Evaluation of the Effects of Residual Resin Removal and Polishing on the Enamel Surface, after Bracket Debonding Evaluation of the Effects of Residual Resin Removal and Polishing on the Enamel Surface after Bracket Debonding
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Published:
Oct 19, 2023
Keywords:
Dental enamel, Dental Debonding, Orthodontic brackets, Scanning electron microscopy, Dental polishing
Main Article Content
Abstract
Considering the use of specific burs to remove residual resin after bracket debonding and the possibility of injuries to the dental enamel after using these burs, this study aimed to verify the variation in the enamel surface appearance in a qualitative way and evaluation with topographic images of the dental enamel. The use of Scanning Electron Microscopy (SEM) allowed to illustrate and evaluate the enamel surface after the final polishing phase using two methods: rubber cup or Robinson brush. Twenty-five human premolar teeth were obtained from extractions in patients who voluntarily sought the Oral Maxillofacial Surgery Residency at the Dental School from the State University of Londrina; the teeth were divided into four groups A, B, C and D containing 6 teeth each according to the burs used to remove the remaining adhesive and the chosen polishing, in addition to one tooth as a “control”. Dental enamel surface roughness was evaluated after resin removal and enamel surface after polishing with the two methods presented. The results showed that by observation and inspection, the burs removed residual resin from all teeth, however, caused scratches and grooves as evidenced in the SEM images. Based on the results, there was no statistical difference between the polishing methods, and both were important for the reduction of abrasive marks and provided a smoother enamel surface.
Article Details
How to Cite
de Oliveira Lima, C. E., Carreiro, L. S., Bággio, P. E., Tondelli, P. M., Takahashi, R., & Godoi da Silva, A. C. (2023). Evaluation of the Effects of Residual Resin Removal and Polishing on the Enamel Surface, after Bracket Debonding. Naval Dental Jounal, 50(2), 5-14. https://doi.org/10.22491/25149.50-2-1
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Original Article
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
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4. Pyakurel G, Hassan GS, Sajedeen M. Evaluation of Enamel Surface after Removal of Adhesive Resin: An in Vitro Study. Orthod J Nepal 2018; 8(2): 12-16.
5. Howell S, Weekes W T. An electron microscope evaluation of the enamel surface subsequent to various debonding procedures. Aust. Dent. J. 1990: 35(3): 245-252.
6. Cardoso L A M, Valdrighi HC, Vedovello Filho M, Correr AB. Effect of adhesive remnant removal on enamel topography after bracket debonding. Dental Press J Orthod 2014; 19(6) 105-12.
7. Retief DH, Denys FR. Finishing of Enamel Surfaces after Debonding of Orthodontic Attachments. Angle Orthod. 1979; 49(1): 1-10.
8. Eliades T, Gioka C, Eliades G, Makou M. Enamel surface roughness following debonding using two resin grinding methods. Eur J Orthod 2004; 26(3): 333-338.
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10. Özer T, Basaran G, Kama JD. Surface roughness of the restored enamel after orthodontic treatment. Am J Orthod Dentofacial Orthop 2010: 137(3): 368-74.
11. Pignatta LMB, Duarte JS, Santos ECA. Evaluation of enamel surface after bracket debonding and polishing. Dental Press J Orthod 2012; 17(4): 77-84.
12. Faria-Júnior EM, Guiraldo R, Berger SB, Lopes MB. In-vivo evaluation of the surface roughness and morphology of enamel after bracket removal and polishing by different techniques. Am J Orthod Dentofacial Orthop 2015: 147(3): 324-9.
13. Pinho MM, Pinto GFV, Mesquita P, Silva FS, Souza JCM, Ferreira AP, et al. Damage on tooth enamel after removal of orthodontic adhesive by Arkansas’ stone and tungsten carbide burs. Rev Port Estomatol Med Dent Cir Maxilofac 2017; 58(1):32-38.
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15. Cesur E, Arslan C, Orhan AI, Bilecenoglu B, Orhan K. Effect of different resin removal methods on enamel after metal and ceramic bracket debonding: An in vitro micro-computed tomography study. J Orofac Orthop. 2022: 83(3): 157-171.
16. Fonseca DM, Pinheiro FHSL, Medeiros SF. Sugestão de um protocolo simples e eficiente para a remoção de braquetes ortodônticos. R Dental Press Estética 2004: 1(1): 112-119.
17. Sundfeld RH, Franco LM, Machado LS, Pini NIP, Salomão FM, Anchieta RB, et al. Treatment of enamel surfaces after bracket debonding: case reports and long-term follow-ups. Oper Dent 2016; 41(1): 8-14.
