Evidence map›Paper›PMID 41846425›Full record

ArticleEuropean journal of oral sciences2026

Does attachment removal damage enamel? Influence of adhesive, resin, and bur on surface integrity.

Marilia Daniela Busnardo Canadas, Ana Beatriz Silva Sousa, Fernanda de Carvalho Panzeri

Abstract read
In one paragraph

Article in European journal of oral sciences, 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

3 authors.

Marilia Daniela Busnardo CanadasDepartment of Pediatric Dentistry, Ribeirão Preto School of Dentistry, University of São Paulo, Ribeirão Preto, Brazil.ORCID 0009-0007-5132-7002
Ana Beatriz Silva SousaDepartment of Restorative Dentistry, University of Ribeirão Preto (UNAERP), Ribeirão Preto, Brazil.ORCID 0000-0003-3611-0300
Fernanda de Carvalho PanzeriDepartment of Dental Materials and Prosthodontics, Ribeirão Preto School of Dentistry, University of São Paulo, Ribeirão Preto, Brazil.ORCID 0000-0002-1455-1538

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
6 · The paper itself

Abstract

To evaluate the combination of composites, adhesive systems, and burs considering artificial accelerated aging (AAA), influence enamel roughness and morphology after attachment removal. One hundred ninety-two bovine enamel specimens were divided according to composite type (Transbond XT, flowable, bulk-fill flowable), adhesive system (Single Bond Universal or Transbond XT primer), and bur for attachment removal (multilaminated carbide or zirconia). Half of the samples were stored for 24 h at 37°C and the other half underwent 300 h of AAA. Surface roughness was measured using confocal laser scanning microscopy before and after attachment removal. Data were analyzed using three-way anova with Bonferroni post hoc tests. Significant differences in enamel roughness were observed according to composite type, adhesive system, and bur used. Multilaminated bur produced higher surface roughness compared to zirconia bur. Transbond composite, particularly when combined with orthodontic adhesive, exhibited greater enamel alteration after AAA. None of the protocols fully restored enamel surface to its original smoothness. Attachment removal inevitably alters enamel morphology, regardless of the materials used. Composite, adhesive, and bur's choice, as well as proper finishing and polishing, is essential to minimize enamel damage after clear aligner treatment.

Indexed as

Composite ResinsDental DebondingDental EnamelResin CementsAnimalsBisphenol A-Glycidyl MethacrylateCattleMaterials TestingMicroscopy, ConfocalSurface PropertiesTime FactorsZirconiumBisphenol A-Glycidyl MethacrylateComposite ResinsResin Cementssingle bondTransbond XTZirconiumzirconium oxideadhesive systemsartificial agingclear alignersenamel roughnessorthodontic attachmentssurface integrity

Identifiers

PMID41846425
PMCPMC13181541

What OpenQuestion holds

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Registered trials

None linked

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.