The effect of the type of composite resin and debonding plier on the adhesive remnants on the enamel surface; A new method in adhesive remnant measuring

At the end of fixed orthodontic treatment, enamel damages are affected by amount of adhesive remnants. Thus, determining the factors involves in the amount of adhesive remnants e.g. the types of resins and the methods used for debonding is of necessity. The aim of this study was to evaluate the effect of the composite resin type and debonding pliers on enamel surface by a new method in measuring the adhesive remnant. In this interventionally in-vitro study, 120 extracted human premolars were randomly divided into four groups of 30 each. The standard edgewise metal brackets were bonded on the teeth with two pastes self-cure composite "Concise" in the first and second groups, and with No-mix composite "Unite" in the third and fourth groups. the debonding was done by means of Lift off Debonding Instrument "LODI" (3M-Unitek), in first and third groups, and Bracket Removing Plier (Dentaurum), in the second and forth groups, respectively. After debonding, all teeth were evaluated with steriology software (stereolith version 1) for comparing the amount of adhesive remnants between the four groups. For data analysis, One-way ANOVA and independent t.test were used. The fourth group showed the lowest adhesive on the enamel surface and the most on the bracket surface with significant differences with other three groups (p<0.01). The use of Dentaurum debonding plier with shear-peel force when used with the Unite adhesive (group 4), would decrease the adhesive remnants on the enamel surface.