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. 2019 Jul 8;19:137. doi: 10.1186/s12903-019-0831-4

Table 2.

Summary of the included studies

Study Study design Observation period Participants Intervention
(Indirect bonding adhesives)
Comparison/Control
(Direct bonding adhesives)
Outcomes
Outcomes Indirect Direct
Aguirre 1982 [24] RCT (split-mouth) 3 months

Sex: not specified

Age: patients from graduate practice

Inclusion criteria: receiving the orthodontic appliance

Brackets: Ormco standard, with a mesh pad

Endur (self-curing)

(Lab adhesive: Sugar Daddy

Tray: Citricon silicone impression material)

Not specified Bracket placement accuracy refer to the original data
Working time (min, mean ± SD)

LS: 29.8 ± 0.8

CS: 23.7 ± 1.1

T: 53. 5

42.0 ± 0.9
Bond failure rate 4/98 (4.10%) 5/94 (5.30%)
Dalessandri 2012 [12] RCT (split-mouth) 2 years and 6 months ±4 months

Sex: male 13, female 17

Age: 11.2–12.8 years

Inclusion criteria: attending an orthodontics department of a university and undergoing fixed orthodontic treatment (Victory braces, Low Profile series, MBT prescription, 0.022-in. slot, power arm on canines, 3 M Unitek); no presence of systemic or local (caries, periodontal pockets, mucosal alterations) pathologies; no need for surgical or extended restorative adjunctive procedures; no enamel development alterations; no dietary restrictions or intolerances

Brackets: Victory braces, Low Profile series, MBT prescription, 0.022-in. slot, power arm on canines

3 M Unitek (light-cured)

(Lab adhesive: removable adhesive (Vinavil, Vinavil SpA)

Tray: a first bracket transfer matrix in a soft material (Copyplast 0.5 mm, Scheu Dental GmbH) was prepared with a pressure molding machine (Biostar VI, Scheu Dental Technology).

and a second transfer matrix with a 1-mm thick Duran (Scheu Dental GmbH) foil was developed)

3 M Unitek (light-cured) Oral hygiene status (number of new caries) 2 2
Oral hygiene status (plaque accumulation index) 0.97 ± 0.29 1.71 ± 0.97
Oral hygiene status (number of new white spots) 8 21
Hodge 2004 [7] RCT (split-mouth) Not specified

Sex: not specified

Age: not specified

Inclusion criteria: requiring full treatment with preadjusted

edgewise appliances in both arches

Brackets: not specified

Not specified Not specified Bracket placement accuracy (bracket placement errors; mm/°, mean ± SD)

V: −0.20 ± 0.08

H: −0.05 ± 0.10

A: 0.02 ± 0.05

V: −0.27 ± 0.46

H: −0.11 ± 0.30

A: 0.08 ± 0.14

Huang 2016 [28] RCT Not specified

Sex: male 12, female 33

Age:15–30 years

Inclusion criterion: requiring fixed orthodontic appliance therapy; with good oral hygiene; no periodontal diseases, caries, fluorosis, cracked-teeth, and partially erupted cases etc., heights of clinical crowns were similar

Brackets: Damon3MX self-ligating brackets (Ormco, US)

3 M Unitek Sondhi™ Rapid-set (3 M, US)

(Lab adhesive: 3 M Unitek Transbond™ XT (3 M, US) (light-cured)

Tray: using translucent soft silicone to make the soft layer and rigid tray refinement)

3 M Unitek Transbond™ XT (3 M, US) (light-cured) Working time (min, mean)

LS: 56.4

CS: 34.13

T: 90.53

T: 43.5
Thiyagarajah 2006 [25] RCT (split-mouth) 12 months

Sex: not specified

Age: 12–15 (mean13.6) years

Inclusion criteria: requiring orthodontic treatment with full upper and lower pre-adjusted edgewise appliances; no caries, large restorations, fluorosis, hypoplasia or abnormalities of crown morphology

Brackets: MBT™ Versatile+ Bracket System

Transbond TM XT (light-cured)

(Lab adhesive: 3 M Unitek laboratory adhesive;

Tray: 0.45 mm Drufolen WTM transparent tray)

Transbond TM XT (light-cured) Bond failure rate 6/279 (2.15%) 8/274 (2.92%)
Vijayakumar 2014 [26] RCT (split-mouth) 6 months

Sex: male 12, female 18

Age: 15–28 (mean 21.73) years

Inclusion criteria: requiring fixed orthodontic appliance therapy; with full complement of tooth and good oral hygiene; no deep-bite, crowns and veneers, and partially erupted cases

Brackets: MBT −022 brackets

Transbond XT (light cure adhesive)

(Lab adhesive: Transbond XT light cure adhesive;

Tray: constructed using soft clear thermo-plastic

sheet of 2 mm thickness in a bio-star machine)

Transbond XT (light-cured) Bond failure rate 23/262 (8.78%) 27/256 (10.55%)
Yıldırım 2018 [27] RCT Direct bonding: 12.0 ± 3.1 months; indirect bonding: 11.4 ± 2.4 months

Sex: male 7, female 23

Age: Direct: 11.7–19.2 (14.6 ± 2.4) years; indirect: 11.4–21(16.7 ± 5.1) years

Inclusion criterion: complete permanent dentition, including second molars with bilateral Angle Class I molar and canine relationships, no previous orthodontic treatment, no skeletal discrepancy, mild or moderate crowding

Brackets: 0.018-in slot stainless steel Roth prescription Empower 2 self-ligating brackets and 0.018-in Non Convertible LP direct bond molar tubes, American Orthodontics, Sheboygan, Wis

Transbond Supreme LV Low Viscosity Light Cure Adhesive; 3 M Unitek (light-cured)

(Lab adhesive: Transbond Plus Color Change Adhesive;

Tray: 2-layer transfer tray prepared using translucent soft silicone [Memosil 2; Heraeus Kulzer] and thermoformed rigid Essix plastic [Raintree Essix, New Orleans, La])

Transbond Plus Color Change Adhesive;

3 M Unitek

(light-cured)

Working time (min, mean ± SD)

LS: 45.54 ± 4.33

CS: 26.51 ± 3.33

T: 72.05 ± 5.2

T: 53.02 ± 4.72
Oral hygiene status (plaque accumulation index; median ± interquartile range) 11.67 ± 16.66 5 ± 10.00
Oral hygiene status (white spot lesions formation; median ± interquartile range) 0.00 ± 0.08 0.00 ± 0.16
Bond failure rate

45/420

(10.71%)

30/420

(7.14%)

Zachrisson 1978 [18] RCT (split-mouth) 6 months

Sex: male14, female 28

Age: 11–15 (13 ± 1.5) years

Inclusion criteria: at least 4 permanent teeth in a quadrant

Bracket: metal brackets with mesh-backed bases

Edur (self-curing)

(Lab adhesive: Sugar Daddy;

Tray: Optosil, silicone putty impression material)

Edur

(self-curing)

Oral hygiene status (number of gingival index score)

0:24

1:1235

2:154

0:39

1:1556

2:148

Oral hygiene status (number of plaque index score along bracket)

0:658

1:635

2:78

0:983

1:685

2:72

Oral hygiene status (number of plaque index score along gingiva)

0:517

1:717

2:164

0:755

1:818

2:167

Bond failure rate

9/104

(8.65%)

5/121

(4.13%)

RCT randomized controlled trial, LS laboratorial stage, CS clinical stage, T total, V vertical, H horizontal, A angular