Strategies for Composite Resin Removal after Orthodontic Bracket Debonding: a Literature Review
DOI:
https://doi.org/10.21270/archi.v14i12.6476Keywords:
Dental Debonding, Dental Enamel, Composite ResinsAbstract
Introduction: Careful removal of orthodontic brackets and the composite resin used for bonding is essential to prevent damage to the dental enamel. Given the need for a safe clinical protocol, this review aims to gather evidence on the most effective removal methods. Objective: To compare different protocols for removing residual composite resin and their effects on enamel surface integrity. Material and Method: A search was conducted in the PubMed and SciELO databases for English-language articles published in the last 20 years addressing composite resin removal after bracket debonding. Articles unavailable in full text, outside the established period, or not written in English were excluded. The selected studies were organized and compared according to the removal techniques used. Results: The analyzed studies investigated various methods, including tungsten carbide burs, fiberglass burs, abrasive discs, ultrasound, and pliers, mostly applied to extracted human teeth. Tungsten carbide burs combined with polishing using discs or abrasive rubbers showed better results in preserving enamel smoothness and integrity. Fiberglass burs caused less wear but were less effective in completely removing the adhesive. Discussion: Post-debonding resin removal protocols still lack clinical standardization. Further laboratory and clinical studies are needed to evaluate different instrument combinations. Conclusion: The combination of removal methods appears to be more effective and safer than the isolated use of a single instrument.
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