Se. Bishara et al., EVALUATION OF DEBONDING CHARACTERISTICS OF A NEW COLLAPSIBLE CERAMIC BRACKET, American journal of orthodontics and dentofacial orthopedics, 112(5), 1997, pp. 552-559
A new collapsible ceramic bracket designed with a metal-lined arch wir
e slot has been recently introduced. The bracket also incorporates a v
ertical slot designed to help create a consistent bracket failure mode
during debonding. The new bracket is thought to combine the esthetic
advantages of ceramics and the functional advantages of debonding meta
l brackets. The purpose of this study was to compare (1) the shear bon
d strength of the new collapsible bracket with a traditional ceramic b
racket, (2) the compressive force required to debond the new bracket f
rom the enamel surface with that needed to debond a traditional metal
bracket, and (3) the bond failure location when debonding the new brac
ket and a traditional ceramic bracket when pliers are used. Sixty-one
Clarity collapsible ceramic brackets, 41 Transcend 6000 brackets, and
21 Victory Series metal brackets were bonded to the teeth with the sam
e bonding system. The Zwick Universal Test Machine was used to determi
ne the shear bond strength of 21 teeth bonded with the new bracket and
20 teeth bonded with the Transcend brackets. The same testing device
was used to determine the compression force levels needed to debond 20
collapsible brackets and 21 metal brackets. Pliers were used to debon
d both the new ceramic brackets and Transcend brackets to determine th
e mode of bond failure. After debonding, all teeth and brackets were e
xamined under 10x magnification. Any adhesive remaining after bracket
removal was assessed according to the Adhesive Remnant Index (ARI). Th
e findings indicated that the shear bond strength of the new Clarity c
eramic bracket was comparable to that of a conventional ceramic bracke
t. Similarly, there were no significant differences in the results of
the compression tests comparing the magnitude of forces needed to defo
rm and debond both the new ceramic and metal brackets. The ARI scores
for both the shear and compression tests indicated a similar bond fail
ure pattern when the new collapsible brackets were compared with eithe
r the conventional ceramic or metal brackets. On the other hand, the c
hi(2) test results indicated that, when debonding pliers were used, th
ere was a significantly greater incidence of an ARI score of 1 with th
e collapsible brackets. This indicated that, when debonding the new br
ackets with the Weingart pliers, there was a greater tendency for most
of the adhesive to remain on the enamel surface. In conclusion, the m
ain advantage of the Clarity ceramic brackets is that they can be debo
nded in the same manner as metal brackets. When the new ceramic bracke
ts are debonded with the Weingart pliers, most of the residual adhesiv
e remained on the enamel surface, a pattern that is similar to the one
observed with metal brackets. The failure at the bracket-adhesive int
erface decreases the probability of enamel damage but necessitates the
removal of more residual adhesive after debonding.