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Article: Volume 13 Number 3 Page 130 - July 2020

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  Orth Update 2020; 13: 130-133

Orthodontics:  An Overview of Orthodontic Bonding

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Abstract: Bonding brackets with composite resin is considered the gold standard in orthodontics. However, this can be challenging, especially where there is a requirement to bond to surfaces other than enamel, or where the enamel is defective. A choice of bonding modalities exists for these situations, and it is important that clinicians keep up-to-date with current techniques and practice. An overview of the evidence and techniques available for bonding to enamel and other surfaces (composite, porcelain, gold, amalgam and acrylic) is presented. Furthermore, a summary table providing a step-by-step guide for bonding techniques to various surfaces is provided.

Clinical relevance: We provide an overview of the evidence and techniques available to the orthodontist for bonding brackets to enamel and other surfaces including: composite, porcelain, gold, amalgam and acrylic.

Author notes: Robert S D Smyth, BDS, MClinDent, MFDS RCSEd, MOrth RCSEd, FHEA, Post-CCST, Nigel P Hunt, PhD, FDS RCSEng, MOrth RCSEng, Professor of Orthodontics/Honorary Consultant, Mohammad O Sharif, BDS, MSc, MJDF RCSEng, MOrth RCSEd, FDS (Orth) RCSEng, FHEA, Clinical Lecturer/Honorary Consultant, Orthodontic Department, UCL Eastman Dental Institute, London, UK.

Objective: To understand the implications of bonding to various surfaces and materials, and the steps required to carry this out successfully.