The following is a description of the debonding process when orthodontic treatment is completed.
We describe the processes normally used by Smileline Clinic and the risks that the teeth patient’s may have if a correct protocol is not followed.
You are finally done with your orthodontic treatment and you are now ready to show off your new and improved smile. Now that you are done with your orthodontic treatment your orthodontist will debond your braces. Debonding is the removal of the cemented orthodontic brackets on your teeth.
You can expect your debond appointment to last about an hour approximately. Pliers will be used to remove the brackets and wires and your teeth will be polished to remove any of the glue that is left on your teeth.
Getting your braces taken off is painless, although you may feel a little pressure when your brackets are being removed. When all of the braces and glue has been removed, many patients describe their teeth feeling slimy. Your gums may feel a little sore or inflamed but that should go away after a couple or three days.
After the removal of your braces, you will receive your retainers to make sure that your teeth stay in place.
You will notice that your teeth are a lot easier to clean but you should always give them the same time and attention to ensure that they stay healthy.
Several people have asked me about how we remove orthodontic bracket cement, after bracket removal. The most important thing in debonding is, to remove all of the orthodontic cement, without damaging the enamel, and to leave a smooth intact surface.
The objectives of debonding are to remove the attachment and all the adhesive resin from the tooth and restore the surface as close as possible to its pretreatment condition without including iatrogenic damage. To obtain these objectives, a correct technique is of fundamental importance. Debonding may be unnecessarily time consuming and damaging to the enamel if performed with improper technique or carelessly.
In Smileline Clinic, we recommend to use a debonding plier and squeeze the bracket wings from side to side and lift the bracket off with a peel force. This is particularly useful on brittle, mobile and endodontically treated teeth. The break is likely to occur in the adhesive bracket interference, thus leaving adhesive remnants on the enamel. An attempt to remove the bracket by shearing it off can be traumatic to the patient and potentially damaging to the enamel.
When removing the residual adhesive may be accomplished by scraping with a sharp band or bond -removing pliers or with a scaler or by using suitable bur and contraanngle. However, the first method is fast and frequently successful on curved teeth like premolars and canines, it is useful on flat anterior teeth. A risk also exists of creating significant scratch marks.
The preferred alternative is to use a tungsten carbide but in a handpice. Light painting movements of the bur should be used as not to scratch the enamel. Water cooling should not be used when the last remnants are removed because water lessens the contrast with enamel.
When all adhesive has been removed, the tooth surface may be polished with prophylaxis paste in a routine manner however in view of the normal wear of enamel, this step may be optional.
ENAMEL CRACKS
Cracks occurring as split lines in the enamel, are common but often are overlooked by clinicians because they are difficult to distinguish clearly and because they do not show up on routine, intraoral photographs. The origin of enamel cracks is multicausal. Different forms of mechanical and thermal insult may fracture the enamel cap after eruption; this results from the significant difference in rigidity between enamel and dentin.
The prevalence of enamel cracks, their distribution, their location on the tooth surface, and the type, showed that vertical cracks are common, in fact more than 50% of all teeth studied had such cracks, few horizontal and oblique cracks are observed normally, and the most notable cracks are the maxillary central incisors and upper canines.
If you want to correct your teeth, improve your smile and have a better quality of life, come to SMILELINE CLINIC BARCELONA, we are specialized in orthodontics. Ask our professionals all your doubts and request your first diagnostic consultation.
Always be sure to be treated by authentic, experienced professionals. For more information or a first appointment, contact us at Tel. 932002092 www.orto.org
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