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Achieving high bond strength of orthodontic brackets to enamel, and hence a low failure rate, are the basic demands for orthodontic bracket-bonding systems. Given that continuous replacements of loose brackets are clinically inefficient, time-consuming, and costly, the search for an ‘ideal orthodontic adhesive’ has been a hot topic for many years. Since a substantive number of studies have been focusing on brackets, adhesive systems, and enamel surface conditioning methods in recent years, the authors feel that a review article of this kind can be helpful for the busy clinician to update his/her knowledge about the various adhesive systems available on the market, supported by relevant evidence.
CPD/Clinical Relevance: As there are no clinical guidelines currently in the literature for the selection of the ‘ideal orthodontic adhesive’ and the availability of a substantial number of materials, this review article might help clinicians in the selection process by presenting the available bonding materials, along with supporting evidence from the literature.
Article
Dental bonding was introduced back in 1956 by Bowen.1 In 1968, Buonocore pioneered the work on enamel preparation techniques.2 Since then, these bonding agents were subsequently applied to orthodontics, with multi-banded systems becoming obsolete and superseded by bonded appliances.3
New orthodontic glass ionomer cements, adhesive resins and hybrid cement-resin combinations offer much-improved physical properties and clinical benefits, but there are clear differences in the clinical indications and contra-indications for each type of adhesive. Moreover, an understanding of the features, benefits and limitations allows the clinician to select the material wisely in order to facilitate optimal clinical results.
Optimal material selection and application requires an understanding of the different chemical compositions and physical limitations of today's orthodontic adhesives. Therefore, a clear understanding of the features, benefits and limitations of various adhesives is required to select materials wisely and obtain optimal results. This review article studies the various adhesives used in orthodontics. Information about all other types of cements can be found elsewhere.
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