Debonding of the orthodontic brackets; is diode laser a safer method? Experimental invitro study

Bracket debonding remains a clinical challenge in orthodontics, particularly when removing ceramic brackets, due to the potential risk of enamel cracks and surface damage. Recently, laser-assisted techniques have been investigated to facilitate safer and less traumatic bracket removal. This study aimed to evaluate the effect of 940 nm diode laser irradiation on the debonding process of metallic and ceramic orthodontic brackets by assessing shear bond strength (SBS) and enamel surface morphology using scanning electron microscopy (SEM). Thirty two extracted human premolars were randomly divided into four experimental groups: Group A (Control–Metallic),Group B (Control–Ceramic),Group C (Laser–Metallic), and Group D (Laser–Ceramic).Brackets were bonded using a light-cured adhesive and subjected to diode laser irradiation at 940 nm, 1 W, for 5 seconds in the laser-treated groups. SBS was measured using a universal testing machine at a crosshead speed of 1 mm/min, and mean values were expressed in MPa. Enamel surface morphology was analyzed using SEM at 80× and 1000× magnifications. Statistical analysis was performed using one-way ANOVA and independent t-tests with a significance level of p < 0.05. Laser-assisted debonding significantly reduced SBS in metallic brackets (mean ± SD: 2.4 ± 0.3 MPa) compared with the control group (4.3 ± 0.4 MPa) (p < 0.05). In contrast, the difference between laser-treated and control ceramic brackets was not statistically significant. SEM observations revealed smoother enamel surfaces and fewer cracks in the laser-treated groups compared with controls. Diode laser–assisted debonding (940 nm, 1 W) effectively decreases shear bond strength for metallic brackets and minimizes enamel surface alterations, suggesting it is a promising adjunct for safer bracket removal. However, the technique’s effect on ceramic brackets appears limited at this power setting.

Authors

Institutions

Publication Details

Journal
BMC Oral Health
Published
2026-01-15
DOI
https://doi.org/10.1186/s12903-025-07516-8
Primary Topic
Laser Applications in Dentistry and Medicine
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Debonding of the orthodontic brackets; is diode laser a safer method? Experimental invitro study

Eman M. Salem, S. M. Khattab
BMC Oral Health
Laser Applications in Dentistry and Medicine
article

Debonding of the orthodontic brackets; is diode laser a safer method? Experimental invitro study

Eman M. Salem, S. M. Khattab
article en

Abstract

Bracket debonding remains a clinical challenge in orthodontics, particularly when removing ceramic brackets, due to the potential risk of enamel cracks and surface damage. Recently, laser-assisted techniques have been investigated to facilitate safer and less traumatic bracket removal. This study aimed to evaluate the effect of 940 nm diode laser irradiation on the debonding process of metallic and ceramic orthodontic brackets by assessing shear bond strength (SBS) and enamel surface morphology using scanning electron microscopy (SEM). Thirty two extracted human premolars were randomly divided into four experimental groups: Group A (Control–Metallic),Group B (Control–Ceramic),Group C (Laser–Metallic), and Group D (Laser–Ceramic).Brackets were bonded using a light-cured adhesive and subjected to diode laser irradiation at 940 nm, 1 W, for 5 seconds in the laser-treated groups. SBS was measured using a universal testing machine at a crosshead speed of 1 mm/min, and mean values were expressed in MPa. Enamel surface morphology was analyzed using SEM at 80× and 1000× magnifications. Statistical analysis was performed using one-way ANOVA and independent t-tests with a significance level of p < 0.05. Laser-assisted debonding significantly reduced SBS in metallic brackets (mean ± SD: 2.4 ± 0.3 MPa) compared with the control group (4.3 ± 0.4 MPa) (p < 0.05). In contrast, the difference between laser-treated and control ceramic brackets was not statistically significant. SEM observations revealed smoother enamel surfaces and fewer cracks in the laser-treated groups compared with controls. Diode laser–assisted debonding (940 nm, 1 W) effectively decreases shear bond strength for metallic brackets and minimizes enamel surface alterations, suggesting it is a promising adjunct for safer bracket removal. However, the technique’s effect on ceramic brackets appears limited at this power setting.

BMC Oral HealthVol. 26(1)
Cairo University (EG), Pharos University in Alexandria (EG)
Openalex Percentile: Top 89%
Laser Applications in Dentistry and Medicine
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.

Debonding of the orthodontic brackets; is diode laser a safer method? Experimental invitro study — Eman M. Salem, S. M. Khattab · BMC Oral Health (2026) | TGRS Research Map | TGRS