Chemical Structure of Braces: a Review

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

This review examines the chemical structure of braces currently used in dentistry. Braces are among the most commonly used orthodontic appliances in the treatment of malocclusion. The main requirements for braces are strong adhesion to hard tooth tissues, biocompatibility, low risk of injury, ease of fixation and use, and convenience for personal and professional oral care.

Braces can be made of metals, plastics (polycarbonate, polyurethane), or ceramics. The main advantages of metal braces are biocompatibility and modified adhesion, whereas ceramic and plastic braces are more esthetically appealing. The main disadvantages of plastic braces are their low durability and the toxicity of bisphenol, a polycarbonate monomer. Metal braces are visually unappealing. The main drawback of ceramic braces is the risk of enamel or crown chipping when removing them due to their strong adhesion to hard tooth tissues. Given Russia’s current need for import substitution, the development of domestic braces with improved biocompatibility and adhesion to hard tooth tissues, along with the prevention of dental caries during orthodontic treatment, is highly relevant.

Full Text

Restricted Access

About the authors

Galina E. Bordina

Tver State Medical University

Author for correspondence.
Email: gbordina@yandex.ru
ORCID iD: 0000-0001-6375-7981
SPIN-code: 1313-2983

Cand. Sci. (Biology), Associate Professor

Russian Federation, Tver

Nadezhda P. Lopina

Tver State Medical University

Email: n.lopina@internet.ru
ORCID iD: 0000-0002-7213-1531
SPIN-code: 1216-3570

Cand. Sci. (Chemistry), Professor

Russian Federation, Tver

Alexey A. Andreev

Tver State Medical University

Email: aandreev01@yandex.ru
ORCID iD: 0000-0002-1012-9356
Russian Federation, Tver

Ilya A. Nekrasov

Tver State Medical University

Email: ilya.nekrasov.01@bk.ru
ORCID iD: 0009-0007-1830-7069
Russian Federation, Tver

Arina S. Papulova

Tver State Medical University

Email: a.papulova27@inbox.ru
ORCID iD: 0009-0009-0226-1822
Russian Federation, Tver

