Effect of different debonding techniques on shear bond strength and enamel cracks in simulated clinical set-ups

Abstract

Objective: The aim of this study was to evaluate the relationship between debonding forces and enamel cracks length change between different debonding techniques.

Methods: 80 extracted premolar teeth with intact buccal enamel were divided into five groups. In each group, enamel cracks were evaluated by stereomicroscope before and after debonding. All teeth were bonded with metal brackets by self-cure adhesive (3M, USA) and then debonded by bracket debonding plier, fixed on the UTM machine, through five methods based on location of plier on brackets: OGwing (occlusogingival), MDwing (mesiodistal), Oblique, OGbase (occlusogingival) and Cusp-base.

Results: Based on non-parametric distribution of data, there was no significant difference between groups in ARI and enamel cracks length change. The highest shear bond strength for debonding presented in OG base method (25.25 ± 8.4) and the difference was statistically significant (P-value = 0.029). There was no linear relationship between shear bond strength and cracks length change and also between ARI and cracks length change.

Conclusion: Despite the lower cracks length change in Cusp-base method than other groups, there wasn't significant difference between debonding methods. Also the amount of debonding forces and ARI do not affect the changes of cracks length.

Keywords: Debonding; Enamel cracks; Metal brackets; Orthodontics.