| Objective: The objective of this study was to determine
whether recently developed fiber reinforced composite
burs provided better results by comparing tooth
discoloration after debonding of orthodontic brackets.
Material and Methods: A split-mouth, randomized
controlled trial was carried out in one orthodontic
office; including 23 patients with intact, vital and
caries-free four upper incisors aged 12 to 30 years who
completed their fixed orthodontic treatment. For each
patient, upper central and lateral incisors on each side
of the mouth were randomly selected to remove the
adhesive with either a tungsten carbide bur (TC) (n =
46) or a fiber-reinforced composite bur (FC) (n=46).
Color evaluation of each tooth was conducted at two
time points: immediately after finishing and polishing
procedure and two months afterwards. The primary
outcome would be the amount of color change in
each group during the post treatment phase. The
participants, the person assessing the color change and
the statistician were blinded to TC group assignment.
Color changes in each group were analyzed with the
Paired T-test. The color change corresponding to the
resin removal method was also statistically analyzed
with the Independent T-test at α=0.05 as the level of
significance. Results: 86 teeth, 43 in each group, were
analyzed. The ΔE value was 3.713±1.161, for teeth
finished TC and 2.114±0.514 for teeth finished with
FC (p<0.01). Conclusion: Adhesive removal with FC
bur results in a more color-resistant tooth surface in
comparison with tungsten carbide bur. |