A new approach to indirect bonding /certified fixed orthodontic courses by Indian dental academy

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Welcome to Indian Dental Academy The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats. Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients State of the art comprehensive training-Faculty of world wide repute &Very affordab

Health & Medicine Technology Business

A New Approach
to Indirect Bonding

INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandentalacademy.com

Disadvantages of Indirect Bonding
• highly technique-sensitive procedure

• occlusogingival insertion of a transfer tray causes the
adhesive-coated bracket to scrape along the long axis of each
tooth- uneven distribution of the adhesive > perpendicular
placement - direct bonding
• when opaque transfer trays are used, the putty covering the
palatal surfaces prevents light-curing from the palatal or
occlusal side.
www.indiandentalacademy.com

This technique…its unique
• modified acrylic platform in which the putty is placed only on
the labial and buccal surfaces - easier access for light-curing.
• L-shaped handles are squeezed together to flare out the
transfer tray, allowing placement of the brackets at right
angles to the tooth surface

www.indiandentalacademy.com

Brackets placed on working cast with
water-soluble adhesive

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Working cast centered on flat,
horseshoe- shaped platform

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Putty applied over buccal surface of cast

www.indiandentalacademy.com

Putty pressed through hole in platform

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Two sticks of acrylic bent at 90° angles and attached
to buccal sides of putty tray to form handles

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Completed transfer tray

Posterior regions of transfer tray flared out by squeezing handles
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Tray tried in patient’s mouth

Midline marked on transfer tray
www.indiandentalacademy.com

Bracket bases cleaned with brush

Primer applied to bracket bases
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Primer applied to bracket bases

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Combining the Advantages
• uniform adhesive distribution - perpendicular bracket
placement
• precise placement and shorter chair time
• more clinically efficient than the methods previously used in
our department
• extremely rotated teeth - easier to bond brackets directly
www.indiandentalacademy.com

www.indiandentalacademy.com
Leader in continuing dental education

www.indiandentalacademy.com

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The simplicity of bonding can be misleading. The technique undoubtedly can be misused, not only by an inexperienced clinician but also by more experienced orthodontists who do not perform procedures with care. Success in bonding requires understanding of and adherence to accepted orthodontic and preventive dentistry principles. The advantages and disadvantages of bonding versus banding of different teeth must be weighed according to each practitioner’s preferences, skill, and experience. Bonding should be considered as part of a modern preventive package that also includes a strict oral hygiene program, fluoride supplementation, and the use of simple yet effective appliances. In other words, complicated mechanics with abundant use of coil springs and multilooped arches lends itself less well to bonding and easily can compromise the integrity of tooth enamel and gingival tissues around brackets on small bonding bases.

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