18. Rezende M, Grande RS, Higashi C, Kossatz S, Loguercio AD. Técnica para remoção do remanescente adesivo após descolagem de braquetes ortodônticos. Rev Clin Ortod Dental Press 2014; 13(3):91-9.
19. Ferreira EF, Vilani GNL, Jansen WC, Brito HHA, Ferreira RAN, Manzi FR, et al. Enamel loss and superficial aspect during bonding and debonding of metallic brackets. Biosci. J. 2016; 32(2): 550-559.
20. Vieira AC, Pinto RA, Chevitarese O, Almeida MA. Polishing after debracketing: its influence upon enamel surface. J Clin Pediatr Dent 1993; 18(1): 7-11.
21. Osorio R, Toledano M, García-Godoy F. Enamel surface morphology after bracket debonding. J Dent Child 1998; 65(5): 313-17.
22. Vidor MM, Felix RP, Marchioro EM, Haha L. Enamel surface evaluation after bracket debonding and different resin removal methods. Dental Press J Orthod 2015; 20(2): 61-7.
23. Janiszewska-Olszowska J, Tomkowski R, Tandecka K, Stepien P, Szatkiewicz T, Sporniack-Tutak K, et al. Effect of Orthodontic Debonding and Adhesive Removal on the Enamel – Current Knowledge and Future Perspectives – a Systematic Review. Med Sci Monit 2014; 20: 1991-2001.
24. Sugsompian K, Tansalarak R, Piyapattamin T. Comparison of the Enamel Surface Roughness from Different Polishing Methods: Scanning Electron Microscopy and Atomic Force Microscopy Investigation. Eur J Dent 2020; 14(2): 299-305.
25. Nazir S, Cheema JS, Ahmed F, Khan UQ, Alam MA, Rehman ST. Comparison of enamel surface roughness parameters for resin removal following debonding using tungsten carbide bur and soflex discs with high speed and low speed hand pieces. Pakistan Oral & Dental Journal 2020; 40(1): January-March.
26. Ulusoy C. Comparison of finishing and polishing systems for residual resin removal after debonding. J Appl Oral Sci 2009; 17(3): 209-15.
27. Leão Filho JCB, Braz AKS, Araujo RE, Tanaka OM, Pithon MM. Enamel Quality after Debonding: Evaluation by Optical Coherence Tomography. Brazilian Dental Journal 2015; 26(4): 384-389.
28. Janiszewska-Olszowka J, Tandecka K, Szatkiewicz T, Stepién P, Sporniak-Tutak K, Grocholewicz K. Three-dimensional analysis of enamel surface alteration resulting from orthodontic clean-up –comparison of three different tools. BMC Oral Health 2015; 15(1): 146.
29. Garg R, Dixit P, Khosla T, Gupta P, Kalra H, Kumar P. Enamel Surface Roughness after Debonding: A Comparative Study using Three Different Burs. JCDP 2018; 19(5): 521-526.
30. Teles G S, Ferreira L C L, Anauate Netto C. Estudo da ação de pontas de acabamento sobre o esmalte dental e restaurações com resina composta. IV Jornada de Iniciação Científica e Tecnológica UNIBAN BRASIL, 2012. Disponível em: https://repositorio.ufsc.br/handle/123456789/213332 Acesso em 10 de janeiro de 2023.
31. Qabel F, Talaei R, Saeedi S, Ghorbani R, Ameli N. Comparative effect of three polishing systems on porcelain surface roughness after orthodontic bracket debonding and composite resin removal: Anatomic force microscopy. APOS Trends in Orthodontics 2019; 9(4): 223-229.
32. Radlanski RJ. A new carbide finishing bur for bracket debonding. J Orofac. Orthop 2001; 62(4): 296-304.
33. Ahrari F, Akbari M, Akbari J, Dabiri G. Enamel surface roughness after debonding of orthodontic brackets and various clean-up techniques. J Dent 2013; 10(1): 82-93.
34. Sigileão LCF, Marquezan M, Elias CN, Ruellas AC, Sant’anna EF. Efficiency of different protocols for enamel clean-up after bracket debonding: an in vitro study. Dental Press J Orthod 2015; 20(5): 78-85.
35. Bilal MF, Ali LA, Hamid DH, Amin RAM. Evaluation of enamel surface roughness using different types of polishing system after orthodontic bracket debonding. Erbil Dental Journal 2021; 4(1): 54-60.
36. Gregório MCL, Barros Júnior TV, Toposki F, Moro A, Correr GM. Efeito de diferentes métodos de remoção de remanescente adesivo na rugosidade superficial do esmalte após descolagem de braquetes. Orthod Sci Pract 2017; 10(40): 42-46.
