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Adhesives for fixed orthodontic bands.

D T Millett1, A M Glenny, C R Mattick

  • 1University Dental School and Hospital, Oral Health and Development, Wilton, Cork, Ireland. d.millett@ucc.ie

The Cochrane Database of Systematic Reviews
|July 21, 2006
PubMed
Summary
This summary is machine-generated.

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This review found insufficient evidence to determine the best adhesive for orthodontic bands. More high-quality randomized controlled trials are needed to assess band retention and caries prevention during orthodontic treatment.

Area of Science:

  • Dental Science
  • Orthodontics
  • Materials Science

Background:

  • Fixed orthodontic appliances offer superior treatment outcomes compared to removable ones.
  • Secure attachment of metal brackets and bands is crucial for successful fixed orthodontic treatment.
  • Adhesives for orthodontic bands must ensure reliable bonding and prevent dental decay.

Purpose of the Study:

  • To evaluate adhesive effectiveness for orthodontic bands in fixed appliance treatment.
  • To assess the frequency of band detachment during orthodontic treatment.
  • To determine the caries-preventive efficacy of orthodontic band adhesives.

Main Methods:

  • Searched multiple electronic databases (Cochrane, MEDLINE, EMBASE) and the internet.
  • Included randomized and controlled clinical trials (RCTs, CCTs), including split-mouth studies.

Related Experiment Videos

  • Data extraction and validity assessment were performed by all review authors.

    • Main Results:

    • Five RCTs and three CCTs met the inclusion criteria, all employing a split-mouth design.
    • Various adhesive comparisons were made, including zinc phosphate, glass ionomer, and compomer cements.
    • Data analysis in the included studies was frequently inappropriate.

    Conclusions:

    • There is a lack of high-quality evidence regarding the most effective adhesive for orthodontic bands.
    • Further randomized controlled trials are necessary to establish best practices for band adhesives.
    • The optimal adhesive for ensuring band retention and preventing caries remains undetermined.