Qualitative and quantitative evaluation of enamel after various stripping methods

Am J Orthod Dentofacial Orthop. 2006 Aug;130(2):131.e7-14. doi: 10.1016/j.ajodo.2006.01.021.

Abstract

Introduction: In this study, we investigated ultramorphology, surface roughness, and microhardness of permanent and deciduous tooth enamel after various stripping methods.

Methods: One hundred twenty deciduous and permanent teeth (n = 60 each) were used. Qualitative (scanning electron microscopy) and quantitative (surface roughness and microhardness tests) experiments were carried out in the following experimental groups: group 1, stripping disk; group 2, diamond-coated metal strip; group 3, stripping disk and Sof-Lex discs (3M-ESPE, Seefeld, Germany); group 4, diamond-coated metal strip and Sof-Lex discs; group 5 (chemical stripping), 37% orthophosphoric acid in conjunction with diamond-coated metal strip; group 6 (control), no stripping. Surface roughness values (Ra) for permanent and deciduous enamel were evaluated with Welch analysis of variance (ANOVA) and Tamhane tests, and Kruskal-Wallis and Mann-Whitney tests, respectively. Microhardness values were evaluated statistically with Kruskal-Wallis, 1-way ANOVA, and Duncan tests.

Results: Deciduous and permanent teeth showed similar results in terms of surface roughness and surface morphology. Groups 3 and 4 had the smoothest deciduous and permanent enamel surfaces, whereas chemical stripping (group 5) produced the roughest surfaces in both enamel types. Stripping did not lead to a significant change in the microhardness of permanent enamel.

Conclusions: All stripping methods significantly roughened the enamel surfaces. Polishing the stripped surface with Sof-Lex discs decreased the roughness.

MeSH terms

  • Analysis of Variance
  • Dental Enamel / drug effects
  • Dental Enamel / surgery*
  • Dental Enamel / ultrastructure*
  • Dentition, Permanent
  • Hardness
  • Humans
  • Microscopy, Electron, Scanning
  • Oral Surgical Procedures / instrumentation
  • Oral Surgical Procedures / methods
  • Phosphoric Acids / pharmacology
  • Statistics, Nonparametric
  • Surface Properties
  • Tooth, Deciduous

Substances

  • Phosphoric Acids
  • phosphoric acid