SEM-evaluation of enamel surfaces after removal of fixed orthodontic appliances. 2003

Felix Stephan Schuler, and Hubertus van Waes
Clinic for Orthodontics and Pediatric Dentistry, Center for Dental and Oral Medicine, University of Zürich, Switzerland.

OBJECTIVE To determine where, and how severe, the enamel surfaces were damaged by the removal of fixed orthodontic appliances, and whether the damage showed any change after 12 months. METHODS 284 teeth of 13 patients after orthodontic treatment were examined. Brackets had been bonded on incisors, cuspids and premolars, while first molars were banded. Replicas of the teeth were made immediately after the removal of the brackets and adhesive, and again 1 year later. SEM photographs at a magnification of x10 were taken of all of the labial enamel surfaces. Using a computer, a grid with 3 x 3 rectangles was superimposed onto the photographs. In every rectangle, at a magnification of x50, damage caused by debonding was graded with an index. RESULTS Moderate to heavy damage on the enamel surface was detected in 44% of all rectangles. More than 88% of all rectangles exhibiting damage showed no sign of improvement after 12 months. The more distal a tooth was in the dental arch, the more serious the damages turned out to be. More than 88% of the teeth had visible grooves in the line angle and/or cervical area, which must have been caused by tungsten carbide burs. In general, it was obvious that the middle of the labial surface, where the bracket was fixed, was not the area most affected, but rather the approximal and cervical borders.

UI MeSH Term Description Entries
D008855 Microscopy, Electron, Scanning Microscopy in which the object is examined directly by an electron beam scanning the specimen point-by-point. The image is constructed by detecting the products of specimen interactions that are projected above the plane of the sample, such as backscattered electrons. Although SCANNING TRANSMISSION ELECTRON MICROSCOPY also scans the specimen point by point with the electron beam, the image is constructed by detecting the electrons, or their interaction products that are transmitted through the sample plane, so that is a form of TRANSMISSION ELECTRON MICROSCOPY. Scanning Electron Microscopy,Electron Scanning Microscopy,Electron Microscopies, Scanning,Electron Microscopy, Scanning,Electron Scanning Microscopies,Microscopies, Electron Scanning,Microscopies, Scanning Electron,Microscopy, Electron Scanning,Microscopy, Scanning Electron,Scanning Electron Microscopies,Scanning Microscopies, Electron,Scanning Microscopy, Electron
D003743 Dental Enamel A hard thin translucent layer of calcified substance which envelops and protects the dentin of the crown of the tooth. It is the hardest substance in the body and is almost entirely composed of calcium salts. Under the microscope, it is composed of thin rods (enamel prisms) held together by cementing substance, and surrounded by an enamel sheath. (From Jablonski, Dictionary of Dentistry, 1992, p286) Enamel,Enamel Cuticle,Dental Enamels,Enamel, Dental,Enamels, Dental,Cuticle, Enamel,Cuticles, Enamel,Enamel Cuticles,Enamels
D003762 Dental Instruments Hand-held tools or implements especially used by dental professionals for the performance of clinical tasks. Instrument, Dental,Dental Instrument,Instruments, Dental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016910 Orthodontic Brackets Small metal or ceramic attachments used to fasten an arch wire. These attachments are soldered or welded to an orthodontic band or cemented directly onto the teeth. Bowles brackets, edgewise brackets, multiphase brackets, ribbon arch brackets, twin-wire brackets, and universal brackets are all types of orthodontic brackets. Dental Braces,Orthodontic Braces,Brace, Dental,Brace, Orthodontic,Braces, Dental,Braces, Orthodontic,Bracket, Orthodontic,Brackets, Orthodontic,Dental Brace,Orthodontic Brace,Orthodontic Bracket
D020878 Device Removal Removal of an implanted therapeutic or prosthetic device. Device Removals,Removal, Device,Removals, Device

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