Vol. 10, Issue 3, Part C (2024)

Background: Bracket failure during orthodontic treatment is a prevalent issue that affects the treatment duration, cost, and patient compliance. Orthodontic treatment often involves fixed appliances where brackets play a crucial role. Bracket failure can occur due to various factors, affecting treatment efficacy and patient satisfaction.

Methodology: A questionnaire-based survey was conducted among 100 practicing orthodontists and 100 orthodontic patients in India. The questionnaires, distributed via email and social media, included 15 questions each and were designed to gather insights on bracket failure from both groups.

Results: The orthodontist survey revealed that 81.1% preferred suction and cotton rolls for isolation during the bonding procedure, and Trans bond XT conventional primer was used by 57.1%. High intensity LED was the preferred curing method for 85.7% of respondents. Bracket failures were reported more frequently in the lower arch (72.4%) and the posterior region (79.3%). Premolar teeth had the highest incidence of debonding. Patients' responses indicated that bracket failure was often noticed while chewing hard foods, and 89.2% did not attribute the failures to physical trauma. The majority of patients brushed once a day, and only 56.8% drank soft drinks occasionally.

Conclusion: Effective strategies to enhance patient cooperation, especially among adolescents, are essential to minimize bracket failures and optimize orthodontic treatment outcomes. Both orthodontists and patients need to collaborate closely to achieve successful treatment plans.