A retrospective six-months clinical trial of adhesive precoated brackets and bonding system

This study investigated bond failures in two groups of 75 patients. Either adhesive precoated (APC) or control brackets were bonded from bicuspid to bicuspid in the mandibular and maxillary arch by a single experienced operator. Observations on failure were recorded at initial arch wire insertion and for the first six months of treatment. The APC bracket failed significantly more often than the control at initial arch wire insertion in both maxillary and mandibular teeth. Further examination disclosed that the APC bracket, when bonded to mandibular teeth, also failed significantly more often than the control during the subsequent six months of treatment. At the six-month point of the study, a total of 53 bond failures had occurred at 671 bond sites in the APC group (7.89 per cent failure rate), compared to 27 bond failures at 977 bond sites in the control group (2.76 per cent failure rate). Fourteen patients in the APC group and two patients in the control group experienced bond failure at initial arch wire insertion. Twenty-eight patients in the APC group and 13 in the control group experienced bond failures within the first six months following initial arch wire insertion.