A new approach to indirect bonding /certified fixed orthodontic courses by Indian dental academy
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A new approach to indirect bonding /certified fixed orthodontic courses by Indian dental academy
- 1. A New Approach to Indirect Bonding INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
- 2. 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
- 3. 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
- 5. Brackets placed on working cast with water-soluble adhesive www.indiandentalacademy.com
- 6. Working cast centered on flat, horseshoe- shaped platform www.indiandentalacademy.com
- 7. Putty applied over buccal surface of cast www.indiandentalacademy.com
- 8. Putty pressed through hole in platform www.indiandentalacademy.com
- 9. Two sticks of acrylic bent at 90° angles and attached to buccal sides of putty tray to form handles www.indiandentalacademy.com
- 10. Completed transfer tray Posterior regions of transfer tray flared out by squeezing handles www.indiandentalacademy.com
- 11. Tray tried in patient’s mouth Midline marked on transfer tray www.indiandentalacademy.com
- 12. Bracket bases cleaned with brush Primer applied to bracket bases www.indiandentalacademy.com
- 13. Primer applied to bracket bases www.indiandentalacademy.com
- 14. 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
- 15. www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com