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Clinical bracket failure rates between different bonding techniques: a systematic review and meta-analysis
Csaba Dudás1, László Márk Czumbel2,3, Szabolcs Kiss4,5
1Doctoral School, George Emil Palade University of Medicine, Pharmacy, Science, and Technology, Târgu Mureș, Romania.
European Journal of Orthodontics
|October 12, 2022
Summary
This meta-analysis found no significant difference in bracket failure rates between self-etch primer (SEP) and conventional acid-etch primer (CM-AEP) over 18 months. Resin-modified glass ionomer (RM-GIC) showed higher failure rates compared to self-cure resin (SCR).
Area of Science:
- Orthodontic materials science
- Dental adhesive technology
Background:
- Orthodontic bracket failure prolongs treatment and increases patient costs.
- Understanding material bond failures is crucial for efficient orthodontic therapy.
Conclusions:
- SEP and CM-AEP demonstrate comparable clinical efficacy regarding bracket bond stability.
- Acid-etching methods, particularly with SCR, offer superior bond durability over RM-GIC materials.
- These findings have strong clinical relevance for selecting optimal orthodontic adhesives to minimize treatment disruptions.
