Intervention Review

Adhesives for fixed orthodontic brackets

  1. Nicky A Mandall1,*,
  2. Joy Hickman2,
  3. Tatiana V Macfarlane3,
  4. Rye CR Mattick4,
  5. Declan T Millett5,
  6. Helen V Worthington6

Editorial Group: Cochrane Oral Health Group

Published Online: 22 APR 2003

Assessed as up-to-date: 14 JAN 2003

DOI: 10.1002/14651858.CD002282

How to Cite

Mandall NA, Hickman J, Macfarlane TV, Mattick RCR, Millett DT, Worthington HV. Adhesives for fixed orthodontic brackets. Cochrane Database of Systematic Reviews 2003, Issue 2. Art. No.: CD002282. DOI: 10.1002/14651858.CD002282.

Author Information

  1. 1

    School of Dentistry, The University of Manchester, Orthodontics, Manchester, UK

  2. 2

    Glan Clwyd Hospital, Department of Orthodontics, Rhyl, UK

  3. 3

    Foresterhill Health Centre, Department of General Practice and Primary Care, Aberdeen, UK

  4. 4

    Newcastle Dental Hospital, Department of Orthodontics, Newcastle upon Tyne, UK

  5. 5

    University Dental School and Hospital, Department of Oral Health and Development, Wilton, Cork, Ireland

  6. 6

    School of Dentistry, The University of Manchester, Cochrane Oral Health Group, MANDEC, Manchester, UK

*Nicky A Mandall, Orthodontics, School of Dentistry, The University of Manchester, Higher Cambridge Street, Manchester, M15 6FH, UK.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 22 APR 2003




  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要


Bonding of orthodontic brackets to teeth is important to enable effective and efficient treatment with fixed appliances. The problem is bracket failure during treatment which increases operator chairside time and lengthens treatment time. A prolonged treatment is likely to increase the oral health risks of orthodontic treatment with fixed appliances one of which is irreversible enamel decalcification.


To evaluate the effectiveness of different orthodontic adhesives for bonding.

Search methods

Electronic databases: the Cochrane Oral Health Group's Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and EMBASE.
Date of most recent searches: August 2002 (CENTRAL) (The Cochrane Library 2002, Issue 2).

Selection criteria

Trials were selected if they met the following criteria: randomised controlled trials (RCTs) and controlled clinical trials (CCTs) comparing two different adhesive groups. Participants were patients with fixed orthodontic appliances. The interventions were adhesives that bonded stainless steel brackets to all teeth except the molars. The primary outcome was debond or bracket failure.

Data collection and analysis

Data were recorded on decalcification as a secondary outcome, if present. Information regarding methods, participants, interventions, outcome measures and results were extracted in duplicate by pairs of review authors (Nicky Mandall (NM) and Rye Mattick (CRM); Declan Millett (DTM) and Joy Hickman (JH2)). Since the data were not presented in a form that was amenable to meta-analysis, the results of the review are presented in narrative form only.

Main results

Three trials satisfied the inclusion criteria. A chemical cured composite was compared with a light cured composite (one trial), a conventional glass ionomer cement (one trial) and a polyacid-modified resin composite (compomer) (one trial). The quality of the trial reports was generally poor.

Authors' conclusions

It is difficult to draw any conclusions from this review, however, suggestions are made for methods of improving future research involving orthodontic adhesives.


Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Adhesives for fixed orthodontic brackets

It is useful for a clinician to know the best adhesive for fixing orthodontic brackets, so they do not fail during treatment.
Bracket failure increases the time spent in surgery for repairs and the overall treatment time. At present orthodontics can choose between four groups of adhesives which may be set with a chemical reaction or curing light. Some adhesives may prevent early decay around brackets because they contain fluoride. There is only weak unreliable evidence that one adhesive may possibly have more failures associated with it and another adhesive may be more protective against early decay.



  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要







電子資料庫:主要由Cochrane Oral Health Group's Trials Register、 the Cochrane Central Register of Controlled Trials (CENTRAL)、 MEDLINE及EMBASE.找最近期的資料: 2002年8月 (CENTRAL) (The Cochrane Library Issue 2, 2002)


依據以下的納入標準搜尋:以隨機受控性試驗(randomised controlled trials)、臨床受控性試驗(controlled clinical trials)來比較兩種黏著劑者,參與的病人必須佩戴固定式矯正裝置,黏著劑用來固定除了大臼齒區外的不鏽鋼拖架,而主要結果為矯正器脫落或失敗。









此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌。