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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dentists | Dentists who deal with orthodontics and post-debonding |
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| Measure | Description | Time Frame |
|---|---|---|
| Prevalence 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) | 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. | From the start of the debonding procedure up to the first follow-up visit (typically within a few weeks). |
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Inclusion Criteria:
Exclusion Criteria:
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The study population consists of dental professionals active in the field of orthodontics across Italy. The sample includes specialists and practitioners who perform orthodontic debonding and finishing procedures as part of their clinical routine.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fabrizio Guerra | Contact | 3283150627 | fabrizio.guerra@uniroma1.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sapienza università di Roma | Recruiting | Roma | RM | 00161 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25327612 | Background | Janiszewska-Olszowska J, Szatkiewicz T, Tomkowski R, Tandecka K, Grocholewicz K. Effect of orthodontic debonding and adhesive removal on the enamel - current knowledge and future perspectives - a systematic review. Med Sci Monit. 2014 Oct 20;20:1991-2001. doi: 10.12659/MSM.890912. |
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