Evidence map›Paper›PMID 41609388›Full record

ArticleClinical and experimental dental research2026

Cement Remnants Thickness After Polishing With Tungsten, Diamond, and Arkansas Bur Using Composite Customized Lingual Brackets.

Javier Flores-Fraile, Alba Belanche Monterde, Francesca Gorassini, Álvaro Zubizarreta-Macho, Artak Heboyan, Cosimo Galletti

Abstract readComparative Study
In one paragraph

Article in Clinical and experimental dental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Javier Flores-FraileDepartment of Surgery, Faculty of Medicine, University of Salamanca, Salamanca, Spain.ORCID 0000-0003-1338-0551
Alba Belanche MonterdeDepartment of Surgery, Faculty of Medicine, University of Salamanca, Salamanca, Spain.
Francesca GorassiniDepartment of Dental Research Cell, Dr. D. Y. Patil Dental College & Hospital, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pimpri, Pune, India.
Álvaro Zubizarreta-MachoDepartment of Surgery, Faculty of Medicine, University of Salamanca, Salamanca, Spain.
Artak HeboyanDepartment of Surgery, Faculty of Medicine, University of Salamanca, Salamanca, Spain.ORCID 0000-0001-8329-3205
Cosimo GallettiSchool of Medicine and Surgery, University of Enna, Enna, Italy.ORCID 0000-0001-9938-4187

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is no current evidence in the literature that clearly guides clinicians in selecting the most effective polishing protocol in lingual orthodontics. This study aimed to compare the reduction of adhesive remnants after polishing customized lingual composite brackets using tungsten carbide, fine diamond, and Arkansas burs.

methodsA total of 504 extracted teeth were included and randomly assigned to three groups according to bur type (n = 168). Brackets were bonded and debonded following a standardized protocol, and digital scans were obtained before and after polishing. Each bur was tested at both low speed (contra-angle) and high speed (turbine).

resultsTungsten carbide burs produced the greatest reduction in cement thickness under both rotary conditions. At low speed, the mean Pre-Post thickness differences were 0.64 mm (TUN), 0.31 mm (ARK), and 0.37 mm (DIA). At high speed, differences were 0.45 mm (TUN), 0.39 mm (ARK), and 0.41 mm (DIA). Statistically significant differences were found between the tungsten carbide group and both the Arkansas and diamond groups (p < 0.005), with no differences between the latter two.

conclusionTungsten carbide burs removed significantly more adhesive than Arkansas and diamond burs, regardless of rotary speed. These findings support clinical decision-making by helping optimize polishing protocols in lingual orthodontics.

Indexed as

Composite ResinsDental CementsDental PolishingDiamondOrthodontic BracketsDental BondingHumansTungstenTungsten CompoundsComposite ResinsDental CementsDiamondTungstentungsten carbideTungsten Compoundsadhesionbracketburscomposite

Identifiers

PMID41609388
PMCPMC12853969

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.