37. Challa P, Chakravarti S, Yudihistar PV, Rayapudi N. Evaluation of one-step micro polishers for residual resin removal after debonding on fluorosed teeth. APOS Trends in Orthodontics 2014; 4(5): 121-125.
38. Alnajar HA, Kadhim HA. Enamel Polishing after Orthodontic Bracket Debonding using two Different Protocols and two Different Adhesives. J. Int. Dent. Medical Res 2020; 13(1): 86-90.
2. Ryf S, Flury S, Palaniappan S, Lussi A, Meerbeek B, Zimmerli B. Enamel loss and adhesive remnants following bracket removal and various clean-up procedures in vitro. Eur J Orthod 2012; 34(1): 25-32.
3. Macieski K, Rocha R, Locks A, Ribeiro GU. Effects evaluation of remainning resin removal (three modes) on enamel surface after bracket debonding. Dental Press J Orthod 2011: 16(5): 146-154.
4. Pyakurel G, Hassan GS, Sajedeen M. Evaluation of Enamel Surface after Removal of Adhesive Resin: An in Vitro Study. Orthod J Nepal 2018; 8(2): 12-16.
5. Howell S, Weekes W T. An electron microscope evaluation of the enamel surface subsequent to various debonding procedures. Aust. Dent. J. 1990: 35(3): 245-252.
6. Cardoso L A M, Valdrighi HC, Vedovello Filho M, Correr AB. Effect of adhesive remnant removal on enamel topography after bracket debonding. Dental Press J Orthod 2014; 19(6) 105-12.
7. Retief DH, Denys FR. Finishing of Enamel Surfaces after Debonding of Orthodontic Attachments. Angle Orthod. 1979; 49(1): 1-10.
8. Eliades T, Gioka C, Eliades G, Makou M. Enamel surface roughness following debonding using two resin grinding methods. Eur J Orthod 2004; 26(3): 333-338.
9. Tavares SW Análise in vitro de diferentes métodos da remoção da resina residual no esmalte dentário. Tese (Doutorado) – Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba. 2006: Piracicaba, SP, 69.
10. Özer T, Basaran G, Kama JD. Surface roughness of the restored enamel after orthodontic treatment. Am J Orthod Dentofacial Orthop 2010: 137(3): 368-74.
11. Pignatta LMB, Duarte JS, Santos ECA. Evaluation of enamel surface after bracket debonding and polishing. Dental Press J Orthod 2012; 17(4): 77-84.
12. Faria-Júnior EM, Guiraldo R, Berger SB, Lopes MB. In-vivo evaluation of the surface roughness and morphology of enamel after bracket removal and polishing by different techniques. Am J Orthod Dentofacial Orthop 2015: 147(3): 324-9.
13. Pinho MM, Pinto GFV, Mesquita P, Silva FS, Souza JCM, Ferreira AP, et al. Damage on tooth enamel after removal of orthodontic adhesive by Arkansas’ stone and tungsten carbide burs. Rev Port Estomatol Med Dent Cir Maxilofac 2017; 58(1):32-38.
14. Shah P, Sharma P, Goje SK, Kanzaryia N, Parikh M. Comparative evaluation of enamel surface roughness after debonding using four finishing and polishing systems for residual resin removal - an in vitro study. Prog Orthod 2019; 20(18): 1-10.
15. Cesur E, Arslan C, Orhan AI, Bilecenoglu B, Orhan K. Effect of different resin removal methods on enamel after metal and ceramic bracket debonding: An in vitro micro-computed tomography study. J Orofac Orthop. 2022: 83(3): 157-171.
16. Fonseca DM, Pinheiro FHSL, Medeiros SF. Sugestão de um protocolo simples e eficiente para a remoção de braquetes ortodônticos. R Dental Press Estética 2004: 1(1): 112-119.
17. Sundfeld RH, Franco LM, Machado LS, Pini NIP, Salomão FM, Anchieta RB, et al. Treatment of enamel surfaces after bracket debonding: case reports and long-term follow-ups. Oper Dent 2016; 41(1): 8-14.
18. Rezende M, Grande RS, Higashi C, Kossatz S, Loguercio AD. Técnica para remoção do remanescente adesivo após descolagem de braquetes ortodônticos. Rev Clin Ortod Dental Press 2014; 13(3):91-9.
19. Ferreira EF, Vilani GNL, Jansen WC, Brito HHA, Ferreira RAN, Manzi FR, et al. Enamel loss and superficial aspect during bonding and debonding of metallic brackets. Biosci. J. 2016; 32(2): 550-559.
