Abstract
The technique for removing fixed appliances is well-established and typically involves the following steps: debonding of fixed appliance attachments, removal of adhesive remnants from the tooth surface using a tungsten carbide bur and polishing of the enamel surface (Retief and Denys 1979). Enamel loss following the removal of composite residue is commonplace (Ryf et al. 2012). Therefore, various alternatives to burs have been proposed including hand instruments, stones, wheels and discs, scalers, lasers and pumice or zirconium paste. Surface changes reduce the resistance of enamel to bacterial and organic acid attack increasing susceptibility to demineralisation and dental caries.
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Banerjee A, Paolinelis G, Socker M, McDonald F, Watson TF. An in vitro investigation of the effectiveness of bioactive glass air-abrasion in the ‘selective’ removal of orthodontic resin adhesive. Eur J Oral Sci. 2008;116(5):488–92.
Bollen CM, Lambrechts P, Quirynen M. Comparison of surface roughness of oral hard materials to the threshold surface roughness for bacterial plaque retention: a review of the literature. Dent Mater. 1997;13(4):258–69.
Dumbryte I, Vebriene J, Linkeviciene L, Malinauskas M. Enamel microcracks in the form of tooth damage during orthodontic debonding: a systematic review and meta-analysis of in vitro studies. Eur J Orthod. 2018;40:636.
Dumore T, Fried D. Selective ablation of orthodontic composite by using sub-microsecond IR laser pulses with optical feedback. Lasers Surg Med. 2000;27(2):103–10.
Gwinnett AJ, Gorelick L. Microscopic evaluation of enamel after debonding: clinical application. Am J Orthod. 1977;71(6):651–65.
Joseph VP, Rossouw E. The shear bond strengths of stainless steel and ceramic brackets used with chemically and light-activated composite resins. Am J Orthod Dentofac Orthop. 1990;97(2):121–5.
Retief DH, Denys FR. Finishing of enamel surfaces after debonding of orthodontic attachments. Angle Orthod. 1979;49(1):1–10.
Ryf S, Flury S, Palaniappan S, Lussi A, van 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.
Taha AA, Hill RG, Fleming PS, Patel MP. Development of a novel bioactive glass for air-abrasion to selectively remove orthodontic adhesives. Clin Oral Investig. 2018;22(4):1839–49.
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Fleming, P., Seehra, J. (2019). Removal of Fixed Appliances. In: Fixed Orthodontic Appliances. BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-030-12165-5_10
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DOI: https://doi.org/10.1007/978-3-030-12165-5_10
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