Article: Volume 46 Number 8 Page 742 - September 2019

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  Dent Update 2019; 46: 742-758

Orthodontics:  Orthodontic Adhesives for Fixed Appliances: a Review of Available Systems

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Abstract: 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.

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.

Author notes: Aslam Alkadhimi, BaBDentSc(Hons), MFD(RCSI), Orthodontic Specialist Registrar, University College London, Eastman Dental Institute and Buckinghamshire Healthcare NHS Trust, (email: and Farnaz Motamedi, BDS, MFDS RCSEd, Orthodontic Specialist Registrar, University College London, Eastman Dental Institute, 256 Gray’s Inn Road, London WC1X 8LD, UK.

Objective: To outline the different orthodontic adhesives that can be used to bond orthodontic brackets. Enhanced CPD DO C