Gluing of Dental Brackets in Dentistry

 

Watch Dental Video about Bracket Gluing

Bracket gluing refers to the attachment of brackets to the teeth at the beginning of treatment through permanent braces.

Frequently, metal straps are used instead of brackets in order to anchor certain special apparatuses to the teeth, such as headgear and Quad-Helix. Metal straps have a higher stability compared to common brackets. In the video "Gluing Brackets" you can see the brackets being glued: The tooth is etched first so that the bracket glue can find support and steady itself. A special gel (here green) is used to roughen the tooth’s surface. The gel’s effect lasts about a minute. The etching gel is then thoroughly removed using a water spray. The visible dull spot is the roughed up melting area.

The glue is applied to the brackets and special orthodontic positioning pliers are used to place the bracket on the tooth. The positioning has to be very accurate so that the arch can have an optimal effect and there is no unwanted tooth movement later on. As long as the glue has not hardened (in most cases this is usually accelerated using a lamp), the position of the brackets can still be altered slightly.

After all brackets have been attached to the teeth the wire arch is inserted. This later provides the force necessary for tooth regulation. To prevent the wire arch from moving in the bracket, little plastic rings (elastics) are put in place. After the installation of the wire arch the apparatus is functional. In the first few days after the apparatus is installed toothaches may occur, especially when the patient is chewing.

Bracket Gluing

Furthermore, during the first few days, brackets tend to cause sore areas in the cheeks and lips. By covering the brackets with a soft wax, such problem areas can be easily treated. If the pain does not subside after a few days, the patient should return to the orthodontist so that the braces can be loosened a bit and/or so the orthodontist can smooth over some sharp edges.

The risks of bracket gluing are negligible; nevertheless, complications can occur in individual cases and these may require further measures. Each additional measure can lead to further complications, which can eventually result in the loss of teeth. At this point, only specific risks associated with bracket gluing are discussed. These are:

  • Sensitive tooth necks which can result from inaccurate use of the etching gel
  • Inaccurate bracket positioning which can result in incorrect tooth movement
  • Bracket aspiration
  • Swallowing of the bracket
  • Secondary caries below the bracket if the glue gaps are not tight

 

Click here to see the video: Gluing Brackets

 

This post is also available in: German

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