What is essential to do before bonding orthodontic brackets using composite resin?

Before bonding orthodontic brackets using composite resin, etching the tooth surface is essential. Etching involves using an acidic solution, typically phosphoric acid, to create micro-roughness on the enamel surface. This process increases the surface area for the adhesive to bond effectively, enhancing the retention of the composite resin used for the brackets.

This procedure improves mechanical interlocking between the resin and the tooth structure, making the bond significantly stronger and more durable. A properly etched surface ensures that the brackets remain affixed during the treatment timeframe, which is critical for successful orthodontic outcomes.

While cleaning the tooth surface is important to remove any debris or plaque, and drying the tooth surface completely helps prevent contamination, etching is the critical step that enhances bond strength. Applying fluoride treatment is generally used for caries prevention, but it does not contribute to the bonding process of brackets with composite resin.