The importance of proper removal of residues of cement for brackets after orthodontic treatment

Bruno Lippmann, Rafaella Ronchi Zinelli e Rafael Cury Cecato
Bruno Lippmann - Graduado em Odontologia pela Universidade da Região de Joinville (Joinville, SC); - Especialista em Ortodontia pelo Instituto Thum de Pós-graduação e Biopesquisas (Joinville, SC). Rafaella Ronchi Zinelli - Graduada em Odontologia pela Universidade Federal do Paraná (Curitiba, PR); - Especialista em Endodontia pelo Instituto Thum de Pós-graduação e Biopesquisas (Joinville, SC). Rafael Cury Cecato - Graduado em Odontologia pela Pontifícia Universidade Católica do Paraná (PUC-PR) (Curitiba, PR); - Especialista em Periodontia pela Pontifícia Universidade Católica do Paraná (PUC-PR) (Curitiba, PR); - Mestrando em Odontologia pela Universidade Federal de Santa Catarina (UFSC-SC) (Florianópolis, SC).

Male patient, 34.

COMPLAINT

Yellowish stains on the central incisors originated from a
“non-satisfactory whitening procedure” performed 19 years ago.

INITIAL APPEARANCE

The teeth had A1 shade and the yellowish stains were residual orthodontic cement, which was only partially removed interfering in aesthetics.


 

CLINICAL/X-RAY EXAM

General healthy oral conditions and clear teeth (A1 shade). Remnants of  cement for brackets on teeth number 11 and 21 were detected. This situation caused a negative aspect to the smile.

 

TREATMENT

The remnants of the cement were carefully removed and the take-home whitening procedure was performed with Whiteness Perfect (FGM) carbamide peroxide at 10% for four weeks with a four-hour daily application.s.