental polishing
url https://www.mdpi.com/1996-1944/17/7/1519
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