Banded vs. Bonded: Which Orthodontic Attachment Preserves Periodontal Health, Six Months study

Background Fixed orthodontic appliances usually require using cemented bands or bonded stubes to secure the appliance. These auxiliaries may alter gingival health, but the effect is not clear, and a little scientific study has addressed it. So, this study checks the effect of these attachments on gingival health parameters in 6 months period. Objective To compare the effect of using molar bands and bonded tubes on the gingival health of upper first molar teeth during the application of fixed orthodontic appliance. Material and methodology A clinical study was conducted on 60 upper first molar teeth from 30 participants, aged between 12 – 35 years from both genders needed fixed orthodontic treatment. The upper right first molar was banded, while the upper left first molar was bonded. Participants received instructions for proper oral hygiene and balanced dietary habits. The gingival parameters including Gingival Margin, Plaque Index and probing depth. were assessed and examined before molar band and bonded tube placement (T0), three (T3) and six (T6) months of treatment. Results Statistical analysis Independent two sample t- test, indicated there is no significant difference between using cemented bands and bonded tubes. based on the type of orthodontic appliance and different variables. Conclusion Research indicates that molar bands and bonds significantly affect periodontal parameters, but no major differences exist between the two in terms of effectiveness.