Adhesives for fixed orthodontic bands. A systematic review.
OBJECTIVE
To evaluate the effectiveness of adhesives used to attach bands to teeth during fixed appliance treatment.


METHODS
Electronic databases, conference proceedings and the Internet were searched. There was no restriction with regard to publication status or language of publication. Randomized controlled trials (RCTs) and controlled clinical trials (CCTs) (including split-mouth studies) of adhesives used to attach orthodontic bands to molar teeth were selected. Patients with full arch fixed orthodontic appliance(s) who had bands attached to molars were included. All review authors were involved in study selection, validity assessment, and data extraction. Disagreements were resolved by discussion. Comparisons were made between the main types of adhesive.


RESULTS
Five RCTs and three CCTs were identified, all of split-mouth design. Four trials compared chemically cured zinc phosphate and chemically cured glass ionomer; three trials compared chemically cured glass ionomer cement with light-cured compomer; and one trial compared chemically cured glass ionomer with a chemically cured glass polyphosphonate. Data analysis was often inappropriate within the studies. Meta-analysis was not feasible.


CONCLUSIONS
There is insufficient high-quality evidence with regard to the most effective adhesive for attaching orthodontic bands to molar teeth. Further RCTs are required.
Millett
Declan
D
University College Cork, Ireland. d.millett@ucc.ie
Mandall
Nicola
N
Hickman
Joy
J
Mattick
Rye
R
Glenny
Anne-Marie
AM
D020770:Compomers; D018849:Controlled Clinical Trials as Topic; D003738:Dental Cements; D005899:Glass Ionomer Cements; D006801:Humans; D055115:Light-Curing of Dental Adhesives; D008963:Molar; D010755:Organophosphates; D009969:Orthodontic Wires; D055116:Self-Curing of Dental Resins; D015036:Zinc Phosphate Cement
D020770:Compomers; D003738:Dental Cements; D005899:Glass Ionomer Cements; D010755:Organophosphates; C119822:glass poly(vinylphosphate)cement; D015036:Zinc Phosphate Cement