Article: Volume 13 Number 2 Page 57 - April 2020

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  Orth Update 2020; 13: 57-62

Orthodontics:  Orthodontic Bonding to Atypical Tooth Surfaces

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Abstract: Orthodontic bonding techniques continue to evolve with the ever-changing population. With the demand for orthodontic treatment increasing, the specialty is regularly presented with restored dentitions, anterior crowns, bleached teeth, as well as those presenting with developmental conditions, such as fluorosis and amelogenesis imperfecta. Reduced orthodontic bond strength can lead to failure of the appliance and in turn lead to prolonged treatment times and patient dissatisfaction. This article aims to summarize the recommended methods for bonding and give an updated review of optimizing techniques.

Clinical relevance: Adequate bracket bond strength is an essential part of orthodontic treatment, to prevent breakages and reduce treatment time and risk factors.

Author notes: Naomi Prado, BSc(Hons), BDS, MFDS RCPS(Glasg), Orthodontic Registrar, University Dental Hospital Manchester, Susi Caldwell, BDS, MDent Sci, FDS, MOrth, FDS(Orth), RCS(Eng), Consultant Orthodontist, Wythenshawe Hospital and Martin Ashley, BDS(Hons), FDS RCS(Eng), FDS(Rest Dent) RCSEng, MPhil, Consultant and Honorary Senior Clinical Lecturer in Restorative Dentistry, Manchester University Foundation NHS Trust, Manchester, UK.

Objective: To understand the current optimum bonding techniques for atypical tooth surfaces and appreciate the recent research around the subject.