Adhesive Removal Procedures in Orthodontics: A Literature Review

The removal of residual adhesive after orthodontic bracket debonding is a critical step in restoring enamel surface integrity while minimising damage. Over the years, multiple techniques have been developed to remove orthodontic adhesive, including mechanical, chemical, and laser-based methods. Whil...

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Main Authors: Anjusha Divakar, Ravindra Kumar Jain
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-04-01
Series:Journal of Clinical and Diagnostic Research
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Online Access:https://jcdr.net/articles/PDF/20816/73473_CE[Ra1]_F(SL)_QC(PS_IS)_PF1(VD_SS)_redo_PFA_NC(IS)_PN(IS).pdf
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author Anjusha Divakar
Ravindra Kumar Jain
author_facet Anjusha Divakar
Ravindra Kumar Jain
author_sort Anjusha Divakar
collection DOAJ
description The removal of residual adhesive after orthodontic bracket debonding is a critical step in restoring enamel surface integrity while minimising damage. Over the years, multiple techniques have been developed to remove orthodontic adhesive, including mechanical, chemical, and laser-based methods. While current methods are effective in removing adhesive residues, many are associated with enamel surface damage, time inefficiency, or patient discomfort. Given the widespread use of adhesive removal instruments by orthodontists, it is essential to have scientific knowledge about these techniques and their biological impact on tooth structure. Consequently, it is crucial to select effective removal methods that minimise damage to the patient at the end of treatment and, whenever possible, preserve the tooth’s original condition. Most authors prefer using a combination of abrasives and rotary speeds for effective appliance debonding, although the optimal choice of abrasive and speed remains unclear. Tungsten carbide burs receive the most favourable reviews in the literature, making them the recommended technique. Although the laser is more comfortable due to the lack of noise, vibration, or pressure, it creates a much rougher surface and is less effective compared to conventional methods. The present review aimed to summarise the available evidence on adhesive removal techniques reported in the literature and discuss their effects on the enamel surface and its integrity post-orthodontic treatment.
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spelling doaj-art-a194149c8a9449f4b47cc1d8456f138f2025-08-20T03:18:01ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-04-01194010510.7860/JCDR/2025/73473.20816Adhesive Removal Procedures in Orthodontics: A Literature ReviewAnjusha Divakar0Ravindra Kumar Jain1Postgraduate, Department of Orthodontics, Saveetha Dental College and Hospitals, Chennai, Tamil Nadu, India.Professor, Department of Orthodontics, Saveetha Dental College and Hospitals, Chennai, Tamil Nadu, India.The removal of residual adhesive after orthodontic bracket debonding is a critical step in restoring enamel surface integrity while minimising damage. Over the years, multiple techniques have been developed to remove orthodontic adhesive, including mechanical, chemical, and laser-based methods. While current methods are effective in removing adhesive residues, many are associated with enamel surface damage, time inefficiency, or patient discomfort. Given the widespread use of adhesive removal instruments by orthodontists, it is essential to have scientific knowledge about these techniques and their biological impact on tooth structure. Consequently, it is crucial to select effective removal methods that minimise damage to the patient at the end of treatment and, whenever possible, preserve the tooth’s original condition. Most authors prefer using a combination of abrasives and rotary speeds for effective appliance debonding, although the optimal choice of abrasive and speed remains unclear. Tungsten carbide burs receive the most favourable reviews in the literature, making them the recommended technique. Although the laser is more comfortable due to the lack of noise, vibration, or pressure, it creates a much rougher surface and is less effective compared to conventional methods. The present review aimed to summarise the available evidence on adhesive removal techniques reported in the literature and discuss their effects on the enamel surface and its integrity post-orthodontic treatment.https://jcdr.net/articles/PDF/20816/73473_CE[Ra1]_F(SL)_QC(PS_IS)_PF1(VD_SS)_redo_PFA_NC(IS)_PN(IS).pdfabrasivesbondingenamel damageorthodontic adhesivespolishingresidual adhesivessurface roughness
spellingShingle Anjusha Divakar
Ravindra Kumar Jain
Adhesive Removal Procedures in Orthodontics: A Literature Review
Journal of Clinical and Diagnostic Research
abrasives
bonding
enamel damage
orthodontic adhesives
polishing
residual adhesives
surface roughness
title Adhesive Removal Procedures in Orthodontics: A Literature Review
title_full Adhesive Removal Procedures in Orthodontics: A Literature Review
title_fullStr Adhesive Removal Procedures in Orthodontics: A Literature Review
title_full_unstemmed Adhesive Removal Procedures in Orthodontics: A Literature Review
title_short Adhesive Removal Procedures in Orthodontics: A Literature Review
title_sort adhesive removal procedures in orthodontics a literature review
topic abrasives
bonding
enamel damage
orthodontic adhesives
polishing
residual adhesives
surface roughness
url https://jcdr.net/articles/PDF/20816/73473_CE[Ra1]_F(SL)_QC(PS_IS)_PF1(VD_SS)_redo_PFA_NC(IS)_PN(IS).pdf
work_keys_str_mv AT anjushadivakar adhesiveremovalproceduresinorthodonticsaliteraturereview
AT ravindrakumarjain adhesiveremovalproceduresinorthodonticsaliteraturereview