A Unique Bonding Technique for Immediate Orthognathic Surgery.
BACKGROUND
A challenge in orthodontics is achieving ideal bracket position which determines treatment results and finishing. A new bonding method is done indirectly on the cast and bonded directly on the teeth, but it does not require conventional trays to carry the brackets to the teeth.


METHODS
Heavy sized archwires like 0.019″x0.025″ or 0.018″ SS are bent to the malocclusion to generate a template which comprises of an Bracket -Archwire Assembly (BAA). This assembly is transferred onto the teeth using the molar bands with tubes which serves as a jig for proper orientation of the BAA, then the adhesive is cured at one shot to complete the bonding procedure.


RESULTS
Two surgical cases successfully bonded with this technique is presented in this article.


CONCLUSIONS
This bonding method finds specific advantages in surgical orthodontics - when the surgeon decides on a surgery-first treatment objective, management of single or a couple of periodontally extruded teeth, management of impacted teeth and in patients needing fixed functional appliance immediately before the completion of growth spurt.
Professor and Head, Department of Orthodontics, Royal Dental College , Palakkad, Kerala, India.
Biswas Palikunnu
BP
Padmaprabha
Reader, Department of Orthodontics, Royal Dental College , Palakkad, Kerala, India .
Hariprasad
H
Ayinipully
Post Graduate Student, Department of Orthodontics, Royal Dental College , Palakkad, Kerala, India .
Rosaline Tina
RT
Paul
Reader, Department of Orthodontics, Royal Dental College , Palakkad, Kerala, India .
Shaji Aboobacker
SA
Ponnambathayil
Post Graduate Student, Department of Orthodontics, Royal Dental College , Palakkad, Kerala, India .
Althaf Thanimoottil
AT
Rasheed
Anterior maxillary osteotomy; Bracket archwire assembly; Direct bonding technique; Fixed- functional appliance; Indirect bonding technique; Jigs; Surgery-first treatment option