title: Tooth fracture associated with debonding a metal orthodontic bracket: a case report.
abstract: Enamel damage from debonding metal brackets is relatively rare. The purpose of this case report is to demonstrate that the risk of enamel or dental crown fracture is present when removing metal orthodontic brackets. It is advisable to take appropriate preventive measures, including examination of the anterior teeth for enamel cracks, prior to treatment. Patients should be fully informed of the risks of orthodontic treatment. Without pretreatment diagnosis and documentation, it is difficult for the orthodontist to prove that the appearance of enamel cracks or enamel/tooth fracture is unrelated to orthodontics.
authors.affiliation: Department of Orthodontics, St George's Hospital and Medical School, London, England, UK. Farhad.Naini@yahoo.co.uk
authors.forename: Farhad B
authors.initials: FB
authors.lastname: Naini
authors.forename: Daljit S
authors.initials: DS
authors.lastname: Gill
mesh_terms: D000134:Acid Etching, Dental / Q000379:methods; D001696:Biomechanical Phenomena; D003188:Composite Resins / Q000737:chemistry; D003481:Cuspid / Q000293:injuries; D003722:Dental Alloys / Q000737:chemistry; D001840:Dental Bonding; D017005:Dental Debonding / Q000009:adverse effects*; D003743:Dental Enamel / Q000293:injuries; D003804:Dentin / Q000293:injuries; D006801:Humans; D008487:Medical History Taking; D016382:Orthodontic Appliance Design; D016910:Orthodontic Brackets / Q000009:adverse effects*; D010756:Phosphoric Acids / Q000737:chemistry; D010808:Physical Examination; D019279:Resin Cements / Q000737:chemistry; D012307:Risk Factors; D013314:Stress, Mechanical; D019228:Tooth Crown / Q000293:injuries; D014082:Tooth Fractures / Q000209:etiology* / Q000517:prevention & control; D014172:Transillumination; D055815:Young Adult
chemical_list: D003188:Composite Resins; D003722:Dental Alloys; D010756:Phosphoric Acids; D019279:Resin Cements; C516047:Transbond XT Light Cure Adhesive Primer; C030242:phosphoric acid