Orthotown July/August 2020 - 41

SELF-ETCHING PRIMER TECHNIQUE
Option A:
Least aerosols

Option B:
Increased aerosols

1. Prophy

Instruct patients to vigorously
brush their teeth, focusing mainly
on the facial/buccal surfaces, at
home right before departing for
your office.

Upon arrival, instruct
patients to brush their teeth
vigorously with a unidose
oil-free pumice. Patients
should thoroughly rinse their
teeth at least three times.

Prophy the tooth with a
rubber cup and oil-free
pumice at chairside.

2. Dry

Dry tooth thoroughly with a
cotton roll or 2x2.

Dry tooth thoroughly with a
tooth dryer.

Dry tooth thoroughly with
chairside air syringe.

3. Application

With a micro brush, apply a
self-etching primer to three teeth
to distribute the active solution
evenly. Revisit the first tooth and
vigorously scrub each tooth surface for 10 seconds. Every three
teeth, revisit well to pick up more
primer and repeat. Remember to
press firmly and scrub vigorously.

4. Dry

With a dry microbrush, gently
stroke over the tooth surface five
times. After three teeth, discard
and use a new dry microbrush.

Using a warm air tooth dryer,
dry each tooth for 5 seconds.

Using the chairside air
syringe, dry each tooth for 5
seconds.

5. Increase
strength

Apply 1 coat of hydrophilic
bonding agent with a microbrush;
stroke over five times. With a new,
dry brush, stroke over each tooth
surface five times to evaporate
solvent. This dry brush may be
used for three teeth until needing
to be discarded. Light-cure tooth
for 10 seconds.

Apply one coat of hydrophilic
bonding agent with a
microbrush; dry with tooth
dryer.

Apply one coat of hydrophilic
bonding agent with microbrush; air-dry with chairside
air syringe.

6. Bracket
placement

Forcefully smear bracket paste
into bracket mesh, apply to tooth
and light-cure.

Step

Option C:
Traditional method

orthotown.com \\ JULY/AUGUST 2020

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Orthotown July/August 2020

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