ORTHODONTICS: Direct and indirect bonding techniques: a systematic review (2023)


Some of the most significant aspects in orthodontics for achieving favorable treatment outcomes include correct bracket positioning and a shorter period to accomplish bracket bonding.

Two different brackets bonding techniques – direct and indirect bonding – are described in the literature. 


The aim of this review is to evaluate the differences, advantages, and disadvantages of the two techniques. 

Indirect bonding is more predictable and precise than direct bonding. 

Indirect bonding has a greater impact on minimizing bracket placement errors than direct bonding, but it still takes longer to complete than the traditional procedure. 


However, further studies on the differences between direct and indirect bonding, as well as digital bonding, are needed. 

This study showed that at present, although in the first period, bonding techniques result similarly concerning adhesion failures, in an interval of 12-15 months the DBB technique has a lower failure rate than the IBB technique. 

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Dentística