Comparison between different interdental stripping methods and evaluation of abrasive strips: SEM analysis.
OBJECTIVE
The aim of this study was to evaluate the morphological effects and the surface irregularities produced by different methods of mechanical stripping (abrasive strips and burs) and chemical stripping (37% orthophosphoric acid) and the surface changes following the finishing procedures (polishing strips) or the subsequent application of sealants, in order to establish the right stripping method that can guarantee the smoothest surface. We have also analysed the level of wear on the different abrasive strips employed, according to their structure.


METHODS
160 proximal surfaces of 80 sound molar teeth extracted for orthodontic and periodontal reasons, were divided into: 1 control group with non-treated enamel proximal surfaces and 5 different groups according to the stripping method used, were observed with scanning electron microscopy (SEM). Each one of the 5 treated groups was also divided into 3 different subgroups according to the finishing procedures or the subsequent application of sealants.


RESULTS
The finishing stage following the manual reduction proves to be fundamental in reducing the number and depth of grooves created by the stripping. After the air rotor stripping method, the use of sealants is advised in order to obtain a smoother surface. The analysis of the combinations of mechanical and chemical stripping showed unsatisfactory results. Concerning the wear of the strips, we have highlighted a different abrasion degree for the different types of strips analysed with SEM.


CONCLUSIONS
The enamel damages are limited only if the finishing procedure is applied, independently of the type of abrasive strip employed. It would be advisable, though clinically seldom possible, the use of sealants after the air rotor stripping technique.
Department of Orthodontics, Catholic University of Sacred Heart, Rome, Italy. cgrippaudo@rm.unicatt.it
Cristina
C
Grippaudo
Daniela
D
Cancellieri
Maria E
ME
Grecolini
Roberto
R
Deli
D000134:Acid Etching, Dental / Q000379:methods; D003188:Composite Resins; D003743:Dental Enamel / Q000187:drug effects / Q000648:ultrastructure*; D003777:Dental Prophylaxis / Q000295:instrumentation / Q000379:methods; D018130:Diamond / Q000737:chemistry; D006801:Humans; D008855:Microscopy, Electron, Scanning; D010756:Phosphoric Acids / Q000737:chemistry; D010895:Pit and Fissure Sealants / Q000737:chemistry; D013499:Surface Properties; D019246:Tooth Preparation / Q000295:instrumentation / Q000379:methods*
D003188:Composite Resins; D010756:Phosphoric Acids; D010895:Pit and Fissure Sealants; C106663:Ultra Seal XT; D018130:Diamond; C030242:phosphoric acid