Indirect orthodontic bonding - a modified technique for improved efficiency and precision

Nojima, Lincoln Issamu; Araújo, Adriele Silveira; Júnior, Matheus Alves

doi:10.1590/2176-9451.20.3.109-117.sar

Cited by 29 publications

(31 citation statements)

References 16 publications

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“…Accurate bracket positioning is an important factor in treatment with straight wire appliances, and it influences the result and length of orthodontic treatment. 14,15 The accuracy of bracket positioning by an indirect bonding system has progressed. 16 In the past, position errors were measured with a grid by taking a photo in the same distance.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of bracket positions with a CAD/CAM indirect bonding system in posterior teeth with different cusp heights

Kim

Chun

Kim

2018

American Journal of Orthodontics and Dentofacial Orthopedics

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Section: Discussionmentioning

confidence: 99%

Accuracy of bracket positions with a CAD/CAM indirect bonding system in posterior teeth with different cusp heights

Kim

Chun

Kim

2018

American Journal of Orthodontics and Dentofacial Orthopedics

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“…Vacu-formed indirect bonding trays were prepared using the double tray technique, as recommended by Nojima et al 6 The author used a flexible tray (Soft [EVA]; Bio-Art, São Carlos, Brazil) unit to vacu-form a 1.0-mm-thick layer, overlayed with a 1.0-mm-thick rigid layer (Cristal [PET-G]; Bio-Art). The machine used was PlastVac P7 (Bio-Art).…”

Section: Methodsmentioning

confidence: 99%

Effects of different primers on indirect orthodontic bonding: Shear bond strength, color change, and enamel roughness

2018

Self Cite

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ObjectiveWe aimed to perform in-vitro evaluation to compare 1) shear bond strength (SBS), adhesive remnant index (ARI), and color change between self-etched and acid-etched primers; 2) the SBS, ARI and color change between direct and indirect bonding; and 3) the enamel roughness (ER) between 12-blade bur and aluminum oxide polisher debonding methods.MethodsSeventy bovine incisors were distributed in seven groups: control (no bonding), direct (DTBX), and 5 indirect bonding (ITBX, IZ350, ISONDHI, ISEP, and ITBXp). Transbond XT Primer was used in the DTBX, ITBX, and ITBXp groups, flow resin Z350 in the IZ350 group, Sondhi in the ISONDHI group, and SEP primer in the ISEP group. SBS, ARI, and ER were evaluated. The adhesive remnant was removed using a low-speed tungsten bur in all groups except the ITBXp, in which an aluminum oxide polisher was used. After coffee staining, color evaluations were performed using a spectrophotometer immediately after staining and prior to bonding.ResultsISONDHI and ISEP showed significantly lower SBS (p < 0.01). DTBX had a greater number of teeth with all the adhesive on the enamel (70%), compared with the indirect bonding groups (0–30%). The ER in the ITBX and ITBXp groups was found to be greater because of both clean-up techniques used.ConclusionsDirect and indirect bonding have similar results and all the primers used show satisfactory adhesion strength. Use of burs and polishers increases the ER, but polishers ensure greater integrity of the initial roughness. Resin tags do not change the color of the teeth.

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“…Incognito lingual brackets and Insignia labial brackets). In addition, it is recommended that clinicians should also take into account the other factors, such as clinical experience required for bracket positioning [46–48] and patient’s comfort [47], when choosing different bonding techniques in practice.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness, efficiency and adverse effects of using direct or indirect bonding technique in orthodontic patients: a systematic review and meta-analysis

Wei

et al. 2019

BMC Oral Health

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Background The direct and indirect bonding techniques are commonly used in orthodontic treatment. The differences of the two techniques deserve evidence-based study. Materials and methods Randomized controlled trials (RCTs), wherein direct and indirect bonding techniques were used in orthodontic patients were considered. The MEDLINE, EMBASE, CENTRAL and Web of Science databases were searched to identify relevant articles published up to December 2018. Grey literature was also searched. Two authors performed data extraction independently and in duplicate using the data collection form. The included trials were assessed using the Cochrane risk of bias assessment tool. Results Of the 1557 studies screened, 42 full articles were scrutinized and assessed for eligibility. Eight RCTs (247 participants) were finally included for the analyses. The qualitative synthesis showed that no significant difference existed in the accuracy of bracket placement and oral hygiene status between the two bonding techniques. The indirect bonding was found to involve less chairside time but more total working time compared with the direct bonding. The meta-analysis on bond failure rate demonstrated no significant difference between the direct and indirect bonding (RR = 1.13, 95% CI = 0.78–1.64, I 2 = 22%, P = 0.50). Consistent results were obtained in the subgroup analyses and sensitivity analyses. Conclusion Weak evidence suggested that the direct and indirect bonding techniques had no significant difference in bracket placement accuracy, oral hygiene status and bond failure rate, for bonding orthodontic brackets. The indirect bonding might require less chairside time but more total working time in comparison with the direct bonding technique. High-quality well-designed randomized controlled trials are needed before a conclusive recommendation could be made. Electronic supplementary material The online version of this article (10.1186/s12903-019-0831-4) contains supplementary material, which is available to authorized users.

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Indirect orthodontic bonding - a modified technique for improved efficiency and precision

Cited by 29 publications

References 16 publications

Accuracy of bracket positions with a CAD/CAM indirect bonding system in posterior teeth with different cusp heights

Accuracy of bracket positions with a CAD/CAM indirect bonding system in posterior teeth with different cusp heights

Effects of different primers on indirect orthodontic bonding: Shear bond strength, color change, and enamel roughness

Effectiveness, efficiency and adverse effects of using direct or indirect bonding technique in orthodontic patients: a systematic review and meta-analysis

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