This study investigates clinical approaches to orthodontic debonding and post-debonding finishing, focusing on enamel preservation. An observational epidemiological survey was conducted among dental professionals to assess commonly used techniques, instruments, and complications. Results highlight variability in clinical protocols, with mechanical methods being the most widely adopted. The study emphasizes the importance of minimally invasive strategies to reduce enamel damage and improve patient outcomes.
This study explores orthodontic debonding and post-debonding finishing procedures, with particular emphasis on their impact on enamel integrity and long-term oral health. The study is an observational epidemiological investigation aimed at identifying current clinical practices, materials, and associated complications. The research was conducted using an online questionnaire developed using Google Forms. The survey consisted of 23 questions (19 multiple-choice and 4 open-ended) and was distributed to dental professionals involved in orthodontic practice. Participants included orthodontists, general dentists with orthodontic experience, and orthodontic residents. The questionnaire was structured into four sections: demographic and professional data, instruments and techniques used for debonding and polishing, clinical complications observed, and post-treatment management strategies. Inclusion criteria required professional involvement in orthodontic procedures and informed consent, while non-relevant dental professionals were excluded. Data were anonymized and analyzed using spreadsheet software.
Study Type
OBSERVATIONAL
Enrollment
100
Sapienza università di Roma
Roma, RM, Italy
RECRUITINGPrevalence and Type of Iatrogenic Enamel Damage Post-Orthodontic Debonding
Evaluation of the frequency and nature of enamel alterations (e.g., fractures, scratches, or surface roughness) observed by practitioners following the removal of orthodontic brackets and residual resin. This measure assesses the clinical impact of different debonding and finishing protocols on enamel integrity. Higher scores indicate a worse outcome (higher frequency of iatrogenic damage)
Time frame: At the completion of the orthodontic treatment (immediate post-debonding phase).
Frequency of Patient-Reported Dental Sensitivity and Pain
Assessment of the incidence of hypersensitivity (to thermal or tactile stimuli) and discomfort/pain reported by patients during or immediately after the debonding and finishing procedures.
Time frame: From the start of the debonding procedure up to the first follow-up visit (typically within a few weeks).
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