Pain and/or Discomfort During Debracketing: A Review

The topic of bracket removal and enamel integrity has been extensively investigated. Nevertheless, bracket removal, as far as pain and/or discomfort are concerned, is poorly delineated in the orthodontic literature, i.e., the scarcity of reports in this area is conspicuous. In fact, only six studies were retrieved upon a PubMed search. These clinical studies performed with metal brackets are presented in a chronological order in the present review. Pain and/or discomfort during bracket removal are urgently in need of additional studies. The orthodontists have to be well-informed and updated to convey all the aspects of this procedure to the patient

Comparison of the Shear Bond Strengths of Ceramic Brackets Using Either a Self-Etching Primer or the Conventional Method after Intracoronal Bleaching

Objective:To evaluate the initial shear bond strengths (SBSs) of ceramic brackets using either a self-etching primer (SEP) or the conventional method (CM) after intracoronal bleaching with sodium perborate and distilled water.Methods:Eighty human incisors were divided into four groups according to bleaching and bonding procedures: Group 1, bleaching was not applied and the brackets were bonded with a self-etching primer; Group 2, bleaching was not applied and the brackets were bonded with the conventional method; Group 3, intracoronal bleaching with sodium perborate was applied for three weeks and the brackets were bonded with a self-etching primer; and Group 4, intracoronal bleaching with sodium perborate was applied for three weeks and the brackets were bonded with the conventional method. A self-etching primer (Transbond Plus) was applied as recommended by the manufacturer. After SEP application, the ceramic brackets were bonded with a light-curing adhesive (Transbond XT). For the conventional method, the teeth were etched with 37% phosphoric acid. After etching, a thin uniform coat of primer (Transbond XT Primer) was applied and the ceramic brackets were bonded with a light-curing adhesive (Transbond XT). SBSs were measured after water storage for 30 days, after 1000 cycles of thermocycling between 5°C and 55°C. Bond failure location was determined with the Adhesive Remnant Index (ARI).Results:For the SEP method, there was no significant difference between SBS values of the bleaching and non-bleaching groups. Furthermore, for the conventional method, the SBS value of the non-bleaching group was not significantly different from that of the bleaching group. SBS values of the SEP method presented significant differences from those of the conventional method (p<0.001). SBS values of SEP application decreased with and without bleaching. The ARI scores did not show any significant difference among the groups (p=0.174).Conclusion:Intracoronal bleaching with sodium perborate and distilled water did not affect the SBS values of ceramic brackets

Comparison of Shear Bond Strengths of Ceramic Brackets Using Either Self-etching Primer or Conventional Method After Intracoronal Bleaching

WOS: 000439315100003Objective: To evaluate initial shear bond strengths (SBSs) of ceramic brackets using either a self-etching primer (SEP) or the conventional method (CM) after intracoronal bleaching with sodium perborate and distilled water. Materials and Method: Eighty human incisors were divided into 4 groups according to bleaching and bonding procedures: group 1, bleaching was not applied and brackets were bonded with SEP; group 2, bleaching was not applied and brackets were bonded with the CM; group 3, intracoronal bleaching with sodium perborate was applied for 3 weeks and brackets were bonded with SEP; group 4, intracoronal bleaching with sodium perborate was applied for 3 weeks and brackets were bonded with the CM. The SEP (Transbond Plus) was applied as recommended by the manufacturer. After SEP application, ceramic brackets were bonded with light cure adhesive (Transbond XT). For the CM, the teeth were etched with 37% phosphoric acid. After etching, a thin uniform coat of primer (Transbond XT Primer) was applied and ceramic brackets were bonded with light cure adhesive (Transbond XT). The SBSs were measured after water storage for 30 days, after 1000 cycles of thermocycling between 5 degrees C and 55 degrees C. Bond failure location was determined with the adhesive remnant index (ARI). Results: For the SEP method, there was no significant difference between the SBS values of the bleaching and nonbleaching groups. Furthermore, for the CM, the SBS value of the nonbleaching group was not significantly different from that of the bleaching group. The SBS values of the SEP method presented significant differences from the SBS values of the CM (p < 0.001). The SBS values of the SEP application decreased with and without bleaching. ARI scores did not show any significant difference between the groups (p = 0.174). Conclusion: Intracoronal bleaching with sodium perborate and distilled water did not affect the SBS values of ceramic brackets

Comparison of the Shear Bond Strengths of Ceramic Brackets Using Either a Self-Etching Primer or the Conventional Method after Intracoronal Bleaching