20. Vieira AC, Pinto RA, Chevitarese O, Almeida MA. Polishing after debracketing: its influence upon enamel surface. J Clin Pediatr Dent 1993; 18(1): 7-11.
21. Osorio R, Toledano M, García-Godoy F. Enamel surface morphology after bracket debonding. J Dent Child 1998; 65(5): 313-17.
22. Vidor MM, Felix RP, Marchioro EM, Haha L. Enamel surface evaluation after bracket debonding and different resin removal methods. Dental Press J Orthod 2015; 20(2): 61-7.
23. Janiszewska-Olszowska J, Tomkowski R, Tandecka K, Stepien P, Szatkiewicz T, Sporniack-Tutak K, et al. Effect of Orthodontic Debonding and Adhesive Removal on the Enamel – Current Knowledge and Future Perspectives – a Systematic Review. Med Sci Monit 2014; 20: 1991-2001.
24. Sugsompian K, Tansalarak R, Piyapattamin T. Comparison of the Enamel Surface Roughness from Different Polishing Methods: Scanning Electron Microscopy and Atomic Force Microscopy Investigation. Eur J Dent 2020; 14(2): 299-305.
25. Nazir S, Cheema JS, Ahmed F, Khan UQ, Alam MA, Rehman ST. Comparison of enamel surface roughness parameters for resin removal following debonding using tungsten carbide bur and soflex discs with high speed and low speed hand pieces. Pakistan Oral & Dental Journal 2020; 40(1): January-March.
26. Ulusoy C. Comparison of finishing and polishing systems for residual resin removal after debonding. J Appl Oral Sci 2009; 17(3): 209-15.
27. Leão Filho JCB, Braz AKS, Araujo RE, Tanaka OM, Pithon MM. Enamel Quality after Debonding: Evaluation by Optical Coherence Tomography. Brazilian Dental Journal 2015; 26(4): 384-389.
28. Janiszewska-Olszowka J, Tandecka K, Szatkiewicz T, Stepién P, Sporniak-Tutak K, Grocholewicz K. Three-dimensional analysis of enamel surface alteration resulting from orthodontic clean-up –comparison of three different tools. BMC Oral Health 2015; 15(1): 146.
29. Garg R, Dixit P, Khosla T, Gupta P, Kalra H, Kumar P. Enamel Surface Roughness after Debonding: A Comparative Study using Three Different Burs. JCDP 2018; 19(5): 521-526.
30. Teles G S, Ferreira L C L, Anauate Netto C. Estudo da ação de pontas de acabamento sobre o esmalte dental e restaurações com resina composta. IV Jornada de Iniciação Científica e Tecnológica UNIBAN BRASIL, 2012. Disponível em: https://repositorio.ufsc.br/handle/123456789/213332 Acesso em 10 de janeiro de 2023.
31. Qabel F, Talaei R, Saeedi S, Ghorbani R, Ameli N. Comparative effect of three polishing systems on porcelain surface roughness after orthodontic bracket debonding and composite resin removal: Anatomic force microscopy. APOS Trends in Orthodontics 2019; 9(4): 223-229.
32. Radlanski RJ. A new carbide finishing bur for bracket debonding. J Orofac. Orthop 2001; 62(4): 296-304.
33. Ahrari F, Akbari M, Akbari J, Dabiri G. Enamel surface roughness after debonding of orthodontic brackets and various clean-up techniques. J Dent 2013; 10(1): 82-93.
34. Sigileão LCF, Marquezan M, Elias CN, Ruellas AC, Sant’anna EF. Efficiency of different protocols for enamel clean-up after bracket debonding: an in vitro study. Dental Press J Orthod 2015; 20(5): 78-85.
35. Bilal MF, Ali LA, Hamid DH, Amin RAM. Evaluation of enamel surface roughness using different types of polishing system after orthodontic bracket debonding. Erbil Dental Journal 2021; 4(1): 54-60.
36. Gregório MCL, Barros Júnior TV, Toposki F, Moro A, Correr GM. Efeito de diferentes métodos de remoção de remanescente adesivo na rugosidade superficial do esmalte após descolagem de braquetes. Orthod Sci Pract 2017; 10(40): 42-46.
37. Challa P, Chakravarti S, Yudihistar PV, Rayapudi N. Evaluation of one-step micro polishers for residual resin removal after debonding on fluorosed teeth. APOS Trends in Orthodontics 2014; 4(5): 121-125.
38. Alnajar HA, Kadhim HA. Enamel Polishing after Orthodontic Bracket Debonding using two Different Protocols and two Different Adhesives. J. Int. Dent. Medical Res 2020; 13(1): 86-90.