Debonding of Orthodontic Ceramic brackets: A comprehensive review of the literature – Part 1

Abstract

The purpose of this 2 part literature review is to evaluate various debonding techniques for orthodontic ceramic bracket removal and their clinical applications.In part 1, and studies on mechanical and ultrasonic debonding techniques have been reviewed. Mechanical debonding (use of diamond burs, special pliers) is most widely applicable in clinical practice. Use of recommended pliers by manufacturers is key to minimize bracket failure modes as these pliers are designed specifically for the brackets. Ultrasonic debonding is advantageous in minimizing bracket failure but requires greater time to debond ceramic brackets than mechanical debonding and it may be uncomfortable to the patient due to longer duration of use. Studies on electrothermal and Laser debonding have been reviewed in part 2 of the literature review.