Article: Volume 14 Number 2 Page 105 - April 2021

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  Orth Update 2021; 14: 105-107

Orthodontics:  Composite and bonding agent sensitivity in orthodontics

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Abstract: The nature of the type of treatment carried out in orthodontics frequently exposes clinical staff to potential occupational hazards. A lesser-known risk includes hypersensitivity to composite resins and bonding materials, as well as the permeability of gloves to these materials. This article highlights the importance of care when handling composite materials, and suggests methods to reduce potential exposure.

Clinical relevance: Composite and bonding agents are frequently used in orthodontics; however, adverse effects resulting from exposure are not commonly discussed. This paper aims to increase awareness and provide practical methods of reducing risk.

Author notes: Lilia Wong, MOrth RCS (Eng), FDS(Orth) RCS(Eng), Consultant in Orthodontics, Orthodontic Department, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes. Sameer Patel, MClinDent, FDS RCS (Eng), FHEA, Consultant in Orthodontics, Orthodontic Department, King’s College Hospital NHS Foundation Trust London. Lars Christensen, Tandlæge, MSc, PhD, MOrth RCS (Edin), Specialist in Orthodontics, Oxford. Email:

Objective: The reader should understand the occupational hazards of exposure to composite materials and bonding agents and describe methods of reducing potential contact.