Objective: Bracket bonding has been a major advance in orthodontic treatment. However, the method of debonding can lead to diverse problems such as enamel fractures, enamel loss and enamel scratching. In this clinical investigation we aimed to evaluate the influence of wearing dental loupes on enamel damage during the debonding procedure.
Material And Methods: 22 consecutive patients were randomly assigned in a split-mouth study to evaluate adhesive removal with and without the use of dental loupes (2.5×, LED headlight). Tooth replicas in epoxy resin were made from silicone impressions. Electron microscopic images (50× magnification) of 394 buccal enamel surfaces were evaluated according to an enamel damage index (EDI), line angle grooves (LAG) and composite residues (CR) on anterior teeth, premolars and molars.
Results: The EDI revealed highly significant advantages for debonding with dental loupes, with which the EDI was significantly higher for molars, while still less than without dental loupes. We detected no differences between the tooth groups without dental loupes. We found significantly fewer LAG on anterior teeth debonded with dental loupes. CR were fewer in the dental loupes group, and we noted no significant differences between the tooth groups.
Conclusions: Dental loupes affect the quality of the debonding procedure, resulting in less enamel damage and composite residue, as well as fewer LAG compared to the control group. We therefore strongly recommend the use of dental loupes in orthodontic debonding procedures.
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Article Synopsis
- The study aimed to compare the effectiveness of using an operating microscope (OM) versus dental loupes (DL) for alveolar ridge augmentation (ARP) after tooth extraction, focusing on wound healing and bone quality.
- Forty teeth from 33 patients were randomly divided into two groups; one received treatment with OM and the other with DL. Results showed that the OM group had significantly fewer tissue remnants and better healing scores at 2 and 4 weeks post-surgery.
- By the 12-week mark, both groups had similar bone healing and quality results, suggesting the early benefits of OM in reducing tissue remnants did not translate into long-term differences in bone health.
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