1. VAEEL GAZI - Department of Orthodontics, Faculty of Dentistry, Istanbul Okan University, Gülbahar, Oya Sk. No:23/A,
Şişli, Istanbul, Türkiye.
2. AHMET NEJAT ERVERDI - Department of Orthodontics, Faculty of Dentistry, Istanbul Okan University, Gülbahar, Oya Sk. No:23/A,
Şişli, Istanbul, Türkiye.
3. DILARA KAHRAMAN - Department of Orthodontics, Faculty of Dentistry, Istanbul Okan University, Gülbahar, Oya Sk. No:23/A,
Şişli, Istanbul, Türkiye.
Aim: This study aimed to investigate whether cracks observed post-orthodontic treatment occur during
bracket removal, if pre-existing cracks progress, or whether the normal lifestyle of untreated individuals
causes more enamel cracks. Materials and Methods: The study included 54 individuals (27
experimental/treated, 27 control/untreated) with 216 upper incisors. Intraoral photographs were taken for
the experimental group immediately before and after debonding, and for the control group at baseline and
after 1 year. Photographs were captured using camera with macro lens and standardized settings (ISO
3200, F22, 1/160) with a polarizing lens and transillumination device. Crack lengths were measured using
ImageJ software. Statistical analyses (Mann-Whitney U, Wilcoxon, Chi-square tests; p<0.05) were
performed with SPSS 22.0. Results: The control group showed significantly higher new crack formation
(8.3%) than the debonding group (0.9%) (p<0.05). Upper central incisors had higher crack susceptibility
(14.8%) compared to lateral incisors (0%). No significant gender-based difference was observed (p>0.05).
While crack counts remained unchanged in the experimental group pre-/post-debonding (p>0.05), the
control group exhibited increased cracks after 1 year (p<0.05). Conclusion: Orthodontic debonding with
appropriate techniques does not significantly increase enamel crack formation. Functional stresses and
parafunctional habits are primary contributors to crack progression.
Enamel Crack, Bracket Debonding, Dental Photograph.