References

  1. Chernenko SV, Korchemnaya OS, Korchemnyy VM, et al. Comparative analysis of orgodontic aligners and bracket systems. Medicine in Kuzbass. 2023;22(1):38–43. doi: 10.24412/2687-0053-2023-1-38-43 EDN: SKPNWA
  2. Khasan A, Posokhova VF. Comparative analysis of the composition and cost of using russian and foreign adhesives in dental practice. Challenges in Modern Medicine. 2023;46(4):401–407. doi: 10.52575/2687-0940-2023-46-4-401-407 EDN: XQITVC
  3. Martin C, Littlewood SJ, Millett DT, et al. Retention procedures for stabilising tooth position after treatment with orthodontic braces. Cochrane Database Syst Rev. 2023;5(5):CD002283. doi: 10.1002/14651858.CD002283 EDN: KRYSKD
  4. Castroflorio T, Parrini S, Rossini G. Aligner biomechanics: Where we are now and where we are heading for. J World Fed Orthod. 2024;13(2):57–64. doi: 10.1016/j.ejwf.2023.12.005 EDN: UEPBHS
  5. Al Hariri MH, Karkoutly M, Al Kurdi S, et al. The efficacy of the dental Water Jet, orthodontic, and conventional toothbrushes in plaque removal around orthodontic braces in adolescents: A randomized controlled trial. Clin Exp Dent Res. 2023;9(4):606–613. doi: 10.1002/cre2.752 EDN: LITHEA
  6. Pintiado-Gámez M, Melé-Ninot G, Iglesias-Plaza A, et al. Nickel-induced cheilitis related to orthodontic braces. Contact Dermatitis. 2025;92(2):154–155. doi: 10.1111/cod.14714 EDN: CETUNK
  7. Scribante A, Pascadopoli M, Gandini P, et al. Metallic vs ceramic bracket failures after 12 months of treatment: a prospective clinical trial. Int Dent J. 2024;74(6):1371–1377. doi: 10.1016/j.identj.2024.04.023 EDN: GKPFUB
  8. Francisco I, Travassos R, Nunes C, et al. What is the most effective technique for bonding brackets on ceramic — A systematic review and meta-analysis. Bioengineering (Basel). 2022;9(1):14. doi: 10.3390/bioengineering9010014 EDN: IOINPN
  9. Daraqel B, Yingying T, Zheng L. Flash-free and conventional adhesive ceramic brackets in patients undergoing orthodontic treatment: A systematic review and meta-analysis. Orthod Craniofac Res. 2023;26(1):1–12. doi: 10.1111/ocr.12585 EDN: NESJNP
  10. Podoplelova DV, Admakin OI, Startсeva IV, et al. Comparative analysis of individual oral hygiene during treatment with bracket systems and aligners. Pediatric Dentistry and Dental Prophylaxis. 2022;22(3):170–176. doi: 10.33925/1683-3031-2022-22-3-170-176 EDN: PULZSX
  11. Gazaliev IB. Combining orthodontic technologies with other treatment methods for preserving the maximum number of teeth: a literature review. Dental Forum. 2021;(1):32–38. EDN: WGVMQA
  12. Khan Z, Kontham R. The best method of reconditioning ceramic brackets to get an optimum shear bond strength compared with new ceramic brackets — Systematic review and meta-analysis of in vitro studies. Int Orthod. 2023;21(3):100788. doi: 10.1016/j.ortho.2023.100788 EDN: HZEMGR
  13. Khalil AS, Baowideen FA, Alhujaili AS, et al. Efficacy of lasers in debonding ceramic brackets: exploring the rationale and methods. Cureus. 2024;16(5):e61050. doi: 10.7759/cureus.61050 EDN: SMCJFZ
  14. Stukan EV, Kolychev EL, Sulimov AV, et al. Catalysts for the polyurethanes manufacturing. Oil and Gas Chemistry. 2024;(2):53–56. doi: 10.24412/2310-8266-2024-2-53-56 EDN: IYHIAF
  15. Azarmgin S, Torabinejad B, Kalantarzadeh R, et al. Polyurethanes and their biomedical applications. ACS Biomater Sci Eng. 2024;10(11):6828–6859. doi: 10.1021/acsbiomaterials.4c01352 EDN: UMPBRQ
  16. Wang X, Zhao Z, Zhang M, et al. Polyurethanes modified by ionic liquids and their applications. Int J Mol Sci. 2023;24(14):11627. doi: 10.3390/ijms241411627 EDN: BIOCPF
  17. Gudun KA, Tussupbayev S, Slamova A, Khalimon AY. Hydroboration of isocyanates: cobalt-catalyzed vs. catalyst-free approaches. Org Biomol Chem. 2022;20(34):6821–6830. doi: 10.1039/d2ob01192a EDN: PBMKSH
  18. Al-Ithawi WKhA, Glebov NS, Baklykov AV, et al. Mechanosynthesis of polycarbonate and polyester based on Bisphenol A. Butlerovskie soobshhenija. 2024;78(5):54–59. doi: 10.37952/ROI-jbc-01/24-78-5-54 EDN: LTXFUK
  19. Ganichev PA, Markova OL, Yeremin GB, et al. Modern research on the effect of bisphenol a on population health. Short review. Zdorov’e — osnova chelovecheskogo potenciala: problemy i puti ih reshenija. 2020;15(1):239–248. EDN: DYFGUS
  20. Al Shammary NH. Eating disorders in adolescents with dental braces: a case report. Cureus. 2024;16(4):e57845. doi: 10.7759/cureus.57845 EDN: ZSATNU
  21. Astasov-Frauenhoffer M, Göldi L, Rohr N, et al. Antimicrobial and mechanical assessment of cellulose-based thermoformable material for invisible dental braces with natural essential oils protecting from biofilm formation. Sci Rep. 2023;13(1):13428. doi: 10.1038/s41598-023-39320-1 EDN: TWELAO
  22. Mundhada VV, Jadhav VV, Reche A. A review on orthodontic brackets and their application in clinical orthodontics. Cureus. 2023;15(10):e46615. doi: 10.7759/cureus.46615 EDN: TJHLBZ
  23. Kerimkhanov KA, Iordanishvili AK. Orthodontic consultations: medical and social aspects. Ortodontija. 2022;(4):12–14. EDN: AOEAWK
  24. Aref S, Ravuri P, Kubavat AK, et al. Comparative analysis of braces and aligners: long-term orthodontic outcomes. J Pharm Bioallied Sci. 2024;16(Suppl. 3):S2385–S2387. doi: 10.4103/jpbs.jpbs_268_24 EDN: KVHPUW
  25. Kau CH, Soh J, Christou T, Mangal A. Orthodontic aligners: current perspectives for the modern orthodontic office. Medicina (Kaunas). 2023;59(10):1773. doi: 10.3390/medicina59101773 EDN: XBWQQU
  26. Nemer ASM, Brago AS, Razumov NM, et al. Investigation of adhesive shear strength of universal adhesives for fixing ceramic braces. Medical Alphabet. 2023;(30):14–18. doi: 10.33667/2078-5631-2023-30-14-18 EDN: ZLAARJ
  27. Khasan AM, Kosyreva TF, Tuturov NS. The review of studies on the bonding of metal brackets to tooth enamel and ceramics. Stomatologija dlja vseh. 2023;(1):32–37. doi: 10.35556/idr-2023-1(102)32-36 EDN: FRYMAE
  28. Grishayeva KA, Sevbitov AV, Tsaryova TV, et al. Changes in oral microbiota at different stages of active orthodontic treatment. I.P. Pavlov Russian Medical Biological Herald. 2024;32(4):529–538. doi: 10.17816/PAVLOVJ321672 EDN: AOEBYA
  29. Zibar Belasic T, Badnjevic M, Zigante M, et al. Supragingival dental biofilm profile and biofilm control during orthodontic treatment with fixed orthodontic appliance: A randomized controlled trial. Arch Oral Biol. 2024;164:105984. doi: 10.1016/j.archoralbio.2024.105984 EDN: ANSDHI
  30. Leidenz J, Soto Perez SC. Utility of orthodontic braces as flexible splint for stabilizing an avulsed tooth: a case report. Case Rep Dent. 2024;2024:3913304. doi: 10.1155/2024/3913304 EDN: MQCQSP

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Structural formula of polyurethane.

Download (35KB)
3. Fig. 2. Polyurethane production reaction using polyol and isocyanate.

Download (97KB)
4. Fig. 3. Example of the reaction to produce polycarbonate.

Download (64KB)

Copyright (c) 2025 Eco-Vector



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 86295 от 11.12.2023 г
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ЭЛ № ФС 77 - 80635 от 15.03.2021 г
.