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Related Experiment Videos

Adhesives for fixed orthodontic brackets.

N A Mandall1, D T Millett, C R Mattick

  • 1Orthodontics, University Dental Hospital of Manchester, Higher Cambridge Street, Manchester, UK, M15 6FH. nicky@fs1.den.man.ac.uk

The Cochrane Database of Systematic Reviews
|June 14, 2003
PubMed
Summary
This summary is machine-generated.

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Bracket failure in orthodontic treatment is a common issue. This review found insufficient evidence to compare orthodontic adhesives due to poor trial quality, highlighting the need for better research.

Area of Science:

  • Orthodontics
  • Dental Materials Science
  • Biomaterials

Background:

  • Orthodontic bracket bonding is crucial for fixed appliance treatment efficiency.
  • Bracket failure during treatment leads to increased chair time and prolonged treatment duration.
  • Prolonged orthodontic treatment can increase risks such as irreversible enamel decalcification.

Purpose of the Study:

  • To evaluate the effectiveness of different orthodontic adhesives for bonding brackets.
  • To identify which adhesives provide superior bond strength and reduce bracket failure.
  • To assess secondary outcomes like enamel decalcification associated with different adhesives.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) and controlled clinical trials (CCTs).

Related Experiment Videos

  • Searched Cochrane Oral Health Group's Trials Register, CENTRAL, MEDLINE, and EMBASE up to August 2002.
  • Included studies comparing different adhesive groups for bonding stainless steel brackets to teeth (excluding molars), with debond or bracket failure as the primary outcome.

    • Main Results:

    • Only three trials met the inclusion criteria, comparing chemical cure composite, light cure composite, conventional glass ionomer cement, and polyacid-modified resin composite (compomer).
    • The overall quality of the included trial reports was generally poor.
    • Data were not suitable for meta-analysis, and results were presented narratively.

    Conclusions:

    • It is difficult to draw definitive conclusions regarding the effectiveness of different orthodontic adhesives due to limited and poor-quality evidence.
    • Suggestions are provided for improving the methodology of future research on orthodontic adhesives.
    • Further high-quality RCTs are needed to guide clinical practice and improve treatment outcomes.