Ceramic Brackets Enamel Damage

Laser assisted debonding of ceramic brackets could reduce the risk of enamel damage without causing thermal damage to the pulp.

Ceramic brackets enamel damage.

As with any dental treatment it s important to explore all of your options before choosing an orthodontic appliance. The potential tooth damage from ceramic braces is worse than that from stainless steel according to a review of ceramic brackets published in a 1997 issue of the american journal of orthodontics dentofacial orthopedics. Although some studies have reported no enamel damage when ceramic brackets are debonded with the appropriate pliers 20 21 other studies have reported an increase in enamel cracks or crack length following debonding 22 25 studies by liu et al 23 mundstock et al 24 and årtun25 have reported enamel damage of up to 20 of teeth after debonding of ceramic brackets with pliers. Ceramic brackets showed higher aribracket score indicating more damage to enamel surface composite plastic bracket and stainless brackets showed lesser values indicating minimal enamel damage.

Effects of diode laser debonding of ceramic brackets on enamel surface and pulpal temperature. However some increases in the length and frequency of enamel cracks should be expected with all debonding methods. As a result when teeth touch the brackets or when the brackets are removed from teeth enamel can be damaged. The enamel erosion is probably just spots around where the brackets were.

7 chemical adhesion involves a remarkable bond strength and the debonding stress can migrate from the bracket adhesive interface to the adhesive enamel interface and consequently damage the. Unfortunately these braces were susceptible to staining and breakage and sometimes contributed to enamel damage when they were removed. The process of removing the glue debonding has also been known to cause damage to your tooth surface enamel. A remaining part of the ceramic bracket on enamel can be shaped in a way that it cannot be removed with pliers and therefore needs to be removed with a rotary instrument.

The bonding process used to attach porcelain brackets has also changed decreasing the risk of tooth damage after treatment. An additional risk for enamel damage is caused by the low fracture toughness of the ceramic brackets especially the monocrystalline brackets which may lead to break ups of the bracket itself during debonding 17 27 32. Porcelain braces have significantly improved over recent years proving much sturdier than their predecessors.