Glass ionomer cement (for bracket bonding) vs Resin adhesive: Initiation of white spot lesions (WSL), visual-tactile assessment
- Population
- Patients of any age (11-40 years) receiving comprehensive/fixed orthodontic treatment with fixed appliances
- Intervention
- Glass ionomer cement (for bracket bonding)
- Comparison
- Resin adhesive
- Outcome
- Initiation of white spot lesions (WSL), visual-tactile assessment
There is no clear difference in WSL initiation between glass ionomer cement and resin adhesive for bracket bonding (RR 0.72, not significant); certainty of evidence is very low.
What each review found
Include earlier review versions| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Glass ionomer cement (for bracket bonding) vs Resin adhesive (for bracket bonding) Initiation of white spot lesions (WSL), visual-tactile assessment · Patients of any age (11-40 years) receiving comprehensive/fixed orthodontic treatment with fixed appliances · 12-24 months follow-up, Patients undergoing fixed (multibracket) orthodontic appliance treatment; clinical/dental setting; analysis at tooth level There is no clear difference in WSL initiation between glass ionomer cement and resin adhesive for bracket bonding (RR 0.72, not significant); certainty of evidence is very low. Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021) All outcomes | RR 0.72 [0.34, 1.54] | 3 studies · 394 participants | Very low |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel demineralization: a systematic review and… 2021 All outcomes | Not specified (no date restriction on language or year) | 24 | Critically Low / Critically Low |
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.
- Decalcification and bond failure: A comparison of a glass ionomer and a composite resin bonding system in vivo · 1999 · included by 1 of these review
- White spot reduction when using glass ionomer cement for bonding in orthodontics: a longitudinal and comparative study · 1997 · included by 1 of these review
- Millett 1999 · 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.