Assessment of chemical, ultrasonic, diode laser, and Er:YAG laser application on debonding of ceramic brackets

Khalil, Ahmed S. G.; Tamish, Nazla; Elkalza, Ahmed

doi:10.1186/s12903-022-02111-7

Cited by 7 publications

(8 citation statements)

References 50 publications

(69 reference statements)

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“…Transbond XT adhesive and paste are one of the standard materials used for bonding in orthodontics and has been the focus of many past studies investigating the SBS [31][32][33][34][35]. In a recent study, the same two-step system was used for bracket bonding and the results in the control group (where Transbond XT was used) showed similar SBS values as those obtained in the present study [36]. We found only one study [37] investigating the selfadhesive system, and it does not show significant difference in the SBS with respect to Transbond XT, which is in agreement with our results.…”

Section: Discussionsupporting

confidence: 78%

Correlation of Shear Bond Strength and Degree of Conversion in Conventional and Self-Adhesive Systems Used in Orthodontic Bonding Procedures

et al. 2023

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(1) Background: Self-adhesive systems have been proposed for the orthodontic bonding with the intention to reduce the traditional three-component system. (2) Methods: The sample consisted of 32 extracted intact permanent premolars randomly divided into two groups (n = 16). In Group I the metal brackets were bonded with Transbond XT Primer and Transbond XT Paste. In Group II the metal brackets were bonded with GC Ortho connect. The resin was polymerized for 20 s from two directions (mesial and occlusal) using a Bluephase light-curing unit. The shear bond strength (SBS) was measured using a universal testing machine. Immediately after SBS testing, Raman microspectrometry was performed for each sample to calculate the degree of conversion (DC). (3) Results: There was no statistically significant difference in the SBS between the two groups. A significantly higher DC (p < 0.001) value was recorded in Group II, in which the brackets were bonded with GC. Very weak or no correlation (0.01) was recorded between SBS and DC in Group I and moderate positive correlation was recorded in Group II (0.33). (4) Conclusions: No difference was found in SBS between the conventional and two-step systems used in orthodontics. The two-step system demonstrated higher DC compared to the conventional system. There is a very weak or moderate correlation between DC and SBS.

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Section: Discussionsupporting

confidence: 78%

Correlation of Shear Bond Strength and Degree of Conversion in Conventional and Self-Adhesive Systems Used in Orthodontic Bonding Procedures

et al. 2023

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“…Khalil et colab. [ 12 ] used acetone and ethanol at different concentrations to test their ability to dissolve orthodontic adhesive; however, no statistically significant differences were found for shear strength and the residual adhesive index. Even when a longer application time was used, the results did not support their hypothesis.…”

Section: Discussionmentioning

confidence: 99%

“…Despite being aesthetically superior, monocrystalline ceramic brackets have a higher resistance to adhesion to enamel and less to the removal procedure, increasing the risk of fracture due to the low modulus of elasticity, low flexibility, and greater fragility compared to metal brackets [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, in recent years, alternative techniques have been tested in order to remove orthodontic brackets and minimize secondary effects, including ultrasonic or thermal removal [ 8 , 12 ], the use of special pliers or hot air dryers, and the use of laser radiation [ 9 ]. Among them, laser systems stand out because they shorten the time required for debonding and reduce the force required for this procedure, and therefore increase comfort for the patient [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Laser Er:YAG-Assisted Debonding May Be a Viable Alternative to the Conventional Method for Monocrystalline Ceramic Brackets

