Electrothermal debracketing. Part I. An in vitro study. 1986

J J Sheridan, and G Brawley, and J Hastings

The contemporary techniques of bracket removal require shearing or compression forces. The force necessary to separate the bracket from the tooth is sufficient to cause deformation of the bracket and, in some cases, is capable of damaging the tooth. An alternative to conventional bracket removal is electrothermic debracketing (ETD). ETD is the technique of removing bonded brackets from enamel surfaces with a cordless battery device that generates heat. The heat is transferred to the bracket by a blade that is placed in the bracket slot. The bracket is firmly held by a thumb-activated lock-on arm of the ETD unit. When the heat applied to the bracket is transferred to and deforms the adhesive-bracket interface, the bracket can be gently lifted from the enamel surface without distortion of the bracket or excessive force to the underlying enamel. Part I of this study measured the in vitro rise in temperature at the pulpal wall when ETD is used. These data are correlated with established primate threshold temperatures that have been reported to cause pulpal pathosis. All ETD procedures in the sample elicited pulpal wall temperatures that were significantly below the primate baseline. When water spray was used in conjunction with ETD, the mean ultimate increase in pulpal wall temperature was less than 1 degree C.

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
D003782 Dental Pulp A richly vascularized and innervated connective tissue of mesodermal origin, contained in the central cavity of a tooth and delimited by the dentin, and having formative, nutritive, sensory, and protective functions. (Jablonski, Dictionary of Dentistry, 1992) Dental Pulps,Pulp, Dental,Pulps, Dental
D004560 Electricity The physical effects involving the presence of electric charges at rest and in motion.
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D006358 Hot Temperature Presence of warmth or heat or a temperature notably higher than an accustomed norm. Heat,Hot Temperatures,Temperature, Hot,Temperatures, Hot
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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