What are you using for bonding brackets to impacted canines?

[EuroOMFS]

Haven´t been here in a while. It´s good to see things stay the same. Dual vs. single degree, how to get into OMFS with low stats etc.🙂

For quite a few years now, I´ve been using the same composite bonding material to bond brackets with a gold chain to impacted canines. And with reliable results I might add. Usually if something goes wrong, it´s the chain that breaks.

Recently however, we are starting to get complaints from orthodontists that they are simply pulling the brackets off the teeth. This is happening between 2 and 6 months after initial bonding. I´m also hearing similar stories from other OMFSs that use the same product.

Obvoiusly it´s time to change products, so I would like to ask those of you here that perform these procedures what product you are using for this purpose.

Thanks.
Euro

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[aphistis]

Haven´t been here in a while. It´s good to see things stay the same. Dual vs. single degree, how to get into OMFS with low stats etc.🙂

For quite a few years now, I´ve been using the same composite bonding material to bond brackets with a gold chain to impacted canines. And with reliable results I might add. Usually if something goes wrong, it´s the chain that breaks.

Recently however, we are starting to get complaints from orthodontists that they are simply pulling the brackets off the teeth. This is happening between 2 and 6 months after initial bonding. I´m also hearing similar stories from other OMFSs that use the same product.

Obvoiusly it´s time to change products, so I would like to ask those of you here that perform these procedures what product you are using for this purpose.

Thanks.
Euro

Lag screws.

 

[GTFOOMICT]

Reminds me of a time when I was on an externship and the residents couldn't remember how to use the bonding agent, haha. Had to ask me the dental student about the bonding agent generations and what gets dried, etched, cured, light, etc.

Do you think you'd have better luck on dentaltown?

 

[charlestweed]

My wife does all the exposures for my patients. She uses the same bonding materials that I use to bond the ortho brackets: etchant (any kind), Ormco Ortho Solo primer, and light activated 3M Transbond adhesive. I recently switched to Light bond adhesive from Ortho Reliance, Inc.

If a canine is palatally impacted, I instruct her to leave the canine crown exposed instead of covering it. She usually puts excess adhesive over the entire crown to prevent the soft tissue from growing over it. If the chain/button comes off, I can easily re-bond it.