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Precision and Practicality: A Novel Cellulose Gum-Based Indirect Bonding Protocol for Orthodontic Bracket Placement
Yugandhar Garlapati1, B Rama Mohan Reddy1, K N Anand Kumar1
1Department of Orthodontics and Dentofacial Orthopedics, Government Dental College and Hospital, Kadapa, IND.
Cureus
|December 16, 2025
Summary
A new indirect bonding (IDB) protocol using cellulose gum denture adhesive provides cost-effective and precise orthodontic bracket placement. This method offers efficient cleanup and is suitable for resource-limited environments.
Area of Science:
- Orthodontics
- Dental Materials Science
Background:
- Innovative indirect bonding (IDB) protocol utilizing cellulose gum-based denture adhesive.
- Evaluates cost-effectiveness and precision of this novel IDB approach.
Purpose of the Study:
- Assess bracket transfer accuracy via digital superimposition.
- Evaluate laboratory efficiency and Adhesive Remnant Index (ARI) scores.
Main Methods:
- Prospective study involving 20 McLaughlin, Bennett, Trevisi (MBT) prescription brackets.
- Application of cellulose gum adhesive, water mist activation, and stabilization.
- Thermoforming of thermoplastic sheets for custom trays and digital assessment of bracket deviations.
Main Results:
- Clinically acceptable overall bracket deviation (mean difference 0.04 mm).
- Cervical wings showed greater mean deviation (0.45 ± 0.53 mm) than incisal wings (0.24 ± 0.18 mm).
- Median ARI score of 0, indicating no adhesive remnants; average cleanup time of 20 minutes per arch.
Conclusions:
- Cellulose gum-based IDB protocol offers precise, cost-effective bracket placement.
- Efficient cleanup and suitability for resource-limited settings.
- Cervical wing accuracy requires further optimization.
