Debonding and Fixed Retention in Orthodontics

An Evidence-Based Clinical Guide
1. Auflage 2023
ISBN: 978-1-119-62395-3
Verlag: Wiley

Buch, Englisch, 336 Seiten, Format (B × H): 137 mm x 213 mm, Gewicht: 476 g

An accessible and thorough guide to debonding and fixed retainer bonding

Debonding and Fixed Retention in Orthodontics: An Evidence-Based Clinical Guide reviews the protocols, materials, and techniques required at two key stages of orthodontic treatment. The book has been written as a reference guide and the chapters introduce the best-supported and most efficient approaches to each stage of debonding and fixed retainer bonding treatments, from choice of material through to final results.

The book includes relevant procedures including orthodontic appliance removal, appliance debonding, the use of rotating instruments, and enamel cleaning. The authors also provide guidance on topics such as the failure and adverse effects of fixed retainers, enamel structural defects, periodontal effects, and aerosol production, to aid in positive result retention.

Readers will also find:

- Two extensive sections covering debonding and fixed retainer bonding
- Evidence-based guidelines for each stage of treatment
- Summaries of the side effects of procedures on hard and soft dental tissues
- Tips to avoid potential unfavorable sequelae
- Detailed lists of existing methods and their clinical implications


Debonding and Fixed Retention in Orthodontics is written for orthodontic specialists, clinicians, and postgraduate dental students looking to build knowledge and ensure the best results during these two stages of orthodontic therapy.

Autoren/Hrsg.

Eliades, Theodore

Katsaros, Christos

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Zahnmedizin Zahnmedizin: Präventiv & Restaurativ, Prothetik

Inhaltsverzeichnis

List of Contributors xiii

Preface xvii        

Section A Debonding 1

1 Cutting with Rotating Instruments and Cutting Efficiency of Burs 3
María Arregui, Lluís Giner-Tarrida, Teresa Flores, Angélica Iglesias, and Andreu Puigdollers

1.1 Introduction 3

1.2 Enamel Surface and Damage Associated with Debonding Techniques: Burs and Polishing 4

1.2.1 Design and Type of Burs 7

1.2.1.1 Diamond Burs 7

1.2.1.2 Tungsten Carbide Burs 8

1.2.2 Cutting Efficiency 10

1.2.2.1 Diamond and Carbide Burs 10

1.2.2.2 Rotating Instruments: Turbines and Electric Motor Handpieces 12

1.2.2.3 Other Factors Related to Cutting Efficiency 14

1.2.3 Effect of the Debonding Technique on the Enamel 16

1.3 Preservation and Remineralization 19

1.4 Clinical Considerations 20

References 21

2 Debonding Protocols 28
Eser Tüfekçi and William Brantley

2.1 Introduction 28

2.2 Bond Failure Locations during Debonding 29

2.3 Protocols for Bracket Removal 30

2.4 Ultrasonic Debonding 33

2.5 Electrothermal Debonding 33

2.6 Use of Lasers for Debonding 34

2.7 Guidelines from Manufacturers 36

2.a Appendix: Units for Debonding Stress and Consideration of Debonding Force 37

References 38

3 Bonding and Debonding Considerations in Orthodontic Patients Presenting Enamel Structural Defects 43
Despina Koletsi, T. Gerald Bradley, and Katerina Kavvadia

3.1 Introduction 43

3.2 General Considerations and Challenges of Bonding and Debonding Strategies 44

3.3 Enamel Structural Defects 47

3.3.1 Bonding/Debonding Considerations for AI Subtypes 50

3.3.2 Enamel Hypoplasia and Molar Incisor Hypomineralisation 52

3.3.3 Fluorosis 56

3.4 Concluding Remarks 58

References 59

4 Enamel Colour, Roughness and Gloss Changes after Debonding 63
Andreas Karamouzos, Effimia Koumpia

Über Autor(innen)

Edited by
Theodore Eliades, DDS, MS, Dr Med Sci, PhD, DSc, FDS RCS(Ed) is Professor and Director of the Clinic of Orthodontics and Pediatric Dentistry, Director of Research, and Interim Director of the Institute of Oral Biology at the Center of Dental Medicine at University of Zurich in Switzerland.
Christos Katsaros, DDS, Dr med dent, Dr hc, Odont Dr/PhD is Professor and Chair of the Department of Orthodontics and Dentofacial Orthopedics at the University of Bern in Switzerland.