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Updated: Feb 27, 2026

Roughness Impact of Piezoelectric Dental Scaler on Two Distinct Flowable Composite Filling Materials

Roughness Impact of Piezoelectric Dental Scaler on Two Distinct Flowable Composite Filling Materials

Published on: January 10, 2025

Six-month bracket failure rate with a flowable composite: A split-mouth randomized controlled trial.

Sindhuja Krishnan¹, Saravana Pandian², R Rajagopal³

¹Postgraduation program, Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College, Saveetha University, Chennai, Tamil Nadu, India.

Dental Press Journal of Orthodontics

|June 29, 2017

Summary

Flowable composites and conventional adhesives show similar, clinically acceptable bond failure rates in orthodontic bonding over six months. Both materials are suitable for orthodontic bracket fixation, with no significant differences observed.

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Area of Science:

Orthodontics
Dental Materials Science

Background:

Flowable composites offer potential advantages in orthodontic bonding due to their handling properties and reduced procedural steps.
Evaluating their clinical performance against established conventional adhesives is crucial for widespread adoption.

Purpose of the Study:

To compare the bond failure rate of a flowable composite (Heliosit Orthodontic) with a conventional orthodontic bonding adhesive (Transbond XT).
To assess the clinical efficacy of these materials over a six-month period.

Main Methods:

A randomized controlled trial involving 53 patients and 891 bonded brackets.
Kaplan-Meier analysis and log-rank tests were used to compare bracket survival rates between the two adhesives, tooth locations, and dental arches.

Main Results:

The bond failure rates were 8.1% for Transbond XT and 6% for Heliosit Orthodontic.
No statistically significant differences in survival rates were found between the flowable composite and the conventional adhesive (p=0.242).
No significant differences in bond failure rates were observed between maxillary and mandibular arches or anterior and posterior segments.

Conclusions:

Both Heliosit Orthodontic and Transbond XT demonstrate clinically acceptable bond failure rates.
Flowable composites are a viable and adequate option for orthodontic bonding needs, comparable to conventional adhesives.