Comparison of Enamel Surface Roughness after Bracket Debonding and Adhesive Resin Removal Using Different Burs with and without the Aid of a Magnifying Loupe

• Published in: The journal of contemporary dental practice Vol. 23; no. 11; pp. 1091 - 1099
• Main Authors: Thawaba, Ahmed A, Albelasy, Nehal F, Elsherbini, Amira M, Hafez, Ahmad M
• Format: Journal Article
• Language: English
• Published: India 01.11.2022
• Subjects: Bicuspid; Dental Cements; Dental Debonding; Dental Enamel; Humans; Microscopy, Electron, Scanning; Orthodontic Brackets; Surface Properties; Magnifying loupe; Scanning electron microscopy Surface roughness; Profilometer
• ISSN: 1526-3711; 1526-3711
• DOI: 10.5005/jp-journals-10024-3432

This study aimed to evaluate the impact of using a magnifying dental loupe on enamel surface roughness during adhesive resin removal by different burs. Ninety-six extracted premolar teeth were randomly divided according to the bur used with or without the aid of a magnifying loupe into four equal groups ( = 24): group I: naked eye tungsten carbide burs (NTC); group II: magnifying loupe tungsten carbide burs (MTC); group III: naked eye white stones (NWS); and group IV: magnifying loupe white stones (MWS). The initial surface roughness ( ) T0 was evaluated using a profilometer, and the scanning electronic microscopy (SEM) technique. The metal brackets were bonded and debonded after 24 hours with debonding plier. After adhesive removal, was evaluated again (T1) also the time spent on adhesive removal was recorded in seconds. The samples were finally polished by Sof-Lex discs and Sof-Lex spirals, and the third evaluation was performed (T2). The results of two-way mixed analysis of variance (ANOVA) showed that all burs increased surface roughness at T1 as compared to T0 ( < 0.001) with the highest values shown in group III followed by group IV, group I, and group II. After polishing, no significant difference was noted in values in group I and group II at T0 vs T2 ( = 1.000), while it was significant in group III and group IV ( < 0.001). Regarding the time required for adhesive removal, the shortest time was in group IV followed by groups III, II, and I, respectively. The use of a magnifying loupe affects the quality of the clean-up procedure by reducing the enamel surface roughness and the time spent on adhesive removal. Using a magnifying loupe was helpful during orthodontic debonding and adhesive removal.