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Adhesives for fixed orthodontic bands. A systematic review
Declan Millett1, Nicola Mandall, Joy Hickman
1University College Cork, Ireland. d.millett@ucc.ie
The Angle Orthodontist
|January 7, 2009
Summary
Current evidence is insufficient to determine the most effective adhesive for orthodontic bands. More high-quality randomized controlled trials (RCTs) are needed to compare different dental adhesives for band placement.
Area of Science:
- Orthodontic Materials Science
- Dental Adhesion Research
Background:
- Fixed orthodontic appliances often utilize bands cemented to molar teeth.
- The effectiveness of various adhesives in securing these bands is crucial for treatment success.
Purpose of the Study:
- To evaluate the comparative effectiveness of different adhesives used for attaching orthodontic bands to teeth during fixed appliance therapy.
Main Methods:
- A systematic search of electronic databases, conference proceedings, and the internet was conducted.
- Included studies were randomized controlled trials (RCTs) and controlled clinical trials (CCTs) comparing adhesives for molar band attachment.
- Data extraction and validity assessment were performed by multiple authors.
Main Results:
- Eight studies (five RCTs, three CCTs), all split-mouth designs, were identified.
- Comparisons included zinc phosphate vs. glass ionomer, glass ionomer vs. compomer, and glass ionomer vs. glass polyphosphonate.
- Data analysis within the included studies was frequently inappropriate, precluding meta-analysis.
Conclusions:
- There is a lack of high-quality evidence to identify the optimal adhesive for orthodontic band cementation.
- Further rigorous RCTs are necessary to provide reliable data on adhesive effectiveness.