WOS: 000439316200001Objective: To evaluate the initial shear bond strengths (SBSs) of ceramic brackets using either a self-etching primer (SEP) or the conventional method (CM) after intracoronal bleaching with sodium perborate and distilled water. Methods: Eighty human incisors were divided into four groups according to bleaching and bonding procedures: Group 1, bleaching was not applied and the brackets were bonded with a self-etching primer; Group 2, bleaching was not applied and the brackets were bonded with the conventional method; Group 3, intracoronal bleaching with sodium perborate was applied for three weeks and the brackets were bonded with a self-etching primer; and Group 4, intracoronal bleaching with sodium perborate was applied for three weeks and the brackets were bonded with the conventional method. A self-etching primer (Transbond Plus) was applied as recommended by the manufacturer. After SEP application, the ceramic brackets were bonded with a light-curing adhesive (Transbond XT). For the conventional method, the teeth were etched with 37% phosphoric acid. After etching, a thin uniform coat of primer (Transbond XT Primer) was applied and the ceramic brackets were bonded with a light-curing adhesive (Transbond XT). SBSs were measured after water storage for 30 days, after 1000 cycles of thermocycling between 5 degrees C and 55 degrees C. Bond failure location was determined with the Adhesive Remnant Index (ARI). Results: For the SEP method, there was no significant difference between SBS values of the bleaching and non-bleaching groups. Furthermore, for the conventional method, the SBS value of the non-bleaching group was not significantly different from that of the bleaching group. SBS values of the SEP method presented significant differences from those of the conventional method (p<0.001). SBS values of SEP application decreased with and without bleaching. The ARI scores did not show any significant difference among the groups (p=0.174). Conclusion: Intracoronal bleaching with sodium perborate and distilled water did not affect the SBS values of ceramic brackets

Comparison of the shear bond strengths of ceramic brackets using either a self-etching primer or the conventional method after intracoronal bleaching

Objective: To evaluate the initial shear bond strengths (SBSs) of ceramic brackets using either a self-etching primer (SEP) or the conventional method (CM) after intracoronal bleaching with sodium perborate and distilled water. Methods: Eighty human incisors were divided into four groups according to bleaching and bonding procedures: Group 1, bleaching was not applied and the brackets were bonded with a self-etching primer; Group 2, bleaching was not applied and the brackets were bonded with the conventional method; Group 3, intracoronal bleaching with sodium perborate was applied for three weeks and the brackets were bonded with a self-etching primer; and Group 4, intracoronal bleaching with sodium perborate was applied for three weeks and the brackets were bonded with the conventional method. A self-etching primer (Transbond Plus) was applied as recommended by the manufacturer. After SEP application, the ceramic brackets were bonded with a light-curing adhesive (Transbond XT). For the conventional method, the teeth were etched with 37% phosphoric acid. After etching, a thin uniform coat of primer (Transbond XT Primer) was applied and the ceramic brackets were bonded with a light-curing adhesive (Transbond XT). SBSs were measured after water storage for 30 days, after 1000 cycles of thermocycling between 5&deg;C and 55&deg;C. Bond failure location was determined with the Adhesive Remnant Index (ARI).Results: For the SEP method, there was no significant difference between SBS values of the bleaching and non-bleaching groups. Furthermore, for the conventional method, the SBS value of the non-bleaching group was not significantly different from that of the bleaching group. SBS values of the SEP method presented significant differences from those of the conventional method (p<0.001). SBS values of SEP application decreased with and without bleaching. The ARI scores did not show any significant difference among the groups (p=0.174).Conclusion: Intracoronal bleaching with sodium perborate and distilled water did not affect the SBS values of ceramic brackets.Objective: To evaluate the initial shear bond strengths (SBSs) of ceramic brackets using either a self-etching primer (SEP) or the conventional method (CM) after intracoronal bleaching with sodium perborate and distilled water. Methods: Eighty human incisors were divided into four groups according to bleaching and bonding procedures: Group 1, bleaching was not applied and the brackets were bonded with a self-etching primer; Group 2, bleaching was not applied and the brackets were bonded with the conventional method; Group 3, intracoronal bleaching with sodium perborate was applied for three weeks and the brackets were bonded with a self-etching primer; and Group 4, intracoronal bleaching with sodium perborate was applied for three weeks and the brackets were bonded with the conventional method. A self-etching primer (Transbond Plus) was applied as recommended by the manufacturer. After SEP application, the ceramic brackets were bonded with a light-curing adhesive (Transbond XT). For the conventional method, the teeth were etched with 37% phosphoric acid. After etching, a thin uniform coat of primer (Transbond XT Primer) was applied and the ceramic brackets were bonded with a light-curing adhesive (Transbond XT). SBSs were measured after water storage for 30 days, after 1000 cycles of thermocycling between 5&deg;C and 55&deg;C. Bond failure location was determined with the Adhesive Remnant Index (ARI).Results: For the SEP method, there was no significant difference between SBS values of the bleaching and non-bleaching groups. Furthermore, for the conventional method, the SBS value of the non-bleaching group was not significantly different from that of the bleaching group. SBS values of the SEP method presented significant differences from those of the conventional method (p<0.001). SBS values of SEP application decreased with and without bleaching. The ARI scores did not show any significant difference among the groups (p=0.174).Conclusion: Intracoronal bleaching with sodium perborate and distilled water did not affect the SBS values of ceramic brackets