The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 22 , ISSUE 8 ( August, 2021 ) > List of Articles


3D Printing Pen: A Novel Adjunct for Indirect Bonding

Narayan Bhalchandra Kulkarni, Goyal Shrishtee Manoj, Vinaykumar Dinesh Shah

Keywords : 3D printing, Bonding, Indirect bonding, Polylactic acid (PLA)

Citation Information : Kulkarni NB, Manoj GS, Shah VD. 3D Printing Pen: A Novel Adjunct for Indirect Bonding. J Contemp Dent Pract 2021; 22 (8):964-968.

DOI: 10.5005/jp-journals-10024-3166

License: CC BY-NC 4.0

Published Online: 09-11-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Background: Direct orthodontic bracket bonding consumes significantly more chairside time in comparison to indirect bonding. The primary drawback of indirect bonding is incomplete penetration of the curing light through transfer trays, leading to bracket bond failure. The primary objective in a clinical setting is to minimize the chairside time. This technique of indirect bonding reduces chairside time, is economical, utilizes minimum armamentarium, and provides adequate light penetration and accuracy. Technique: Impressions were made, casts were poured and marked for the desired bracket position as per MBT prescription. Bonding agent was used to stabilize the brackets on the working model. A 3D printing pen and polylactic acid (PLA) filament were used to fabricate transfer trays for indirect bonding. The tray with brackets held in the desired position was transferred to the oral cavity and cured. Conclusions: Fabrication of complete or partial transfer trays for indirect bonding using PLA with the help of a 3D printing pen is a precise, easy-to-use, economical, and reliable method that reduces chairside time. Clinical significance: When compared with other methods of indirect bonding, the PLA transfer tray made with a 3D printing pen was easy to fabricate with brackets held firmly in the tray for a precisely desired position. The tray fit snugly and permitted light curing of composite from all surfaces of brackets and removal of flash. This method significantly reduced the overall time of the indirect bonding procedure.

  1. Silverman E, Cohen M, Gianelly AA, et al. A universal direct bonding system for both metal and plastic brackets. Am J Orthod 1972;62(3):236–244. DOI: 10.1016/s0002-9416(72)90264-3.
  2. Swartz M. About orthodontic bonding, an interview with Dr. Michael Swartz. The Ortho Cyber J 2003.
  3. Moin K, Dogon IL. Indirect bonding of orthodontic attachments. Am J Orthod 1977;72(3):261–275. DOI: 10.1016/0002-9416(77)90212-3.
  4. Kalange JT, Thomas RG. Indirect bonding: a comprehensive review of the literature. In: Seminars in orthodontics, vol. 13(1). WB Saunders; 2007. p. 3–10.
  5. Fried KH, Newman GV. Indirect bonding with a no-mix adhesive. J Clin Orthod 1983;17:414–415.
  6. Hickham JH. Predictable indirect bonding. J Clin Orthod 1993;27(4):215–218.
  7. Nakaji, Sheffield. Table clinic. 1981 AAO annual meeting.
  8. Cooper RB, Sorenson NA. Indirect bonding with adhesive precoated brackets. J Clin Orthod 1993;27(3):164–166.
  9. Kalange JT. Ideal appliance placement with APC brackets and indirect bonding. J Clin Orthod 1999;33(9):516–526.
  10. Sondhi A: Efficient and effective indirect bonding. Am J Orthod 1999;115(4):352–359. DOI: 10.1016/s0889-5406(99)70252-0.
  11. Sinha PK, Nanda RS, Ghosh J. A thermal-cured, fluoride-releasing indirect bonding system. J Clin Orthod 1995;29(2):97–100.
  12. White L. New and improved indirect bonding technique. J Clin Orthod 1999;33(1):17–23.
  13. Vashi N, Vashi B. An improved indirect bonding tray and technique. J Indian Orthod Soc 2008;42:19–23. DOI: 10.1177/0974909820080105.
  14. Bhardwaj A, Belludi A, Gupta A, et al. Indirect bonding technique – a simplified novel technique. J Asian Pacific Orthod Soc 2011;2(3).
  15. Read MJ, O'Brien KD. A clinical trial of an indirect bonding technique with a visible light-cured adhesive. Am J Orthod Dentofacial Orthop 1990;98(3):259–262. DOI: 10.1016/S0889-5406(05)81603-8.
  16. Read MJF, Pearson AL. A method for light-cured indirect bonding. J Clin Orthod 1998;32(8):502–503.
  17. Aileni KR, Rachala MR, Mallikarjun V, et al. Gum and gun: a new indirect bonding technique. J Indian Orthod Soc 2012;46(4_suppl. 1):287–291. DOI: 10.5005/jp-journals-10021-1107.
  18. Madhusudhan S, Laxmikanth SM, Shetty PC. A newly simplified indirect bonding technique. Indian J Dent Sci 2012;4(4):81–83.
  19. Rajagopal R, Venkatesan A, Gnanashanmugham K, et al. A new indirect bonding technique. J Clin Orthod 2004;38(11):600–602.
  20. Smith RT, Shivapuja PK. The evaluation of dual cement resins in orthodontic bonding. Am J Orthod Dentofacial Orthop 1993;103(5):448–451. DOI: 10.1016/S0889-5406(05)81795-0.
  21. Aksakalli S, Demir A. Indirect bonding: a literature review. Eur J Gen Dent 2012;1(1):6. DOI: 10.4103/2278-9626.101344.
  22. Van den Eynde M, Van Puyvelde P. 3D printing of poly (lactic acid). In: Industrial applications of poly (lactic acid). Cham: Springer; 2017. p. 139–158.
  23. McLaughlin RP, Bennett JC. Bracket placement with the preadjusted appliance. J Clin Orthod 1995;29(5):302–311.
  24. Moskowitz EM, Knight LD, Sheridan JJ, et al. A new look at indirect bonding. J Clin Orthod 1996;30(5):277–281.
  25. Yu N, Genevet P, Kats MA, et al. Light propagation with phase discontinuities: generalized laws of reflection and refraction. Science 2011;334(6054):333–337. DOI: 10.1126/science.1210713.
  26. Plattner J, Othman A, Arnold J, et al. Comparative study between the overall production time of digitally versus conventionally produced indirect orthodontic bonding trays. Turk J Orthod 2020;33(4):232. DOI: 10.5152/TurkJOrthod.2020.18079.
  27. Aggarwal P, Aggarwal R. Indirect bonding procedures in orthodontics – a review. J Dents Dent Med 2018;1(4):120. DOI: 10.31021/jddm.20181120.
  28. Bozelli JV, Bigliazzi R, Barbosa HA, et al. Comparative study on direct and indirect bracket bonding techniques regarding time length and bracket detachment. Dental Press J Orthod 2013;18(6):51–57. Available from:
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.