Incidence Of Accidental Bracket Debonding During Fixed Orthodontic Treatment: A Systematic Review

Abstract

Aim: To assess the most commonly encountered accidental debonding of brackets in maxillary and mandibular arches in fixed orthodontic treatment.

Materials and methods: We conducted a thorough search, both electronically and manually and we were able to gather a total of 252 articles pertaining to our topic. To ensure the accuracy and relevance of our analysis, we meticulously removed any duplicates and reviewed each article based on specific inclusion and exclusion criteria. From this extensive process, we were able to analyze a final selection of 40 articles for this analysis.

Result: After analyzing 40 studies, it has been conclusively determined that the second premolar had significantly higher debonding incidences. The bracket debonding was disproportionately common in both genders and more in mandibular arch rather than maxillary arch. Debonding was more common in younger individuals than adults.

Conclusion: Orthodontic brackets play a major role in fixed orthodontic treatment. Accidental debonding of brackets were more significant in second premolar, more common among the mandibular arch and younger age patients.