Treatment & Care
In office bonding procedures for Indirect Bonded Lingual Retainers.
Light Cure Adhesive
Step 1 – Optional
Insert the tray on the dental arch to familiarize yourself with the function and fit of the indirect tray. Remove from mouth and clean with acetone. If you opted for a trial fit the pads must be cleaned with acetone to ensure a proper bond.
To ensure a good bond between the custom pad and each tooth you will need to etch the lingual of each tooth that will be bonded according to the manufacturers guidelines of the etchant.
Rinse each tooth to be bonded thoroughly until each tooth has a chalky appearance.
Dry each tooth to be bonded thoroughly. Having a dry field is the most important step in achieving a good bond. Next a thin film of sealant is simultaneously painted on each composite pad and on the lingual surfaces of the teeth.
Apply a small amount of light cure adhesive to each custom pad and to the lingual surface of each tooth to be bonded. Applying this small amount of adhesive to both surfaces is done to cover any areas of discrepancy from the impression, model pour-up and/or laboratory fabrication.
Seat the indirect trays on the arch to be bonded and apply firm pressure into place.
Cure the adhesive of each pad according to the manufacturers guidelines.
After curing you may remove trays from mouth. Remove any excess flash with a small burr or scaler. Flowable composite may be used and cured around the edges of the pads to give a smooth and rounded finish.
- Wire: Reliance Braided, Titanium, or Ormco Respond Wire
- Plastic Tray: 2mm mouthguard