Supplies and Materials

Specialty recommends using supplies and materials from Reliance Orthodontics.

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In The Clinic

Preparing the Teeth for Bonding

The most predictable adhesives used in Indirect Bonding are employed with a completely dry field – we recommend the NOLA cheek retractor and moisture-control system. Beginning with the lower, one arch at a time is prepared and bonded to avoid contamination. Pumicing the teeth with a rubber wheel is recommended, while some practices also micro-etch the posterior teeth. The recommended etch from Reliance is the 37% acid solution, followed by a thorough rinsing of each tooth for at least ten seconds.

Applying the Adhesive Components

The custom bases in the trays are first prepared by painting Assure® on each pad. Assure® is specially formulated to enhance bonding strength. The bonding adhesive (either light or auto cure) is then applied to the composite pads and the companion sealant is brushed on the etched teeth. It is important to note that in addition to the thin sealant on the custom pads, a small bead of adhesive may be used to ensure that any micro-gaps between the custom composite bases and tooth surfaces are filled.

Delivering the Brackets

Keeping the inner and outer trays together as one unit, seat the tray from the posterior to the anterior in one motion. The trays have a snap fit, which helps establish the seating. Since the material is transparent, it is easy to visually confirm that the tray is seated completely. Once the adhesive is set, the hard outer tray is removed and the flexible inner tray is then easily peeled away from the brackets with a scaler. The block-out material used around the gingival portion of the brackets facilitates tray removal without dislodging the brackets.