Mocuta

Miron

Lungeanu

et al. 2022

IJERPH

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In orthodontic practice, due to the increased interest among patients in smile aesthetics, different types of brackets are now being used, with those most frequently applied being ones made of polycrystalline and monocrystalline ceramic. The aim of this study was to evaluate the laser Er:YAG-assisted debonding technique compared to conventional methods for removing monocrystalline ceramic brackets from human teeth. The study sample included 60 vital teeth (frontals of the upper jaw) from 10 patients who had monocrystalline ceramic brackets and were in the final phase of orthodontic treatment. The debonding procedure was carried out following a split-mouth study design, using either the conventional technique or laser Er:YAG 2940 nm radiation. For each tooth, three variables were evaluated: the patient’s sujective tooth sensitivity associated with the debonding, the time required for debonding, and pulp blood flow microdynamics after the debonding. Three evaluation instruments were used to assess and quantify the treatment effects: (i) the Wong–Baker FACES Pain Rating Scale for pain assessment; (ii) a digital stopwatch/timer to measure the time required to remove the bracket; and (iii) laser Doppler flowmetry (LDF) for recording the pulp blood flow evolution. The statistical analysis of the recorded data showed a statistically significant difference between the two debonding methods regarding the tooth sensitivity during the debonding and the time required for the procedure. The subjective tooth sensitivity was reduced from a mean ± standard deviation of 3.07 ± 1.46 to 0.47 ± 0.86 on the Wong–Baker FACES scale (Wilcoxon signed rank, p < 0.001). The necessary time for debonding was reduced by 0.697 ± 0.703 s per tooth (paired t-test, p < 0.001). There was no difference in the blood microdynamics between the two debonding techniques. According to the results of this study, the laser Er:YAG-assisted debonding technique may be a viable alternative to the conventional method for monocrystalline ceramic brackets.

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“…One of the challenges following the completion of orthodontic treatment is the debonding of aesthetic brackets, as this should be achieved without causing enamel damage or discomfort to the patient [ 11 , 12 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Transmission of 2940 nm Wavelength in Six Different Aesthetic Orthodontic Brackets

et al. 2023

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Background: Previous studies have confirmed the superiority of using erbium lasers (2940, 2780 nm) over other lasers in the debonding of ceramic brackets due to their safety and effectiveness. The most important factor in the debonding of aesthetic brackets is the transmission of the erbium laser through the aesthetic bracket to the adhesive resin. Objective: To identify the transmission of the 2940 nm wavelength through different types of aesthetic brackets. Materials and methods: A total of 60 aesthetic brackets were divided into six equal groups (10 monocrystalline sapphire brackets—Radiance, AO; 10 monocrystalline sapphire brackets—Absolute, Star Dentech; 10 polycrystalline brackets—20/40, AO; 10 polycrystalline brackets—3M Unitek Gemini Clear Ceramic; 10 silicon brackets—Silkon Plus, AO; 10 composite brackets—Orthoflex, OrthoTech). The aesthetic brackets were mounted in a Fourier transform infrared spectrophotometer (FTIR IRPrestige-21, SHIMADZU) following the typical spectroscopy lab procedure for such samples. The transmission ratio for the 2940 nm wavelength was obtained using IRsolution software. The mean transmission values of the tested groups were compared using a one-way analysis of variance (ANOVA) test followed by a Bonferroni test (post-hoc test). Results: The highest transmission ratio was observed for the Radiance sapphire brackets (64.75%) and the lowest was observed for the 3M polycrystalline brackets (40.48%). The differences among the Aesthetic brackets were significant (p < 0.05). Conclusions: The thick polycrystalline and composite brackets have the lowest transmissibility, whereas the monocrystalline sapphire brackets have the highest transmissibility for the 2940 nm wavelength, meaning that there is a higher possibility of debonding them with a hard tissue laser through thermal ablation.

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Assessment of chemical, ultrasonic, diode laser, and Er:YAG laser application on debonding of ceramic brackets

Cited by 7 publications

References 50 publications

Correlation of Shear Bond Strength and Degree of Conversion in Conventional and Self-Adhesive Systems Used in Orthodontic Bonding Procedures

Correlation of Shear Bond Strength and Degree of Conversion in Conventional and Self-Adhesive Systems Used in Orthodontic Bonding Procedures

Laser Er:YAG-Assisted Debonding May Be a Viable Alternative to the Conventional Method for Monocrystalline Ceramic Brackets

Comparative Study of Transmission of 2940 nm Wavelength in Six Different Aesthetic Orthodontic Brackets

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