Direct versus fully digital indirect bracket bonding: a split-mouth randomized clinical trial on accuracy

• Published in: Clinical oral investigations 2024-09, Vol.28 (10), p.557, Article 557
• Main Authors: Hoekstra-van Hout, Pauline M.J., Hoekstra, Jan Willem M., Bruggink, Robin, Bronkhorst, Ewald M., Ongkosuwito, Edwin M.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aesthetics; Clinical decision making; Clinical outcomes; Clinical trials; Dental Bonding - methods; Dentistry; Female; Humans; Male; Medicine; Orthodontic Appliance Design; Orthodontic Brackets; Orthodontics; Patient Satisfaction; Patient-centered care; Prospective Studies; Translation
• ISSN: 1436-3771; 1432-6981; 1436-3771
• DOI: 10.1007/s00784-024-05950-6

Objectives The primary aim is to assess differences in accuracy of orthodontic bracket positioning between fully digital indirect bracket bonding (IDB) and conventional direct bracket bonding (DBB). The secondary aims are to assess differences in bracket bonding failures, bracket repositioning need, clinician experience and patient satisfaction. Materials and methods This prospective study was designed as a split-mouth randomized clinical trial. In total, 35 patients were analyzed with a six month follow-up period. Translational and orientational deviations from the planned bracket position were determined. Clinician experience and patient satisfaction were evaluated by means of a survey. Results The difference in translation was 0.34 mm (95% CI: 0.238–0.352, p  = 0.017), the difference in orientation was 4.80˚ (95% CI: 3.858–5.727, p