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Article: Volume 7 Number 1 Page 6 - January 2014

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  Orthodontic Update 25: 6-13

Orthodontics:  Orthodontic Debonding: Methods, Risks and Future Developments

CPD:  CPD  2:40   (closed)      Self assess

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Abstract: The ultimate aims for any clinician at orthodontic debond, following the attainment of a good occlusal result, are to remove all of the attachments, along with the bonding/banding material, as atraumatically as possible whilst minimizing the risks to the operator, assistant and patient during the whole process. This paper reviews the process of debonding following a course of orthodontic fixed appliance therapy, from bracket/band removal through to enamel clean-up. In particular, the risks to both the patient and operator are described at all stages. Future developments are discussed that might help reduce such risks.

Clinical relevance: Returning the tooth, following orthodontic treatment, to its pretreatment condition is as important as the orthodontic treatment itself. The process of debonding is not without risk and it is vital that all clinicians are aware of these risks, but also what they can do to minimize them as much as possible.

Author notes: Samantha Brooke Stewart, BDS, MJDF, Orthodontic STR, Orthodontic Department, Musgrove Park Hospital, Taunton, Colin P Chambers, BDS, MFDS, Orthodontic STR, University of Bristol, Child Dental Health Department, Jonathon R Sandy, BDS, MSc, PhD(Lond), MOrth RCS, FDS RCS, FDS RCSEd, FFD RCSI, Professor in Orthodontics, University of Bristol, Child Dental Health Department, Bo Su, BSc, MEng, PhD, FIMMM, Professor in Biomedical Materials, University of Bristol, Oral and Dental Science and Anthony Ireland, BDS, MSc, PhD(Lond), MOrth RCS, FDS RCS, Professor in Orthodontics, University of Bristol, Oral and Dental Science, Bristol, UK.

Objective: To review the process of debonding following a course of orthodontic fixed appliance therapy, from bracket/band removal through to enamel clean-up and discuss the risks to both the patient and the operator at all stages.

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