The effects of wear, acid etching, and bond removal on human enamel. 1977

D A Fitzpatrick, and D C Way

A method of marking human enamel so that reduction in enamel thickness by etching, bonding, and wear could be measured to within a range of -2.5 to +3.5 microns for the impression accuracy and to within a range of -1.5 to +3.8 microns for the measurement error, was devised and used to measure the effects of the above factors on enamel. For five unetched surfaces studied in vivo, the 85-day loss of enamel averaged 1.6 microns. For twenty teeth etched and studied in vivo, the etch removed 9.9 microns of enamel and the subsequent loss over 85 days exceeded normal wear by 3.0 microns. The etch produces microporosities up to 50 microns in depth; therefore, the remaining 40 to 45 microns must be filled rather than worn smooth. For twelve teeth subjected to etching, bonding, bracket removal, and "clean up," enamel removed averaged 55.6 microns or approximately the entire thickness of the etch. The surface immediately following the "clean up" and 2 months after "clean up" were clinically and microscopically comparable to an untouched enamel surface.

UI MeSH Term Description Entries
D009967 Orthodontic Appliances Devices used for influencing tooth position. Orthodontic appliances may be classified as fixed or removable, active or retaining, and intraoral or extraoral. (Boucher's Clinical Dental Terminology, 4th ed, p19) Appliance, Orthodontic,Appliances, Orthodontic,Orthodontic Appliance
D001840 Dental Bonding An adhesion procedure for orthodontic attachments, such as plastic DENTAL CROWNS. This process usually includes the application of an adhesive material (DENTAL CEMENTS) and letting it harden in-place by light or chemical curing. Bonding, Dental,Cure of Orthodontic Adhesives,Curing, Dental Cement,Dental Cement Curing,Orthodontic Adhesives Cure
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
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000134 Acid Etching, Dental Preparation of TOOTH surfaces and DENTAL MATERIALS with etching agents, usually phosphoric acid, to roughen the surface to increase adhesion or osteointegration. Dental Acid Etching,Etching, Dental Acid
D014072 Tooth Abrasion The pathologic wearing away of the tooth substance by brushing, bruxism, clenching, and other mechanical causes. It is differentiated from TOOTH ATTRITION in that this type of wearing away is the result of tooth-to-tooth contact, as in mastication, occurring only on the occlusal, incisal, and proximal surfaces. It differs also from TOOTH EROSION, the progressive loss of the hard substance of a tooth by chemical processes not involving bacterial action. (From Jablonski, Dictionary of Dentistry, 1992, p2) Dental Abrasion,Abrasion, Dental,Abrasion, Tooth

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