ABSTRACT
The mechanical debonding of ceramic brackets using special instruments involves the use of a degree of force that is damaging to the enamel. For this reason, the authors have developed the Ceramic Debonding Unit for the thermal debonding of ceramic brackets. The unit reduces the force necessary for debonding, without overheating the tooth. The present article explains the principle of the unit. The influence on the temperature increase in the pulpa of the mechanical torque applied during debonding, and the time taken for debonding was investigated in extracted teeth (lower central incisors). Tests on ceramic brackets made by various manufacturers showed that safe debonding is possible if the debonding time does not exceed 3 seconds at a torque of 100 Nnm. The temperature increase in the pulpa will not exceed 5 degrees C when the Ceramic Debonding Unit is used under these conditions, so that harmful overheating of healthy teeth does not occur.
Subject(s)
Ceramics , Dental Debonding/instrumentation , Hot Temperature , Orthodontic Appliances , Dental Enamel/ultrastructure , Dental Pulp , Equipment Design , Evaluation Studies as Topic , Humans , In Vitro Techniques , Microscopy, Electron, Scanning , Surface Properties , TemperatureSubject(s)
Dental Casting Technique , Titanium , Crowns , Dental Porcelain , Denture, Partial, Fixed , Denture, Partial, Removable , Humans , Quality ControlABSTRACT
The purpose of this laboratory study was to define the working parameters and physiological safety and efficacy of the Dentaurum Ceramic Debonding Unit. Extracted mandibular incisors were utilized because of their low thermal mass and low heat sensitivity. The teeth were embedded in plastic and placed on a turning force measuring apparatus. An electrothermal element was placed in the pulp chamber (filled with a conducting paste). The thermoelement temperature was registered on y-t recorder as was the turning momentum required to remove the ceramic brackets with the Dentaurum Ceramic Debonding Unit. Ceramic brackets from GAC (Allure III), Unitek (Transcend) and Dentaurum (Fascination) using one and two component adhesives (Monolok, Concise), were tested. Scanning electron microscopic views taken after debonding showed predictable (and favorable) adhesive failure at the bracket base/resin interface. No enamel damage was demonstrated. All brackets were removable under three seconds with a clinically reproducible turning force of 85-100 Nmm allowing for intrapulpal temperature increases under the 5 degrees C biocompatible threshold. The Dentaurum Ceramic Debonding Unit provided a safe, reliable, efficient modality of removing ceramic brackets while maintaining a physiologically acceptable rise in pulpal temperature without damage to tooth enamel or pulpal tissue.
