Indirect Bonding

We value your time and believe that orthodontic treatment should be finished in a timely manner. Therefore, we use a procedure called Indirect Bonding as part of our treatment process. Indirect bonding is a technique to place the braces on a patient's teeth with minimal time and discomfort yet with superior results compared to the traditional direct bonding method of bracket placement.

Traditionally, braces were applied by hand to the teeth one at a time. Since 2003, we have used a technique called indirect bonding which allows us to place all the brackets on the teeth at the same time. This benefits the patient as it improves patient comfort, reduces the amount of time in the dental chair, improves the accuracy of bracket placement, and reduces overall treatment time.

Prior to the patient's visit, we position the braces on the patient's orthodontic models, using the patient's x-rays as a guide. This makes bracket placement precise since the bracket alignment can be viewed from several angles, which is not possible when working directly in the mouth.

A transfer tray is then made on the model, which holds the braces. During the patient's banding appointment we use sealants to place the brackets on the teeth and remove the tray. The process takes a few minutes compared to the 30-60 minutes it would otherwise take to place the brackets directly. You can see the process in the video below.

The timely completion of orthodontic treatment depends on the the proper placement of the brackets. For this reason, we exclusively use indirect bonding for our patients. Dr. Kothari has written a peer-reviewed article on the indirect bonding technique in the World Journal of Orthodontics. He has also taught this procedure to his orthodontic students at the University of Illinois at Chicago College of Dentistry.