Indirect bonding using flowable composite adhesive (Opal Bond MV) vs Direct bonding (conventional, Transbond XT): White spot lesion formation (QLF: fluorescence loss, lesion area)
- Population
- Patients undergoing fixed orthodontic (fixed appliance) treatment (adolescents and adults, ages 12 to 35)
- Intervention
- Indirect bonding using flowable composite adhesive (Opal Bond MV)
- Comparison
- Direct bonding (conventional, Transbond XT)
- Outcome
- White spot lesion formation (QLF: fluorescence loss, lesion area)
A single RCT found indirect bonding with flowable composite reduced white spot lesion formation versus direct bonding (ungraded).
What each review found
Include earlier review versions| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Indirect bonding using flowable composite adhesive (Opal Bond MV) vs Direct bonding (conventional, Transbond XT) White spot lesion formation (QLF: fluorescence loss, lesion area) · Patients undergoing fixed orthodontic (fixed appliance) treatment (adolescents and adults, ages 12 to 35) · Before and after treatment (T0 to T1), Orthodontic clinical practice (in-vivo human clinical trials); adolescents and adults A single RCT found indirect bonding with flowable composite reduced white spot lesion formation versus direct bonding (ungraded). Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed… (2024) All outcomes | Atilla 2020 (1 single-blind parallel RCT, 51 patients): the direct-bonding group had significantly greater loss of fluorescence and demineralization and larger lesion areas than the indirect-bonding (flowable… | 1 study · 51 participants | GRADE not reported |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Can Orthodontic Adhesive Systems Inhibit the Formation and Development of White Spot Lesions During Fixed Orthodontic Treatment? A… 2024 All outcomes | October 2023 | 12 | High / Low |
Related questions
The same intervention and outcome, asked in another population or against another comparator.
- Indirect bonding using flowable composite adhesive (Opal Bond MV) vs Direct bonding (conventional, Transbond XT) · Orthodontic patients of any age with fixed braces (new DLs assessed at debond) · 1 review
Studies behind the findings
The primary studies the full-text reviews tie to this outcome. Reviews with headline outcomes only do not list them here.
- A comparative assessment of orthodontic treatment outcomes using the quantitative light-induced fluorescence (QLF) method between direct… · 2019 · included by 1 of these review
How reviews are matched to this question
Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.