Bracket Removal and Enamel Polishing Procedures After Completion of Orthodontic Treatment; A Survey Among Iraqi Orthodontists

Abstract

Objective: To survey the orthodontic debonding techniques in Iraq and describe the most commonly used methods to remove the brackets and adhesive remnants from the enamel surfaces. 
 Methods: A questionnaire survey consisting of 9 questions about general information of the participants (gender, work location, duration of practicing orthodontics), bracket debonding methods, and instruments used was electronically sent to Iraqi orthodontists. 
 Results: Overall, 91 orthodontists responded. 67% of participants found enamel damage after bracket removal. The most commonly used pliers for bracket debonding were bracket removal pliers (73.6%) and ligature cutters (23.1%). For adhesive removal, high-speed tungsten carbide burs were the most widely used technique for adhesive removal, followed by low-speed carbide burs and low-speed abrasive discs, respectively. The most frequently used instruments for polishing after debonding were rubber cups with pumice (40.65%). 
 Conclusions: In the present survey, it is shown that bracket debonding pliers are the most commonly used pliers for bracket removal. High-speed tungsten carbide bur is the most utilized method for adhesive removal, rubber cup together with pumice is the most commonly used technique for tooth polishing.