Sounds like hyperbole, right? What if I told you that I direct bond ALL 6’s and we haven’t fit a band to a tooth in my office since 2014? We don’t even keep bands on stock in the office! That’s right! And we almost never see a bracket debond or break off a first molar. The only time I ever use bands is on a Herbst Appliance or RPE and I just have the lab fit them to the 3D print of the digital scan.
There are SO MANY advantages of not using bands:
No emergency calls and/or re-sep appointments when seps fall out prior to the banding/bonding appointment!
No seps getting wedged down below the contact point making it almost impossible to band the tooth due to the gingival inflammation and bleeding!
No patient discomfort!
No emergency calls for food caught under bands!
No impaction of 7’s on bands!
No training your CA’s how to fit bands!
No loose bands!
No risk of decals under loose bands!
Superior clinical efficiency – fewer visits!
Patients can chew gum and eat popcorn!
You can customize bracket location to optimize derotation and stolarization.
How is that possible, you ask? There are 3 big keys to the success of this approach:
Outstanding adaptation of the bracket to the buccal surface of the molar.
Increasing the bonding surface area by using large pads on the Mandibular 6’s.
Using a quality bonding agent and adhesive (I use GoTo paste and Assure, respectively).
This is SUCH A GAME CHANGER! Once you try it, you won’t go back to bands! Trust me, your patients and your team will thank you!!!