AI Article Synopsis
- - The study aimed to investigate how fixed orthodontic appliances impact the enamel structure by examining microfractures, surface roughness, and color changes in teeth.
- - Researchers conducted a systematic review of 14 relevant clinical trials that assessed these effects on human teeth, focusing on various techniques and instruments used in the studies.
- - Results indicated that ceramic brackets can cause more enamel fractures during removal, with surface roughness and color changes influenced by the type of adhesive and polishing methods; further research is needed to find effective solutions for these issues.
Article Abstract
Aim: The objective of this study was to explore the effects of fixed orthodontic appliances on enamel structure by assessing microfractures, surface roughness, and alterations in color.
Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A systematic search of online databases was conducted using the keywords 'enamel' AND 'orthodontic debonding'. Eligibility criteria included both in vivo and ex vivo clinical trials conducted on human teeth.
Results And Discussion: A total of 14 relevant papers were analyzed. Various instruments and techniques were utilized across different studies to assess surface roughness, color change, and surface fractures.
Conclusions: The findings of this study suggest that ceramic brackets may lead to an increase in enamel fractures, particularly during bracket removal. The surface roughness of enamel exhibits variability depending on the adhesive substance and polishing methods used post-removal. Fixed orthodontic appliances could induce changes in enamel color, which may be alleviated by the use of nano-hydroxyapatite or specific polishing techniques. Further research is necessary to identify effective strategies for managing these color changes and improving the overall outcomes of fixed orthodontic treatment.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11121904 | PMC |
| http://dx.doi.org/10.3390/jfb15050123 | DOI Listing |
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