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The bond between aggregate particles and the cement matrix is significantly influenced by the shape and surface texture of the aggregates. High-strength concretes benefit from a rougher texture, which leads to stronger bonding due to greater adhesion. Angular aggregates with larger surface areas also enhance this bond. The bonding quality, however, is complex to assess as no universally accepted test exists. Good bonding is indicated when a crushed concrete specimen shows some aggregate...
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Orthodontic bonding in special circumstances.

Angus Burns1, Annie Hughes2, Michael O'Sullivan3

  • 1Consultant/Senior Lecturer in Orthodontics, Dublin Dental University Hospital, Trinity College Dublin, Ireland. Angus.Burns@dental.tcd.ie.

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Summary

This study explores advanced orthodontic bracket bonding techniques for challenging dental situations. It details methods for bonding to restorations and managing enamel defects like amelogenesis imperfecta.

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Area of Science:

  • Dentistry
  • Orthodontics
  • Biomaterials

Background:

  • Bonding orthodontic brackets to non-enamel surfaces presents unique challenges.
  • Conditions like amelogenesis imperfecta compromise enamel integrity, complicating bracket adhesion.
  • Restorative materials (ceramics, zirconia, composites, metals) require specific bonding protocols.

Purpose of the Study:

  • To explore advanced techniques for orthodontic bracket bonding in special circumstances.
  • To outline distinct approaches for bonding to various restorative materials.
  • To describe strategies for managing bonding in patients with enamel defects and developmental anomalies.

Main Methods:

  • Review of clinical literature on orthodontic bonding.
  • Analysis of bonding protocols for different restorative substrates.
  • Discussion of multidisciplinary management strategies for complex cases.

Main Results:

  • Specific bonding techniques are effective for glassy ceramics, zirconia, resin composites, and metals.
  • Modified protocols are necessary for bonding to compromised enamel.
  • Multidisciplinary approaches improve outcomes in cases of amelogenesis imperfecta, hypodontia, and microdontia.

Conclusions:

  • Advanced bonding techniques enable successful orthodontic treatment in challenging clinical scenarios.
  • Tailored approaches are crucial for bonding to diverse restorative materials and defective enamel.
  • Integrated, multidisciplinary care is essential for managing complex orthodontic cases.