Abstract
Background: Since fixed orthodontic treatment is widely spread and one of its inconveniences is bracket removal, as this affects enamel integrity as well as being a cause of discomfort to the patient, studies have searched for the most adequate bracket removal technique, many of them focusing on using laser-technology. Methods: Our review focused on articles published investigating methods of orthodontic bracket removal using laser technology in the last 30 years. Results: 19 relevant studies were taken into consideration after a thorough selection. Different types of laser devices, with specific settings and various testing conditions were tested and the investigators presented their pertinent conclusions. Conclusions: Most studies were performed using ceramic brackets and the best results in terms of prevention of enamel loss, temperature stability for the tooth as well as reduced chair time were obtained with Er:YAG lasers.
Highlights
IntroductionOrthodontic treatment is highly sought by patients of all ages. The most common orthodontic treatment consists in bonding brackets or other attachments to dental structures to move teeth
In present times, orthodontic treatment is highly sought by patients of all ages
The search was carried out using the keywords “laser debracketing”, ”laser and orthodontic bracket removal” and “laser and orthodontic debonding”
Summary
Orthodontic treatment is highly sought by patients of all ages. The most common orthodontic treatment consists in bonding brackets or other attachments to dental structures to move teeth. When the active orthodontic treatment is finished, the brackets used are de-bonded and all adhesive remnants should be removed since residual adhesive favors the accumulation of dental plaque and might lead to discoloration [2]. Since fixed orthodontic treatment is widely spread and one of its inconveniences is bracket removal, as this affects enamel integrity as well as being a cause of discomfort to the patient, studies have searched for the most adequate bracket removal technique, many of them focusing on using laser-technology. Methods: Our review focused on articles published investigating methods of orthodontic bracket removal using laser technology in the last 30 years. Conclusions: Most studies were performed using ceramic brackets and the best results in terms of prevention of enamel loss, temperature stability for the tooth as well as reduced chair time were obtained with Er:YAG lasers
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