caa a22 4500 445347953 CHVBK 20180317142835.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00056-011-0010-y doi (NATIONALLICENCE)springer-10.1007/s00056-011-0010-y The influence of dental loupes on the quality of adhesive removal in orthodontic debonding [Elektronische Daten] [D.F. Baumann, L. Brauchli, H. van Waes] Einfluss von Lupenbrillen auf die Qualität der Adhäsiv-Restentfernung bei orthodontischem Debonding Objective: Bracket bonding has been a major advance in orthodontic treatment. However, the method of debonding can lead to diverse problems such as enamel fractures, enamel loss and enamel scratching. In this clinical investigation we aimed to evaluate the influence of wearing dental loupes on enamel damage during the debonding procedure. Material and Methods: 22 consecutive patients were randomly assigned in a split-mouth study to evaluate adhesive removal with and without the use of dental loupes (2.5×, LED headlight). Tooth replicas in epoxy resin were made from silicone impressions. Electron microscopic images (50× magnification) of 394 buccal enamel surfaces were evaluated according to an enamel damage index (EDI), line angle grooves (LAG) and composite residues (CR) on anterior teeth, premolars and molars. Results: The EDI revealed highly significant advantages for debonding with dental loupes, with which the EDI was significantly higher for molars, while still less than without dental loupes. We detected no differences between the tooth groups without dental loupes. We found significantly fewer LAG on anterior teeth debonded with dental loupes. CR were fewer in the dental loupes group, and we noted no significant differences between the tooth groups. Conclusions: Dental loupes affect the quality of the debonding procedure, resulting in less enamel damage and composite residue, as well as fewer LAG compared to the control group. We therefore strongly recommend the use of dental loupes in orthodontic debonding procedures. Urban &amp; Vogel, Muenchen, 2011 Debonding nationallicence Enamel nationallicence Surface nationallicence Roughness nationallicence Loupe nationallicence Magnification nationallicence Debonding nationallicence Schmelz nationallicence Oberfläche nationallicence Rauheit nationallicence Lupe nationallicence Baumann D.F. Klinik für Kieferorthopädie und Kinderzahnmedizin, Universitätskliniken für Zahnmedizin, Universität Basel, Hebelstr. 3, 4056, Basel, Schweiz aut Brauchli L. Klinik für Kieferorthopädie und Kinderzahnmedizin, Universitätskliniken für Zahnmedizin, Universität Basel, Hebelstr. 3, 4056, Basel, Schweiz aut van Waes H. Klinik für Kieferorthopädie und Kinderzahnmedizin, Zentrum für Zahnmedizin (ZZM) der Universität Zürich, Zürich, Schweiz aut Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie Springer-Verlag 72/2(2011-04-01), 125-132 1434-5293 72:2<125 2011 72 56 https://doi.org/10.1007/s00056-011-0010-y text/html Onlinezugriff via DOI 1 article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00056-011-0010-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Baumann D.F. Klinik für Kieferorthopädie und Kinderzahnmedizin, Universitätskliniken für Zahnmedizin, Universität Basel, Hebelstr. 3, 4056, Basel, Schweiz aut NATIONALLICENCE 700 1- Brauchli L. Klinik für Kieferorthopädie und Kinderzahnmedizin, Universitätskliniken für Zahnmedizin, Universität Basel, Hebelstr. 3, 4056, Basel, Schweiz aut NATIONALLICENCE 700 1- van Waes H. Klinik für Kieferorthopädie und Kinderzahnmedizin, Zentrum für Zahnmedizin (ZZM) der Universität Zürich, Zürich, Schweiz aut NATIONALLICENCE 773 0- Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie Springer-Verlag 72/2(2011-04-01), 125-132 1434-5293 72:2<125 2011 72 56 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer