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Orthodontic brackets debonding: evaluation of the time factor and the tooth type Volume 93, issue 4, Décembre 2022

Figures


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Tables

Authors
1 Département d’orthodontie, Faculté d’Odontologie, rue Guillaume Paradin, 69372 Lyon cedex 08, France
2 Unité Fonctionnelle d’Orthopédie Dento-Faciale, Centre de Traitements Dentaires, Hospices Civils de Lyon, 6-8 place Depéret, 69365 Lyon cedex 03, France
3 Université Lyon 1, CNRS, Laboratoire de Biométrie et Biologie Évolutive UMR 5558, Service de Biostatistique, Hospices Civils de Lyon, 162 avenue Lacassagne, 69424 Lyon cedex 03, France
4 56 rue de la république, 69150 Décines-Charpieu, France
* Correspondance : schauty@gmail.com

Introduction

The aim of the study was to assess the time factor and tooth type during premature debond of orthodontic brackets.

Material and Method

A retrospective epidemiological study was carried out on adolescents who had benefited from a multi-metal vestibular attachment treatment, having all 6 to 6 teeth bonded to the arch on the day of installation.

Results

333 patients were included. The detachment rate decreased as the treatment progresses. The teeth with most orthodontic debonding were the maxillary first molar, mandibular first molar, mandibular second premolar, and maxillary second premolar. Skeletal class II patients tended to take off more than class I patients. Detachments were significantly more frequent in the mandibular arch in deepbite compared to normalbite patterns, the mandibular second premolar being the tooth at risk. There seems to be a correlation between the quality of oral hygiene and the rate of detachment, regardless of the time of treatment.

Discussion

The type of orthodontic movement, the quality of the bonding, the failure to observe the precautions by the patient may affect the date of the detachment. The low coronary height, hygiene, the biting force, the divergence seems to intervene on the type of attachment debonded.

Conclusion

The brackets are more particularly debonded at the start of treatment and on the posterior teeth. Anteroposterior and especially vertical dysmorphosis could have an implication in debonding.