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Orthodontic adhesives: a systematic review
N A Mandall1, D T Millett, C R Mattick
1Orthodontic Department, University Dental Hospital of Manchester, Manchester, UK. Nicky@fsl.den.man.ac.uk
Journal of Orthodontics
|September 10, 2002
Summary
This systematic review found insufficient evidence to definitively conclude which orthodontic adhesives are most reliable for bonding brackets or preventing decalcification due to limited high-quality studies. Further research is needed to establish best practices.
Area of Science:
- Orthodontics
- Dental Materials Science
- Biomaterials
Background:
- Orthodontic adhesives are crucial for bracket bonding and patient outcomes.
- Preventing decalcification around brackets is a significant clinical concern.
- Evidence-based selection of orthodontic adhesives is essential for reliable treatment.
Purpose of the Study:
- To systematically evaluate the reliability of orthodontic adhesives in bonding brackets.
- To assess the effectiveness of different orthodontic adhesives in preventing decalcification.
- To identify gaps in current research regarding orthodontic adhesive performance.
Main Methods:
- A systematic literature review was conducted following Cochrane methodology.
- Searches included major databases and hand-searched orthodontic journals for randomized and controlled clinical trials.
- Inclusion and exclusion criteria were applied to select relevant studies.
Main Results:
- Only three trials (two RCTs, one CCT) met the inclusion criteria.
- The trials compared light-cured composite, chemically-cured composite, glass ionomer cement, and compomer.
- Qualitative analysis was performed due to data limitations preventing statistical analysis.
Conclusions:
- The current evidence base is insufficient to draw firm conclusions on adhesive reliability or decalcification prevention.
- Significant limitations in study design and data reporting hinder definitive recommendations.
- Suggestions are provided for improving future research methodologies in this field.