Embracing a New Era

Bracket Bonding: Indirect or Direct Technique?

Modified: December 27, 2018 - 07:53 AM

One of the basic components of orthodontic braces is the bracket, a small square bonded directly to each tooth and used to hold the arch wires which slowly move the teeth. The ideal positioning of the bracket must align the individual tooth in relation to the neighboring teeth as well as in relation to the entire arch.  Two techniques are typically available to attach brackets to the teeth: direct or indirect bonding. What technique offers superior results in terms of optimal interarch occlusion and final tooth position?  

The Indirect Bonding Technique

When orthodontic brackets are positioned using the indirect bonding technique, the dentist first positions brackets on a plaster model of the patient’s teeth. Next, the brackets are transferred to the patient’s teeth. One advantage of this method is to make the initial bonding appointment of the patient shorter in terms of time required.  However, an increased likelihood to reposition the brackets is a significant drawback to indirect bonding, since bracket placement can shift slightly during the transfer process.  When repositioning is required, total treatment length and successive patient appointments will increase in order to achieve satisfactory results.

The Direct Bonding Technique

When using the direct bonding technique, the bracket placement is directly on the patient’s teeth, usually one tooth at a time. In most cases, this method initially takes more time when compared to the indirect bonding method.  Each bracket goes through meticulous placement right from the start, using the position of each tooth’s root and crown. Extensive, accurate measurements are required for this procedure.  Gerety Orthodontic Systems recommends direct bracketing as the most precise and predictable way to bond the brackets. The early investment of time and attention to detail will produce a higher degree of precision and sustainable, satisfactory results. 

Achieving your Goals:  Helping Patients Achieve a Better Smile

Have you considered orthodontic studies? Or are you ready to review and reinforce previous orthodontic continuing education? Is your professional goal to update your skills involving straight wire mechanics and technique?  At GOS, we offer a proven, comprehensive program for all general dentists to learn more about orthodontic appliances and train their staff. Gerety Orthodontic Seminars are available both at our on-site classroom in Tulsa, OK, or on-line in your own virtual classroom. Our member-based orthodontic website www.orthodonticteaching.com features the continuing education you need to meet your professional goals. Our program flexibility and individual assistance from our excellent instructors will remove any barriers that may have been preventing you from adding orthodontics to the services you offer your patients.  From case selection to treatment planning as well as troubleshooting, you will feel confident with the support provided by the professionals at GOS.

In addition, you can enhance your practice when you enroll your staff in our program created for dental assistants by Kay Gerety.  During this exceptional course, GOS will provide your assistants with the skills and confidence they need to help you with your patient care.

For further information on our orthodontic courses and seminars, contact us today.  We look forward to welcoming you to our GOS family, where you can learn to give your patients the best reasons to smile!