If you are considering braces as an adult, it is important to be realistic about the orthodontic outcome. For many adults, the use of orthodontics often results in a beautiful smile only to find the retention of the tooth position is lost many years later. When considering braces, discussions with your orthodontist should involve those that include a detailed education about not only the care of the braces, but also the bracket placement and types of supplies used.
Bracket placement may be the most profound aspect of your orthodontic treatment. Without accurate bracket placement you may find that your orthodontic treatment will take much longer than originally anticipated. In some orthodontic offices, the use of direct bonding provides for a great outcome to your orthodontic treatment while other orthodontists choose to use an indirect bonding application. The application of the bracket may, ultimately, determine your outcome.
With indirect bonding of your brackets, the placement and position of the brackets is predetermined in the laboratory using a model of your teeth. However, because moisture control can be an adverse factor with this process, the laboratory must be certain to use a specialized form of resin and other bonding materials. The greatest risk for moisture complications is usually found in the posterior teeth, especially around the molars. Ultimately, the use of indirect bonding may result in the loss of brackets more often than direct bonding.
With direct bonding, there is a very low failure rate in terms of losing bracket placement. With direct bonding, also, you may have a reduced risk for moisture complications however this issue is highly debatable as well. Without regard to direct or indirect bonding, however, you can expect that no bracket bonding resin or adhesive will last longer than 12 months with many beginning to wear done by month six.
In every orthodontic office, there is a differing opinion with regard to not only bracket placement, but also bonding, oral healthcare and the use of permanent versus temporary orthodontics, and even issues about types of metals to be used. Finding an orthodontist that you are comfortable with, one that will answer your questions and understand the specific concerns with regard to your overall health, is important to your selection. While there is no significant degree of difference between direct and indirect bonding, many orthodontists will choose direct bonding as a way to tailor the orthodontic plan to the patient’s specific needs. Rather than relying upon a laboratory to place the braces, the orthodontist will take ownership for the placement and bonding supplies used, providing for a more unique and personable approach to orthodontic care.