None listed
Conditions
Brief summary
This study aims to compare the failure rate of orthodontic brackets when applied with or without a primer. Orthodontic brackets are crucial for braces treatment, and a primer is often used to help the brackets bond more securely to the teeth. We want to find out if using a primer reduces the chances of brackets detaching during treatment. Our hypothesis is that the use of a primer will result in fewer bracket failures compared to when no primer is used.
Interventions
In the intervention group, metal orthodontic brackets will be bonded using a standard protocol but NO application of primer as part of the bonding process. The following steps will be followed: 1. Enamel Etching: The buccal enamel surface of each tooth will be etched using 37% orthophosphoric acid for 30 seconds. 2. Rinsing: The etched surface will be thoroughly rinsed with water for 30 seconds to remove all acid residue. 3. Drying: The enamel surface will be dried using an air syringe until a frosty white appearance is observed, indicating proper etching. 4. Adhesive Application: Light-cured composite adhesive (e.g., Transbond XT adhesive) will be applied to the base of each metal bracket. 5. Bracket Placement: The bracket will be positioned accurately at the facial axis (FA) point of each tooth. 6. Seating and Flash Removal: Firm pressure will be applied to seat the bracket, and excess adhesive (flash) will be removed carefully from the margins. 7. Final Curing: The bonded bracket will be light-cured for 20 seconds using an LED curing light, typically 10 seconds from mesial and 10 seconds from distal sides.
Sponsors
Study design
Eligibility
Inclusion criteria
• Aged between 12 and 30 years. • Both genders • Patient starting orthodontic treatment with upper and lower fixed appliances (pre-adjusted edgewise) • Have any malocclusion (Angle class I, II, and III) • Pakistani nationals (assessed on the basis of NIC)
Exclusion criteria
• Patients having dental anomalies such as enamel hypoplasia, fluorosis • Teeth with caries or restorations on facial enamel surface • Teeth with occlusal interferences • Poor oral hygiene