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Bracket Bond Failures: Incidence and Association with Different Risk Factors-A Retrospective Study
Reda Jakavičė1, Kristina Kubiliūtė1, Dalia Smailienė1
1Department of Orthodontics, Faculty of Odontology, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.
Bracket bond failures in fixed orthodontics are common, especially in younger patients and on lower molars. Increased overbite also significantly raises the risk of bracket loss during treatment.
Area of Science:
- Orthodontics
- Dental Materials Science
- Biomaterials
Background:
- Bracket bond failure is a significant issue in fixed orthodontic treatment.
- Failures impact treatment duration and outcomes.
- Identifying risk factors is crucial for improving treatment success.
Purpose of the Study:
- To determine the frequency of bracket bond failure in orthodontic therapy.
- To identify specific risk factors associated with bracket failures.
Main Methods:
- Retrospective study of 101 patients (age 11-56).
- Mean treatment duration of 30.2 months.
- Binary logistic regression analysis used to calculate risk factors.
Main Results:
- Overall bracket failure rate was 14.65%.
- Higher failure rates observed in younger patients (p=0.003).
- Failures most common on lower arch (66.98%), particularly mandibular molars; increased overbite (p=0.042) and Class II malocclusion were associated with higher failure risk.
Conclusions:
- Younger patients experience more bracket bond failures.
- Mandibular molars and premolars show the highest failure rates.
- Increased overbite and Class II malocclusion are significant risk factors for bracket failure.
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