title: Laboratory evaluations on thermal debonding of ceramic brackets.
abstract: 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.
authors.affiliation: University of Pennsylvania, School of Dental Medicine, Philadelphia.
authors.forename: F
authors.initials: F
authors.lastname: Sernetz
authors.forename: J
authors.initials: J
authors.lastname: Kraut
mesh_terms: D001831:Body Temperature; D002516:Ceramics; D017005:Dental Debonding / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D003743:Dental Enamel / Q000293:injuries; D003782:Dental Pulp / Q000293:injuries; D006358:Hot Temperature; D006801:Humans; D016910:Orthodontic Brackets