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Dissipation of temperature during electro thermal debonding- an in vitro study

Author: 
Dr. Yogesh G., Dr. Vikram S., Dr. Shruti S., Dr. Aarathi S., Dr. Sankalp V. and Dr. Marilia marceliano-alves
Subject Area: 
Health Sciences
Abstract: 

Introduction: The risk of pulpal injury has been a matter of concern with electrothermal debonding. The present study has been done on extracted teeth to compare three Electrothermal Debonding (ETD) Techniques. The results were evaluated statistically and conclusions were made. Objective: To find out the best method of debonding the brackets with least possible damage to the pulp with ETD. Material & Method: 30 standard edgewise brackets were bonded on to the 30 extracted teeth. Occlusal side ‘A’ and gingival side ‘B’ of the wings were marked. An ET debonding machine was used. An electronic thermometer was used to measure the intrapulpal temperature. For comparison, the brackets were held with pliers in three different methods. Results: The mean increase in intrapulpal temperature with groups 1, 2 & 3 were 2.34oc, 1.17oC & 1.50oC respectively. Discussion: In most of the studies, different techniques were used with different bonding materials and different bracket system. This study has been evaluated three ways Group 1 - Brackets debonded by holding it mesio-distally and rotating it in anti-clockwise direction. Group 2 - Brackets debonded by holding it gingivo-occlusally and rotating it gingivo-occlusally without archwire. Group 3 - Brackets debonded by holding it gingivo-occlusally and rotating it gingivo-occlusally with holding the archwire. The results were statistically evaluated and conclusions were made. Conclusion: The mean increase in intrapulpal temperature was minimum with group 3 but statistically, no significant change in intrapulpal temperature due to ETD was seen among all groups.

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