Jr. Miller et al., A 3-YEAR CLINICAL-TRIAL USING A GLASS-IONOMER CEMENT FOR THE BONDING OF ORTHODONTIC BRACKETS, The Angle orthodontist, 66(4), 1996, pp. 309-312
Recent clinical studies measuring orthodontic bracket failure, when us
ing glass ionomer cement as an adhesive, have reported a wide range of
percentages of bracket failure. The present study recorded bracket fa
ilure over a 3-year period, longer than had been previously measured.
Seventeen participants were randomly assigned to one of two treatment
groups, either using glass ionomer cement or composite resin for bondi
ng. In each group, brackets were bonded to incisors, canines, and prem
olars. Bracket failure was measured over the duration of comprehensive
orthodontic treatment for all participants. Brackets bonded with the
glass ionomer cement were more likely to fail (log-rank test; P less t
han or equal to 0.022). This difference was clinically significant. At
the present time, the disadvantage of extra bracket failures appears
to outweigh potential advantages when considering glass ionomer cement
for the routine bonding of orthodontic brackets.